QUALITY SYSTEMS INC
10-K, 1997-06-12
COMPUTER INTEGRATED SYSTEMS DESIGN
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<PAGE> 1
               UNITED STATES SECURITIES AND EXCHANGE COMMISSION
                       WASHINGTON, D.C. 20549

                              FORM 10-K

[ X ]    ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
                   SECURITIES EXCHANGE ACT OF 1934

                For the fiscal year ended March 31, 1997

                                 OR
 
[   ]    TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
           SECURITIES EXCHANGE ACT OF 1934 [NO FEE REQUIRED]

      For the transition period from ______________ to ________________

                      Commission file number 0-13801

                          QUALITY SYSTEMS, INC.
             (Exact name of registrant as specified in its charter)

           California                                  95-2888568
   (State or Other Jurisdiction of                   (I.R.S. Employer
    Incorporation or Organization)                  Identification No.)

17822 East 17th Street, Tustin, California                      92780
   (Address of Principal Executive Offices)                   (Zip Code)

Registrant's telephone number, including area code: (714) 731-7171

Securities registered pursuant to Section 12(b) of the Act: None

         Securities registered pursuant to Section 12(g) of the Act:

                                           Name of each exchange on
         Title of each class                   which registered:
  --------------------------------------   ------------------------
      Common Stock, par value $.01 per share              NA
         Common Stock Purchase Rights                     NA
 
Indicate by check mark whether the registrant (1) has filed all reports 
required to be filed by Section 13 or 15(d) of the Securities Exchange Act 
of 1934 during the preceding 12 months (or for such shorter period that the 
registrant was required to file such reports), and (2) has been subject to 
such filing requirements for the past 90 days.
Yes [ X ] No [  ]

Indicate by check mark if disclosure of delinquent filers pursuant to Item 
405 of Regulation S-K is not contained herein, and will not be contained, 
to the best of registrant's knowledge, in definitive proxy or information 
statements incorporated by reference in Part III of this Form 10-K or any 
amendment to this Form 10-K. [   ]

State the aggregate market value of the voting stock held by non-affiliates 
of the registrant as of May 30, 1997:  $ 32,915,000.

Indicate the number of shares outstanding of each of the registrant's 
classes of common stock as of May 30, 1997:  5,998,712.
                                                           Page 1 of 77

<PAGE> 2
DOCUMENTS INCORPORATED BY REFERENCE

The information required by Part III of the Form 10-K is 
incorporated by reference from Registrant's Definitive Proxy Statement 
for its 1997 annual meeting which is to be filed with the Commission 
on or before July 29, 1997.


<PAGE> 3
                              PART I
Item 1.  BUSINESS.
         ---------

Except for the historical information contained herein, the matters 
discussed in this Annual Report on Form 10-K, including discussions of the 
Company's product development plans and business strategies and market 
factors influencing the Company's results, are forward-looking statements 
that involve certain risks and uncertainties.  Actual results may differ 
from those anticipated by the Company as a result of various factors, both 
foreseen and unforeseen, including, but not limited to, the Company's 
ability to continue to develop new products and increase systems sales in 
markets characterized by rapid technological evolution, consolidation, and 
competition from larger, better capitalized competitors.  Many other 
economic, competitive, governmental and technological factors could impact 
the Company's ability to achieve its goals and interested persons are urged 
to review the risks described below under "Item 1. Business.  Risk 
Factors." and in "Item 7. Management's Discussion and Analysis of Financial 
Condition and Results of Operation." set forth below, as well as in the 
Company's other public disclosures and filings with the Securities and 
Exchange Commission.

GENERAL

Quality Systems, Inc. ("QSI") and its wholly-owned subsidiary, Clinitec 
International, Inc. ("Clinitec"), (collectively the "Company") develop and 
market health care information systems that automate medical and dental 
group practices, physician hospital organizations ("PHO's"), management 
service organizations ("MSOs"), health maintenance organizations ("HMOs") 
and community health centers.  In response to the growing need for more 
comprehensive, cost-effective information solutions for physician and 
dental practice management, the Company's systems provide clients with the 
ability to redesign patient care and other workflow processes, to improve 
productivity and reduce information processing and administrative costs and 
to provide multi-site access to patient information.  The Company's 
proprietary software systems include general patient information and 
summary medical records, appointment scheduling, billing, insurance claims 
submission and processing, managed care plan implementation and referral 
management, treatment outcome studies, treatment planning, drug 
formularies, patient electronic medical records, word processing and 
accounting.  In addition to providing fully integrated information 
solutions to its clients, the Company provides comprehensive hardware and 
software installation, maintenance and support services, system training 
services and electronic insurance claims submission services.

The Company currently has an installed base of more than 500 operating 
health care information systems serving PHOs, MSOs, HMOs, group practices, 
specialty practices, dental schools and other health care organizations, 
each of which consists of one to 120 physicians or dentists.  The Company 
believes that as health care providers are increasingly required to reduce 
costs while maintaining the quality of health care, the Company will be 
able to capitalize on its strategy of providing fully integrated 
information systems and superior customer service.

<PAGE> 4
QSI is a California corporation formed in 1974 and was founded with an 
early focus on providing information systems and services primarily for 
dental group practices.  QSI's initial "turnkey" systems were designed to 
improve productivity while reducing information processing costs and 
personnel requirements.  In the mid-1980's, QSI capitalized on the 
opportunity presented by the increasing pressure of cost containment on 
physicians and health care organizations and further expanded its 
information processing systems into the broader medical market.  Today, QSI 
develops and provides integrated UNIX-based* health care information 
systems for both the medical and dental markets.  These systems operate on 
a stand-alone basis or in a networked environment and are expandable to 
accommodate client needs.

Augmenting its practice management software, QSI added Clinitec's 
electronic medical records software to its product line in 1995 and 
completed its acquisition of Clinitec in May 1996.  Clinitec's principal 
product, NextGen**, permits scanning, annotation, retrieval and analysis of 
medical records in all formats, from documents to photographs and X-rays.  
NextGen has been developed using a client/server platform, a graphical user 
interface for compatibility with UNIX, Microsoft Windows***, Windows NT*** 
and Windows 95*** operating systems, and a relational database for 
flexibility in screen customization, reporting and logic flow.  The Company 
is also in the process of designing an alternative client/server version of 
its products utilizing a graphical user interface ("GUI") with the intent 
of enabling a more seamless integration of the QSI and NextGen 
applications.  With the addition of NextGen, the Company is able to provide 
its clients with a comprehensive information management solution.  NextGen, 
in conjunction with QSI's practice management software, was first installed 
at a beta site in August 1995 and is currently being installed in 
additional sites.

Further augmenting its product line, the Company purchased substantially 
all of the assets of MicroMed Healthcare Information Systems, Inc. 
("MicroMed") in May 1997.  MicroMed develops proprietary medical practice 
management systems that utilize a client/server platform, a graphical user 
interface for compatibility with Windows 95 and Windows NT operating 
systems, and a relational database that is ANSI SQL-compliant in contrast 
with the Company's existing practice management systems which are primarily 
character based.  MicroMed was formed in 1993 and, as of the acquisition 
date, MicroMed had six installed customer sites which include a medical 
center with more than 70 doctors, 20 locations and nearly 100 simultaneous 
users.  (See "Item 1. Business.  MicroMed.")

*     UNIX is a registered trademark of AT&T Corporation.
**    NextGen is a registered trademark of Clinitec International, Inc.
***   Microsoft Windows, Windows NT and Windows 95 are registered
      trademarks of Microsoft Corporation.

<PAGE> 5
                         INDUSTRY BACKGROUND

To compete in the changing health care environment, physicians and other 
outpatient care providers are increasingly joining and affiliating with 
other physicians, managed care organizations, hospitals and others 
enterprises to form larger health care organizations such as PHOs, MSOs and 
HMOs.  These organizations are designed to take advantage of economies of 
scale associated with managing health care services for large patient 
populations across inpatient and outpatient settings, while achieving 
improved quality, reduced costs and strengthened negotiating positions with 
managed care entities.  In the managed care environment, health care 
organizations are increasingly entering into contracts which define the 
terms under which care is administered.  The expansion in the number of 
managed care and third-party payor organizations, as well as additional 
government regulation and changes in reimbursement models, has greatly 
increased the complexity of pricing policies, billing procedures and 
reimbursement policies impacting medical practices.  In addition, to 
operate effectively, health care organizations must efficiently manage 
patient care and other workflow processes which may extend across multiple 
care locations and business entities.

To compete under the constraints of managed care while maintaining quality 
of services, health care organizations have placed increasing demands on 
their information systems.  Initially, these information systems automated 
financial and administrative functions.  As it became necessary to manage 
patient flow processes, the need arose to integrate much "back-office" data 
with clinical information such as patient test results and office visits.  
Particularly for larger organizations and group practices, the Company 
believes information systems must allow enterprise-wide exchange of patient 
information incorporating administrative, financial and clinical 
information from multiple entities, while focusing on the physician as the 
primary care giver.  In addition, large health care organizations 
increasingly require information systems that can deliver high-performance 
in environments with multiple concurrent computer users.

Many existing health care information systems, including systems designed 
for physicians and small group practices, were designed for limited 
administrative tasks such as billing and scheduling and can neither 
accommodate multiple computing environments nor operate effectively across 
multiple locations and entities.  As the health care industry continues to 
evolve, physician groups and health care organizations will increasingly 
require systems that compile structured clinical information from multiple 
sources and enable measurement of treatment outcomes and management of 
clinical processes.  Such systems must be integrated with financial and 
administrative information systems in order to maintain patient flow while 
continuing to reduce costs and improve quality of care.  The Company 
believes that systems which integrate patient clinical data with 
administrative, financial and other practice management data are best 
positioned to succeed in the current managed care environment.

<PAGE> 6
As health care organizations transition to new computer platforms and newer 
technologies, they will be migrating toward the implementation of 
enterprise-wide, patient-centered computing systems embedded with automated 
patient medical records.  These organizations cannot afford significant 
downtime or re-education, nor can they prudently risk choosing a system 
which has not proven its ability to handle high volume  processing with 
continuous dependability.  The Company believes that successful systems 
vendors in the market will have a sufficient installed base and adequate 
resources to offer high quality, fully integrated products and the value-
added services needed to expand and support clients throughout this 
evolution process.

Similarly, the dental industry has seen consolidation of dental practices 
in recent times.  This consolidation, as with the physician marketplace, 
has created business organizations which require more sophisticated 
computer information systems.

THE QSI SOLUTION

In response to the growing need for more comprehensive, cost-effective 
health care information solutions for physician and dental practice 
management, the Company's systems provide clients with the ability to 
redesign patient care and other workflow processes and improve productivity 
through multi-site and multi-entry access to patient information.  
Utilizing proven third-party hardware solutions combined with the Company's 
proprietary software configured to maximize the efficiency of a health care 
organization's information processing requirements, the Company's solutions 
enable an integration of a variety of administrative and patient 
information operations.  With the addition of Clinitec's product line, the 
Company provides clients with an integrated medical records management 
system as part of a total information management solution.  Leveraging over 
20 years of experience in the health care information services industry, 
the Company believes that it continues to distinguish its solutions by 
providing its clients with sophisticated, full-featured software systems 
along with comprehensive systems implementation, maintenance and support.

QSI's systems automate many aspects of group practice management, including 
the retention of general patient information, appointment scheduling, 
billing, insurance claims submission and processing, managed care plan 
implementation and referral management, treatment outcome studies, 
treatment planning, drug formularies, word processing and accounting.  QSI 
primarily uses the IBM RS6000* central processing unit and IBM'S AIX** 
version of the UNIX operating system as a platform for its application 
software, which enables QSI to continue providing a wide range of flexible 
and functional systems to accommodate clients from solo practitioner to 
large group practices.

*  RS6000 is a registered trademark of International Business Machines
   Corporation.
** AIX is a registered trademark of International Business Machines
   Corporation.

<PAGE> 7
PRODUCTS

QSI's health care information systems consist primarily of proprietary 
software applications and third-party hardware and software.  The systems 
range in capacity from one to hundreds of users, allowing the Company to 
address the needs of both small and large clients.  The software 
configuration of a typical system includes a basic medical or dental 
application and additional software applications.  A typical system also 
consists of third party hardware components, including a UNIX-based central 
processing unit, disk drives, a magnetic tape unit, video display 
terminals, PCs, one or more printers, and telecommunications equipment.  
The systems are modular in design and may be expanded to grow with changing 
client requirements.

QSI purchases all the hardware components of its systems as well as the 
requisite operating system licenses from manufacturers or distributors of 
those components.  It assembles and tests the hardware components and 
incorporates QSI's proprietary application software and other third party 
software into completed systems.  QSI provides systems tailored to 
accommodate particular client requirements. QSI continually evaluates the 
hardware components of its systems with a view to utilizing hardware that 
is functional, reliable and cost-effective.

QSI's systems include application and system software modules that provide 
comprehensive solutions for physician and dental practices.  Clients 
typically purchase a base medical or dental application and add on 
additional applications as desired.  Add-on applications include such 
modules as managed care, electronic medical records, patient eligibility, 
electronic claims and patient statements processing, various proprietary 
and third party accounting and word processing packages.  Systems have 
ranged in price from approximately $10,000 to over $900,000 depending upon 
size of group practice, number of system users and number of sites.

QSI continues to make enhancements to its hardware and software packages to 
provide increased functionality and flexibility to its clients.  Recent 
enhancements include additional interfaces for electronic claims submission 
and insurance payments, increased ability to implement managed care plans 
and fees, electronic patient eligibility verification, applications for 
community health centers, drug formulary tracking, enhanced patient 
scheduling, and software to support paperless collections.  QSI has 
continued to take advantage of new releases in the IBM RS6000 family, as 
well as new PC-based products utilizing the SCO* UNIX operating system.  In 
addition, QSI has added enhanced telecommunications and new peripheral 
products.

* SCO is a registered trademark of Santa Cruz Operation, Inc.

<PAGE> 8
CLINITEC

In April 1995, the Company entered into a strategic relationship with 
Clinitec, a developer of electronic medical records software systems.  In 
May 1995 as part of this relationship, the Company acquired a 25% equity 
interest in Clinitec for $1.0 million.  In May 1996, the Company acquired 
the remaining 75% of Clinitec for approximately $4.9 million in cash plus 
309,846 shares of QSI Common Stock.  For purposes of the acquisition, the 
shares were valued at approximately $6.9 million, or $22.25 per share, for 
a total purchase price of approximately $11.8 million for this remaining 
75% ownership interest.  QSI continues to maintain Clinitec as a separate 
subsidiary and sell Clinitec software products in conjunction with QSI 
products, as well as on a stand-alone basis.  For accounting purposes, the 
acquisition was treated as a purchase transaction during the quarter ended 
June 30, 1996.  In connection with this accounting treatment, the Company 
recorded an $8.3 million charge for purchased in-process research and 
development during the June 30, 1996 quarter.

Clinitec was formed in January 1994 to develop and market electronic 
medical records software systems.  Clinitec's proprietary software products 
are relatively new and Clinitec has sold only a limited quantity of these 
products to date.  There can be no assurance that Clinitec's products will 
achieve broad market acceptance.

Clinitec's software product, NextGen, has been developed using a graphical 
user interface client/server platform for compatibility with the UNIX, 
Microsoft Windows, Windows NT and Windows 95 operating systems and a 
relational database back end to permit flexibility in screen customization, 
reporting and logic flow.  NextGen operates in a client/server environment, 
using a desktop, laptop or pen-based PC configuration.  Medical records 
data can include:

     * User customized templates for data capture and automatic
       document generation.

     * Scanned or electronically acquired images, including X-rays
       and photographs.

     * Other records, documents and notes, including
       electronically captured handwriting and annotations.

     * Digital voice recordings embedded in documents.

In addition, specific templates designed into the system will permit 
research and analysis of particular conditions and diagnoses, including the 
interaction between various prescribed pharmaceuticals, and will allow for 
extensive outcomes reporting.

Clinitec offers software applications that are complementary to those 
offered by QSI.  The key "back office" applications incorporated into QSI's 
solutions such as practice management, eligibility, claims processing and 
accounting can be augmented by the "front office" applications of the 
NextGen software.  Because QSI's products are UNIX-based, QSI is able to 
add NextGen as part of an integrated system.  To further address the 
client/server technology oriented marketplace, the Company has acquired 
substantially all of the assets of MicroMed (see "Item 1. Business. 

<PAGE> 9
MicroMed."). QSI is also in the process of designing alternative versions 
of certain of its products for the client/server environment.  In addition 
to a graphical user interface, these client/server versions will include 
screens and templates similar to those in NextGen to enable a more seamless 
integration of the QSI and NextGen applications.  The Company intends to 
leverage its existing client base for sales of NextGen.

MICROMED

In May 1997, the Company purchased substantially all of the assets of 
MicroMed, a developer and marketer of proprietary medical practice 
management systems, for up to $10.8 million.  The purchase price consists 
of an initial cash payment of $4.8 million paid upon the May 1997 closing 
of the transaction with an additional payment of up to $6.0 million due no 
later than June 29, 1998.  The additional payment will be determined using 
a formula based primarily upon Revenues and Pre-Tax Operating Income, as 
each is defined in the related Asset Purchase Agreement, for the twelve 
month period ending March 31, 1998.  Up to 15% of the additional payment, 
if any, is payable in the Company's Common Stock at the sole election of 
the Company with the balance of any such payment payable in cash.  The 
acquisition will be treated as a purchase for accounting purposes.  In 
connection with this treatment, the Company expects to allocate a 
significant portion of the purchase price paid at the closing of the 
transaction to purchased in-process research and development during the 
quarter ending June 30, 1997.

MicroMed was formed in 1993 and, as of the acquisition date, MicroMed had 
six installed customer sites which include a medical center with more than 
70 doctors, 20 locations and nearly 100 simultaneous users.  MicroMed's 
proprietary software products are new and MicroMed has sold only a limited 
quantity of these products to date.  There can be no assurance that 
MicroMed's products will achieve broad market acceptance.

MicroMed offers software applications that are complementary to NextGen and 
expands the Company's practice management system product line which 
historically has been primarily character-based software solutions.  
MicroMed's software product has been developed using a GUI client/server 
platform for compatibility with Windows 95 and Windows NT operating 
systems, and a relational database that is ANSI SQL-compliant.  MicroMed's 
product, which has been designed initially for health care provider 
networks, is scalable and includes a master patient index, enterprise-wide 
appointment scheduling with referral tracking, clinical support, and 
centralized or decentralized patient financial management based on either a 
managed care or fee-for-service model.  The system's three-tiered 
architecture allows work to be performed on the database server, the 
application server and the client workstation.

SALES AND MARKETING

The Company sells and markets its products nationwide through a direct 
sales force operating from sales offices in California, Florida, Ohio, New 
York, Pennsylvania and Texas.  The Company's sales and marketing employees 
identify and contact prospective clients by a variety of means, including 
referrals from existing clients and contacts at professional society 
meetings and seminars with persons involved in group practice as well as 
trade journal advertising, direct mail advertising, and telemarketing.

<PAGE> 10
These sales employees are knowledgeable about medical and dental group 
health care systems, as well as computer applications.  Typically, these 
employees make presentations to potential clients by demonstrating the 
system and its capabilities on the prospective client's premises.  In 
addition, the Company performs remote demonstrations by utilizing a 
prospective client's PC or by sending the prospective client a 
telecommunications kit including a terminal.

The Company's sales cycle can vary significantly and typically ranges from 
three to 12 months from initial contact to contract execution.  Systems are 
normally delivered to a customer within 30 to 60 days of receipt of a 
system order, and therefore, the Company does not believe data pertaining 
to backlog is meaningful.  Standard payment terms include a 25% down 
payment with the balance due when the hardware is installed, in certain 
circumstances, or when the installed system is ready for training in other 
circumstances.  As part of the fees paid by its clients, the Company 
receives up-front licensing fees and a monthly/quarterly service fee based 
on client configuration.

QSI and Clinitec maintain separate sales forces.  As appropriate, sales 
leads for each other's products are passed between the two sales forces.  
In certain instances, a joint sales team is utilized to sell combined 
systems.

Several clients have purchased the Company's system and, in turn, are 
providing time-share services to local single and group practice 
practitioners.  Under the time-share agreements, the client provides the 
use of its system for a fee to one or more practitioners.  Although the 
Company does not receive a fee directly from the time-share client, 
implementation of time-share arrangements has resulted in the purchase of 
additional system capacity by the client offering the time-share services, 
as well as new system purchases made by the time-share clients.  The 
Company continues to concentrate its sales and marketing efforts on medical 
and dental practices, dental schools, physician clinics, MSOs, PHOs and 
community health centers.  MSOs and PHOs to which the Company has sold 
systems provide use of the Company's software to those group and single 
physician practices associated with the organization or hospital on either 
a time-sharing basis or by directing the Company to contract with those 
practices for the sale of stand-alone turnkey systems.

The Company has entered into marketing assistance agreements with certain 
of its clients pursuant to which the clients allow the Company to 
demonstrate to potential clients the use of systems on the existing 
clients' premises.  In addition, the Company has established certain of its 
clients as dealers for its systems.  Through this arrangement, the dealer 
markets and sells QSI systems to prospects in a local territory.  These 
prospects are generally smaller health care facilities than those actively 
pursued by the Company.  QSI's PC-based products are well suited to this 
dealer marketing.  In addition, the dealer typically provides a variety of 
ongoing services for its clients.  Dealers are compensated based on system 
size and profitability, and the services which they perform in lieu of the 
Company.

<PAGE> 11
The Company often assists prospective clients in identifying third party 
sources for financing the purchase of the Company's systems.  The  
financing usually is obtained by the client directly from institutional 
lenders and typically takes the form of a loan from the institution secured 
by the system to be purchased or a leasing arrangement.  Most of the 
clients purchasing QSI systems have been assisted by the Company in finding 
sources of financing for such purchases.

The Company has numerous clients and does not believe that the loss of any 
single client would have a material adverse effect on the Company.  No 
client accounted for ten percent or more of net revenues during fiscal 
years ended March 31, 1997, 1996 or 1995.

CUSTOMER SERVICE AND SUPPORT

The Company believes its success is attributable in part to its exceptional 
customer service and support.  The Company offers support to its clients 
seven days a week, 24 hours a day.  All of QSI's systems have a dedicated 
computer port for dial-up remote access, facilitating rapid response by QSI 
technicians to system inquiries. Most inquiries can be resolved without the 
need to dispatch QSI technicians.  These support services also provide QSI 
with the opportunity to monitor changes in each client's information 
processing requirements and to recommend the purchase of system hardware or 
software enhancements designed to satisfy these additional requirements.  
The Company believes that its commitment to provide extensive support has 
contributed significantly to the development of its business.

The Company offers clients support services for most system components, 
including hardware and software maintenance, for a fixed monthly/quarterly 
fee.  The Company also subcontracts with IBM to perform specific hardware 
maintenance tasks under the Company's direction.  This arrangement has 
provided the Company with economies of scale associated with IBM's service 
infrastructure while still maintaining service standards.

The Company's continuing system support staff is comprised of specialists 
who are knowledgeable in the area of hardware and software technology as 
well as in the day-to-day operations of a group practice.  QSI's on-line 
access to all client systems enables the support staff to provide immediate 
assistance to clients.  This assistance ranges from correcting minor 
procedural problems in the client's system to performing complex data base 
reconstructions or software updates.  QSI also utilizes an automated on-
line support system which assists clients in resolving minor problems and 
facilitates automated electronic retrieval of problems along with symptoms 
following a client's call to QSI's automated support system.  Additionally, 
the on-line support system maintains a complete call record at the client's 
facility and QSI.

IMPLEMENTATION AND TRAINING

The Company provides implementation and training services and believes that 
its system delivery, implementation and support services are key elements 
of successful client relationships.  When a client signs a contract for the 
purchase of a QSI system, a client manager, trained in physician and/or 
dental group practice procedures, is assigned to ensure that the client is 
fully informed of system options and that the proper system configuration 
is installed.  This information is determined through discussions with the

<PAGE> 12
client and observation of the client's practice.  Once the set of software 
features is established, the software configuration unique to a given 
client can be created in an automated fashion.

Before activation of the client's QSI system, QSI personnel typically 
convert the relevant client data onto the system.  Typically, QSI 
interfaces electronically to convert the client's data from another 
computer system, allowing for a quick, cost-effective and accurate 
conversion.  The system is then subjected to extensive testing which 
includes processing representative data using the client's system 
configuration.  In some situations, the data may have been previously 
maintained by the client on ledger cards or other hard copy.  In such 
situations, QSI typically uses its data entry staff to input the required 
data.

One or more QSI trainers experienced in group practice procedures are 
assigned to conduct an intensive training program for the client's 
employees.  The program includes a combination of computer assisted 
instruction ("CAI"), remote training techniques and training classes 
conducted by QSI staff at the client's office(s).  CAI consists of 
workbooks, computer interaction and personal instruction.  CAI is also 
offered to clients, for an additional charge, after the initial training 
program is completed for the purpose of training new and additional 
employees.  Remote training allows a trainer at QSI's office to train one 
or more people at a client site via telephone and computer connection, thus 
allowing an interactive and office-specific mode of training without the 
expense and time required for travel.  QSI also provides ongoing training 
through electronic classrooms where employees at different locations from 
the same or different companies can simultaneously interact on-line with a 
trainer.  In addition, QSI's on-line "help" documentation feature 
facilitates client training as well as ongoing support.

Similarly, when a client signs a contract for the purchase of a electronic 
medical records system from Clinitec, Clinitec's customer support manager 
creates, in conjunction with the client, a detailed system implementation 
plan and an implementation specialist is assigned to the client.  The 
implementation specialist is experienced with the information flow within a 
medical practice/organization.  The specialist trains the client in the use 
of the NextGen software and assists the client in tailoring the electronic 
medical records system to meet the entity's specific needs.  Training is 
provided at the client's site.  Throughout the implementation process, the 
customer support manager monitors the implementation milestones to assure 
timely training, installation and knowledge-base development.

COMPETITION

The market for medical group practice management systems is intensely 
competitive and the Company faces significant competition from a number of 
different sources. The industry is highly fragmented and includes numerous 
competitors, none of which the Company believes dominates the overall 
market for medical group practice management systems.  In addition, several 
of the Company's competitors have significantly greater financial, 
technical, product development and marketing resources than the Company.  
The Company believes its principal competitive advantages are the features 
and capabilities of its products and services, its high level of customer

<PAGE> 13
support and its 20-year experience in the industry.  To date, the Company 
has not encountered substantial competition in the dental group practices 
market of six or more dentists.  The Company is anticipating that market 
competition in the dental group practices market of six or more dentists 
will increase as new competitors enter the marketplace.  The Company 
believes that numerous firms sell computerized data processing systems to 
group dental practices consisting of five or fewer dentists.

The market for electronic medical records systems is highly competitive and 
subject to rapid changes in technology.  The Company expects that market 
competition will increase as new competitors enter the marketplace.  The 
industry is highly fragmented and includes numerous competitors, none of 
which the Company believes dominates the electronic medical records market.  
Many of the Company's competitors have substantially greater name 
recognition and technical, marketing and financial resources.  The Company 
believes its principal competitive  advantages are the features and 
flexibility of its NextGen products.  There can be no assurance that future 
competition or new product introductions in the electronic medical records 
market will not have a material adverse effect on the Company's business, 
financial condition and results of operations.  In addition, the NextGen 
software products are relatively new and only a limited quantity of these 
systems have been sold to date.  There can be no assurance that the NextGen 
products will achieve broad market acceptance.

Furthermore, the Company also competes in all of its markets indirectly and 
to varying degrees with other major health care related companies, 
information management companies generally, and other software developers 
which may more directly enter the markets in which the Company competes.  
There can be no assurance that future competition will not have a material 
adverse effect on the Company's business, financial condition and results 
of operations.  Competitive pressures and other factors, such as new 
product introductions by the Company or its competitors, may result in 
price erosion that could have a material adverse effect on the Company's 
business, financial condition and results of operations.

PRODUCT ENHANCEMENT AND DEVELOPMENT

The health care information management and computer software and hardware 
industries are characterized by rapid technological change requiring the 
Company to engage in continuing efforts to improve its systems.  During 
fiscal years 1997, 1996 and 1995 the Company expended approximately $2.8 
million, $1.9 million and $1.7 million, respectively, on research and 
development activities including capitalized software amounts of $850,000, 
$382,000 and $191,000, respectively.  In addition, many of the Company's 
product enhancements have resulted from software development work performed 
under contracts with its clients.  To the extent that the Company fails to 
achieve technological advances comparable to those made by others in the 
computer and health care information management industries, its products 
and services may become obsolete.

<PAGE> 14
GOVERNMENTAL REGULATION

The health care industry is subject to changing political, economic and 
regulatory influences that may affect the procurement processes and 
operation of health care facilities.  During the past several years, the 
health care industry has been subject to an increase in governmental 
regulation of, among other things, reimbursement rates and certain capital 
expenditures.  Certain legislators have announced that they intend to 
examine proposals to reform certain aspects of the U.S. health care system 
including proposals which may increase governmental involvement in health 
care, lower reimbursement rates and otherwise change the operating 
environment for the Company's clients.  Health care providers may react to 
these proposals and the uncertainty surrounding such proposals by 
curtailing or deferring investments, including those for the Company's 
systems and related services.  On the other hand, changes in the regulatory 
environment have increased and may continue to increase the needs of health 
care organizations for cost-effective data management and thereby enhance 
the marketability of the Company's systems and related services.  The 
Company cannot predict what impact, if any, such proposals or health care 
reforms might have on the Company's business, financial condition and 
results of operations.

The Company's software may be subject to regulation by the U.S. Food and 
Drug Administration (the "FDA") as a medical device.  Such regulation could 
require the registration of the applicable manufacturing facility and 
software and hardware products; application of detailed recordkeeping and 
manufacturing standards; and, FDA approval or clearance prior to marketing.  
An approval or clearance could create delays in marketing, and the FDA 
could require supplemental filings or object to certain of these 
applications.

EMPLOYEES

As of May 31, 1997, the Company, including MicroMed, employed 239 persons 
of which 225 were full time employees.  Systems analysts, programmers and 
qualified sales and marketing personnel are in short supply and, 
consequently, competition for such individuals is intense.  The Company 
believes that its future success depends in part upon recruiting and 
retaining qualified marketing and technical personnel as well as other 
employees.  The Company considers its employee relations to be good.

RISK FACTORS

DEPENDENCE ON PRINCIPAL PRODUCT AND NEW PRODUCT DEVELOPMENT - The Company 
currently derives substantially all of its net revenues from sales of its 
health care information systems and related services. The Company believes 
that a primary factor in the market acceptance of its systems has been its 
ability to meet the needs of users of health care information systems.  The 
Company's future financial performance will depend in large part on the 
Company's ability to continue to meet the increasingly sophisticated needs 
of its clients through the timely development and successful introduction 
of new and enhanced versions of its systems and other complementary 
products.  The Company has historically expended a significant amount of 
its net revenues on product development and believes that significant 
continuing product development efforts will be required to sustain the 
Company's growth.

<PAGE> 15
There can be no assurance that the Company will be successful in its 
product development efforts, that the market will continue to accept the 
Company's existing or new products, or that products or product 
enhancements will be developed in a timely manner, meet the requirements of 
health care providers or achieve market acceptance.  If new products or 
product enhancements do not achieve market acceptance, the Company's 
business, operating results and financial condition could be adversely 
affected.  At certain times in the past, the Company has also experienced 
delays in purchases of its products by clients anticipating the launch of 
new products by the Company.  There can be no assurance that material order 
deferrals in anticipation of new product introductions will not occur.

COMPETITION - The market for health care information systems is intensely 
competitive and the Company faces significant competition from a number of 
different sources.  The electronic medical records market, in particular, 
is subject to rapid changes in technology and the Company expects that 
competition in this portion of the market will increase as new competitors 
enter the marketplace. In addition, several of the Company's competitors 
have significantly greater name recognition as well as substantially 
greater financial, technical, product development and marketing resources 
than the Company.

The industry is highly fragmented and includes numerous competitors, none 
of which the Company believes dominates the overall market for either group 
practice management or electronic medical records systems. Furthermore, the 
Company also competes indirectly and to varying degrees with other major 
health care related companies, information management companies generally, 
and other software developers which may more directly enter the markets in 
which the Company competes.

There can be no assurance that future competition or new product 
introductions will not have a material adverse effect on the Company's 
business, financial condition and results of operations.  Competitive 
pressures and other factors, such as new product introductions by the 
Company or its competitors, may result in price erosion that could have a 
material adverse effect on the Company's business, financial condition and 
results of operations.

The Company believes that once a health care provider has chosen a 
particular health care information system vendor, the provider will, for a 
period of time, be more likely to rely on that vendor for its future 
information system requirements.  In addition, if the health care industry 
continues to undergo further consolidation as it has recently experienced, 
each sale of the Company's systems will assume even greater importance to 
the Company's business, financial condition and results of operations.  The 
Company's inability to make initial sales of its systems to either newly 
formed groups and/or health care providers that are replacing or 
substantially modifying their health care information systems could have a 
material adverse effect on the Company's business, financial condition and 
results of operations.  Furthermore, if new systems sales do not 
materialize, maintenance service revenues can be expected to decrease over 
time due to failure to capture new maintenance revenues therefrom and to 
attrition of existing maintenance revenues associated with the Company's 
existing clients whose systems become obsolete or are replaced by 
competitor's products.

<PAGE> 16
TECHNOLOGICAL CHANGE - The software market generally is characterized by 
rapid technological change, changing customer needs, frequent new product 
introductions and evolving industry standards.  The introduction of 
products incorporating new technologies and the emergence of new industry 
standards could render the Company's existing products obsolete and 
unmarketable.  There can be no assurance that the Company will be 
successful in developing and marketing new products that respond to 
technological changes or evolving industry standards.  New product 
development depends upon significant research and development expenditures 
which depend ultimately upon sales growth.  Any material weakness in 
revenues or research funding could impair the Company's ability to respond 
to technological advances in the marketplace and remain competitive.  If 
the Company is unable, for technological or other reasons, to develop and 
introduce new products in a timely manner in response to changing market 
conditions or customer requirements, the Company's business, results of 
operations and financial condition will be materially adversely affected.

In response to increasing market demand, the Company is currently 
developing new generations of certain of its group practice management 
software products that will be designed for the client/server and 
Internet/intranet environments. There can be no assurance that the Company 
will successfully develop these new software products or that these 
products will operate successfully on the principal client/server operating 
systems, which include UNIX, Microsoft Windows, Windows NT and Windows 95, 
or that any such development, even if successful, will be completed 
concurrently with or prior to introduction by competitors of products 
designed for the client/server and Internet/intranet environments.  Any 
such failure or delay could adversely affect the Company's competitive 
position or could make the Company's current practice management product 
line designed for the UNIX environment obsolete.

FLUCTUATION IN QUARTERLY OPERATING RESULTS - The Company's revenues and 
operating results have in the past fluctuated, and may in the future 
fluctuate, from quarter to quarter and period to period as a result of a 
number of factors including, without limitation: the size and timing of 
orders from clients; the length of sales cycles and installation processes; 
the ability of the Company's clients to obtain financing for the purchase 
of the Company's products; changes in pricing policies or price reductions 
by the Company or its competitors; the timing of new product announcements 
and product introductions by the Company or its competitors; the 
availability and cost of supplies; the financial stability of major 
clients; market acceptance of new products, applications and product 
enhancements; the Company's ability to develop, introduce and market new 
products, applications and product enhancements and to control costs; the 
Company's success in expanding its sales and marketing programs; deferrals 
of client orders in anticipation of new products, applications or product 
enhancements; changes in Company strategy; personnel changes; and general 
economic factors.

The Company's products are generally shipped as orders are received and 
accordingly, the Company has historically operated with minimal backlog.  
As a result, sales in any quarter are dependent on orders booked and 
shipped in that quarter and are not predictable with any degree of 
certainty.  Furthermore, the Company's systems can be relatively large and 
expensive and individual systems sales can represent a significant portion 

<PAGE> 17
of the Company's revenues for a quarter such that the loss of even one such 
sale can have a significant adverse impact on the Company's quarterly 
profitability.  Clients often defer systems purchases until the Company's 
quarter end, so quarterly results generally cannot be predicted and 
frequently are not known until the quarter has concluded.  The Company's 
initial contact with a potential customer depends in significant part on 
the customer's decision to replace, or substantially modify, its existing 
information system.  How and when to implement, replace or substantially 
modify an information system are major decisions for health care providers.  
Accordingly, the sales cycle for the Company's systems can vary 
significantly and typically ranges from three to 12 months from initial 
contact to contract execution/shipment and the installation cycle is 
typically two to four months from contract execution/shipment to completion 
of installation.

Because a significant percentage of the Company's expenses are relatively 
fixed, a variation in the timing of systems sales and installations can 
cause significant variations in operating results from quarter to quarter.  
As a result, the Company believes that interim period-to-period comparisons 
of its results of operations are not necessarily meaningful and should not 
be relied upon as indications of future performance. Further, the Company's 
historical operating results are not necessarily indicative of future 
performance for any particular period.

Due to all of the foregoing factors, it is possible that in some future 
quarter the Company's operating results may be below the expectations of 
public market analysts and investors.  In such event, the price of the 
Company's Common Stock would likely be materially adversely affected.

PROPRIETARY TECHNOLOGY - The Company is heavily dependent on the 
maintenance and protection of its intellectual property and relies largely 
on license agreements, confidentiality procedures and employee 
nondisclosure agreements to protect its intellectual property.  The 
Company's software is not patented and existing copyright laws offer only 
limited practical protection.  There can be no assurance that the legal 
protections and precautions taken by the Company will be adequate to 
prevent misappropriation of the Company's technology or that competitors 
will not independently develop technologies equivalent or superior to the 
Company's.  Further, the laws of some foreign countries do not protect the 
Company's proprietary rights to as great an extent as do the laws of the 
United States.

The Company does not believe that its operations or products infringe on 
the intellectual property rights of others.  However, there can be no 
assurance that others will not assert infringement or trade secret claims 
against the Company with respect to its current or future products or that 
any such assertion will not require the Company to enter into a license 
agreement or royalty arrangements with the party asserting the claim.  As 
competing health care information systems increase in complexity and 
overall capabilities and the functionality of these systems further 
overlaps, providers of such systems may become increasingly subject to 
infringement claims.  Responding to and defending any such claims may 
distract the attention of Company management and have a material adverse 
effect on the Company's business, financial condition and results of 
operations.  In addition, claims may be brought against third parties from 
which the Company purchases software, and such claims could adversely 
affect the Company's ability to access third party software for its 
systems.

<PAGE> 18
CLINITEC - A principal component of the Company's business strategy is the 
May 1996 acquisition of Clinitec.  The Company's future financial results 
will depend in part on the Company's ability to achieve market acceptance 
for Clinitec's products and successfully integrate Clinitec's business with 
the Company's.  There can be no assurance that the Company will be able to 
successfully coordinate its business activities with those of Clinitec.  
Furthermore, there can be no assurance that the Company will be successful 
in fully integrating Clinitec's products with those of the Company or that 
the acquisition of Clinitec will not have an adverse effect upon the 
Company's operating results.  In addition, Clinitec was formed in January 
1994 to develop and market electronic medical records software systems.  
Clinitec's proprietary software products are relatively new and Clinitec 
has sold only a limited quantity of these products to date.  There can be 
no assurance that Clinitec's products will achieve broad market acceptance.

MICROMED - A principal component of the Company's business strategy is the 
May 1997 acquisition of MicroMed.  The Company's future financial results 
will depend in part on the Company's ability to achieve market acceptance 
for MicroMed's products and successfully integrate MicroMed's business with 
the Company's.  There can be no assurance that the Company will be able to 
successfully coordinate its business activities with those of MicroMed.  
Furthermore, there can be no assurance that the Company will be successful 
in fully integrating MicroMed's products with those of the Company or that 
the acquisition of MicroMed will not have an adverse effect upon the 
Company's operating results.  In addition, MicroMed was formed in February 
1993 to develop and market medical practice management software systems.  
MicroMed's proprietary software products are new and MicroMed has sold only 
a limited quantity of these products to date.  There can be no assurance 
that MicroMed's products will achieve broad market acceptance.

ABILITY TO MANAGE GROWTH - The Company has recently experienced a period of 
growth and increased personnel which has placed, and will continue to 
place, a significant strain on the Company's resources.  The Company 
anticipates expanding its overall software development, marketing, sales, 
client management and training capacity.  In the event the Company is 
unable to identify, hire, train and retain qualified individuals in such 
capacities within a reasonable time-frame, such failure could have a 
material adverse effect on the Company.  In addition, the Company's ability 
to manage future increases, if any, in the scope of its operations or 
personnel will depend on significant expansion of its research and 
development, marketing and sales, management and administrative, and 
financial capabilities.  The failure of the Company's management to 
effectively manage expansion in its business could have a material adverse 
effect on the Company's business, results of operations and financial
condition.

PRODUCT LIABILITY - Certain of the Company's products provide applications 
that relate to patient medical information.  Any failure by the Company's 
products to provide accurate and timely information could result in claims 
against the Company.  The Company maintains insurance to protect against 
claims associated with the use of its products, but there can be no 
assurance that its insurance coverage would adequately cover any claim 
asserted against the Company.  A successful claim brought against the 
Company in excess of its insurance coverage could have a material adverse 
effect on the Company's business, financial condition and results of 
operations.  Even unsuccessful claims could result in the Company's 
expenditure of funds in litigation and management time and resources.  

<PAGE> 19
There can be no assurance that the Company will not be subject to product 
liability claims, that such claims will not result in liability in excess 
of its insurance coverage, that the Company's insurance will cover such 
claims or that appropriate insurance will continue to be available to the 
Company in the future at commercially reasonable rates.  Such claims could 
have a material adverse affect on the Company's business, financial 
condition and results of operations.

UNCERTAINTY IN HEALTH CARE INDUSTRY; GOVERNMENT REGULATION - The health 
care industry is subject to changing political, economic and regulatory 
influences that may affect the procurement processes and operation of 
health care facilities.  During the past several years, the health care 
industry has been subject to an increase in governmental regulation of, 
among other things, reimbursement rates and certain capital expenditures.  
Certain legislators have announced that they intend to examine proposals to 
reform certain aspects of the U.S. health care system including proposals 
which may increase governmental involvement in health care, lower 
reimbursement rates and otherwise change the operating environment for the 
Company's clients.  Health care providers may react to these proposals and 
the uncertainty surrounding such proposals by curtailing or deferring 
investments, including those for the Company's systems and related 
services.  Cost-containment measures instituted by health care providers as 
a result of regulatory reform or otherwise could result in greater 
selectivity in the allocation of capital funds.  Such selectivity could 
have an adverse effect on the Company's ability to sell its systems and 
related services.  The Company cannot predict what impact, if any, such 
proposals or health care reforms might have on its business, financial 
condition and results of operations.

The Company's software may be subject to regulation by the U.S. Food and 
Drug Administration (the "FDA") as a medical device.  Such regulation could 
require the registration of the applicable manufacturing facility and 
software/hardware products, application of detailed recordkeeping and 
manufacturing standards, and FDA approval or clearance prior to marketing.  
An approval or clearance could create delays in marketing, and the FDA 
could require supplemental filings or object to certain of these 
applications.

DEPENDENCE UPON KEY PERSONNEL - The Company's future performance also 
depends in significant part upon the continued service of its key technical 
and senior management personnel, many of whom have been with the Company 
for a significant period of time.  Because the Company has a relatively 
small number of employees when compared to other leading companies in the 
same industry, its dependence on maintaining its employees is particularly 
significant.  The Company is also dependent on its ability to attract and 
retain high quality personnel, particularly highly skilled software 
engineers for applications development.  The industry is characterized by a 
high level of employee mobility and aggressive recruiting of skilled 
personnel.  There can be no assurance that the Company's current employees 
will continue to work for the Company.  Loss of services of key employees 
could have a material adverse effect on the Company's business, results of 
operations and financial condition.  The Company does not maintain key man 
life insurance on any of its employees.  The Company may need to grant 
additional stock options to key employees and provide other forms of 
incentive compensation to attract and retain such key personnel.

<PAGE> 20
Item 2.  PROPERTIES.
         -----------

The Company's principal administrative, data processing, marketing and 
development operations are located in approximately 17,000 square feet of 
leased space in Tustin, California under a lease which expires in March 
2000.  In addition, the Company leases approximately 13,000 square feet of 
space in Santa Ana, California to house its assembly and warehouse 
operations, approximately 15,000 square feet of space in Horsham, 
Pennsylvania, the principal office for Clinitec, and an aggregate of 2,000 
square feet of space in Florida, Kansas, New York, Texas and Washington to 
house additional sales, training and service operations.  These leases, 
including options, have expiration dates ranging from month-to-month to 
March 2000 and provide for aggregate annual rental payments of 
approximately $542,000.  The Company believes that its facilities are 
adequate for its current needs and that suitable additional or substitute 
space is available, if needed.

<PAGE> 21
Item 3.  LEGAL PROCEEDINGS.
         ------------------

On April 22, 1997, a purported class action entitled JOHN P. CAVENY v. 
QUALITY SYSTEMS, INC., ET AL. was filed in the Superior Court of the State 
of California for the County of Orange, in which Mr. Caveny, on behalf of 
himself and all others who purchased the Company's Common Stock between 
June 26, 1995 and July 3, 1996, alleges that the Company, and Sheldon 
Razin, Robert J. Beck, Gregory S. Flynn, Abe C. LaLande, Donn Neufeld, Irma 
G. Carmona, John A. Bowers, Graeme H. Frehner, and Gordon L. Setran (all of 
the foregoing individuals were either officers, directors or both during 
the period from June 26, 1995 through July 3, 1996), as well as other 
defendants not affiliated with the Company, violated California 
Corporations Code Sections 25400 and 25500, California Civil Code Sections 
1709 and 1710, and California Business and Professions Code Sections 17200 
and 17500, et. seq., by issuing positive statements about the Company that 
allegedly were knowingly false, in part, in order to assist the Company and 
the individual defendants in selling Common Stock at an inflated price in 
the Company's March 5, 1996 public offering and at other points during the 
class period.  The complaint seeks compensatory and punitive damages in 
unspecified amounts, disgorgement, declatory and injunctive relief, and 
attorneys' fees.  The Company and each of the individual defendants deny 
all allegations of wrongdoing made against them in the lawsuit.

On May 14, 1997, a second purported class action entitled WENDY WOO v. 
QUALITY SYSTEMS, INC., ET AL. was filed in the same court.  This complaint 
essentially repeats the allegations in the Caveny lawsuit and seeks 
identical relief.  The Company and the individual defendants deny all 
allegations of wrongdoing made against them in this lawsuit as well.

The Company and its named officers and directors deny all allegations of 
wrongdoing made against them in these suits, consider the allegations 
groundless and without merit, and intend to vigorously defend against these 
actions.

The Company is a party to various other legal proceedings incidental to its 
business, none of which are considered by the Company to be material.

<PAGE> 22
Item 4.  SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS.
         ----------------------------------------------------

No matter was submitted to a vote of security holders during the fourth 
quarter of fiscal year 1997.



Executive Officers of the Registrant
- ------------------------------------

The executive officers of the Company as of March 31, 1997 were
as follows:
<TABLE>
<CAPTION>
          Name              Age        Position
          ----              ---        --------
      <S>                   <C>        <C>
      Sheldon Razin          59        Chairman of the Board, Chief
                                         Executive Officer, President
                                         and Director

      Robert J. Beck         57        Executive Vice President

      Patrick B. Cline       36        Executive Vice President,
                                         Director, and President and
                                         Chief Operating Officer
                                         of Clinitec

      Greg Flynn             39        Vice President - Sales and
                                         Marketing

      Abe LaLande            46        Vice President - Hardware
                                         Research and Development

      Robert G. McGraw       39        Vice President - Chief
                                         Financial Officer

      Donn Neufeld           40        Vice President - Software
                                         and Operations

      Janet Razin            57        Vice President, Corporate
                                         Secretary and Director


Executive officers of the Company are elected by, and serve at the 
discretion of, the Board of Directors.  Additional information regarding 
the Company's executive officers is set forth below.

</TABLE>

<PAGE> 23
Sheldon Razin is the founder of the Company and has served as Chairman of 
the Board of Directors and Chief Executive Officer since the Company's 
inception.  He also has served as the Company's President since its 
inception except for the period from August 1990 to August 1991.  
Additionally, Mr. Razin served as Treasurer from the Company's inception 
until October 1982.  Prior to founding the Company, he held various 
technical and managerial positions with Rockwell International Corporation 
and was a founder of the Company's predecessor, Quality Systems, a sole 
proprietorship engaged in the development of software for commercial and 
space applications and in management consulting work.  Mr. Razin holds a 
B.S. degree in Mathematics from the Massachusetts Institute of Technology.  
Mr. Razin is the husband of Janet Razin.

Robert J. Beck joined the Company, and has served as its Executive Vice 
President, since April 1992.  In this capacity, he is heavily involved in 
the Company's sales and marketing efforts.  Mr. Beck has been associated 
with turnkey health care computing applications since 1975, holding a 
variety of increasingly responsible management positions in several 
companies.  Prior to joining the Company, Mr. Beck served as Executive Vice 
President of Sandata, a provider of DME and Home Health Care Turnkey 
Systems.  Mr. Beck's experience includes founding and running a 
corporation, The Hamilton Computer Group, Inc., which was at one time a 
major competitor to the Company.  He holds a B.A. degree in Mathematics and 
Statistics from Hunter College.

Patrick B. Cline has served as a Director and Executive Vice President 
since May 1996.  Mr. Cline is a co-founder of Clinitec and has served as 
its President since its inception in January 1994 and as its Chief 
Operating Officer since May 1996 when it was acquired by the Company.  Mr. 
Cline served as Clinitec's Chairman of the Board of Directors and Chief 
Executive Officer from January 1994 until May 1996.  Prior to co-founding 
Clinitec, Mr. Cline served, from July 1987 to January 1994, as Vice 
President of Sales and Marketing with Script Systems, a subsidiary of 
InfoMed, a health care information systems company.  From January 1994 to 
May 1994, after the founding of Clinitec, Mr. Cline continued to serve, on 
a part time basis, as Script Systems' Vice President of Sales and 
Marketing.  Mr. Cline has held senior positions in the health care 
information systems industry since 1981.

Greg Flynn has served as the Company's Vice President Sales and Marketing 
since January 1996 after serving as Vice President Administration since 
June 1992.  In these capacities, Mr. Flynn has been responsible for 
numerous functions related to sales and the ongoing management of the 
Company.  Previously, Mr. Flynn served as the Company's Vice President 
Corporate Communications.  Since joining the Company in January 1982, Mr. 
Flynn has held a variety of increasingly responsible management positions 
within the organization.  Prior to joining the Company, Mr. Flynn was a 
scriptreader/script consultant for a film production company.  He holds a 
B.A. degree in English from the University of California, Santa Barbara.

<PAGE> 24
Abe LaLande has served as the Company's Vice President Hardware Research 
and Development since February 1989 except from January 1997 to March 1997 
when he was employed at Toshiba America, Inc.  From 1979 to 1982, he served 
as the Company's senior field service engineer, and from 1982 to 1988, he 
served as Vice President Field Service and Production.  During fiscal 1989, 
Mr. LaLande left the Company for three months to work for Toshiba America, 
Inc.  Prior to joining the Company, Mr. LaLande held various senior field 
service engineering positions with Mini-Computer Systems (October 1978 to 
April 1979), Varian Associates (February 1978 to October 1978) and General 
Automation (July 1977 to February 1978), all of which are computer 
manufacturing companies.  He holds an A.A. degree in Electronic Engineering 
from Fullerton College and an A.S. degree in Computer Science from Control 
Data Institute.

Robert G. McGraw joined the Company in February 1996 as Chief Financial 
Officer.  Prior to joining the Company, Mr. McGraw was the Chief Financial 
Officer of CVD Financial Corporation, an asset-based commercial lender, 
from March 1994 to February 1996.  He was an independent financial 
consultant from August 1989 to February 1991 and from March 1992 to 
February 1994.  From March 1991 to February 1992, Mr. McGraw was Chief 
Financial Officer of MGV International, Inc., a diversified middle market 
company with a personal computer manufacturing plant and wholesale 
distribution operations.  Mr. McGraw is a Certified Public Accountant and 
holds an M.B.A. from UCLA and a B.A. with highest honors in Business 
Economics from the University of California, Santa Barbara.

Donn Neufeld has served as the Company's Vice President-Software and 
Operations since January 1996 and as Vice President - Operations from June 
1986 until January 1996.  From April 1981 until June 1986, Mr. Neufeld held 
the position of Manager of Customer Support.  He joined the Company in 
December 1980 as part of the System Generation Department.  Prior to 
joining the Company, Mr. Neufeld was a System Analyst/Programmer at Loma 
Linda University Medical Center.

Janet Razin has served as a Director, Vice President and Corporate 
Secretary since the Company's inception and served as the Company's 
Controller until November 1981.  She served as Vice President Chief 
Financial Officer from October 1982 until October 1984.  Prior to joining 
the Company, she was a computer programmer for Rockwell International 
Corporation.  Mrs. Razin holds a B.A. degree in Mathematics from 
Northeastern University.  Mrs. Razin is the wife of Sheldon Razin.

<PAGE> 25
                         PART II

Item 5.  MARKET FOR REGISTRANT'S COMMON EQUITY AND RELATED
         STOCKHOLDER MATTERS.
         ---------------------------------------------------------

The Company's Common Stock is traded on the Nasdaq National Market
under the symbol "QSII".  The following table sets forth for the
quarters indicated, the reported high and low closing sales prices as
reported by Nasdaq.  The quotations reflect inter-dealer prices,
without retail markup, markdown, or commissions and may not
necessarily represent actual transactions.

<TABLE>
<CAPTION>
    Quarter Ended                    High            Low
  ------------------              --------        --------

  <S>                             <C>             <C>
  June 30, 1995                      5.13            3.00

  September 30, 1995                17.88            4.63

  December 31, 1995                 32.25           12.88

  March 31, 1996                    30.00           18.00

  June 30, 1996                     35.25           17.00

  September 30, 1996                18.50            7.38

  December 31, 1996                  9.88            6.00

  March 31, 1997                     8.38            6.13

</TABLE>

At May 31, 1997 there were approximately 189 holders of record.  The 
Company estimates the number of beneficial holders of its Common Stock to 
be in excess of 1,400.

On May 17, 1996, in connection with the acquisition of Clinitec, the 
Company issued 309,846 unregistered shares of its Common Stock and paid 
$4.9 million in cash to the shareholders of Clinitec to purchase the 
remaining 75% ownership interest in Clinitec that the Company did not 
already own (see "Item 1. Business.  Clinitec.").  The shares of Common 
Stock were valued at $6.9 million, or $22.25 per share.

Through May 31, 1997, the Company has not paid cash dividends on shares of 
its Common Stock.  The Company anticipates that all future earnings, if 
any, will be retained for use in the Company's business and it does not 
anticipate paying any cash dividends in the future.  Payment of future 
dividends, if any, will be at the discretion of the Company's Board of 
Directors after taking into account various factors, including the 
Company's financial condition, operating results, current and anticipated 
cash needs and plans for expansion.

<PAGE> 26
Item 6.  SELECTED FINANCIAL DATA.
- ---------------------------------

The following selected financial data with respect to the Company's 
consolidated statements of operations for each of the five years in the 
period ended March 31, 1997 and the balance sheet data as of the end of 
each such fiscal year are derived from the audited financial statements of 
the Company.  The following information should be read in conjunction with 
the consolidated Financial Statements of the Company and the related notes 
thereto and "Management's Discussion and Analysis of Financial Condition 
and Results of Operations" included elsewhere herein.

             Consolidated Statement of Operations Data
             (In thousands, except for per share data)
<TABLE>
<CAPTION>
                                     Year Ended March 31,
                            ---------------------------------------
                              1997    1996    1995    1994    1993
                            ------- ------- ------- ------- -------
<S>                        <C>     <C>     <C>     <C>     <C>
Net Revenues                $20,127 $16,732 $12,049 $11,752 $11,651
Cost of Products
 and Services                10,089   7,929   6,060   6,527   6,992
                            ------- ------- ------- ------- -------
Gross Profit                 10,038   8,803   5,989   5,225   4,659
Selling, General
 and Administrative           7,736   3,897   3,536   3,052   3,008
Research and Development      1,978   1,567   1,467   1,318   1,134
Purchased In-Process
 Research and
 Development(1)               8,300    -       -       -       -
                            ------- ------- ------- ------- -------
Income (Loss) from
 Operations                  (7,976)  3,339     986     855     517
Interest and
 Other Income                 1,285     482     429     400     192
                            ------- ------- ------- ------- -------
Income (Loss) before
 Provision for Income
 Taxes                       (6,691)  3,821   1,415   1,255     709
Provision for
 Income Taxes(2)                784   1,528     453     349      86
                            ------- ------- ------- ------- -------
Net Income (Loss)           $(7,475)$ 2,293 $   962 $   906 $   623
                            ======= ======= ======= ======= =======
Net Income (Loss)
 per Share(3)               $ (1.26)$  0.48 $  0.21 $  0.21 $  0.15
                            ======= ======= ======= ======= =======
Weighted Average 
 Shares Outstanding          5,937   4,788   4,606   4,342   4,187
                            ======= ======= ======= ======= =======

</TABLE>

<PAGE> 27
                          Consolidated Balance Sheet Data
                                 (In thousands)

<TABLE>
<CAPTION>
                                          March 31,
                            ---------------------------------------
                              1997    1996    1995    1994    1993
                            ------- ------- ------- ------- -------
<S>                        <C>     <C>     <C>     <C>     <C>
Cash and Cash Equivalents
 and Short-Term
 Investments(4)             $22,735 $28,944 $ 7,322 $ 6,071 $ 4,778
Working Capital              25,613  30,196   8,032   6,857   5,204
Total Assets                 37,866  37,272  12,668  11,094   9,596
Total Liabilities             5,596   4,571   3,480   3,054   3,074
Shareholders' Equity(4)     $32,270 $32,701 $ 9,188 $ 8,040 $ 6,522
                            ======= ======= ======= ======= =======
</TABLE>

(1)	In May 1996, the Company acquired Clinitec (see "Item 1. Business.  
Clinitec.") which was treated as a purchase transaction for accounting 
purposes.  In connection with this treatment, the Company incurred an 
$8.3 million charge for purchased in-process research and development 
during the year ended March 31, 1997.

(2)	The provision for income taxes for the year ended March 31, 1993 is 
net of an extraordinary credit resulting from the tax benefit from 
utilization of net operating loss carryforwards.

	The provision for income taxes for the year ended March 31, 1997 
differs from the Company's combined Federal and State statutory rates 
primarily due to the non-deductible charge for purchased in-process 
research and development incurred in connection with the acquisition 
of Clinitec in May 1996.

(3)	Net income (loss) per share reflects primary income (loss) per share 
for all periods indicated.  Primary and fully diluted net income 
(loss) per share were the same for all periods except for the year 
ended March 31, 1994, for which fully diluted net income per share was 
$0.20.

(4)	In March 1996, the Company completed a secondary public offering of 
one million shares of Common Stock resulting in net cash proceeds of 
$20.2 million.

<PAGE> 28
Item 7.  MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION
         AND RESULTS OF OPERATION.
         -----------------------------------------------------------

Except for the historical information contained herein, the matters 
discussed in this Annual Report on Form 10-K, including discussions of the 
Company's product development plans and business strategies and market 
factors influencing the Company's results, are forward-looking statements 
that involve certain risks and uncertainties.  Actual results may differ 
from those anticipated by the Company as a result of various factors, both 
foreseen and unforeseen, including, but not limited to, the Company's 
ability to continue to develop new products and increase systems sales in 
markets characterized by rapid technological evolution, consolidation, and 
competition from larger, better capitalized competitors.  Many other 
economic, competitive, governmental and technological factors could impact 
the Company's ability to achieve its goals and interested persons are urged 
to review the risks described in "Item 1. Business.  Risk Factors." and in 
"Management's Discussion and Analysis of Financial Condition and Results of 
Operation" set forth below, as well as in the Company's other public 
disclosures and filings with the Securities and Exchange Commission.

GENERAL

Since fiscal 1995, approximately one-half of the Company's revenues have 
been derived from sales of computer systems, upgrades and supplies, with 
the balance derived from systems maintenance agreements and other support 
services.  On sales of its systems, upgrades and supplies, the Company 
generally recognizes its contract revenues upon shipment of its systems and 
products so long as the estimated costs to complete the systems are 
insignificant.  If such estimates to complete are significant, revenues are 
recognized on a percentage of completion basis.  Maintenance revenues are 
recognized ratably over the life of the related agreements.

In the last several years, the majority of the Company's clients have 
elected to purchase the Company's maintenance and support services.  
Revenues from systems maintenance are typically recognized ratably over the 
life of the contract.  In recent years, the Company's maintenance revenues 
have been increasing and the Company anticipates that these revenues will 
continue to increase if systems sales increase.  However, there can be no 
assurance that future purchasers of the Company's systems will also 
purchase the Company's maintenance services.  Furthermore, if new systems 
sales do not materialize, maintenance service revenues can be expected to 
decrease over time due to failure to capture new maintenance revenues 
therefrom and to attrition of existing maintenance revenues associated with 
the Company's existing clients whose systems become obsolete or are 
replaced by competitors' products.

In the recent past, the Company's systems sales have been impacted by a 
number of factors which have had the effect of reducing systems sales 
revenues and systems upgrade revenues while at the same time increasing the 
potential relative profitability in percentage terms of these sales.  For 
example, the costs of the hardware components used in the Company's systems 
have declined while the performance and capacity of such components have 
continually increased.  Consistent with the marketplace, the Company has 
adjusted its systems pricing to its clients to reflect these decreased 
hardware costs.  Furthermore, the Company increasingly encounters 
prospective clients that already own, or desire to acquire from third 

<PAGE> 29
parties, significant quantities of hardware which may be utilized with the 
Company's software.  In such instances, the revenues generated from such 
clients are lower than they otherwise would be.  As a result of these 
market changes, the Company has increasingly experienced a number of new 
systems sales comprised of greater revenues as a percentage of the total 
system sale from the software user licenses and services components with 
reduced or no revenues from hardware components, and such systems sales 
generally yield higher margins than those systems sales that also include 
significant hardware components.  There can be no assurance that these 
trends will continue.

With the recent increase in the capacity of the hardware components which 
the Company markets, the Company has experienced a significant market for 
the sale of additional software user licenses to its existing clients 
because such clients can often add more software user capacity to their 
systems with minimal or no change to their current central processing unit.  
Such clients frequently also purchase hardware peripherals from the Company 
for use with the newly purchased software user licenses.  However, there 
can be no assurance that these trends will continue and the Company's 
existing client base represents a finite market that will not generate new 
sales indefinitely.  This trend may also negatively impact the Company's 
sales of hardware upgrades in the future.  Ultimately, the Company's growth 
depends on new client sales.

Health care providers, faced with economic pressures to reduce costs and 
increase productivity, are increasingly aligning with health maintenance 
organizations, hospitals and other health care organizations as well as 
consolidating with other health care providers into larger, more efficient 
business entities.  This trend results in an increase in the number of 
large and complex health care organizations that are potential clients for 
the Company's sophisticated systems.  In addition, the potential growth of 
these organizations after they become clients of the Company presents the 
potential for the Company to increase sales of upgrades and additional 
software user licenses.  The Company's ability to address the complex 
software requirements of such newly forming or growing business entities, 
in particular in the area of managed care, is a key to success in this 
changing health care delivery environment. Furthermore, there can be no 
assurance that the Company will be successful in its efforts to market its 
systems to a significant number of these newly formed organizations and an 
inability to do so can have a material adverse effect on the Company's 
business, financial condition and results of operations.

The sales cycle for the Company's systems typically ranges from three to 12 
months from initial contact to contract execution/shipment.  The 
installation cycle is typically two to four months from contract 
execution/shipment to completion of installation.  The Company's products 
are generally shipped as orders are received and accordingly, the Company 
has historically operated with minimal backlog.  As a result, sales in any 
quarter are dependent on orders booked and shipped in that quarter and are 
not predictable with any degree of certainty.  Furthermore, the Company's 
systems can be relatively large and expensive, and individual systems sales 
can represent a significant portion of the Company's revenues for a quarter 
such that the loss of even one such sale can have a significant adverse 
impact on the Company's quarterly profitability.  Clients often defer 
systems purchases until the Company's quarter end, so quarterly results 
generally cannot be predicted and frequently are not known until the 

<PAGE> 30
quarter has concluded.  Because a significant percentage of the Company's 
expenses are relatively fixed, a variation in the timing of systems sales 
and installations can cause significant variations in operating results 
from quarter to quarter.  Thus, the Company believes that interim period-
to-period comparisons of its results of operations are not necessarily 
meaningful and should not be relied upon as indications of future 
performance.

The Company's research and development expenses consist primarily of 
personnel and equipment costs required to conduct the Company's product 
development effort.  The Company believes that significant investments in 
research and development are required to remain competitive.  As a 
consequence, in recent years, the Company has increased the amount of its 
expenditures on research and development mainly through the employment of 
additional development personnel.  While the Company's current cash 
position supports research and development expenditures even during periods 
with relatively low revenues or gross profits, ultimately the Company's 
ability to continue development of new products depends upon its ability to 
generate new revenues.  Because new revenues depend to a significant degree 
upon new products, any interruption in either revenues or research and 
development efforts could adversely affect the Company.

Development costs incurred in the research and development of new software 
products and enhancements to existing software products are expensed as 
incurred until technological feasibility has been established.  After 
technological feasibility is established, any additional development costs 
are capitalized and generally are amortized over three years.

In April 1995, the Company entered into a strategic relationship with 
Clinitec, a developer of electronic medical records software systems.  In 
May 1995, in connection with this relationship, the Company acquired a 25% 
ownership interest in Clinitec for $1.0 million in cash. On May 17, 1996, 
the Company acquired the remaining 75% of Clinitec for approximately $4.9 
million in cash plus 309,846 shares of QSI Common Stock and is operating 
Clinitec as a wholly-owned subsidiary.  For purposes of the May 1996 
acquisition, the QSI Common Stock was valued at approximately $6.9 million, 
or $22.25 per share.  For accounting purposes, the acquisition was treated 
as a purchase transaction.  In connection with this treatment, the Company 
incurred an $8.3 million charge for purchased in-process research and 
development during the quarter ended June 30, 1996.

Clinitec was formed in January 1994 to develop and market electronic 
medical records software systems.  The Clinitec software products are 
complementary to the Company's existing medical and dental practice 
management product solutions.  Clinitec's software products have been 
developed using a graphical user interface client/server platform utilizing 
desktop, laptop or pen-based PC configurations for compatibility with the 
UNIX, Microsoft Windows, Windows NT and Windows 95 operating systems 
together with a relational database enabling flexibility in screen 
customization, reporting and logic flow.

Clinitec was not operating profitably prior to the acquisition and the 
absorption of Clinitec's operating costs since the acquisition has 
adversely affected the Company's profitability.  The Company anticipates 
that increased sales of Clinitec's products, together with operational 
synergies, will ultimately contribute to greater profitability.  However,

<PAGE> 31
Clinitec's proprietary software products are relatively new and Clinitec 
has sold only a limited quantity of these products to date.  There can be 
no assurance that Clinitec's products will achieve broad market acceptance.  
If Clinitec's products are not successful, the Clinitec operation will 
continue to impair the Company's profitability.

In May 1997, the Company purchased substantially all of the assets of 
MicroMed, a developer and marketer of proprietary medical practice 
management systems, for up to $10.8 million.  The purchase price consists 
of an initial cash payment of $4.8 million paid upon the May 1997 closing 
of the transaction with an additional payment of up to $6.0 million due no 
later than June 29, 1998.  The additional payment will be determined using 
a formula based primarily upon Revenues and Pre-Tax Operating Income, as 
each is defined in the related Asset Purchase Agreement, for the twelve 
month period ending March 31, 1998.  Up to 15% of the additional payment, 
if any, is payable in the Company's Common Stock at the sole election of 
the Company with the balance of any such payment payable in cash.  The 
acquisition will be treated as a purchase for accounting purposes.  In 
connection with this treatment, the Company expects to allocate a 
significant portion of the purchase price paid at the closing of the 
transaction to purchased in-process research and development during the 
quarter ending June 30, 1997.

MicroMed offers software applications that are complementary to NextGen and 
expands the Company's practice management system product line which 
historically has primarily been character-based software solutions.  
MicroMed's software product has been developed using a GUI client/server 
platform for compatibility with Windows 95 and Windows NT operating 
systems, and a relational database that is ANSI SQL-compliant.

MicroMed was formed in 1993 and immediately prior to the acquisition, 
MicroMed was not operating profitably.  The Company anticipates that 
increased sales of MicroMed's products, together with operational 
synergies, will ultimately contribute to greater profitability.  However, 
MicroMed's proprietary software products are new and MicroMed has sold only 
a limited quantity to date.  There can be no assurance that Micromed's 
products will achieve broad market acceptance.  If MicroMed's products are 
not successful, the MicroMed operation will impair the Company's 
profitability.

The following discussion should be read in conjunction with, and is 
qualified in its entirety by, the Consolidated Financial Statements and 
related notes thereto included elsewhere herein.  Historical results of 
operations, percentage margin fluctuations and any trends that may be 
inferred from the discussion below are not necessarily indicative of the 
operating results for any future period.

<PAGE> 32
RESULTS OF OPERATIONS

The following table sets forth for the periods indicated, the percentage of 
net revenues represented by each item in the Company's consolidated 
statements of operations.  The consolidated statements of operations 
include the operations of Clinitec from May 17, 1996 (the date of its 
acquisition) through March 31, 1997.

<TABLE>
<CAPTION>
                                          Year Ended March 31,
                                         ----------------------
                                          1997     1996    1995
<S>                                      ------   ------  ------
Net Revenues:                           <C>      <C>     <C>
  Sales of computer systems,
    upgrades and supplies                 58.7%    57.5%   47.1%
  Maintenance and other services          41.3     42.5    52.9 
                                         ------   ------  ------
                                         100.0    100.0   100.0
Cost of Products and Services             50.1     47.4    50.3
                                         ------   ------  ------
Gross Profit                              49.9     52.6    49.7

Selling, General and
  Administrative Expenses                 38.5     23.3    29.3
Research and Development Costs             9.8      9.4    12.2
Purchased In-Process
  Research and Development                41.2       -       -
                                         ------  ------  ------
Income (Loss) from Operations            (39.6)    19.9     8.2
Investment Income                          6.5      3.2     3.6
Equity in Loss of Clinitec
  International, Inc.                     (0.1)    (0.3)     - 
                                         ------   ------  ------
Income (Loss) before Provision
  for Income Taxes                       (33.2)    22.8    11.8
Provision for Income Taxes                 3.9      9.1     3.8
                                         ------   ------  ------
Net Income (Loss)                        (37.1%)   13.7%    8.0%
                                         ======   ======  ======

</TABLE>

<PAGE> 33
FOR THE YEARS ENDED MARCH 31, 1997 AND 1996.

After recognizing an $8.3 million charge for purchased in-process research 
and development in connection with the Clinitec acquisition, the Company 
incurred a net loss of $(7.5) million, or $(1.26) per share on 5,937,000 
weighted average shares outstanding, for the year ended March 31, 1997 as 
compared to net income of $2.3 million, or $0.48 per share on 4,788,000 
weighted average shares outstanding, for the year ended March 31, 1996.

Net Revenues.  Net revenues for the year ended March 31, 1997 increased 
20.3% to $20.1 million from $16.7 million for the year ended March 31, 
1996.  Sales of computer systems, upgrades and supplies for the year ended 
March 31, 1997 increased 22.7% to $11.8 million from $9.6 million for the 
year ended March 31, 1996 after the consolidation of Clinitec's net 
revenues in fiscal 1997.  Without the inclusion of Clinitec's revenues, the 
Company's sales of computer systems, upgrades and supplies declined 23.2% 
in fiscal 1997 as compared to fiscal 1996.  Net revenues from maintenance 
and other services during the year ended March 31, 1997 grew 17.0% to $8.3 
million from $7.1 million for the year ended March 31, 1996 resulting 
primarily from an increase in revenues from the Company's larger client 
base for recurring maintenance and other services together with the 
consolidation of Clinitec's revenues in fiscal 1997.

Cost of Products and Services.  Cost of products and services for the year 
ended March 31, 1997 increased 27.2% to $10.1 million from $7.9 million for 
the year ended March 31, 1996 while costs of products and services as a 
percentage of net revenues increased to 50.1% from 47.4% during the 
comparable periods.  The increase in costs of products and services in both 
amount and as a percentage of net revenues during the year ended March 31, 
1997 as compared to the year ended March 31, 1996 resulted primarily from 
increased customer service, support, and training personnel for QSI during 
fiscal 1997 plus the addition of such costs for Clinitec's personnel.  The 
increase in the amount of costs of products and services also resulted from 
the higher net revenues attained in fiscal 1997.

Selling, General and Administrative Expenses.  Selling, general and 
administrative expenses for the year ended March 31, 1997 increased 98.5% 
to $7.7 million from $3.9 million for the year ended March 31, 1996 
representing 38.5% and 23.3% of net revenues, respectively.  The increase 
in selling, general and administrative expenses in both amount and as a 
percentage of net revenues is primarily the result of the consolidation of 
Clinitec's selling, general and administrative expenses during fiscal 1997 
and amortization expense related to certain intangible assets acquired in 
connection with the Clinitec acquisition during fiscal 1997 as well as 
higher selling, general and administrative expenses resulting from an 
increase in QSI's selling efforts, including sales personnel, and 
administrative infrastructure.  The increase in selling, general and 
administrative expenses as a percentage of net revenues between the 
comparable periods also resulted from the differing cost structure of 
Clinitec as compared to QSI's cost structure prior to the acquisition as 
well as QSI's decrease in revenues before the inclusion of the Clinitec 
revenues.

<PAGE> 34
Research and Development Costs.  Research and development costs for the 
year ended March 31, 1997 increased 26.2% to $2.0 million from $1.6 million 
for the year ended March 31, 1996 primarily due to the consolidation of 
Clinitec's research and development costs during fiscal 1997.  Research and 
development costs as a percentage of net revenues remained relatively 
unchanged at 9.8% and 9.4%, respectively.

Purchased In-Process Research and Development.  In connection with the 
acquisition of Clinitec in May 1996, Clinitec's in-process research and 
development for which technological feasibility had not been established 
was valued at $8.3 million.  In accordance with Statement of Financial 
Accounting Standards No. 86, "Accounting for the Costs of Computer Software 
to be Sold, Leased or Otherwise Marketed," software development costs must 
be expensed until technological feasibility has been established.  
Accordingly, the value of the purchased in-process research and development 
was expensed during the year ended March 31, 1997.  There were no 
comparable transactions during the year ended March 31, 1996.

Investment Income and Equity in Loss of Clinitec International, Inc.  
Investment income for the year ended March 31, 1997 increased 146.9% to 
$1.3 million from $533,000 for the year ended March 31, 1996 primarily as a 
result of an increase in funds available for investment during fiscal 1997 
arising from the Company's $20.2 million secondary public offering 
completed in March 1996.  The Company acquired a 25% ownership interest in 
Clinitec in May 1995 which the Company increased to 100% in May 1996.  
During the period that the Company owned 25% of Clinitec, its investment 
was accounted for under the equity method of accounting whereby the Company 
recorded its proportionate share of Clinitec's losses as equity in loss of 
Clinitec.  Commencing in May 1996 when the Company acquired the remaining 
75% of Clinitec, the Company consolidated Clinitec's results with those of 
its own operations.  Accordingly, the equity in loss of Clinitec of 
$(51,000) for the year ended March 31, 1996 reflects the Company's 
proportionate share of Clinitec's net loss from the date the Company 
acquired its 25% ownership interest in Clinitec in May 1995 through March 
31, 1996.  Correspondingly, the equity in loss of Clinitec of $(31,000) for 
the year ended March 31, 1997 reflects the Company's proportionate share of 
Clinitec's net loss from April 1, 1996 until the Company began 
consolidating Clinitec's results in May 1996 when the Company acquired the 
remaining 75% ownership interest in Clinitec.

Provision for Income Taxes.  The provision for income taxes for the year 
ended March 31, 1997 was $784,000 and differs from the combined Federal and 
state statutory rates primarily due to the non-deductible charge for 
purchased in-process research and development as well as non-deductible 
amortization of certain intangibles acquired in the Clinitec purchase. The 
provision for income taxes for the year ended March 31, 1996 was $1.5 
million, yielding a combined Federal and state effective rate of 40.0% 
which approximates the Company's combined statutory rates for that period.

<PAGE> 35
FOR THE YEARS ENDED MARCH 31, 1996 AND 1995.

Net income for the year ended March 31, 1996 increased 138.4% to $2.3 
million from $1.0 million for the year ended March 31, 1995.  Similarly, 
net income per share on a fully diluted basis increased to $0.48 from $0.21 
based on weighted average shares outstanding of 4,788,000 and 4,606,000, 
respectively.

Net Revenues.  Net revenues for the year ended March 31, 1996 increased 
38.9% to $16.7 million from $12.0 million for the year ended March 31, 
1995.  This increase was due primarily to sales of computer systems, 
upgrades (including software user licenses) and supplies which in total 
grew 69.4% to $9.6 million from $5.7 million.  This growth resulted from an 
increase in the number of larger systems and increased sales of upgrades.  
Net revenues from maintenance and other services grew 11.6% to $7.1 million 
from $6.4 million as a result of a growing client base for recurring 
services and increased time and materials billings for additional services.

Cost of Products and Services.  Cost of products and services for the year 
ended March 31, 1996 increased 30.8% to $7.9 million from $6.1 million for 
the year ended March 31, 1995.  This increase was due primarily to the 
increases in systems sold and net revenues.  As a percentage of net 
revenues, costs of products and services decreased to 47.4% from 50.3% due 
to an increase in the proportion of net revenues with higher gross margins.

Selling, General and Administrative Expenses.  Selling, general and 
administrative expenses for the year ended March 31, 1996 increased 10.2% 
to $3.9 million from $3.5 million for the year ended March 31, 1995 as a 
result of increases in selling efforts and sales personnel.  However, 
because net revenues grew more rapidly between fiscal 1996 and fiscal 1995 
as compared to the growth in selling, general and administrative expenses 
during the comparable period, selling, general and administrative expenses 
as a percentage of net revenues declined to 23.3% in fiscal 1996 as 
compared to 29.3% in fiscal 1995.

Research and Development Costs.  Research and development costs for the 
year ended March 31, 1996 increased 6.8% to $1.6 million from $1.5 million 
for the year ended March 31, 1995.  Total research and development costs 
and capitalized software costs for the year ended March 31, 1996 increased 
17.6% to $1.9 million from $1.7 million for the year ended March 31, 1995.

Investment Income.  Investment income for the year ended March 31, 1996 
increased 24.2% to $533,000 from $429,000 for the year ended March 31, 1995 
primarily as a result of an increase in funds available for investment 
during fiscal 1996 as compared to fiscal 1995.  The increase in available 
funds for investment was significantly augmented during March 1996 with the 
receipt of $20.2 million in net proceeds from the completion of the 
Company's secondary public offering.

<PAGE> 36
Provision for Income Taxes.  The provision for income taxes for the year 
ended March 31, 1996 increased 237.3% to $1.5 million from $453,000 for the 
year ended March 31, 1995.  This increase in fiscal 1996 was due to 
increased earnings before the provision for income taxes and an increase in 
the Company's effective tax rate.  The effective tax rates for fiscal 1996 
and 1995 were 40.0% and 32.0%, respectively.  The effective rate for fiscal 
1995 was lower than the effective rate for fiscal 1996 due to utilization 
in fiscal 1995 of a deferred tax valuation allowance related to net 
operating loss carryforwards.  All of the Company's net operating loss 
carryforwards were utilized during fiscal 1995 and as such there were no 
similar tax benefits available for use in fiscal 1996.

LIQUIDITY AND CAPITAL RESOURCES

Net cash provided by operating activities was $520,000, $2.7 million and 
$1.2 million for the years ended March 31, 1997, 1996 and 1995, 
respectively.  Net cash provided by operations for the year ended March 31, 
1997 consisted primarily of the Company's net loss adjusted for the 
principal non-cash operating expenses of depreciation, amortization and the 
$8.3 million charge for purchased in-process research and development 
incurred in connection with the acquisition of Clinitec, offset by an 
increase in accounts receivable.  The increase in accounts receivable 
during fiscal 1997 results primarily from increased sales and the timing of 
sales in fiscal 1997.  Net cash provided by operations for the year ended 
March 31, 1996 consisted principally of net income before depreciation and 
amortization and an increase in accounts payable offset by an increase in 
accounts receivable.  The increase in accounts receivable during fiscal 
1996 results primarily from increased sales and the timing of sales in 
fiscal 1996.  Net cash provided by operations for the year ended March 31, 
1995 consisted principally of net income before depreciation and 
amortization.

Net cash provided by (used in) investing activities was $(6.6) million, 
$(1.3) million and $3.6 million for the years ended March 31, 1997, 1996 
and 1995, respectively. Net cash used in investing activities for the years 
ended March 31, 1996 and 1997 was principally impacted by QSI's purchase of 
a 25% ownership interest in Clinitec for $1.0 million in cash during fiscal 
1996 and QSI's purchase of the remaining 75% ownership interest during 
fiscal 1997 for $4.9 million in cash and 309,846 shares of Common Stock.  
Net cash provided by (used in) investing activities for all three years 
also consists of changes in short-term investments as well as additions to 
equipment and improvements and capitalized software.  

Net cash provided by financing activities was $61,000, $20.4 million and 
$151,000 for the years ended March 31, 1997, 1996 and 1995, respectively.  
Net cash provided by financing activities for the year ended March 31, 1996 
consists of $20.2 million of net proceeds from the Company's March 1996 
secondary public offering of one million shares of the Company's Common 
Stock and $182,000 of proceeds from the exercise of employee stock options 
during the year.  Net cash provided by financing activities for the years 
ended March 31, 1997 and 1995 consists of the proceeds from the exercise of 
employee stock options.

<PAGE> 37
At March 31, 1997, the Company had cash and cash equivalents of $21.9 
million and short-term investments of $883,000.  Short-term investments 
include a $642,000 investment in a fund which trades in special situation 
securities.  There can be no assurance that the markets for these 
securities will not change, causing a loss of principal.

In March 1996, QSI raised $20.2 million to be used for general corporate 
purposes, including the financing of product sales growth, development of 
new products, working capital requirements, an increase in its ownership 
interest in Clinitec (which was completed in May 1996), and the possible 
acquisitions of complementary businesses and technologies.

The Company continues to evaluate potential investment opportunities and in 
May 1997 acquired substantially all of the assets of MicroMed (see "Item 1. 
Business.  MicroMed.") for an initial cash payment of $4.8 million with an 
additional payment of up to $6.0 million due on or before June 29, 1998.

Except for the acquisition of MicroMed and the Company's intention to 
expend funds on capitalized software in connection with complementary 
products to its existing product line, alternative versions of certain of 
its products for the client/server environment to take advantage of more 
powerful technologies and to enable a more seamless integration of the 
Company's products, the Company has no other significant capital 
commitments and currently anticipates that additions to equipment and 
improvements for fiscal 1998 will be comparable to fiscal 1997.

The Company believes that its cash and cash equivalents and short-term 
investments on hand at March 31, 1997, together with the cash flows from 
operations, if any, will be sufficient to meet its working capital and 
capital expenditure requirements for the next year.


<PAGE> 38
Item 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA.
        --------------------------------------------

The Financial Statements of the Company identified in the Index to 
Financial Statements appearing under "Item 14.  Exhibits, Financial 
Statement Schedules, and Reports on Form 8-K" of this report are 
incorporated by reference to Item 14.


<PAGE> 39
Item 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING
        AND FINANCIAL DISCLOSURE.
        ----------------------------------------------------------

    None.


<PAGE> 40 
                           PART III

Item 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT.
         ---------------------------------------------------


Except for information concerning the Company's executive officers which is 
included under the caption "Executive Officers of the Registrant" following 
Part I, Item 4 of this report, the information required by Item 10 is 
incorporated by reference from the Company's definitive proxy statement 
scheduled to be filed with the Commission on or before July 29, 1997 for 
the Company's 1997 annual shareholders' meeting.


<PAGE> 41
Item 11.  EXECUTIVE COMPENSATION.
          -----------------------

The information required by Item 11 is incorporated herein by reference 
from the Company's definitive proxy statement scheduled to be filed with 
the Commission on or before July 29, 1997 for the Company's 1997 annual 
shareholders' meeting.


<PAGE> 42
Item 12.  SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND
          MANAGEMENT.
          ---------------------------------------------------

The information required by Item 12 is incorporated herein by reference 
from the Company's definitive proxy statement scheduled to be filed with 
the Commission on or before July 29, 1997 for the Company's 1997 annual 
shareholders' meeting.


<PAGE> 43
Item 13.  CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS.
          -----------------------------------------------

The information required by Item 13 is incorporated herein by reference 
from the Company's definitive proxy statement scheduled to be filed with 
the Commission on or before July 29, 1997 for the Company's 1997 annual 
shareholders' meeting.


<PAGE> 44
                         PART IV
<TABLE>
<CAPTION>
Item 14.   EXHIBITS, FINANCIAL STATEMENT SCHEDULES, AND
           REPORTS ON FORM 8-K.                                    Page
           --------------------------------------------           ------
                                                                   
          <S>                                                    <C>
          (a) Documents filed as part of this report.

          (1) Index to Financial Statements

              Independent Auditors' Report                          F-1

              Consolidated Balance Sheets at March 31, 1997
               and 1996                                             F-2

              Consolidated Statements of Operations for
               the Years Ended March 31, 1997, 1996 and 1995        F-3

              Consolidated Statements of Shareholders'
               Equity for the Years Ended March 31, 1997,
               1996 and 1995                                        F-4

              Consolidated Statements of Cash Flows for
               the Years Ended March 31, 1997, 1996 and 1995        F-6

              Notes to Financial Statements                         F-8

          (2) Financial Statement Schedule.

              Schedule II - Valuation and Qualifying Accounts      F-24

          (3) Exhibits.
</TABLE>

                          INDEX TO EXHIBITS
                                                                 Sequential
                                                                       Page
      Exhibit                                                           No.
      -------                                                    ----------

          3.1  Articles of Incorporation of the Company,
               as amended, are hereby incorporated by 
               reference to Exhibit 3.1 to the Registrant's 
               Annual Report on Form 10-K for the year ended 
               March 31, 1984, File No. 2-80056.

          3.2  Bylaws of the Company, as amended, are
               hereby incorporated by reference to Exhibit 3.3 to 
               the Company's Registration Statement on 
               Form S-1, File No. 2-80056.

        3.2.1  Certificate of Amendment of Bylaws of the 
               Registrant is hereby incorporated by 
               reference to Exhibit 3.2.1 to the 
               Registrant's Registration Statement on 
               Form S-1, File No. 333-00161.

<PAGE> 45
                           INDEX TO EXHIBITS
                             (Continued)                         Sequential
                                                                       Page
       Exhibit                                                          No.
       -------                                                   ----------

        3.2.2  Text of Sections 2 and 3 of Article II of 
               the Bylaws of the Registrant is hereby 
               incorporated by reference to Exhibit 3.2.2 
               to the Registrant's Quarterly report on 
               Form 10-QSB for the period ended 
               December 31, 1996, file No. 0-13801.

        10.2*  1989 Incentive Stock Option Plan is hereby 
               incorporated by reference to Exhibit 4.1 to 
               the Registrant's Registration Statement on 
               Form S-8, File No. 33-31949.

      10.2.1*  Form of Incentive Stock Option Agreement is
               hereby incorporated by reference to 
               Exhibit 10.2 to the Registrant's Registration 
               Statement on Form S-1, File No. 333-00161.

      10.2.2*  Form of Non-Qualified Stock Option Agreement 
               is hereby incorporated by reference to 
               Exhibit 10.3 to the Registrant's Registration 
               Statement on Form S-1, File No. 333-00161.

        10.3*  Form of Incentive Stock Option Agreement is 
               hereby incorporated by reference to 
               Exhibit 10.2 to the Company's Registration 
               Statement on Form S-1, File No. 2-80056.

        10.4*  1993 Deferred Compensation Plan, is hereby 
               incorporated by reference to Exhibit 10.5 
               to the Registrant's Annual Report on 
               Form 10-KSB for the year ended March 31, 1994, 
               File No. 0-13801.

      10.4.2*  Profit Sharing and Retirement Plan, as 
               amended, is hereby incorporated by reference 
               to Exhibit 10.4.2 to the Registrant's Annual 
               Report on Form 10-KSB for the year ended 
               March 31, 1994, File No. 0-13801.

      10.4.3*  Profit Sharing and Retirement Plan, as 
               amended, amendments No. 2 and 3, are hereby 
               incorporated by reference to Exhibit 10.4.3 
               to the Registrant's Annual Report on 
               Form 10-KSB for the year ended March 31, 1996, 
               File No. 0-13801.

         10.5  Lease Agreement dated March 11, 1993 between 
               the Registrant and Craig Development 
               Corporation, is hereby incorporated by 
               reference to Exhibit 10.35 to the 
               Registrant's Annual Report on Form 10-K 
               for the year ended March 31, 1993 
               File No. 0-13801.
     
<PAGE> 46

                            INDEX TO EXHIBITS
                                (Continued)                     Sequential
                                                                      Page
       Exhibit                                                          No.
       -------                                                   ----------

         10.6  Lease agreement dated September 12, 1994 
               between the Registrant and Koll/Realty 
               Orangewood Business Center General 
               Partnership, is hereby incorporated by 
               reference to Exhibit 10.8 to the 
               Registrant's Annual Report on Form 10-KSB 
               for the year ended March 31, 1995, 
               File No. 0-13801.

         10.7  Series "A" Convertible Preferred Stock 
               Purchase Agreement, as amended, dated 
               April 21, 1995 between the Registrant and 
               Clinitec International, Inc., is hereby 
               incorporated by reference to Exhibit 10.11 
               to the Registrant's Annual Report on 
               Form 10-KSB for the year ended March 31, 1995, 
               File No. 0-13801.

         10.8  Form of Indemnification Agreement is hereby 
               incorporated by reference to Exhibit 10.10 to 
               the Registrant's Registration Statement on 
               Form S-1, File No. 333-00161.

         10.9  Marketing agreement, as amended, dated 
               April 1, 1995 between the Registrant and 
               Clinitec International, Inc., is hereby 
               incorporated by reference to Exhibit 10.12 
               to the Registrant's Annual Report on 
               Form 10-KSB for the year ended March 31, 1995, 
               File No.  0-13801. 
 
        10.10  Agreement and Plan of Merger, dated 
               May 16, 1996, by and among Quality Systems, 
               Inc., CII Acquisition Corporation, Clinitec 
               International, Inc. and certain shareholders 
               of Clinitec International, Inc. and certain 
               exhibits is hereby incorporated by reference 
               to Exhibit 2 to the Registrant's Current 
               Report on Form 8-K, dated May 17, 1996 and 
               filed May 30, 1996.

        10.11  Employment agreement dated May 16, 1996 by 
               and between CII Acquisition Corporation and 
               Patrick Cline is hereby incorporated by 
               reference to Exhibit 10.1 to the 
               Registrant's Current Report on Form 8-K/A 
               dated May 17, 1996 and filed June 21, 1996.
 
 
 <PAGE> 47
                              INDEX TO EXHIBITS
                                  (Continued)                    Sequential
                                                                       Page
       Exhibit                                                          No.
       -------                                                   ----------

        10.12  Shareholder Rights Agreement, dated as of
               November 25, 1996, by and between Quality 
               Systems, Inc. and U.S. Stock Transfer Corp. 
               is hereby incorporated by reference to the 
               Exhibit to the Registrant's registration 
               statement on Form 8-A, file No. 001-12537.

        10.13  Asset Purchase Agreement, dated May 5, 1997, 
               by and among MicroMed Healthcare Information 
               Systems, Inc., MHIS Acquisition Corp., Quality 
               Systems, Inc., and certain shareholders of 
               MicroMed Healthcare Information Systems, Inc.
               is hereby incorporated by reference to 
               Exhibit 2 of Registrant's Current Report on 
               Form 8-K, dated May 15, 1997 and filed 
               May 29, 1997, File No. 0-13801.

           21  List of Subsidiaries.                                 74

         23.1  Independent Auditor's Consent - Deloitte & 
               Touche LLP.                                           76

         27.1  Financial Data Schedule, is filed herewith.



        *  This exhibit is a management contract or a compensatory
           plan or arrangement.


<PAGE> 48
          (b) Reports on Form 8-K:

          On March 11, 1997, the Registrant filed a Current Report on Form 
          8-K dated February 12, 1997 disclosing the authorization by 
          Registrant's Board of Directors for management to repurchase on 
          the open market up to ten percent of the outstanding shares of 
          the Registrant's Common Stock at various times through February 
          12, 1998, subject to applicable laws and regulations.  The timing 
          and amount of any repurchase is at the discretion of the 
          Registrant's management based upon its view of prevailing 
          economic and market conditions.  The Registrant's management 
          could, in the exercise of its judgment, decide not to effect any 
          repurchases, or to repurchase fewer shares than authorized, 
          whether as a result of market factors or because of applicable 
          laws and regulations.  No financial statements were filed in 
          connection with the Current Report on Form 8-K dated February 12, 
          1997.

<PAGE> 49
SIGNATURES

In accordance with Section 13 or 15(d) of the Securities Exchange Act of 
1934, the registrant caused this report to be signed on its behalf by the 
undersigned, thereunto duly authorized.

<TABLE>
<CAPTION>
     QUALITY SYSTEMS, INC.
<S>                                    <C>
By:   /s/SHELDON RAZIN            Date: June 11, 1997
   -----------------------------       ---------------------------
         SHELDON RAZIN
     Chairman of the Board of
     Directors and President

In accordance with the Securities Exchange Act of 1934, this report has 
been signed below by the following persons on behalf of the registrant and 
in the capacities and on the dates indicated.

        Signature                   Title                  Date
        ---------                   -----                  ----
<S>                         <C>                       <C> 
   /s/SHELDON RAZIN         Chairman of the Board of
- --------------------------  Directors and President    June 11, 1997
      SHELDON RAZIN         (Principal Executive
                             Officer)

   /s/JANET RAZIN
- --------------------------  Vice President,            June 11, 1997
      JANET RAZIN           Secretary and Director

   /s/ROBERT MCGRAW
- --------------------------  Vice President,            June 11, 1997
      ROBERT MCGRAW         Chief Financial Officer
                            (Principal Financial
                             and Accounting Officer)

   /s/JOHN BOWERS, M.D.
- --------------------------  Director                   June 11, 1997
      JOHN BOWERS, M.D.

   /s/WILLIAM BOWERS
- --------------------------  Director                   June 11, 1997
      WILLIAM BOWERS

   /s/GEORGE BRISTOL
- --------------------------  Director                   June 11, 1997
      GEORGE BRISTOL

   /s/PATRICK CLINE
- --------------------------  Director                   June 11, 1997
      PATRICK CLINE

   /s/GRAEME FREHNER
- --------------------------  Director                   June 11, 1997
      GRAEME FREHNER

   /s/GORDON SETRAN
- --------------------------  Director                   June 11, 1997
      GORDON SETRAN

</TABLE>

<PAGE> 50
<AUDIT-REPORT>

                 INDEPENDENT AUDITORS' REPORT
                 ----------------------------



Board of Directors and Shareholders
   Quality Systems, Inc.


We have audited the accompanying consolidated balance sheets of Quality 
Systems, Inc. and subsidiary as of March 31, 1997 and 1996, and the related 
consolidated statements of operations, shareholders' equity and cash flows 
for each of the three years in the period ended March 31, 1997. Our audits 
also included the financial statement schedule listed in the Index of Item 
14.(a)(2).  These financial statements and schedule are the responsibility 
of the Company's management.  Our responsibility is to express an opinion 
on these financial statements and schedule based on our audits.  

We conducted our audits in accordance with generally accepted auditing 
standards.  Those standards require that we plan and perform the audits to 
obtain reasonable assurance about whether the financial statements are free 
of material misstatement.  An audit includes examining, on a test basis, 
evidence supporting the amounts and disclosures in the financial 
statements.  An audit also includes assessing the accounting principles 
used and significant estimates made by management, as well as evaluating 
the overall financial statement presentation.  We believe that our audits 
provide a reasonable basis for our opinion.

In our opinion, such consolidated financial statements present fairly, in 
all material respects, the financial position of Quality Systems, Inc. and 
subsidiary as of March 31, 1997 and 1996, and the results of their 
operations and their cash flows for the three years in the period ended 
March 31, 1997 in conformity with generally accepted accounting principles.  
Also, in our opinion, the related financial statement schedule, when 
considered in relation to the basic financial statements taken as a whole, 
presents fairly in all material respects the information set forth therein.






DELOITTE & TOUCHE LLP
Costa Mesa, California
June 11, 1997

</AUDIT-REPORT>

                                 F-1

<PAGE> 51
                         QUALITY SYSTEMS, INC.
                      CONSOLIDATED BALANCE SHEETS
<TABLE>
<CAPTION>                                             March 31,
                                               ------------------------
                                ASSETS             1997         1996
                                               -----------  -----------
<S>                                           <C>          <C> 
Current Assets:
 Cash and cash equivalents                     $21,852,000  $27,872,000
 Short-term investments                            883,000    1,072,000
 Accounts receivable, less allowance
   for doubtful accounts of $297,000
   and $126,000, respectively                    6,574,000    4,751,000
 Inventories                                     1,071,000      853,000
 Other current assets                              628,000      135,000
                                               -----------  -----------
     Total current assets                       31,008,000   34,683,000
Equipment and Improvements, net                  1,391,000      572,000
Capitalized Software Costs, net                  1,041,000      599,000
Investment in Clinitec International, Inc.            -         976,000
Excess of Cost Over Net Assets of Acquired
  Business, net of accumulated amortization
  of $274,000 and $ - , respectively             2,868,000         -
Other Assets                                     1,558,000      442,000
                                               -----------  -----------
     Total assets                              $37,866,000  $37,272,000
                                               ===========  ===========
  
LIABILITIES AND SHAREHOLDERS' EQUITY

Current Liabilities:
 Accounts payable                              $ 1,345,000  $ 1,706,000
 Deferred service revenue                        1,493,000    1,031,000
 Estimated costs to complete   
   system installations                            565,000      402,000
 Other current liabilities                       1,992,000    1,348,000
                                               -----------  -----------
     Total current liabilities                   5,395,000    4,487,000
Deferred Tax Liability                             201,000       84,000
                                               -----------  -----------
     Total liabilities                           5,596,000    4,571,000
                                               -----------  -----------
Commitments and Contingencies  

Shareholders' Equity:  
 Common stock, $0.01 par value,  
  20,000,000 shares authorized, 5,997,462
  and 5,653,491 shares issued and
  outstanding, respectively                         60,000       56,000
 Additional paid-in capital                     34,144,000   27,148,000
 Unrealized loss on available-for-sale  
   securities                                         -         (44,000)
 Retained earnings (accumulated deficit)        (1,934,000)   5,541,000
                                               -----------  -----------
     Total shareholders' equity                 32,270,000   32,701,000
                                               -----------  -----------
     Total liabilities and 
      shareholders' equity                     $37,866,000  $37,272,000
                                               ===========  ===========
</TABLE>
See notes to consolidated financial statements.
                              F-2

<PAGE> 52
                       QUALITY SYSTEMS, INC.

                 CONSOLIDATED STATEMENTS OF OPERATIONS



<TABLE>
<CAPTION>
                                          Years Ended March 31,
                                   -----------------------------------
                                       1997        1996        1995
                                   ----------- ----------- -----------
<S>                               <C>         <C>          <C>
Net Revenues:
 Sales of computer systems,
   upgrades and supplies           $11,809,000 $  9,623,000 $ 5,681,000
 Maintenance and other services      8,318,000    7,109,000   6,368,000
                                   ----------- ------------ ----------
                                    20,127,000   16,732,000  12,049,000

Cost of Products and Services       10,089,000    7,929,000   6,060,000
                                   ----------- ------------ -----------
Gross Profit                        10,038,000    8,803,000   5,989,000

Selling, General and
  Administrative Expenses            7,736,000    3,897,000   3,536,000
Research and Development Costs       1,978,000    1,567,000   1,467,000
Purchased In-Process
  Research and Development           8,300,000         -           -
                                   ----------- ------------ -----------
Income (Loss) from Operations       (7,976,000)   3,339,000     986,000

Investment Income                    1,316,000      533,000     429,000
Equity in Loss of Clinitec
  International, Inc.                  (31,000)     (51,000)       -   
                                   ----------- ------------ -----------
Income (Loss) before Provision
  for Income Taxes                  (6,691,000)   3,821,000   1,415,000
Provision for Income Taxes             784,000    1,528,000     453,000
                                   ----------- ------------ -----------
Net Income (Loss)                  $(7,475,000)$  2,293,000 $   962,000
                                   =========== ============ ===========


Net Income (Loss) per Share           $(1.26)      $0.48       $0.21
                                      ======       =====       =====
</TABLE>

     See notes to consolidated financial statements.

                               F-3

<PAGE> 53
                         QUALITY SYSTEMS, INC.

             CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY

<TABLE>
<CAPTION>
                                                Unrealized
                      Common                     Loss on     Retained
                   Shares Issued    Additional  Available-   Earnings
                 ------------------   Paid-in    for-Sale (Accumulated)
                    Number  Amount    Capital   Securities   Deficit)
                 ---------- ------- ----------- ---------- -----------
<S>             <C>         <C>     <C>        <C>         <C>
Balance at
 April 1, 1994   4,445,116  $44,000 $ 5,789,000 $ (79,000) $ 2,286,000

 Exercise of
  stock options     90,750    1,000     150,000      -            -

 Tax benefit
  resulting from 
  stock options       -        -         39,000      -            -

 Unrealized loss,
  net of $3,000
  tax benefit         -        -           -       (4,000)        -

 Net income           -        -           -         -         962,000
                 ---------- ------- ---------- ----------- -----------
Balance at
 March 31, 1995  4,535,866   45,000   5,978,000   (83,000)   3,248,000

 Sale of stock
  in secondary
  offering       1,000,000   10,000  20,244,000      -            -

 Exercise of
  stock options    117,625    1,000     181,000      -            -

 Tax benefit
  resulting from
  stock options       -        -        745,000      -            -

 Unrealized gain,
  net of $29,000
  tax provision       -        -           -       39,000         -

 Net income           -        -           -         -       2,293,000
                 ---------  ------- ----------- ---------- -----------
Balance at
 March 31, 1996  5,653,491   56,000  27,148,000   (44,000)   5,541,000


         See notes to consolidated financial statements.


                                F-4
<PAGE> 54
QUALITY SYSTEMS, INC.

CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY (continued)

<CAPTION>

                                               Unrealized
                       Common                   Loss on     Retained
                   Shares  Issued   Additional Available-   Earnings
                  ----------------    Paid-in   for-Sale  (Accumulated)
                   Number   Amount    Capital  Securities   Deficit)
                  --------  ------  ---------- ---------- -------------

<S>               <C>      <C>      <C>        <C>        <C>
 Shares issued 
  in acquisition
  of Clinitec
  International,
  Inc.              309,846   3,000   6,891,000     -            -

 Exercise of
  stock options      34,125   1,000      60,000     -            -

 Tax benefit
  resulting
  from stock
  options              -       -         45,000     -            -

 Disposition
  of available
  for-sale
  securities,
  net of
  $34,000 tax
  provision            -       -           -      44,000         -

 Net loss              -       -           -        -      (7,475,000)
                  --------- ------- ----------- --------- -------------
Balance at
 March 31, 1997   5,997,462 $60,000 $34,144,000 $   -     $(1,934,000)
                  ========= ======= =========== ========= =============
</TABLE>

     See notes to consolidated financial statements.

                            F-5

<PAGE> 55
                        QUALITY SYSTEMS, INC.

                 CONSOLIDATED STATEMENTS OF CASH FLOWS
<TABLE>
<CAPTION>
                                          Years Ended March 31,
                                   -----------------------------------
                                       1997       1996         1995
                                   ----------- -----------  ----------
<S>                               <C>          <C>         <C>
Cash Flows from Operating
    Activities:
  Net income (loss)                $(7,475,000) $2,293,000  $  962,000
  Adjustments to reconcile net
   income (loss) to net cash
   provided by operating
   activities:
    Purchased in-process research
      and development                8,300,000        -           -
    Depreciation and amortization    1,139,000     496,000     418,000
    Gain on sale of short-term
      investments and
      fixed assets                     (85,000)    (88,000)   (233,000)
    Equity in loss of Clinitec
      International, Inc.               31,000      51,000        -
    Deferred income taxes              102,000     180,000     (62,000)
    Changes, net of amounts
     acquired, in:
      Accounts receivable           (1,594,000) (1,754,000)   (267,000)
      Inventories                     (202,000)    (70,000)    112,000
      Other current assets            (208,000)     19,000      13,000
      Accounts payable                (613,000)  1,109,000    (252,000)
      Deferred service revenue         401,000      79,000      76,000
      Estimated costs to complete
        system installations           123,000     185,000    (130,000)
      Income taxes payable, and
        taxes related to equity
        accounts                       291,000     163,000     515,000
      Other current liabilities        310,000      25,000      66,000
                                    ----------  ----------  ----------
Net Cash Provided By
    Operating Activities               520,000   2,688,000   1,218,000
                                    ----------  ----------  ----------
Cash Flows from
    Investing Activities:
  Proceeds from sales of
    short-term investments            402,000    1,426,000  12,725,000
  Purchases of short-term
    investments                       (50,000)  (1,114,000) (8,758,000)
  Additions to equipment and
    improvements, net                (855,000)    (240,000)   (162,000)
  Additions to capitalized
    software costs                   (850,000)    (382,000)   (191,000)
  Purchase of ownership interests
    in Clinitec International, Inc.(4,946,000)  (1,027,000)       -


See notes to consolidated financial statements.

                            F-6
<PAGE> 56

QUALITY SYSTEMS, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS (continued)
<CAPTION>

                                          Years Ended March 31,
                                  ------------------------------------
                                       1997       1996         1995
                                  -----------  -----------  ----------
<S>                              <C>          <C>          <C>
  Change in other assets             (302,000)        -          9,000
                                  -----------  -----------  ----------
Net Cash Provided By (Used In)
    Investing Activities           (6,601,000)  (1,337,000)  3,623,000
                                  -----------  -----------  ----------
Cash Flows from Financing
    Activities:
  Proceeds from exercise of
    stock options                      61,000      182,000     151,000
  Proceeds from issuance
    of common stock, net                 -      20,254,000        -
                                  -----------  -----------  -----------
Net Cash Provided By
    Financing Activities               61,000   20,436,000     151,000
                                  -----------  -----------  ----------
Net Increase (Decrease) in Cash
    and Cash Equivalents           (6,020,000)  21,787,000   4,992,000
Cash and Cash Equivalents,
    beginning of year              27,872,000    6,085,000   1,093,000
                                  -----------  -----------  ----------
Cash and Cash Equivalents, end
    of year                       $21,852,000  $27,872,000  $6,085,000
                                  ===========  ===========  ==========

</TABLE>


Supplemental Information - During fiscal 1997, 1996 and 1995 the
Company made income tax payments of $431,000, $1,146,000 and $10,000,
respectively.

Detail of business acquired in
    purchase transaction:

<TABLE>
<CAPTION>
<S>                               <C>
 In-Process Research
    and Development                $8,300,000
 Fair Value of Assets Acquired
   (net of previous investment)     3,999,000
 Liabilities Assumed                 (459,000)
 Common Stock Issued in the
   Acquisition                     (6,894,000)
                                   ----------
 Cash Paid for the Acquisition,
    net of cash acquired           $4,946,000
                                   ==========

</TABLE>

See notes to consolidated financial statements.


                             F-7
<PAGE> 57
                     QUALITY SYSTEMS, INC.

            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS



NOTE 1 - DESCRIPTION OF BUSINESS

Quality Systems, Inc. ("QSI") and its wholly-owned subsidiary, Clinitec 
International, Inc. ("Clinitec"), (collectively the "Company") develop and 
market proprietary computer information systems for medical and dental 
group practices, dental schools, physician hospital organizations, 
management service organizations, health maintenance organizations and 
community health centers.  The Company's proprietary software systems 
include summary medical records and general patient information, 
appointment scheduling, billing, insurance claims submission and 
processing, managed care plan implementation and referral management, 
treatment outcome studies, treatment planning, drug formularies, electronic 
medical records, word processing and accounting.  In addition to providing 
fully integrated solutions, the Company provides its clients with 
comprehensive hardware and software maintenance and support services, 
system training services and electronic claims submission services.

NOTE 2 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Principles of Consolidation - QSI acquired a 100% ownership interest in 
Clinitec on May 17, 1996 (see Note 11).  Accordingly, the accompanying 
consolidated financial statements include all of the accounts of QSI for 
the periods presented and the accounts of Clinitec for the period 
commencing May 17, 1996 through March 31, 1997.  All significant 
intercompany amounts have been eliminated.

Revenue Recognition - Licenses and sales of computer systems and system 
upgrades revenues are recognized at the time the basic software and 
hardware is shipped, if the estimated costs to complete the system are not 
considered significant, in accordance with Statement of Position 91-1, 
"Software Revenue Recognition."  Estimated costs to complete the systems 
are normally insignificant and are charged to expense in the period in 
which the sales are recognized.  These costs typically include labor and 
travel costs associated with training, installation and data conversion 
services.  If estimated costs to complete a system are significant, revenue 
is recognized on a percentage of completion basis.

Maintenance revenue is recognized ratably over the life of the contract.  
Advance maintenance revenue billings are included in deferred service 
revenue.

Cash Equivalents - The Company considers all highly liquid interest earning 
deposits purchased with an original maturity of three months or less to be 
cash equivalents.

                                F-8

<PAGE> 58
                       QUALITY SYSTEMS, INC.

           NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)


Short-term Investments - The Company classifies its short-term investments 
into one of the following categories:

Held to maturity - Debt securities for which the Company has the 
intent and the ability to hold to maturity.

Trading - Debt securities that do not meet the "intent-to-hold" 
criteria and equity securities, both of which are bought and held 
principally for the purpose of being sold in the near term.

Available-for-sale - Debt securities that do not meet the "intent-
to-hold" criteria and which are not classified as trading 
securities, as well as all equity securities not otherwise 
classified as trading securities.

Held to maturity securities are carried in the balance sheet at cost 
(unless there are declines in the values of individual securities that are 
not due to temporary declines), and realized gains and losses are recorded 
in the statement of operations in the period that they are earned or 
incurred.  Trading securities are carried in the balance sheet at fair 
market value and unrealized gains and losses are recorded in the statement 
of operations.  Available-for-sale securities are carried in the balance 
sheet at fair market value; realized gains and losses are recorded in the 
statement of operations when they are earned or incurred, and unrealized 
gains and losses, net of tax effect, are recognized as a component of 
shareholders' equity.

Realized gains and losses from investment transactions are determined on a 
first-in, first-out basis.

Accounts Receivable - A majority of the Company's system sales
are financed by third-party sources while the Company provides credit
for most maintenance contract sales.  The Company performs ongoing
credit evaluations of its customers and maintains reserves for
potential credit losses which reserves have been within management's
expectations.

Inventories - Inventories are valued at lower of cost (first-in, first-out) 
or market.  Certain inventories are maintained for customer support 
pursuant to service agreements and are amortized over a five-year period 
using the straight-line method.

Equipment and Improvements - Equipment and improvements are stated at cost 
less accumulated depreciation and amortization.  Depreciation and 
amortization of equipment and improvements are provided over the estimated 
useful lives of the assets, or the related lease terms if shorter, by the 
straight-line method.  Useful lives range from five to seven years.


                              F-9

<PAGE> 59
                        QUALITY SYSTEMS, INC.

         NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)


Software Development Costs - Development costs incurred in the research and 
development of new software products and enhancements to existing software 
products are expensed as incurred until technological feasibility has been 
established.  After technological feasibility is established, any 
additional development costs are capitalized in accordance with Statement 
of Financial Accounting Standards No. 86, "Accounting for the Costs of 
Computer Software to be Sold, Leased or Otherwise Marketed."  Such costs 
are generally amortized over the lesser of three years or the economic life 
of the related product.  The Company performs an annual review of the 
recoverability of such capitalized software costs.  At the time a 
determination is made that capitalized amounts are not recoverable based on 
the estimated cash flows to be generated from the applicable software, any 
remaining capitalized amounts are written off.

Excess of Cost Over Net Assets of Acquired Business and Intangible Assets - 
Excess of costs over net assets of acquired business and intangible assets 
are being amortized using the straight-line method over ten years and five 
years, respectively.  The Company performs an annual review of the 
recoverability of such unamortized amounts.  At the time a determination is 
made that any portion of such unamortized amounts are not recoverable based 
on the estimated cash flows to be generated from such assets, the excess 
amount is written off.

Income Taxes - Income taxes are provided for the tax effects of 
transactions reported in the financial statements and consist of taxes 
currently due plus deferred taxes related primarily to differences between 
the basis of assets and liabilities for financial and tax reporting.  The 
deferred tax assets and liabilities represent the future tax return 
consequences of those differences, which will either be taxable or 
deductible when the assets and liabilities are recovered or settled.  
Deferred taxes also are recognized for operating losses that are available 
to offset future taxable income and tax credits that are available to 
offset future income taxes.  Valuation allowances are established as a 
reduction of net deferred tax assets when management cannot determine that 
the recoverability of such assets is probable.

Earnings per Share - The net loss per share for the year ended March 31, 
1997 was computed using the weighted average number of shares outstanding 
during the year of 5,937,000 and any common share equivalents were excluded 
because their impact would be anti-dilutive.  The difference between 
primary and fully diluted net income per share for each of the years ended 
March 31, 1996 and 1995 was not significant.  Net income per share for each 
of the years ended March 31, 1996 and 1995 was calculated using the 
weighted average number of common shares and common share equivalents 
outstanding of 4,788,000 and 4,606,000, respectively.  Common share 
equivalents consist of the effect of stock options calculated using the 
treasury stock method.

                               F-10

<PAGE> 60
                      QUALITY SYSTEMS, INC.

        NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)


Stock-Based Compensation - In October 1995, the Financial Accounting 
Standards Board issued Statement of Financial Accounting Standards No. 123, 
"Accounting For Stock-Based Compensation" ("SFAS No. 123"), which was 
adopted by the Company beginning April 1, 1996.  SFAS No. 123 requires 
expanded disclosures of stock-based compensation arrangements with 
employees and encourages (but does not require) compensation cost to be 
measured based on the fair value of the equity instrument awarded.  
Companies are permitted, however, to continue to apply Accounting 
Principles Board Opinion No. 25, "Accounting for Stock Issued to Employees" 
("APB No. 25"), which recognizes compensation cost based on the intrinsic 
value of the equity instrument awarded.  The Company will continue to apply 
APB No. 25 to its stock-based compensation awards to employees and will 
disclose the required pro forma effect on net income (loss) and net income 
(loss) per share.

New Accounting Pronouncement - In February 1997, the Financial Accounting 
Standards Board issued Statement of Financial Accounting Standards No. 128, 
"Earnings per Share (EPS)" ("SFAS No. 128"), which is effective for 
financial statements for interim and annual periods ending after December 
15, 1997.  SFAS No. 128 requires the Company to report Basic EPS, as 
defined therein, which excludes all common share equivalents from the 
earnings per share computation, and Diluted EPS, as defined therein, which 
is calculated similar to the Company's primary earnings per share 
computation.  The Company has determined that the adoption of this 
statement would not have had a material impact on the earnings per share 
calculations for the periods presented in the accompanying consolidated 
financial statements.

Use of Estimates - The preparation of financial statements in conformity 
with generally accepted accounting principles requires management to make 
estimates and assumptions that affect the reported amounts of assets and 
liabilities and disclosure of contingent assets and liabilities at the date 
of the financial statements and the reported amounts of revenues and 
expenses during the reporting period.  Actual results in future periods 
could differ from those estimates made in the current year.

Reclassifications - Certain amounts in the accompanying financial 
statements have been reclassified to conform with the March 31, 1997 
presentation.

NOTE 3 - CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS

At March 31, 1997 and 1996, the Company had cash equivalents of $21,155,000 
and $27,079,000, respectively, invested in a major national brokerage 
firm's institutional fund that specializes in U.S. government securities 
and commercial paper with high credit ratings.


                            F-11

<PAGE> 61
                      QUALITY SYSTEMS, INC.

        NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)



Short-term investments consist of the following components:
<TABLE>
<CAPTION>
                                               March 31,
                                         ----------------------
                                            1997        1996
                                         ----------  ----------
       <S>                              <C>         <C>
       Trading securities                $  883,000  $  758,000
       Available-for-sale securities           -        314,000
                                         ----------  ----------
                                         $  883,000  $1,072,000
                                         ==========  ==========
</TABLE>

Trading securities include an investment of $642,000 and $576,000 as of 
March 31, 1997 and 1996, respectively, in a fund which trades in special 
situation securities.  The Company bears no off-balance sheet risk on its 
investments.

The following is a summary of available-for-sale securities:
<TABLE>
<CAPTION>
                                                   March 31,
                                           -----------------------
                                              1997         1996
                                           ----------   ----------
      <S>                                 <C>          <C>
      Aggregate market                     $    -       $  314,000
      Gross unrealized holding losses           -           78,000
                                           ----------   ----------
      Amortized cost basis for debt
          securities issued by foreign
          governments, denominated in
          U.S. dollars                     $    -       $  392,000
                                           ==========   ==========
</TABLE>

Investment income for each of the three years ended March 31, 1997 consists 
of the following:

<TABLE>
<CAPTION>                                Years Ended March 31,
                                  ----------------------------------
                                     1997        1996        1995
                                  ----------  ----------  ----------
 <S>                             <C>         <C>         <C>
 Interest income                  $1,240,000  $  433,000  $  196,000
 Net gains (losses) on
   short-term investments --
     Realized                        102,000     (10,000)    151,000
     Unrealized                      (26,000)     90,000      82,000
 Other                                  -         20,000        -   
                                  ----------  ----------  ----------
                                  $1,316,000  $  533,000  $  429,000
                                  ==========  ==========  ==========
</TABLE>

                                   F-12

<PAGE> 62

                      QUALITY SYSTEMS, INC.

         NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)


NOTE 4 - CAPITALIZED SOFTWARE COSTS

Capitalized software costs at March 31, 1997 and 1996 were net of 
accumulated amortization of $1,275,000 and $867,000, respectively.

Information related to net capitalized software costs is as follows:

<TABLE>
<CAPTION>                      Years Ended March 31,
                        ----------------------------------
                            1997        1996        1995
                        ----------   ---------   ---------
<S>                    <C>          <C>         <C>
Beginning of year       $  599,000   $ 502,000   $ 509,000 
Capitalized                850,000     382,000     191,000 
Amortization              (408,000)   (285,000)   (198,000)
                        ----------   ---------   ---------
End of year             $1,041,000   $ 599,000   $ 502,000
                        ==========   =========   =========

</TABLE>

NOTE 5 - COMPOSITION OF CERTAIN FINANCIAL STATEMENT CAPTIONS

<TABLE>
<CAPTION>                                 March 31,
                                ----------------------------
                                   1997              1996
                                ----------        ----------
INVENTORIES:
 <S>                           <C>               <C>
 Computer systems
   and components               $  750,000        $  509,000
 Replacement parts for
   certain client systems, net
   of accumulated amortization
   of $1,079,000 and $1,015,000,
   respectively                    274,000           295,000
 Miscellaneous parts
   and supplies                     47,000            49,000
                                ----------        ----------
                                $1,071,000        $  853,000
                                ==========        ==========
</TABLE>

                                F-13

<PAGE> 63
                      QUALITY SYSTEMS, INC.

         NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)


EQUIPMENT AND IMPROVEMENTS:
<TABLE>
<CAPTION>
                                          March 31,
                                ----------------------------
                                   1997              1996
                                -------------     ----------
 <S>                           <C>               <C>
 Computers and electronic
   test equipment               $2,110,000        $1,393,000
 Furniture and fixtures            622,000           330,000
 Vehicles                           72,000            88,000
 Leasehold improvements            120,000           117,000
                                ----------        ----------
                                 2,924,000         1,928,000
 Accumulated depreciation
   and amortization             (1,533,000)       (1,356,000)
                                ----------        ----------
                                $1,391,000        $  572,000
                                ==========        ==========
</TABLE>

OTHER ASSETS:

<TABLE>
<CAPTION>                                  March 31,
                                ----------------------------
                                   1997             1996
                                -------------     ----------
<S>                            <C>               <C>
Intangible assets, net of
  accumulated amortization
  of $156,000 and $ - ,
  respectively                  $  734,000        $     -
Other                              824,000           442,000
                                ----------        ----------
                                $1,558,000        $  442,000
                                ==========        ==========
</TABLE>

OTHER CURRENT LIABILITIES:
<TABLE>
<CAPTION>
                                          March 31,
                                ----------------------------
                                   1997             1996
                                -------------     ----------
 <S>                           <C>               <C> 
 Accrued payroll and
  related expenses              $  848,000        $  498,000
 Deferred compensation             454,000           370,000
 Deferred tax liability               -               34,000
 Other accrued expenses            690,000           446,000
                                ----------        ----------
                                $1,992,000        $1,348,000
                                ==========        ==========
</TABLE>
                                   F-14

<PAGE> 64

                        QUALITY SYSTEMS, INC.

          NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)


NOTE 6 - INCOME TAXES

     The income tax provision consists of the following components:
<TABLE>
<CAPTION>
                                   Years Ended March 31,
                            -------------------------------------
                               1997         1996         1995
                            -----------  -----------  -----------
<S>                        <C>          <C>          <C>
Federal-
  Current taxes             $  523,000   $ 1,072,000  $   414,000 
  Deferred taxes                81,000       109,000      (36,000)
                            -----------  -----------  -----------
                               604,000     1,181,000      378,000
                            -----------  -----------  -----------
State-
  Current taxes                159,000       305,000      101,000
  Deferred taxes                21,000        42,000      (26,000)
                            -----------  -----------  -----------
                               180,000       347,000       75,000
                            -----------  -----------  -----------
                            $  784,000   $ 1,528,000  $   453,000
                            ===========  ===========  ===========

</TABLE>

The income tax provision differs from an amount computed at the Federal 
statutory rate as follows:
<TABLE>
<CAPTION>
                                         Years Ended March 31,
                               --------------------------------------
                                  1997         1996         1995
                               -----------  -----------  ------------
<S>                           <C>          <C>          <C>
Federal income tax provision
  at statutory rate (34%)      $(2,275,000) $ 1,299,000  $   481,000
Increases (decreases)
  resulting from:
   Non-deductible purchased
     in-process research and
     development                 2,822,000         -            -
   Non-deductible amortization
     of purchased intangible
     assets                        120,000         -            -
   State income taxes              127,000      234,000      107,000
   Change in
     valuation allowance              -             -        (86,000)
   Other                           (10,000)      (5,000)     (49,000)
                               -----------  -----------  -----------
                               $   784,000  $ 1,528,000  $   453,000
                               ===========  ===========  ===========
</TABLE>

The change in valuation allowance in 1995 is related to benefits arising 
from federal and state net operating loss carryforwards.


                                F-15

<PAGE> 65
                         QUALITY SYSTEMS, INC.

            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)



The net deferred tax benefits in the accompanying balance sheets include 
the following components:
<TABLE>
<CAPTION>
                                               March 31,
                                         ----------------------
                                            1997         1996
                                         ---------    ---------
<S>                                     <C>          <C>
Deferred tax assets -
   Accounts receivable                   $ 167,000    $  55,000
   Inventories                              62,000       30,000
   Other current assets                       -          46,000
   Accumulated depreciation                  5,000        5,000
   Investment in Clinitec
     International, Inc.                      -          22,000
   Accrued vacation and sick leave         193,000      106,000
   Accrued liability for
     deferred compensation                 195,000      169,000
   State income taxes                       46,000       51,000
   Net operating loss carryforward         201,000         -
                                         ---------    ---------
                                           869,000      484,000
                                         ---------    ---------
Deferred tax liabilities -
   Short-term investments                  (30,000)      (3,000)
   Inventories                             (12,000)     (17,000)
   Accumulated depreciation                (38,000)     (21,000)
   Capitalized software                   (364,000)    (259,000)
   Deferred revenue                       (334,000)    (302,000)
                                         ---------    ---------
                                          (778,000)    (602,000)
                                         ---------    ---------
                                         $  91,000    $(118,000)
                                         =========    =========
</TABLE>

The deferred tax assets and liabilities have been shown net in the 
accompanying balance sheets based on the long-term or short-term nature of 
the items which give rise to the deferred amount.

At March 31, 1997, Clinitec had net operating loss carryforwards of 
$502,000 of which $241,000 and $261,000 expire in the fiscal years ending 
March 31, 2011 and 2012, respectively, for Federal income tax purposes and 
in the fiscal years ending March 31, 1998 and 2000, respectively, for state 
income tax purposes.


                              F-16
<PAGE> 66
                        QUALITY SYSTEMS, INC.

           NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)


NOTE 7 - EMPLOYEE BENEFIT PLANS

QSI has a profit sharing and retirement plan (the "Retirement Plan") for 
the benefit of substantially all of its employees.  The Retirement Plan was 
amended during the fiscal year ended March 31, 1994 to add 401(k) features.  
Participating employees may defer up to 15% of their compensation per year.  
The Company's annual contribution is determined by the Company's Board of 
Directors and the Retirement Plan may be amended or discontinued at the 
discretion of the Board of Directors.  Contributions of $25,000, $20,000 
and $21,000 were made to the Retirement Plan for the fiscal years ended 
March 31, 1997, 1996 and 1995, respectively.

During the fiscal year ended March 31, 1994, the Company initiated a 
deferred compensation plan (the "Deferral Plan") for the benefit of 
officers and key employees.  Participating employees may defer all or a 
portion of their compensation for a Deferral Plan year.  In addition, the 
Company may, but is not required to, make contributions into the Deferral 
Plan on behalf of participating employees.  Each participating employee's 
deferred compensation and share of Company contributions has been invested 
in a life insurance policy which has death benefit and mutual fund 
features.  Investment decisions are made by each participating employee 
from a family of mutual funds.  The Company is the owner and beneficiary of 
the life insurance policies and has an obligation to pay the greater of the 
death benefit or the net cash surrender value upon each employee's death or 
termination.  The net cash surrender value of the life insurance policies 
and the related Company obligation for deferred compensation was $454,000 
and $370,000 at March 31, 1997 and 1996, respectively.  The Company made 
contributions of $10,000, $11,000 and $10,000 to the Deferral Plan for the 
fiscal years ended March 31, 1997, 1996 and 1995, respectively.

NOTE 8 - EMPLOYEE STOCK OPTION PLANS

1981 Stock Option Plan - Under a shareholder approved incentive
stock option plan (the "1981 Plan") for officers and employees,
365,384 shares of common stock were reserved for the issuance of
options to purchase shares of common stock at the fair market value at
the date of grant.  On October 31, 1991, the 1981 incentive stock
option plan expired and no additional shares could be granted under
the plan.  As of March 31, 1995, all outstanding shares under this
plan had been exercised.

1989 Stock Option Plan - During fiscal 1990, the Company's shareholders 
approved a stock option plan (the "1989 Plan") under which 1,000,000 shares 
of common stock have been reserved for the issuance of options.  The 1989 
Plan provides that salaried officers, key employees and non-employee 
directors of the Company or its subsidiaries may, at the discretion of the 
Plan Administrator, be granted options to purchase shares of Common Stock 
at an exercise price not less than 85% of their fair market value on the 
option grant date.

                                F-17

<PAGE> 67
                        QUALITY SYSTEMS, INC.

          NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)



Upon an acquisition of the Company by merger or asset sale, each 
outstanding option will be subject to accelerated vesting under certain 
circumstances.  The 1989 Plan will terminate on May 30, 1999, unless sooner 
terminated by the Board.  At March 31, 1997, options for 43,000 shares were 
exercisable and 425,000 shares were available for future grant under the 
1989 Plan.

A summary of option transactions under the 1981 Plan and 1989 Plan for the 
three years ended March 31, 1997 is as follows:

<TABLE>
<CAPTION>
                                                        Weighted
                                                        Average
                                         Number         Exercise
                                        of Shares        Price
                                       -----------     ----------
<S>                                    <C>             <C>
Outstanding, March 31, 1994              305,500          $ 1.57

Granted                                    5,000            3.75
Exercised                                (90,800)           1.66
Cancelled                                   -                -
                                       -----------

Outstanding, March 31, 1995
  (73,250 exercisable at a weighted
    average price of $1.54)              219,700            1.57

Granted (weighted average
  fair value of $291,000)                 30,000           14.87
Exercised                               (117,600)           1.55
Cancelled                                 (2,000)          26.50
                                       -----------

Outstanding, March 31, 1996
  (21,625 exercisable at a weighted
    average price of $1.57)              130,100            4.28

Granted (weighted average
  fair value of $3,188,000)              279,500           18.80
Exercised                                (34,125)           1.77
Cancelled                               (107,975)          15.59
                                       -----------
Outstanding, March 31, 1997              267,500          $15.20
                                       ===========      ==========

</TABLE>


                                    F-18
<PAGE> 68
                          QUALITY SYSTEMS, INC.

            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)



The outstanding stock options vest ratably over a four-year period 
commencing from the respective option grant dates.  Stock options 
outstanding at March 31, 1997 are summarized as follows:

Options Outstanding

                                      Weighted
                                       Average
                       Number         Remaining       Weighted
    Range of       Outstanding at    Contractual      Average
Exercise Prices    March 31, 1997    Life (Yrs.)   Exercise Price
- ---------------    --------------    -----------   --------------
$ 1.38 - $ 4.88        64,500           1.4            $ 1.59
  6.75 -  11.50        77,000           4.8              7.06
 23.50 -  27.50       126,000           4.2             27.15
                   --------------
$ 1.38 - $27.50       267,500           3.7            $15.20
===============    ==============    ===========   ==============


                         Options Exercisable


                Number            Weighted
               Range of       Exercisable at        Average
           Exercise Prices    March 31, 1997     Exercise Price
           ---------------    --------------     --------------
           $ 1.38 - $ 4.88        40,250             $ 1.57
             6.75 -  11.50          -                   -
            23.50 -  27.50         2,750              23.50
                              --------------
           $ 1.38 - $27.50        43,000             $ 2.98
           ===============    ==============      =============

As discussed in Note 2, the Company continues to account for its stock-
based awards using the intrinsic value method in accordance with APB No. 
25.  No compensation expense has been recognized in the financial 
statements for employee stock arrangements.

SFAS No. 123 requires the disclosure of pro forma net income and earnings 
per share had the Company adopted the fair value method as of the beginning 
of fiscal 1996.  Under SFAS No. 123, the fair value of stock-based awards 
to employees is calculated through the use of option pricing models, even 
though such models were developed to estimate the fair value of freely 
tradable, fully transferable options without vesting restrictions, which 
significantly differ from the Company's stock option awards.  These models 
also require subjective assumptions, including future stock price 
volatility and expected time to exercise, which greatly affect the 
calculated values.

                              F-19

<PAGE> 69

                        QUALITY SYSTEMS, INC.
 
          NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)


The Company's calculations were made using the Black-Scholes option pricing 
model with the following assumptions:  expected life, twelve months 
following full vesting; stock volatility, ranging from 68% to 101% in 
fiscal 1997 and ranging from 71% to 95% in fiscal 1996; risk free interest 
rates, 6.50% in fiscal 1997 and 6.50% in fiscal 1996; and, no dividends 
during the expected term.  The Company's calculations are based on a single 
option valuation approach and forfeitures are recognized as they occur.  If 
the computed fair values of the fiscal 1997 and 1996 awards had been 
amortized to expense over the vesting period of the awards, the pro forma 
net loss would have been $(7,991,000), or $(1.35) per share, in fiscal 1997 
and pro forma net income would have been $2,274,000, or $0.47 per share, in 
fiscal 1996.  These amounts are based on calculated values for option 
awards in fiscal 1997 and 1996 of $3,188,000 and $291,000, respectively.  
The impact of stock options granted prior to fiscal 1996 has been excluded 
from the pro forma calculation; accordingly, the fiscal 1997 and 1996 pro 
forma adjustments are not indicative of future period pro forma 
adjustments, when the calculation may apply to all applicable stock 
options.


NOTE 9 - COMMITMENTS AND CONTINGENCIES

The Company leases its facilities and offices under noncancelable operating 
lease agreements expiring at various dates through March 2000.  The Company 
has rental commitments under these agreements in fiscal 1998, 1999 and 2000 
of $500,000, $455,000 and $272,000, respectively.  Total rental expense for 
all operating leases was $451,000, $385,000 and $387,000 for the years 
ended March 31, 1997, 1996 and 1995, respectively.

The Company is a party to various claims, legal actions and complaints 
arising in the ordinary course of business.  The Company believes such 
matters are without merit, or involve such amounts that unfavorable 
disposition would not have a material adverse effect on the Company's 
financial statements. (Also see Note 14.)


NOTE 10 - RELATED PARTY TRANSACTION

During the year ended March 31, 1996, the Company sold a computer system 
for $335,000 to an entity whose founder and chief executive officer is also 
a QSI Director.  In connection with this sale, the Company also entered 
into an agreement to pay a license fee based upon future revenues, if any, 
from certain software templates that may be developed by the entity.  As of 
March 31, 1997, no such license fees have been earned.


                               F-20
<PAGE> 70

                        QUALITY SYSTEMS, INC.

           NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)


NOTE 11 - ACQUISITION OF CLINITEC INTERNATIONAL, INC.

In April 1995, QSI entered into a strategic relationship with Clinitec, a 
developer of electronic medical records software systems.  In May 1995 in 
connection with this strategic relationship, QSI acquired a 25% ownership 
interest in Clinitec for $1.0 million in cash.  On May 16, 1996, QSI and 
Clinitec executed an Agreement and Plan of Merger, which was effected on 
May 17, 1996, whereby QSI acquired the remaining 75% of Clinitec that it 
did not already own for $4.9 million in cash and 309,846 shares of QSI 
Common Stock.  For purposes of the acquisition, the shares were valued at 
$6.9 million, or $22.25 per share, for a total purchase price of $11.8 
million for this remaining 75% ownership interest.  On May 17, 1996, in 
accordance with the terms of the transaction, Clinitec was merged with and 
into a newly formed, wholly-owned subsidiary of the Company.

The acquisition was recorded as a purchase transaction.  In connection with 
this treatment, the $11.8 million paid in May 1996 together with the 
Company's then existing $1.0 million investment in Clinitec and $484,000 of 
assumed Clinitec liabilities was allocated to $1.9 million of acquired 
identified assets, $8.3 million of acquired in-process research and 
development, and $3.1 million of purchase price in excess of assets 
acquired.  At the May 1996 acquisition date, the technological feasibility 
of the acquired in-process research and development had not been 
established and, accordingly, the allocated value was charged to operations 
during the year ended March 31, 1997.

The following unaudited pro forma information presents the consolidated 
results of operation for the year ended March 31, 1996 as if the 
acquisition had been consummated as of the beginning of that fiscal year.  
Similar amounts for the year ended March 31, 1997 are not presented as the 
pro forma impact was insignificant.

<TABLE>
<CAPTION>
          <S>                               <C>
          Pro forma net revenues             $18,225,000
          Pro forma net income               $ 1,425,000
          Pro forma net income per share     $      0.28
                                             ===========
</TABLE>

The pro forma information is not necessarily indicative of the results of 
operations that would have occurred nor of future results of the combined 
enterprise.

                               F-21
<PAGE> 71

                        QUALITY SYSTEMS, INC.

           NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)


NOTE 12 - SHAREHOLDER RIGHTS PLAN

Each share of the Company's Common Stock includes a Right to purchase from 
the Company one share of Common Stock for $40, subject to adjustment. These 
Rights expire on November 25, 2006 and may not be exercised and will not 
detach or trade separately from the Common Stock except as described below.

The Rights will detach from the Common Stock and may be exercised only if a 
person or group without prior consent of the Company's board becomes the 
beneficial owner of 15% or more of the Common Stock ("Stock Acquisition").  
Existing shareholder positions as of November 22, 1996 of 15% or more of 
the outstanding Common Stock do not trigger the Rights unless they acquire 
additional shares without prior board consent.  If a Stock Acquisition 
occurs, the Rights flip-in and each Right entitles its holder (other than 
shareholders who have caused the Stock Acquisition) to purchase, at the 
Right's then current exercise price, Common Stock (or, if the number of 
shares of authorized common stock is insufficient to permit the full 
exercise of the Rights, cash, property or other securities of the Company) 
having a formula value equal to twice the Right's exercise price.  In 
addition, if at any time following a Stock Acquisition, (i) the Company is 
acquired in a merger or other business combination transaction in which the 
Company is not the surviving corporation, or (ii) 50% or more of the 
Company's assets or earnings power is sold or transferred, the Rights flip-
over and each unexercised Right will entitle the holder to purchase, at the 
Right's then current exercise price, common shares of the successor having 
a formula value equal to twice the Right's exercise price.  The Rights may 
be redeemed by the Company at any time prior to ten days following the date 
the Company's board becomes aware of a Stock Acquisition (which period may 
be extended by the Company's Board of Directors at any time while the 
Rights are still redeemable).  Upon the occurrence of a flip-in or flip-
over event, if the Rights are not redeemed, the Rights would result in 
substantial dilution to any person who has caused the Stock Acquisition or 
who attempts to merge or consolidate with the Company.  As a result, the 
Rights may deter potential attempts to acquire control of the Company 
without the approval of the Company's Board of Directors.


                                F-22

<PAGE> 72
                       QUALITY SYSTEMS, INC.

            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)


NOTE 13 - STOCK REPURCHASE PLAN

On February 12, 1997, the Company's Board of Directors authorized the 
repurchase on the open market of up to 10% of the Company's outstanding 
Common Stock at various times through February 1998, subject to compliance 
with applicable laws and regulations.  The timing and amount of any 
repurchase is at the discretion of the Company's management.  The Company's 
management could, in the exercise of its judgment, decide not to effect any 
repurchases, or to repurchase fewer shares than authorized.  Repurchased 
shares, if any, will be held as treasury stock available for future 
issuance by the Company.  As of March 31, 1997, no shares have been 
repurchased.


NOTE 14 - SUBSEQUENT EVENTS

Litigation - On April 22, 1997, a purported class action was filed in 
California Superior Court on behalf of all persons who purchased the 
Company's Common Stock between June 26, 1995 and July 3, 1996.  The 
complaint alleges that the Company and certain of its officers and 
directors, as well as other defendants not affiliated with the Company, 
violated sections of the California Corporations Code by issuing positive 
statements about the Company that allegedly were knowingly false, in part, 
in order to assist the Company and certain of its officers and directors in 
selling Common Stock at an inflated price in the Company's March 5, 1996 
public offering and at other points during the period specified.  On May 
14, 1997, a second purported class action was filed in the same court 
essentially repeating the allegations of the April 22, 1997 suit.  The 
Company and its named officers and directors deny all allegations of 
wrongdoing made against them in these suits, consider the allegations 
groundless and without merit, and intend to vigorously defend against these 
actions.

Acquisition - On May 15, 1997, the Company acquired substantially all of 
the assets of MicroMed Healthcare Information Systems, Inc. ("MicroMed"), a 
developer and marketer of proprietary information systems utilizing a 
graphical user interface client/server platform for medical group 
practices.  The purchase price consists of an initial cash payment of $4.8 
million paid at the closing of the transaction and an additional payment of 
up to $6.0 million due no later than June 29, 1998.  The additional payment 
will be determined using a formula based primarily upon Revenues and Pre-
Tax Operating Income of the MicroMed Business, each as defined in the 
related Asset Purchase Agreement, for the twelve months ending March 31, 
1998.  Up to 15% of the additional payment, if any, is payable in the 
Company's Common Stock at the sole election of the Company with the balance 
of any such payment payable in cash.  The acquisition will be treated as a 
purchase for accounting purposes.  In connection with this treatment, the 
Company expects to allocate a significant portion of the purchase price 
paid at the closing of the transaction to purchased in-process research and 
development which will be charged against operations during the quarter 
ending June 30, 1997.

                               F-23
<PAGE> 73

                       QUALITY SYSTEMS, INC.
           SCHEDULE II - VALUATION AND QUALIFYING ACCOUNTS

                     ALLOWANCE FOR DOUBTFUL ACCOUNTS

<TABLE>
<CAPTION>
                                 Column C - Additions
                                 ---------------------
                                               (2)                 Column E
                      Column B      (1)     Charged to             Balance
                     Balance at  Charged to   other      Column D   at end
Column A            beginning of costs and   accounts   Deductions    of
Description            period     expenses   describe    describe   Period
- ------------------  ------------ ---------- ----------  ---------- --------

<S>                 <C>          <C>       <C>         <C>        <C>
Fiscal Year Ended:
  March 31, 1997     $126,000     $171,000  $ 85,000(I) $ 85,000   $297,000
  March 31, 1996       77,000       71,000      -         22,000    126,000
  March 31, 1995     $ 66,000     $ 28,000      -       $ 17,000   $ 77,000
                    ============ ========== ==========  ========== ========

</TABLE>

(I)  Acquired in connection with the purchase of Clinitec International, 
Inc. on May 17, 1996.

                                F-24

<PAGE> 74

                            EXHIBIT 21


<PAGE> 75

                            EXHIBIT 21
                           ------------


                       QUALITY SYSTEMS, INC.


                        List of Subsidiaries



1. Clinitec International, Inc., a California Corporation, is a wholly-
owned subsidiary of Quality Systems, Inc.

2. MHIS Acquisition Corp., a California Corporation, is a wholly-owned 
subsidiary of Quality Systems, Inc.


<PAGE> 76

                           EXHIBIT 23.1


<PAGE> 77

EXHIBIT 23.1
- ------------


                    INDEPENDENT AUDITORS' CONSENT





We consent to the incorporation by reference in Registration Statements 
Number 2-82773 and 33-31949 on Form S-8 of our report dated June 11, 1997 
appearing in this Annual Report on Form 10-K for Quality Systems, Inc. for 
the year ended March 31, 1997.




/s/ Deloitte & Touche LLP

DELOITTE & TOUCHE LLP
Costa Mesa, California
June 11, 1997






<TABLE> <S> <C>

<ARTICLE> 5
       
<S>                             <C>                     <C>
<PERIOD-TYPE>                   YEAR                   YEAR
<FISCAL-YEAR-END>                          MAR-31-1997             MAR-31-1996
<PERIOD-END>                               MAR-31-1997             MAR-31-1996
<CASH>                                      21,852,000              27,872,000
<SECURITIES>                                   883,000               1,072,000
<RECEIVABLES>                                6,574,000               4,751,000
<ALLOWANCES>                                   297,000                 126,000
<INVENTORY>                                  1,071,000                 853,000
<CURRENT-ASSETS>                            31,008,000              34,683,000
<PP&E>                                       2,924,000               1,928,000
<DEPRECIATION>                             (1,533,000)             (1,356,000)
<TOTAL-ASSETS>                              37,866,000              37,272,000
<CURRENT-LIABILITIES>                        5,395,000               4,487,000
<BONDS>                                              0                       0
                                0                       0
                                          0                       0
<COMMON>                                        60,000                  56,000
<OTHER-SE>                                  32,210,000              32,645,000
<TOTAL-LIABILITY-AND-EQUITY>                37,866,000              37,272,000
<SALES>                                     11,809,000               9,623,000
<TOTAL-REVENUES>                            20,127,000              16,732,000
<CGS>                                                0                       0
<TOTAL-COSTS>                               10,089,000               7,929,000
<OTHER-EXPENSES>                            18,014,000               5,464,000
<LOSS-PROVISION>                                     0                       0
<INTEREST-EXPENSE>                                   0                       0
<INCOME-PRETAX>                            (6,691,000)               3,821,000
<INCOME-TAX>                                   784,000               1,528,000
<INCOME-CONTINUING>                        (7,475,000)               2,293,000
<DISCONTINUED>                                       0                       0
<EXTRAORDINARY>                                      0                       0
<CHANGES>                                            0                       0
<NET-INCOME>                               (7,475,000)               2,293,000
<EPS-PRIMARY>                                   (1.26)                     .48
<EPS-DILUTED>                                   (1.26)                     .48
        

</TABLE>


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