QUALITY SYSTEMS INC
10-K/A, 1999-07-29
COMPUTER INTEGRATED SYSTEMS DESIGN
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<PAGE> 1
              UNITED STATES SECURITIES AND EXCHANGE COMMISSION
                           WASHINGTON, D.C. 20549
                                 FORM 10-K/A
                               Amendment No. 1
[ X ]       ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
                      SECURITIES EXCHANGE ACT OF 1934

                 For the fiscal year ended March 31, 1999

                                   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 Identification No.)
  Incorporation or Organization)

          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

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 28, 1999: $18,986,000

Indicate the number of shares outstanding of each of the registrant's
classes of common stock as of May 28, 1999:  6,213,666.

DOCUMENTS INCORPORATED BY REFERENCE: None

<PAGE> 2

Quality Systems, Inc. ("Company") hereby amends Part III. and Part IV.,
Item 14.(a)(3), of the Company's Form 10-K for the Fiscal Year Ended March
31, 1999 as follows:

<PAGE> 3

                                PART III.


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

The information concerning the Company's executive officers is included
under the caption "Executive Officers of the Registrant." following Part
I., Item 4. of this report, and is incorporated by reference into this Item
10. The information concerning the Company's Directors is as follows:

<TABLE>
<CAPTION>
        Name               Age                Principal Occupation
- -------------------       -----      --------------------------------------
<S>                        <C>       <C>
 Sheldon Razin              61        Chairman of the Board of Directors
                                        and President and Chief Executive
                                        Officer of the Company

 John Bowers, M.D.          61        Founder of Heart Institute of Nevada

 William Bowers             70        Co-founder of MSI Data Corporation

 Patrick Cline              38        Executive Vice President of the
                                        Company and President and Chief
                                        Operating Officer of Clinitec
                                        International, Inc., a wholly-owned
                                        subsidiary of the Company.

 Janet Razin                59        Vice President and Corporate
                                        Secretary of the Company

 Gordon Setran              77        Retired, Vice President of California
                                        Federal Savings and Loan
                                        Association
</TABLE>

Biographical information on Messrs. Razin and Cline and Mrs. Razin is
included under the caption "Executive Officers of the Registrant."
following Part I., Item 4. of this report, and is incorporated by reference
into this Item 10. Biographical information on the Company's non-employee
Directors is as follows:

John Bowers, M.D., has served as a Director since June 1987, and is the
founder of the Heart Institute of Nevada ("Heart Institute"), a major
freestanding cardiac catheterization and diagnostic center, and served as
the Heart Institute's Chief Executive Officer from 1975 until July 1997. In
1970, Dr. Bowers moved to Las Vegas, Nevada to associate with Dr. P.R.
Akre, who organized the first catheterization laboratory in Nevada. He
subsequently became Director of Cardiology at Sunrise Hospital and Valley
Hospital. On June 1, 1975, he founded Cardiology Associates of Nevada, John
A. Bowers, M.D., FACC, a professional corporation, and the forerunner of
the Heart Institute. Prior to 1970, Dr. Bowers practiced cardiology in
Santa Paula, California, after serving in the U.S. Air Force. Dr. Bowers
graduated from Indiana University School of Medicine.

William Bowers has served as a Director since June 1989. He was co-founder
and Chairman of MSI Data Corporation, a leading manufacturer of "on-the-
move" hand-held data collection systems, headquartered in Costa Mesa,

<PAGE> 4

California. Founded in 1967, MSI was a public company until it was acquired
by Symbol Technologies, Inc. in 1988. Mr. Bowers has two Bachelors degrees,
one in Advertising from the University of Southern California and another
in Electrical Engineering from the University of California, Los Angeles.

Gordon Setran has served as a Director since November 1982, and was a Vice
President of California Federal Savings & Loan Association from 1975 until
his retirement in December 1985. Mr. Setran was a co-founder, President and
Director of First Federal Savings & Loan Association of Corona which was
acquired by California Federal Savings & Loan Association in 1975.


         SECTION 16(a) BENEFICIAL OWNERSHIP REPORTING COMPLIANCE

Under Section 16(a) of the Securities Exchange Act of 1934, as amended, the
directors and officers of the Company and any person who owns more than ten
percent of the Company's Common Stock are required to report their initial
ownership of the Company's Common Stock and any subsequent changes in that
ownership to the Securities and Exchange Commission ("SEC") and the Nasdaq
National Market. Officers, directors and greater than 10% shareholders are
required by SEC regulations to furnish the Company with copies of all forms
they file in accordance with Section 16(a).

Based solely on its review of the copies of such forms received by it, or
written representations from certain reporting persons that no Forms 5 were
required for those persons, the Company believes that, during the fiscal
year ended March 31, 1999, its officers, directors and greater than 10%
shareholders complied with all filing requirements applicable to such
persons with the exception of the following report. Mr. David Razin, the
Company's Vice President Business Development, inadvertently filed his Form
4 thirty-one days late in connection with his exercise of certain stock
options.

<PAGE> 5

Item 11. EXECUTIVE COMPENSATION.
         -----------------------


The following table sets forth certain compensation information for the
three fiscal years ended March 31, 1999, 1998 and 1997, respectively, by
the Chief Executive Officer and the four other highest paid executive
officers of the Company serving as such at the end of the 1999 fiscal year
whose aggregate total annual salary and bonus for such year exceeded
$100,000 (the "Named Executive Officers").

<TABLE>
<CAPTION>
                        Summary Compensation Table

                                              Long-Term
                                             Compensation
                                             -------------
                        Annual Compensation     Awards
                       --------------------- -------------
                                               Securities
                                               Underlying        All
Name and                                        Options/        Other
Principal                                         SARs       Compensation
Position          Year Salary($)  Bonus($)        (#)           ($)(1)
- ----------------- ---- ---------  --------   -----------     ------------
<S>              <C>   <C>        <C>        <C>             <C>
Sheldon Razin     1999  241,667        --           --          3,240
Chief Executive   1998  225,000        --           --          3,073
Officer and       1997  225,000        --           --          3,073
President

Patrick Cline(2)  1999  185,898        --           --          1,832
Executive         1998  197,703        --           --          1,977
Vice President    1997  145,576        --           --          1,456

Greg Flynn        1999  160,000    22,500           --          1,751
Executive Vice    1998  146,693        --        5,100(3)       1,651
President         1997  130,000    38,333       30,000(3)       1,834
Corporate Sales
& Marketing

Robert McGraw     1999  125,000    18,750           --            151
Vice President    1998  125,000    18,750        7,650(3)         151
Chief Financial   1997  125,000    18,750       40,000(3)         151
Officer

Donn Neufeld      1999  142,000        --           --          1,551
Vice President    1998  132,502        --        5,100(3)       1,551
Software &        1997  119,583        --       30,000(3)       1,347
Operations

</TABLE>

(1) This column reflects amounts attributable to Company contributions
    to the Company's Deferred Compensation Plan (in the case of Mr. Cline,
    Clinitec's Retirement Plan with 401(k) features)and income
    attributable to the provision of additional life insurance for the
    named individuals. For fiscal year ended March 31, 1999 such
    amounts were, respectively, as follows: Mr. Razin, $2,417 and $823; Mr.
    Cline, $1,832 and none; Mr. Flynn, $1,600 and $151; Mr. McGraw, none
    and $151; and Mr. Neufeld, $1,400 and $151.

<PAGE> 6

(2) Mr. Cline's employment with the Company commenced in May 1996.

(3) Certain options granted to the following individuals on June 12, 1996
    with an exercise price of $27.50 per share were exchanged for new
    options granted on August 11, 1997 with an exercise price of $7.01
    per share:  Mr. Flynn exchanged options representing 20,000 shares for
    new options representing 5,100 shares; Mr. McGraw exchanged options
    representing 30,000 shares for new options representing 7,650 shares;
    and, Mr. Neufeld exchanged options representing 20,000 shares for new
    options representing 5,100 shares.


                        Option / SAR Information

The Company did not grant stock options or stock appreciation rights to any
of the Named Executive Officers during fiscal 1999.

The following table provides information on option exercises in fiscal 1999
by the Named Executive Officers and unexercised options held by them at the
close of such fiscal year. No Named Executive Officer exercised any stock
appreciation rights during fiscal 1999 or held any stock appreciation
rights at the end of such fiscal year nor did any of the Named Executive
Officers hold any unexercised, in-the-money stock options or stock
appreciation rights at the end of such fiscal year.


<TABLE>
<CAPTION>
                                                  Number of Securities
                                                 Underlying Unexercised
                                               Options at March 31, 1999(#)
               Shares Acquired      Value      ---------------------------
Name           on Exercise(#)    Realized($)   Exercisable   Unexercisable
- -------------  ---------------   -----------   -----------   -------------
<S>            <C>               <C>           <C>           <C>
Sheldon Razin          --               --            --            --

Patrick Cline          --               --            --            --

Greg Flynn             --               --         6,275         8,825

Robert McGraw          --               --         6,912        10,738

Donn Neufeld       23,000           58,938         6,275         8,825

</TABLE>

        Employment Contracts and Change in Control Arrangements

In connection with the May 1996 purchase of Clinitec, the Company entered
into an employment agreement with Mr. Cline, a co-founder, President and
the then Chairman of the Board of Clinitec. Under this employment
agreement, Mr. Cline became Executive Vice President of the Company and the
President and Chief Operating Officer of the Company's wholly-owned
subsidiary which was newly formed to conduct the Clinitec business. The
employment agreement commenced on May 17, 1996 and has a three-year term.
Mr. Cline receives a base annual salary of $153,000 over the agreement term
with additional annual salary based upon Clinitec's annual revenues and an
annual bonus based upon Clinitec's operating income in excess of certain
minimum specified levels. The maximum total salary and bonus that Mr. Cline
may earn for the period from April 1, 1999 through May 16, 1999 is $38,000.

<PAGE> 7

Other than the above described arrangements with Mr. Cline, the Company
does not have any employment or severance contracts in effect with the
Chief Executive Officer or any of the other Named Executive Officers.

The Board of Directors, as the administrator of the Company's 1989 Stock
Option Plan and 1998 Stock Option Plan, has the discretion to accelerate
any outstanding options held by the Named Executive Officers in the event
of an acquisition of the Company by a merger or asset sale in which the
outstanding options under each such plan are not to be assumed by the
successor corporation or substituted with options to purchase shares of
such corporation.


                       DIRECTOR COMPENSATION

Directors of the Company who are also employees of the Company are not
compensated for their services as directors or committee members.
Directors of the Company who are not also employees ("Non-employee
Directors") receive a fee of $2,500 per year for serving on the Board of
Directors. Non-employee Directors who serve on a committee of the Board of
Directors receive an additional annual fee of $1,000 and a fee of $250 for
each committee meeting attended, together with reasonable expenses of
attendance at committee meetings.


         COMPENSATION COMMITTEE INTERLOCKS AND INSIDER PARTICIPATION

The Company did not have a compensation committee during its fiscal
year ended March 31, 1999 and the related functions carried out by such a
committee were performed by the entire Board of Directors. Sheldon Razin,
Janet Razin and Patrick Cline, who are officers and employees of the
Company, are also members of the Board of Directors. No director or
executive officer of the Company serves as an officer, director or member
of a compensation committee of any other entity for which an executive
officer or director thereof is also a member of the Company's Board of
Directors.

<PAGE> 8

Item 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT.
         ---------------------------------------------------------------

The following table sets forth certain information with respect to the
beneficial ownership of the Company's Common Stock as of July 15, 1999 by
(i) each person known by the Company to beneficially own more than 5% of
the outstanding shares of Common Stock, (ii) each of the Company's
Directors, (iii) each of the Named Executive Officers, and (iv) all
Directors and executive officers of the Company as a group:

<TABLE>
<CAPTION>
                               Number of Shares     Percent of
                               of Common Stock     Common Stock
                                Beneficially       Beneficially
Name of Beneficial Owner(1)         Owned            Owned(2)
- ------------------------       ----------------    ------------
<S>                            <C>                 <C>
Janet Razin and
  Sheldon Razin(3)                 1,520,220             24.46%
Ahmed Hussein(4)                   1,147,400             18.46%
Lawndale Capital
  Management, LLC(5)                 621,200             10.00%
Dimensional Fund
  Advisors Inc.(6)                   326,800              5.26%
Patrick Cline                        113,325              1.82%
John Bowers, M.D.                     51,230                *
Greg Flynn                            33,580(7)             *
Donn Neufeld                          30,550(7)             *
William Bowers                        11,200                *
Robert McGraw                          9,825(7)             *
Gordon Setran                          6,000                *

All Directors and executive
officers as a group (11 persons,
including those named above)       1,797,880(7)          28.77%
- --------------------------------
*  Less than 1%.
</TABLE>

(1)  Unless otherwise indicated, the address of each of these persons is
     c/o Quality Systems, Inc., 17822 East 17th Street, Suite 210, Tustin,
     California  92780. Unless otherwise indicated, to the Company's
     knowledge, the persons named in the table have sole voting and sole
     investment power with respect to all shares beneficially owned,
     subject to community property laws where applicable.

(2)  Applicable percentage ownership is based on 6,214,916 shares of Common
     Stock issued and outstanding as of July 15, 1999. Any securities not
     outstanding but subject to options exercisable as of July 15, 1999 or
     exercisable within 60 days after such date are deemed to be
     outstanding for the purpose of computing the percentage of outstanding
     Common Stock beneficially owned by the person holding such options,
     but are not deemed to be outstanding for the purpose of computing the
     percentage of Common Stock beneficially owned by any other person.

(3)  Janet Razin and Sheldon Razin, each of whom is an officer and Director
     of the Company, are married to each other and own their shares as
     community property.

(4)  As reflected in the Schedule 13D/A dated July 8, 1999. The address
     for Mr. Hussein is 30 Rockefeller Center, Suite 1936, New York, New
     York 10112.

<PAGE> 9

(5)  As reflected in the Schedule 13D/A dated July 15, 1999. The Schedule
     13D/A concerns beneficial ownership interests of Lawndale Capital
     Management, LLC ("LCM"), Diamond A Partners, L.P. ("DAP"), Diamond A
     Investors, L.P. ("DAI") and Andrew E. Shapiro ("Shapiro"). LCM is the
     investment adviser to and general partner of DAP and DAI, which are
     investment limited partnerships. Shapiro is the sole manager of LCM.
     The Schedule 13D/A states that LCM, DAP, DAI and Shapiro have
     beneficial ownership of 621,200 shares, 525,300 shares, 95,900 shares
     and 621,200 shares, respectively. The address for LCM, DAP, DAI and
     Shapiro is One Sansome Street, Suite 3900, San Francisco,
     California 94104.

(6)  As reflected in the Schedule 13G dated February 11, 1999. The Schedule
     13G states that Dimensional Fund Advisors Inc. ("Dimensional")
     furnishes investment advice to four investment companies and serves as
     investment manager to certain other investment vehicles (the four
     investment companies and the investment vehicles are collectively
     referred to as "Portfolios"). In its role as investment advisor and
     investment manager, Dimensional possesses both voting and investment
     power over the securities of the Company that are owned by Portfolios.
     The Schedule 13G further states that all of the 326,800 shares of the
     Company's Common Stock reported thereon are owned by the Portfolios
     and Dimensional disclaims beneficial ownership of all such securities.
     The Schedule 13G also sets forth that none of the Portfolios to the
     knowledge of Dimensional owns individually more than 5% of the
     Company's outstanding Common Stock. The address for Dimensional is
     1299 Ocean Avenue, 11th Floor, Santa Monica, California 90401.

(7)  Includes shares of Common Stock subject to stock options which were
     exercisable as of July 15, 1999 or exercisable within 60 days after
     July 15, 1999, and are, respectively, as follows:  Mr. Flynn, 7,550
     shares; Mr. Neufeld, 7,550 shares; Mr. McGraw, 8,825 shares; and all
     Directors and officers as a group, 33,475 shares.

<PAGE> 10

Item 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS.
         -----------------------------------------------


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, for $10.5
million. The purchase price consisted of an initial cash payment of $4.8
million paid upon the May 1997 closing of the transaction with an
additional payment of $5.7 million paid on June 29, 1998. The additional
payment consisted of $3.8 million in cash and 245,454 shares of the
Company's Common Stock valued at $1.8 million, or $7.48 per share.  The
shares of Common Stock may not be sold or otherwise transferred in any
manner until June 1999.  In connection with the May 1997 asset purchase
transaction, Mr. Stephen Puckett, a co-founder, President and Chairman of
the Board of MicroMed, became Executive Vice President of the Company.  On
the closing date of the asset purchase transaction, Mr. Puckett had a 37.5%
ownership interest in MicroMed.  Mr. Puckett resigned as an officer and
employee of the Company effective May 15, 1999.


David Razin, who is the Vice President Business Development of the Company,
is the son of Sheldon Razin and Janet Razin. The Company paid David Razin
$127,000 in salary during the fiscal year ended March 31, 1999. The Company
did not grant stock options or stock appreciation rights to David Razin
during fiscal 1999.

<PAGE> 11

                                PART IV.

Item 14. EXHIBITS, FINANCIAL STATEMENT SCHEDULES, AND REPORTS ON FORM 8-K.
         ------------------------------------------------------------------
                                                                    Page
                                                                 ----------
         (a)  Documents filed as part of this report.

         (3)  Exhibits.


                             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.

       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.

       3.2.3  Certificate of Amendment of Bylaws of the Registrant
                (originally filed with Registrant's Annual Report on
                Form 10-K for the year ended March 31, 1999,
                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.

<PAGE> 12
                             INDEX TO EXHIBITS
                                (continued)
                                                                 Sequential
                                                                    Page
     Exhibit                                                         No.
     -------                                                     ----------

       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.

        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.

<PAGE> 13

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

        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.

       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.

     10.12.1  Text of Amendment to Shareholder Rights Agreement,
                dated November 26, 1996, by and between Quality
                Systems, Inc. and U.S. Stock Transfer Corp.              16

       10.13  Asset Purchase Agreement, dated May 15, 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.

      10.14*  1998 Employee Stock Contribution Plan is hereby
                incorporated by reference to Exhibit 4.1 to
                the Registrant's Registration Statement on
                Form S-8, File No. 333-63131

      10.15*  1998 Stock Option Plan is hereby incorporated by
                reference to Exhibit 4.1 to the Registrant's
                Registration Statement on Form S-8,
                File No. 333-67115.

<PAGE> 14

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

          21  List of Subsidiaries (originally filed with the
                Registrant's Annual Report on Form 10-K for the
                year ended March 31, 1999, File No. 0-13801).

        23.1  Independent Auditor's Consent - Deloitte & Touche
                LLP (originally filed with the Registrant's Annual
                Report on Form 10-K for the year ended March 31,
                1999, File No. 0-13801).

        27.1  Financial Data Schedule (orginally filed with the
                Registrant's Annual Report on Form 10-K for the
                year ended March 31, 1999, File No. 0-13801).

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

<PAGE> 15

                               SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned hereunto duly authorized.

                                        QUALITY SYSTEMS, INC.




July 28, 1999                           By:  /s/  Robert G. McGraw
                                           -------------------------------
                                           Robert G. McGraw
                                           Chief Financial Officer

<PAGE> 16


                            EXHIBIT 10.12.1


<PAGE> 17

                                                            EXHIBIT 10.12.1

                AMENDMENT OF SHAREHOLDER RIGHTS AGREEMENT



          The Shareholder Rights Agreement, dated November 25, 1996,
between Quality Systems, Inc. and U.S. Stock Transfer Corp. is hereby
amended in the following particulars:

          1.     Subsection (a) of Section 23 of the Agreement is amended
by deleting from the first sentence of said subsection the words "the
earlier of (i)" and further by deleting from said sentence the words "or
(ii) the time following the Stock Acquisition Date that a majority of the
directors of the Company are persons who were not directors immediately
prior to the Stock Acquisition Date".

          2.     Subsection (a) of Section 24 of the Agreement is amended
by deleting from the first sentence of said subsection the words "and prior
to the time that a majority of the directors of the Company are persons who
were not directors immediately prior to that Stock Acquisition Date".

          3.     Section 27 of the Agreement is amended by deleting from
the first sentence of said section the words "the earlier of (i)" and also
by deleting the words "or (ii) the time following the Stock Acquisition
Date that a majority of the directors of the Company are persons who were
not directors immediately prior to the Stock Acquisition Date".




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