QUALITY SYSTEMS INC
10-Q, 1999-02-11
COMPUTER INTEGRATED SYSTEMS DESIGN
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<PAGE 1>
                     U. S. SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
                             ______________________
                                    FORM 10-Q
(Mark One)

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

For the quarterly period ended December 31, 1998
                         ________________________

                                        OR

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

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)

Issuer's telephone number, including area code: (714) 731-7171
                                                ______________
                                NOT APPLICABLE
        ________________________________________________________________
        (Former name, former address and former fiscal year, if changed,
        since last year)

Indicate by check mark whether the issuer (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   XX       No
                ----           ----

                       APPLICABLE ONLY TO CORPORATE ISSUERS:

Indicate the number of shares outstanding of each of the issuer's classes 
of common stock, as of the latest practicable date.

                 6,213,666 shares of Common Stock, $.01 par value,
                                as of January 29,1999

<PAGE 2>
                   PART I.  CONSOLIDATED FINANCIAL INFORMATION.
                   -------  -----------------------------------
Item 1.  Financial Statements.
- -------  ---------------------
                            QUALITY SYSTEMS, INC.
                          CONSOLIDATED BALANCE SHEETS
                               (in thousands)
<TABLE>
<CAPTION>
                                                  December 31,  March 31,
                                    ASSETS            1998         1998
                                                  ------------  ---------
<S>                                              <C>           <C>
Current Assets:                                   (Unaudited)
  Cash and cash equivalents                          $13,557     $16,107
  Short-term investments                                 291         973
  Accounts receivable, net                            10,063       9,946
  Inventories                                            875       1,328
  Other current assets                                 1,021         574
                                                     --------    --------
     Total current assets                             25,807      28,928
Equipment and Improvements, net                        1,724       1,790
Capitalized Software Costs, net                        2,213       2,183
Deferred Tax Asset                                     3,050       3,105
Excess of Cost Over Net
  Assets of Acquired Business, net                     2,540       2,793
Other Assets, net                                      1,940       2,117
                                                     --------    --------
     Total assets                                    $37,274     $40,916
                                                     ========    ========

LIABILITIES AND SHAREHOLDERS' EQUITY

Current Liabilities:
  Accounts payable                                   $ 1,366     $ 1,327
  Acquisition obligation                                  -        5,676
  Deferred service revenue                             3,491       2,244
  Estimated costs to complete      
    system installations                                 341         592
  Other current liabilities                            3,070       3,636
                                                     --------    --------
     Total current liabilities                         8,268      13,475
                                                     --------    --------
Commitments and Contingencies

Shareholders' Equity:
  Common stock, $0.01 par value, 20,000
    shares authorized, 6,236 and 5,988
    shares issued and outstanding, respectively           62          60
  Additional paid-in capital                          35,665      33,931
  Accumulated deficit                                 (6,721)     (6,550)
                                                     --------    --------
     Total shareholders' equity                       29,006      27,441
                                                     --------    --------
     Total liabilities and shareholders' equity      $37,274     $40,916
                                                     ========    ========
</TABLE>

See notes to consolidated financial statements.

<PAGE 3>

                             QUALITY SYSTEMS, INC.
  CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE INCOME (LOSS)
                                (Unaudited)
                   (in thousands, except per share amounts)



                                    Three Months Ended  Nine Months Ended
                                    ------------------  ------------------
                                       December 31,        December 31,
                                      1998      1997      1998      1997
                                    --------  --------  --------  --------
[S]                                [C]       [C]       [C]       [C]
Net Revenues:
  Sales of computer systems,
    upgrades and supplies           $ 5,000   $ 4,796   $ 13,338  $14,354
  Maintenance and other services      3,827     2,741     10,645    7,848
                                    --------  --------  --------  --------
                                      8,827     7,537     23,983   22,202
Cost of Products and Services         4,037     3,524     11,510   10,101
                                    --------  --------  --------  --------
Gross Profit                          4,790     4,013     12,473   12,101

Selling, General and 
  Administrative Expenses             3,390     3,119     10,072    8,973
Research and Development Costs          842       698      2,630    2,249
Purchased In-Process
  Research and Development               -       -          -       4,720
                                    --------  --------  --------  --------

Income (Loss) from Operations           558       196      (229)   (3,841)

Investment Income                       109       278       260       773
                                    --------  --------  --------  --------
Income (Loss) before Provision
  for (Benefit from) Income Taxes       667       474        31    (3,068)
Provision for
  (Benefit from) Income Taxes           298       242       202      (914)
                                    --------  --------  --------  --------
Net Income (Loss)
  and Comprehensive Income (Loss)   $   369   $   232   $  (171)  $(2,154)
                                    ========  ========  ========  ========


Net Income (Loss) per Share,
  basic & diluted                   $  0.06   $ 0.04    $  (0.03)  $(0.36)
                                    ========  ========  ========  ========
[/TABLE]

See notes to consolidated financial statements.

<PAGE 4>

                             QUALITY SYSTEMS, INC.
                     CONSOLIDATED STATEMENTS OF CASH FLOWS
                                  (Unaudited)
                                 (in thousands)


                                            Nine Months Ended December 31,
                                            ------------------------------
                                                1998              1997
                                            ------------      ------------
[S]                                        [C]               [C]
Cash Flows from Operating Activities:
  Net loss                                   $   (171)          $(2,154)  
  Adjustments to reconcile net
    loss to net cash provided by
    operating activities:
      Purchased in-process
        research and development                   -              4,720  
      Depreciation and amortization             1,870             1,346  
      Loss (Gain) on short-term investments       242               (99) 
      Deferred income taxes                      (253)           (1,384) 
      Changes, net of amounts acquired, in:   
        Accounts receivable                      (117)           (1,520) 
        Inventories                               453               (53) 
        Other current assets                     (139)             (321) 
        Other assets                             (101)             (145) 
        Accounts payable                           39              (226) 
        Deferred service revenue                1,247               199  
        Estimated costs to complete      
          system installations                   (251)               44  
        Income taxes payable and taxes      
          related to equity accounts             (277)               (6)  
        Other current liabilities                (289)              331  
                                               -------           --------
Net Cash Provided by   
  Operating Activities                          2,253               732  
                                               -------           -------
Cash Flows from Investing Activities:   
  Net additions to
    equipment and improvements                   (368)             (614)
  Additions to capitalized software costs        (953)           (1,361)
  Purchase of net assets of MicroMed
    Healthcare Information Systems, Inc.       (3,840)           (5,259) 
  Purchases of short-term investments             (75)               -  
  Proceeds from sales of 
    short-term investments                        515                -
  Change in other assets                           18               237  
                                               -------           ------- 

Net Cash Used in Investing Activities          (4,703)           (6,997)  
                                               -------           -------

See notes to consolidated financial statements.

<PAGE 5>

                             QUALITY SYSTEMS, INC.
               CONSOLIDATED STATEMENTS OF CASH FLOWS (Continued)
                                 (Unaudited)
                                (in thousands)

[CAPTION]

                                            Nine Months Ended December 31,
                                            ------------------------------
                                                1998             1997
                                            ------------     -------------
[S]                                        [C]              [C]
Cash Flows from Financing Activities:
  Purchases of Common Stock                 $   (150)        $  (271)    
  Proceeds from
    exercise of stock options                     50               14     
                                            --------         --------
Net Cash Used in
  Financing Activities                          (100)            (257)    
                                            --------         --------
Net Decrease in Cash and Cash Equivalents     (2,550)          (6,522)   

Cash and Cash Equivalents,
  beginning of period                         16,107           21,852     
                                            --------         -------- 
Cash and Cash Equivalents, end of period    $ 13,557         $ 15,330     
                                            ========         ========
[/TABLE]

Supplemental Information - During the nine months ended December 31, 1998 
and 1997, the Company made income tax payments, net of refunds received, of 
$719 and $482, respectively.

<TABLE>
<CAPTION>
                                            Nine Months Ended December 31,
                                            ------------------------------
                                                1998             1997
                                            ------------     -------------

Detail of businesses acquired in
  purchase transactions:   

<S>                                        <C>              <C>
Purchased In-Process   
  Research and Development                  $     -          $  4,720     
Fair Value of Assets Acquired                     -             1,216     
Liabilities Assumed                               -              (677)     
Common Stock Issued in the Acquisition        (1,836)              -    
Retirement of Acquisition Obligation           5,676               -        
                                            --------         --------
Cash Paid for the Acquisition,   
  net of cash acquired                      $  3,840         $  5,259     
                                            ========         ========
</TABLE>

     See notes to consolidated financial statements.

<PAGE 6>

                            QUALITY SYSTEMS, INC.

                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS


NOTE 1 - BASIS OF PRESENTATION
- ------   ---------------------

The accompanying unaudited consolidated financial statements have been 
prepared in accordance with the requirements of Form 10-Q and, therefore, 
do not include all information and footnotes which would be presented were 
such financial statements prepared in accordance with generally accepted 
accounting principles, and should be read in conjunction with the audited 
financial statements presented in the Company's Annual Report for the 
fiscal year ended March 31, 1998.  In the opinion of management, the 
accompanying financial statements reflect all adjustments which are 
necessary for a fair presentation of the results of operations for the 
interim periods presented.  The results of operations for such interim 
periods are not necessarily indicative of results of operations to be 
expected for the full year.


NOTE 2 - ACQUISITION OF MICROMED HEALTHCARE INFORMATION SYSTEMS, INC.
- ------   ------------------------------------------------------------

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 consisted of an initial cash payment of $4.8 million paid at the 
closing of the transaction and an additional payment, based upon certain 
operating results of MicroMed for the twelve-month period ended March 31, 
1998, of $5.7 million due no later than June 29, 1998. The additional 
payment, paid on June 29, 1998, 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.


NOTE 3 - STOCK REPURCHASE
- ------   ----------------

In February 1997, the Company's Board of Directors authorized the 
repurchase on the open market of up to 10% of the shares of the Company's 
outstanding Common Stock at various times through February 1998, subject to 
compliance with applicable laws and regulations.  On February 9, 1998, the 
Company's Board of Directors extended this authorization through February 
9, 1999.  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, repurchase fewer shares than authorized.  During the three 
months ended December 31, 1998, the Company repurchased 7,800 shares at a 
cost of $34,000.  Since the inception of the repurchase authorization 
through January 29, 1999, 92,500 shares have been repurchased at a cost of 
$518,000.

<PAGE 7>

NOTE 4 - INCOME TAXES
- ------   ------------

The provisions for (benefits from) income taxes for the three and nine 
months ended December 31, 1998 and 1997 differ from the expected combined 
statutory rates primarily due to the impact of non-deductible amortization 
of certain intangible assets acquired in the May 1996 acquisition of 
Clinitec International, Inc. and the effect of varying state income tax 
rates.


NOTE 5 - NET INCOME (LOSS) PER SHARE
- ------   ---------------------------

The following table reconciles the weighted average shares outstanding for 
basic and diluted net income per share for the periods indicated.

<TABLE>
<CAPTION>

                                           Three Months Ended December 31,
                                           -------------------------------
                                                1998             1997
                                               -------          -------
                                                  (in thousands except
                                                   per share amounts)
<S>                                            <C>              <C> 
  Net income                                    $  369           $  232   
                                                ------           ------ 
  Basic net income per common share:
    Weighted average of
      common shares outstanding                  6,242            5,971       
                                                ------           ------ 
  Basic net income per common share             $ 0.06           $ 0.04    
                                                ======           ====== 
  Diluted net income per share:

  Weighted average of 
    common shares outstanding                    6,242            5,971          
  Weighted average of 
    common shares equivalents--
      Weighted average options outstanding           1               55
                                                ------           ------ 
  Weighted average number of common
    and common equivalent shares                 6,243            6,026 
                                                ------           ------ 
  Diluted net income per common share:          $ 0.06           $ 0.04   
                                                ======           ======
</TABLE>

The net loss per share, basic and diluted, for each of the nine months 
ended December 31, 1998 and 1997 was computed using the weighted average 
number of shares actually outstanding during the periods of 6,162,000 and 
5,982,000, respectively, and any common share equivalents were excluded 
because their impact would have been anti-dilutive.

<PAGE 8>

NOTE 6 - RECENTLY ISSUED ACCOUNTING PRONOUNCEMENTS
- ------   -----------------------------------------

In October 1997, the American Institute of Certified Public Accountants 
issued Statement of Position ("SOP") 97-2, "Software Revenue Recognition" 
("SOP 97-2"), which was later amended in part by SOP 98-4, "Deferral of the 
Effective Date of a Provision of SOP 97-2, Software Revenue Recognition" 
("SOP 98-4").  As of April 1, 1998, the Company has adopted SOP 97-2, as 
amended by SOP 98-4.  SOP 97-2 provides guidance on applying generally 
accepted accounting principles in recognizing revenue on software 
transactions and supersedes the guidance contained in SOP 91-1 which the 
Company has heretofore been following.  The Company generates revenues from 
licensing rights to use its software products directly to end users.  The 
Company also generates revenues from sales of hardware and third party 
software, and implementation, training, software customization and post-
contract support ("maintenance") services performed for customers who 
license the Company's products.  A typical system contract contains 
multiple elements of two or more of the above items.  In accordance with 
SOP 97-2, revenue is allocated to each element of the contract based on 
evidence of each element's fair market value.  Provided the fees are fixed 
and determinable and collection is considered probable, revenue from 
licensing rights and sales of hardware and third party software are 
recognized upon shipment.  Revenue from implementation, training and 
software customization services is recognized as the corresponding services 
are performed.  Maintenance revenue is recognized ratably over the 
contractural maintenance period.  The adoption of SOP 97-2 has, in certain 
circumstances, resulted in the deferral of some portion of contract 
revenues that would have otherwise been recognized under SOP 91-1.  During 
the quarter ended December 31, 1998, the impact of adopting SOP 97-2 was to 
reduce net revenues by $253,000, decrease income from operations by 
$192,000, and decrease net income by $115,000, or $0.02 per share on a 
basic and diluted basis.  For the nine months ended December 31, 1998, the 
impact was to reduce net revenues by $1.0 million, increase the loss from 
operations by $745,000, and increase the net loss by $443,000, or $0.07 per 
share on a basic and diluted basis.

In June 1997, the Financial Accounting Standards Board ("FASB") issued 
Statement of Financial Accounting Standards ("SFAS") No. 130, "Reporting 
Comprehensive Income" ("SFAS No. 130").  This statement establishes 
standards for the reporting of comprehensive income and its components.  
Comprehensive income, as defined, includes all changes in equity (net 
assets) during a period from non-owner sources.  For the three and nine 
months ended December 31, 1998 and 1997, there were no differences between 
net income (loss), as reported, and comprehensive income (loss).

In June 1997, the FASB issued SFAS No. 131, "Disclosures About Segments of 
an Enterprise and Related Information" ("SFAS No. 131").  This statement 
establishes standards for the way companies report information about 
operating segments in annual financial statements.  It also establishes 
standards for related disclosure about products and services, geographic 
areas and major customers.  The Company has not yet determined the impact, 
if any, of adopting this new standard.  The disclosures prescribed by SFAS 
No. 131 are effective for fiscal years beginning after December 15, 1997, 
but are not required for interim periods in the initial year of 
application.

<PAGE 9>

Item 2.  Management's Discussion and Analysis of Financial Condition
- -------  -----------------------------------------------------------
         and Results of Operations.
         --------------------------

Except for the historical information contained herein, the matters 
discussed in this Quarterly Report on Form 10-Q, 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 a 
market 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, as well as in the Company's other 
public disclosures and filings with the Securities and Exchange Commission.


                            COMPANY OVERVIEW.

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

The Company currently has an installed base of more than 500 healthcare 
information systems serving PHOs, MSOs, group practices, specialty 
practices, dental schools and other healthcare organizations, each of which 
consists of from one to 250 physicians or dentists.  The Company believes 
that as healthcare providers are increasingly required to reduce costs 
while maintaining the quality of healthcare, the Company will be able to 
capitalize on its strategy of providing fully integrated information 
systems and superior client service.

<PAGE 10>

QSI 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 healthcare organizations and further expanded 
its information processing systems into the broader medical market.  Today, 
QSI primarily develops and markets integrated character-based healthcare 
information systems utilizing a UNIX* operating system for both the medical 
and dental markets ("Legacy Product").  These expandable systems operate on 
a stand-alone basis or in a networked environment.

Augmenting its medical practice management software system, QSI added 
Clinitec's electronic medical records software, NextGen**, to its product 
line in 1995 and completed its acquisition of Clinitec in May 1996.  
NextGen allows healthcare providers to create and maintain medical records 
using a series of user-definable clinical "templates".  Data is generally 
captured using a light pen or a mouse, and entries are then turned into 
sentences and/or paragraphs to create documentation.  NextGen also supports 
the scanning and annotation of paper documents, photographs and X-rays, and 
contains many other advanced features.  NextGen is marketed both in 
conjunction with the Company's practice management software offerings as 
well as on a stand-alone basis where NextGen may interface with other 
practice management systems.  With the addition of NextGen, the Company 
believes that it currently provides a comprehensive information management 
solution for the medical marketplace.

In September 1996, QSI entered into a software licensing and development 
agreement to utilize and market a computerized oral health records system 
for dental practitioners ("Charting Product").  QSI continues to modify and 
expand the product's source code to meet the needs of large dental groups 
and has interfaced this charting system with the dental Legacy Product.  
The dental charting software incorporates specific clinical information 
associated with tooth and perio charting, video image management (including 
interfacing with digital X-ray equipment and intra-oral cameras), 
periodontal screening and recording ("PSR") examination results and patient 
education, and maintains chart notes in both text and audio form.  The 
system is being developed with a client-server architecture; a GUI design 
utilizing either Windows 95***, Windows 98*** or Windows NT*** operating 
system platforms; and, a platform independent relational database that is 
ANSI SQL-compliant.  In addition, the Charting Product can be integrated 
with components from the NextGen electronic medical records system to form 
the base for a chartless, paperless dental office environment.

Further augmenting its medical practice management system product line, the 
Company purchased MicroMed in May 1997.  MicroMed develops and markets 
proprietary medical practice management systems.  MicroMed's practice 
management system ("Windows Product") has been developed with a client-
server architecture; a GUI design utilizing either Windows 95, Windows 98 
or Windows NT operating system platforms; and, a platform independent 
relational database that is ANSI SQL-compliant.  MicroMed's product is 
designed to provide a flexible, enterprise-wide solution employing a master 
patient index.

*     UNIX is a registered trademark of AT&T Corporation.
**    NextGen is a registered trademark of Clinitec International, Inc.
***   Microsoft Windows, Windows 95, Windows 98 and Windows NT are registered 
      trademarks of Microsoft Corporation.

<PAGE 11>

                               RISK FACTORS.

COMPETITION.

The market for healthcare 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 clinical systems. Furthermore, the Company also 
competes indirectly and to varying degrees with other major healthcare 
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, results of operations and financial condition.  Competitive 
pressures and other factors, such as new product introductions by the 
Company or its competitors, may result in price or market share erosion 
that could have a material adverse effect on the Company's business, 
results of operations and financial condition.

In addition, the Company believes that once a healthcare provider has 
chosen a particular healthcare 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.  Furthermore, if the healthcare 
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, results of operations and financial 
condition.  The Company's inability to make initial sales of its systems to 
either newly formed groups and/or healthcare providers that are replacing 
or substantially modifying their healthcare information systems could have 
a material adverse effect on the Company's business, results of operations 
and financial condition.  If new systems sales do not materialize, 
maintenance service revenues can be expected to decrease over time due to 
the effect of failure to capture new maintenance revenues therefrom in 
combination with attrition of existing maintenance revenues associated with 
the Company's current clients whose systems become obsolete or are replaced 
by competitors' products.

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

<PAGE 12>

its competitors; the availability and cost of system components; 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 
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 healthcare 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.

Through March 31, 1998, the Company recognized revenue in accordance with 
the provisions of the American Institute of Certified Public Accountants 
("AICPA") Statement of Position No. 91-1, "Software Revenue Recognition" 
("SOP 91-1").  The AICPA has recently adopted Statement of Position No. 97-
2, "Software Revenue Recognition" ("SOP 97-2"), that supersedes SOP 91-1 
and became effective for the Company on April 1, 1998.  There can be no 
assurance that application and subsequent interpretations of this 
pronouncement by the Company, its independent auditors or the Securities 
and Exchange Commission will not further modify the Company's revenue 
recognition policies, or that such modifications would not have a material 
adverse effect on the operating results reported in any particular quarter.  
There can be no assurance that the Company will not be required to adopt 
changes in its licensing or services practices to conform to SOP 97-2, or 
that such changes, if adopted, would not result in delays or cancellations 
of potential sales of the Company's products.

<PAGE 13>

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.

ACQUISITIONS.

During the past two fiscal years, the Company has made two significant 
acquisitions of relatively new companies, each of which has products 
utilizing newer technology than the Company's Legacy Product and each 
company having a limited sales history.  Acquisitions involve a number of 
special risks, including possible adverse effects on the Company's 
operating results, diversion of management's attention, failure to retain 
key acquired personnel, amortization of acquired intangible assets, and 
risks associated with unanticipated events or liabilities, some or all of 
which could have a material adverse effect on the Company's business, 
results of operations and financial condition.  Customer dissatisfaction or 
performance problems at a single acquired business can also have an adverse 
effect on the reputation of the Company.

DEPENDENCE ON PRINCIPAL PRODUCT AND NEW PRODUCT DEVELOPMENT.

The Company currently derives substantially all of its net revenues from 
sales of its healthcare 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 healthcare 
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, successful introduction and implementation 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.

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 and implemented in a timely manner, meet the 
requirements of healthcare providers, or achieve market acceptance.  If new 
products or product enhancements do not achieve market acceptance, the 
Company's business, results of operations and financial condition could be 
materially 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.

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 

<PAGE 14>

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 software products 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 products obsolete.

YEAR 2000 COMPLIANCE.

The Company is aware of the issues associated with the programming code in 
existing computer systems as the millennium ("Year 2000") approaches.  The 
Year 2000 issue is whether computer systems will properly recognize date 
sensitive information when the year changes to 2000.  This Year 2000 
problem creates risk for the Company from unforeseen problems in its own 
computer systems and from third parties with whom the Company deals on 
financial transactions nationwide.  While the Company is not aware of a 
failure by any of its material vendors to remediate their respective Year 
2000 problems, if any, there can be no assurance that the computerized 
systems of these third parties will be Year 2000 compliant and, therefore, 
the failure of such compliance could have a material adverse impact on the 
Company's business, results of operations and financial condition.

The Windows Product, NextGen and Charting Product are designed to be Year 
2000 compliant.  However, there can be no assurance that such products do 
not contain undetected errors or defects associated with Year 2000 date 
functions.  The Company is currently evaluating the impact of Year 2000 
issues upon its medical and dental Legacy Product software and, pending the 
conclusion of its evaluation, the impact of such Year 2000 issues upon the 
Company and its financial performance is uncertain.

The Company has begun to review software used internally by the Company in 
all support systems to determine whether they are Year 2000 compliant.  The 
Company plans to have formal Year 2000 initiatives developed to address any 
conversion update or upgrade necessary to become Year 2000 compliant on 
software currently used by the Company.  Any new software or support 
systems implemented in the future will be Year 2000 compliant or will have 
updates or upgrades available before the Year 2000 to enable the system to 
be Year 2000 compliant.  Management is currently assessing the Year 2000 
compliance expense and related potential effect on the Company's earnings.

To the extent possible, the Company will be developing and executing 
contingency plans designed to allow continued operation in the event of the 
failure of the Company's or third parties' computer information systems.

<PAGE 15>

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.  On July 1, 1997, a third 
purported class action was filed in the United States District Court 
repeating essentially the same factual allegations as the April 22, 1997 
suit and purports to state claims under the Federal securities laws.  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 pending Federal and state securities actions are in the early states of 
procedure.  Consequently, at this time it is not reasonably possible to 
estimate the damage, or the range of damages, if any, that the Company 
might incur in connection with such actions.  However, the uncertainty 
associated with substantial unresolved litigation may be expected to have 
an adverse impact on the Company's business.  In particular, such 
litigation could impair the Company's relationships with existing customers 
and its ability to obtain new customers.  Defending such litigation will 
likely result in a diversion of management's time and attention away from 
business operations, which could have a material adverse effect on the 
Company's business, results of operations and financial condition.  Such 
litigation may also have the effect of discouraging potential acquirors 
from bidding for the Company or reducing the consideration such acquirors 
would otherwise be willing to pay in connection with an acquisition.

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 and are often not enforced as 
vigorously as those in 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 arrangement with the party asserting the claim.  As 

<PAGE 16>

competing healthcare 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, results of operations and financial condition.  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.

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 timeframe, 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.

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.  
The Company does not maintain key man life insurance on any of its 
employees.  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.  Furthermore, 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.

PRODUCT LIABILITY.

Certain of the Company's products provide applications that relate to 
patient clinical 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

<PAGE 17>

the Company's business, results of operations and financial condition.  
Even unsuccessful claims could result in the Company's expenditure of funds 
in litigation and management time and resources.

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, results of 
operations and financial condition.

UNCERTAINTY IN HEALTHCARE INDUSTRY; GOVERNMENT REGULATION.

The healthcare industry is subject to changing political, economic and 
regulatory influences that may affect the procurement processes and 
operation of healthcare facilities.  During the past several years, the 
healthcare industry has been subject to an increase in governmental 
regulation of, among other things, reimbursement rates and certain capital 
expenditures.  In the past, various legislators have announced that they 
intend to examine proposals to reform certain aspects of the U.S. 
healthcare system including proposals which may increase governmental 
involvement in healthcare, lower reimbursement rates and otherwise change 
the operating environment for the Company's clients.  Healthcare 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 
healthcare 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 healthcare reforms might have on its business, 
results of operations and financial condition.

The Company's software may be subject to regulation by the U.S. Food and 
Drug Administration ("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, the result of which could have a material adverse effect on 
the Company's business, results of operations and financial condition.

<PAGE 18>

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 MicroMed from May 15, 1997, the date of 
MicroMed's acquisition.

<TABLE>
<CAPTION>

                                        Three Months       Nine Months
                                           Ended              Ended
                                        December 31,       December 31,
                                      ----------------   ----------------
                                       1998      1997     1998      1997
                                      ------    ------   ------    ------
<S>                                  <C>       <C>      <C>       <C>
Net Revenues:
  Sales of computer systems,
    upgrades and supplies              56.6%     63.6%    55.6%     64.7%
  Maintenance and other services       43.4      36.4     44.4      35.3
                                      ------    ------   ------    ------
                                      100.0     100.0    100.0     100.0
Cost of Products and Services          45.7      46.8     48.0      45.5
                                      ------    ------   ------    ------
Gross Profit                           54.3      53.2     52.0      54.5

Selling, General and  
  Administrative Expenses              38.4      41.4     42.0      40.4
Research and Development Costs          9.5       9.2     11.0      10.1 
Purchased In-Process
  Research and Development              -         -        -        21.3
                                      ------    ------   ------    ------
Income (Loss) from Operations           6.4       2.6     (1.0)    (17.3)

Investment Income                       1.2       3.7      1.1       3.5
                                      ------    ------   ------    ------
Income (Loss) before Provision for
  (Benefit from) Income Taxes           7.6       6.3      0.1     (13.8)

Provision for
  (Benefit from) Income Taxes           3.4       3.2      0.8      (4.1)
                                      ------    ------   ------    ------
Net Income (Loss)                       4.2%      3.1%    (0.7)%    (9.7)%
                                      ======    ======   ======    ======
</TABLE>

<PAGE 19>

For the Three-Month Periods Ended December 31, 1998 and 1997.
- --------------------------------------------------------------

The Company's net income for the three months ended December 31, 1998 was 
$369,000, or $0.06 per share on a basic and diluted basis, as compared to 
net income of $232,000, or $0.04 per share on a basic and diluted basis, 
for the three months ended December 31, 1997.

Net Revenues.  Net revenues for the three months ended December 31, 1998 
increased 17.1% to $8.8 million from $7.5 million for the three months 
ended December 31, 1997.  Sales of computer systems, upgrades and supplies 
increased 4.3% to $5.0 million from $4.8 million while net revenues from 
maintenance and other services grew 39.6% to $3.8 million from $2.7 million 
during the comparable periods.  The increase in net revenues from sales of 
computer systems, upgrades and supplies was negatively affected by the 
impact of adopting SOP 97-2 as of April 1, 1998 resulting in the deferral 
of certain revenues from system contracts executed and shipped during the 
quarter ended December 31, 1998.  The increase in maintenance and other 
services net revenue resulted principally from an increase in such revenues 
for QSI which has a larger client base from which to generate maintenance 
and other service revenue than the more recently formed Clinitec and 
MicroMed organizations, each of which also contributed, to a lesser degree, 
to the increase in such revenues.

Cost of Products and Services.  Cost of products and services for the three 
months ended December 31, 1998 increased 14.6% to $4.0 million from $3.5 
million for the three months ended December 31, 1997 while cost of products 
and services as a percentage of net revenues decreased to 45.7% from 46.8% 
during the comparable periods.  The increase in cost of products and 
services in amount during the December 31, 1998 quarter as compared to the 
December 31, 1997 quarter results primarily from the effects of increased 
sales and increased product development, customer service, support, and 
training personnel at both Clinitec and MicroMed during the December 31, 
1998 quarter as compared to the December 31, 1997 quarter.  The decrease in 
the cost of products and services as a percentage of net revenues results 
primarily from the impact of increased sales and the costs associated with 
the above personnel growing at a proportionately lesser rate on a period to 
period basis than the growth in net revenues.

Selling, General and Administrative Expenses.  Selling, general and 
administrative expenses for the three months ended December 31, 1998 
increased 8.7% to $3.4 million as compared to $3.1 million for the three 
months ended December 31, 1997.  Selling, general and administrative 
expenses increased at MicroMed as MicroMed expanded its selling and 
administrative infrastructure as compared to the prior year's comparable 
quarter.  The increase at MicroMed was offset by reductions in selling, 
general and administrative expenses at QSI.  Selling, general and 
administrative expenses as a percentage of net revenues decreased to 38.4% 
from 41.4% as a result of the increase in net revenues between the 
comparable quarters.

<PAGE 20>

Research and Development Costs.  Research and development costs for the 
three months ended December 31, 1998 increased 20.6% to $842,000 from 
$698,000 for the three months ended December 31, 1997.  The increase is 
principally the result of an increase in MicroMed's research and 
development efforts.  Research and development costs as a percentage of net 
revenues increased to 9.5% as compared to 9.2% for the respective periods 
primarily as a result of the effect of costs associated with the increased 
research and development efforts growing at a proportionally greater rate 
than net revenues during the comparable quarters.

Investment Income.  Investment income for the three months ended December 
31, 1998 decreased 60.8% to $109,000 as compared to investment income of 
$278,000 for the three months ended December 31, 1997.  The Company has an 
investment in a fund which trades in special situation securities.  The 
Company's investment is included in short-term investments and the Company 
classifies this investment as trading securities.  In accordance with 
generally accepted accounting principles, realized and unrealized gains and 
losses on trading securities are recorded in the statement of operations.  
During the quarter ended December 31, 1998 as a result of market 
conditions, the Company recognized a loss of $39,000 in connection with 
this investment.  The investment was substantially liquidated during the 
quarter and the carrying value of the remaining investment is $26,000 at 
December 31, 1998.  Also contributing to the change in investment income 
for the December 1998 quarter as compared to the December 1997 quarter was 
a decrease in average funds available for investment during the quarter 
ended December 31, 1998 as compared to the quarter ended December 31, 1997.  
The decrease in available funds is primarily the result of the final 
payment made to acquire the MicroMed business in June 1998 together with 
amounts used to fund the growth of Clinitec and MicroMed.

Provision for Income Taxes.  The provision for income taxes for the three 
months ended December 31, 1998 was $298,000 as compared to $242,000 for the 
three months ended December 31, 1997.  The provisions for income taxes for 
the three months ended December 31, 1998 and 1997 differ from the combined 
statutory rates primarily due to the impact of non-deductible amortization 
of certain intangible assets acquired in the May 1996 Clinitec acquisition 
and the effect of varying state income tax rates.


For the Nine-Month Periods Ended December 31, 1998 and 1997.
- ------------------------------------------------------------

For the nine months ended December 31, 1998, the Company incurred a net 
loss of $(171,000), or $(0.03) per share on a basic and diluted basis.  In 
comparison, after recognizing a $4.7 million charge for purchased in-
process research and development in connection with the MicroMed 
acquisition, the Company incurred a net loss of $(2.2) million, or $(0.36) 
per share on a basic and diluted basis, for the nine months ended December 
31, 1997.  Excluding the charge, net of the related income tax benefit, net 
income for the nine months ended December 31, 1997 would have been 
$837,000, or $0.14 per share on a basic and diluted basis.

<PAGE 21>

Net Revenues.  Net revenues for the nine months ended December 31, 1998 
increased 8.0% to $24.0 million from $22.2 million for the nine months 
ended December 31, 1997.  Sales of computer systems, upgrades and supplies 
decreased 7.1% to $13.3 million from $14.4 million while net revenues from 
maintenance and other services grew 35.6% to $10.6 million from $7.8 
million during the comparable periods.  The decrease in net revenues from 
sales of computer systems, upgrades and supplies was principally due to the 
impact of adopting SOP 97-2 as of April 1, 1998 resulting in the deferral 
of certain revenues from system contracts executed and shipped during the 
nine months ended December 31, 1998 combined with the effect of an overall 
decrease in new system sales during the period.  The increase in 
maintenance and other services net revenue resulted principally from an 
increase in such revenues for QSI which has a larger client base from which 
to generate maintenance and other service revenue than the more recently 
formed Clinitec and MicroMed organizations, each of which also contributed, 
to a lesser degree, to the increase in such revenues.

Cost of Products and Services.  Cost of products and services for the nine 
months ended December 31, 1998 increased 13.9% to $11.5 million from $10.1 
million for the nine months ended December 31, 1997 while cost of products 
and services as a percentage of net revenues increased to 48.0% from 45.5% 
during the comparable periods.  The increase in cost of products and 
services in amount during the December 31, 1998 period as compared to the 
December 31, 1997 period results from a combination of the effects of: the 
increase in maintenance and other service revenues; increased product 
development, customer service, support, and training personnel at both 
Clinitec and MicroMed during the December 31, 1998 period; a change in the 
mix of new systems sales toward systems with higher hardware content in the 
1998 period; and, the impact of the acquisition of MicroMed.  The increase 
in the cost of products and services as a percentage of net revenues for 
the period ended December 31, 1998 as compared to the period ended December 
31, 1997 results primarily from a combination of the overall increase in 
the costs associated with the above personnel growing at a proportionately 
greater rate on a period to period basis than the growth in net revenues 
together with an increase in the percentage of revenues from new systems 
sales with higher hardware content.  Systems sales with significant 
hardware components generally yield lower margins than those systems sales 
without significant hardware components.  The mixture of sales with and 
without significant hardware components fluctuates from period to period.

Selling, General and Administrative Expenses.  Selling, general and 
administrative expenses for the nine months ended December 31, 1998 
increased 12.2% to $10.1 million from $9.0 million for the nine months 
ended December 31, 1997 primarily as a result of: the inclusion of such 
MicroMed expenses for the entire nine-month period ended December 31, 1998 
as compared to the inclusion of such MicroMed expenses for only that 
portion of the corresponding period ended December 31, 1997 following the 
May 1997 MicroMed acquisition; an additional $236,000 provision for 

<PAGE 22>

doubtful accounts relating to one of MicroMed's customers; an increase in 
Clinitec's and MicroMed's selling efforts, sales personnel and 
administrative infrastructure offset in part by a decrease in such 
infrastructure at QSI.  In addition, primarily as a result of the less 
mature Clinitec and MicroMed infrastructures, selling, general and 
administrative expenses as a percentage of net revenues increased to 42.0% 
from 40.4% for the respective periods.

Research and Development Costs.  Research and development costs for the 
nine months ended December 31, 1998 increased 16.9% to $2.6 million from 
$2.2 million for the nine months ended December 31, 1997.  The increase is 
the result of increased year-to-date research and development efforts by 
Clinitec and MicroMed as well as consolidation of MicroMed's research and 
development costs for the entire 1998 period as compared to consolidating 
such expenses only for that portion of the corresponding 1997 period 
following the May 1997 purchase of the MicroMed business.  Research and 
development costs as a percentage of net revenues increased to 11.0% as 
compared to 10.1% for the respective periods as a result of the effect of 
costs associated with the increased research and development efforts 
growing at a proportionately greater rate than net revenues during the 
comparable periods.

Purchased In-Process Research and Development.  In connection with the 
acquisition of MicroMed in May 1997, MicroMed's in-process research and 
development for which technological feasibility had not been established 
was valued in excess of $4.7 million.  After allocating the purchase  price 
paid to identifiable tangible and certain intangible assets, the remaining 
$4.7 million portion of the purchase price was allocated to MicroMed's in-
process research and development.  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 $4.7 million value allocated to MicroMed's 
purchased in-process research and development was expensed during the nine-
month period ended December 31, 1997.  There was no similar acquisition 
transaction during the nine-month period ended December 31, 1998.

Investment Income.  Investment income for the nine months ended December 
31, 1998 decreased 66.4% to $260,000 from $773,000 for the nine months 
ended December 31, 1997.  The Company has an investment in a fund which 
trades in special situation securities.  The Company's investment is 
included in short-term investments and the Company classifies this 
investment as trading securities.  In accordance with generally accepted 
accounting principles, realized and unrealized gains and losses on trading 
securities are recorded in the statement of operations.  During the nine 
months ended December 31, 1998 as a result of market conditions, the 
Company recognized a loss of $242,000 in connection with this investment.  
The investment was substantially liquidated in December 1998 and the 
carrying value of the remaining investment is $26,000 at December 31, 1998.  
Also contributing to the change in investment income for the December 1998 
period as compared to the December 1997 period was a 

<PAGE 23>

decrease in average funds available for investment during the period ended 
December 31, 1998.  The decrease in available funds is primarily the result 
of the timing and amounts of the cash payments in May 1997 and June 1998 
made to acquire MicroMed, together with amounts used to fund the growth of 
Clinitec and MicroMed.

Provision for (Benefit from) Income Taxes.  The provision for income taxes 
for the nine months ended December 31, 1998 was $202,000 as compared to a 
benefit of $914,000 for the nine months ended December 31, 1997.  The 
provision for and benefit from income taxes for the nine months ended 
December 31, 1998 and 1997, respectively, differ from the combined 
statutory rates primarily due to the effect of varying state tax rates 
together with the impact of non-deductible amortization of certain 
intangible assets acquired in the May 1996 acquisition of Clinitec. 


LIQUIDITY AND CAPITAL RESOURCES.
- --------------------------------

Cash and cash equivalents decreased $2.6 million for the nine months ended 
December 31, 1998 primarily as a result of the payment of the final cash 
portion of the purchase price for the MicroMed business.  Correspondingly, 
cash and cash equivalents decreased $6.5 million for the nine months ended 
December 31, 1997 principally as a result of the payment of the initial 
cash portion of the purchase price for the MicroMed business.

Net cash provided by operating activities for the nine months ended 
December 31, 1998 was $2.3 million consisting primarily of the Company's 
$(171,000) net loss adjusted for the principal non-cash operating expenses 
of depreciation and amortization plus an increase in deferred service 
revenue.  Net cash provided by operating activities for the nine months 
ended December 31, 1997 was $732,000 consisting primarily of the Company's 
$(2.2) million net loss adjusted for the principal non-cash operating 
expenses of depreciation, amortization and the $4.7 million charge for the 
MicroMed purchased in-process research and development net of the related 
deferred tax benefit, offset by an increase in accounts receivable.

Net cash used in investing activities for the nine months ended December 
31, 1998 was $4.7 million consisting principally of the $3.8 million cash 
portion of the final payment for the MicroMed business, plus additions to 
equipment and improvements and capitalized software offset in part by 
proceeds from the sale of certain short-term investments.  Net cash used in 
investing activities for the nine months ended December 31, 1997 was $7.0 
million consisting principally of $5.3 million, including a $550,000 
operating loan made by QSI to MicroMed prior to the acquisition, used for 
the initial payment in connection with the MicroMed acquisition, plus 
additions to equipment and improvements and capitalized software.   

Net cash used in financing activities for the nine months ended December 
31, 1998 was $100,000 consisting of the purchase of 30,000 shares of the 
Company's Common Stock offset in part by proceeds from the exercise of 
stock options. Net cash used in financing activities for the nine months 
ended December 31, 1997 was $257,000 consisting of the purchase of 40,100 

<PAGE 24>

shares of the Company's Common Stock offset in part by the proceeds from 
the exercise of stock options.

In February 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.  On February 9, 1998, the Company's 
Board of Directors extended this authorization through February 9, 1999.  
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, repurchase fewer shares than authorized.  During the nine 
months ended December 31, 1998, the Company repurchased 30,000 shares at a 
cost of $150,000.  Since the inception of the repurchase authorization 
through January 29, 1999, 92,500 shares have been repurchased at a cost of 
$518,000.

At December 31, 1998, the Company had cash and cash equivalents of $13.6 
million and short-term investments of $291,000.  Short-term investments 
include a $26,000 investment (with a historical cost of $25,000) 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 for cash payments made 
in May 1997 and June 1998 totaling $8.6 million, 245,454 shares of the 
Company's Common Stock issued in June 1998 valued at $1.8 million, or $7.48 
per share, and the related acquisition costs and loans made to MicroMed 
prior to the acquisition, net of cash acquired, totaling $527,000.  The 
shares of Common Stock issued in connection with the MicroMed acquisition 
may not be sold or otherwise transferred in any manner until June 1999.

Except for the Company's intention to expend funds for the development of 
complementary products to its existing product line and 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 1999 will be comparable to fiscal 1998.

The Company believes that its cash and cash equivalents and short-term 
investments on hand at December 31, 1998, together with cash flows from 
operations, if any, will be sufficient to meet its working capital and 
capital expenditure requirements for the next year.

<PAGE 25>

                           YEAR 2000 COMPLIANCE.

The Company is aware of the issues associated with the programming code in 
existing computer systems as the millennium ("Year 2000") approaches.  The 
Year 2000 issue is whether computer systems will properly recognize date 
sensitive information when the year changes to 2000.  This Year 2000 
problem creates risk for the Company from unforeseen problems in its own 
computer systems and from third parties with whom the Company deals on 
financial transactions nationwide.  While the Company is not aware of a 
failure by any of its material vendors to remediate their respective Year 
2000 problems, if any, there can be no assurance that the computerized 
systems of these third parties will be Year 2000 compliant and, therefore, 
the failure of such compliance could have a material adverse impact on the 
Company's business, results of operations and financial condition.

The Windows Product, NextGen and Charting Product are designed to be Year 
2000 compliant.  However, there can be no assurance that such products do 
not contain undetected errors or defects associated with Year 2000 date 
functions.  The Company is currently evaluating the impact of Year 2000 
issues upon its medical and dental Legacy Product software and, pending the 
conclusion of its evaluation, the impact of such Year 2000 issues upon the 
Company and its financial performance is uncertain.

The Company has begun to review software used internally by the Company in 
all support systems to determine whether they are Year 2000 compliant.  The 
Company plans to have formal Year 2000 initiatives developed to address any 
conversion update or upgrade necessary to become Year 2000 compliant on 
software currently used by the Company.  Any new software or support 
systems implemented in the future will be Year 2000 compliant or will have 
updates or upgrades available before the Year 2000 to enable the system to 
be Year 2000 compliant.  Management is currently assessing the Year 2000 
compliance expense and related potential effect on the Company's earnings.

To the extent possible, the Company will be developing and executing 
contingency plans designed to allow continued operation in the event of the 
failure of the Company's or third parties' computer information systems.

<PAGE 26>

                           PART II. OTHER INFORMATION.
                           -------- ------------------

Item  6. Exhibits and Reports on Form 8-K.
- ------------------------------------------

  (b)    Exhibits:
         ---------

         The Exhibits listed on the accompanying Index to Exhibits
         on page 27 are filed as part of this report.


  (b)    Reports on Form 8-K:
         --------------------

         None.

<PAGE 27>

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 thereunto duly authorized.


                                 QUALITY SYSTEMS, INC.
<TABLE>

<S>                             <C>
Date:  February 9, 1999          By       /s/ Sheldon Razin
    				                         		----------------------------------
                                   Sheldon Razin
                                   President and Chairman
                                   of the Board of Directors;
                                   Principal Executive Officer



Date:  February 9, 1999          By       /s/ Robert G. McGraw
                 			               ----------------------------------
                                   Robert G. McGraw
                                   Chief Financial Officer;
                                   Principal Accounting Officer

</TABLE>

<PAGE 28>

                               INDEX TO EXHIBITS




                                                            Sequential
                                                                  Page
   Exhibit                                                         No.
   -------                                                  ----------


     27.0  Financial Data Schedule, is filed herewith.             28



<TABLE> <S> <C>

<ARTICLE> 5
       
<S>                             <C>
<PERIOD-TYPE>                   9-MOS
<FISCAL-YEAR-END>                          MAR-31-1999
<PERIOD-END>                               DEC-31-1998
<CASH>                                      13,557,000
<SECURITIES>                                   291,000
<RECEIVABLES>                               10,063,000
<ALLOWANCES>                                         0
<INVENTORY>                                    875,000
<CURRENT-ASSETS>                            25,807,000
<PP&E>                                       1,724,000
<DEPRECIATION>                                       0
<TOTAL-ASSETS>                              37,274,000
<CURRENT-LIABILITIES>                        8,268,000
<BONDS>                                              0
                                0
                                          0
<COMMON>                                        62,000
<OTHER-SE>                                  28,944,000
<TOTAL-LIABILITY-AND-EQUITY>                37,274,000
<SALES>                                     13,338,000
<TOTAL-REVENUES>                            23,983,000
<CGS>                                                0
<TOTAL-COSTS>                               11,510,000
<OTHER-EXPENSES>                            12,702,000
<LOSS-PROVISION>                                     0
<INTEREST-EXPENSE>                                   0
<INCOME-PRETAX>                                 31,000
<INCOME-TAX>                                   202,000
<INCOME-CONTINUING>                          (171,000)
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                 (171,000)
<EPS-PRIMARY>                                   (0.03)
<EPS-DILUTED>                                   (0.03)
        

</TABLE>


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