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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 10-K
[ X ] ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934
For the fiscal year ended March 31, 2000
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:
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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 31, 2000: $19,749,660. (*)
Indicate the number of shares outstanding of each of the registrant's
classes of common stock as of May 31, 2000: 6,212,966.
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DOCUMENTS INCORPORATED BY REFERENCE
The information required by Part III of the Form 10-K is incorporated by
reference from Registrant's Definitive Proxy Statement for its 2000 annual
meeting which is to be filed with the Commission on or before July 29,
2000.
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(*) For purposes of this report, in addition to those shareholders which
fall within the definition of "affiliates" under Rule 405 of the Securities
Act of 1933, as amended, holders of ten percent or more of the Registrant's
Common Stock are deemed to be affiliates.
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PART I.
Item 1. BUSINESS.
---------
Except for the historical information contained herein, the matters
discussed in this Annual Report on Form 10-K, including discussions of the
Registrant's product development plans, business strategies and market
factors influencing the Registrant's results, are forward-looking
statements that involve certain risks and uncertainties. Actual results may
differ from those anticipated by the Registrant as a result of various
factors, both foreseen and unforeseen, including, but not limited to, the
Registrant's ability to continue to develop new products and increase
systems sales in markets characterized by rapid technological evolution;
consolidation within the Registrant's target marketplace and among the
Registrant's competitors; and, competition from larger, better capitalized
competitors. Many other economic, competitive, governmental and
technological factors could impact the Registrant's ability to achieve its
goals and interested persons are urged to review the risks described under
"Item 1. Business. Risk Factors." and in "Item 7. Management's Discussion
and Analysis of Financial Condition and Results of Operations." as well as
in the Registrant'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"), community health centers and dental
schools. 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. Several of the Company's proprietary software systems may be
operated remotely using thin client connectivity or a standard web browser.
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 600 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.
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QSI is a California Corporation formed in 1974 and was founded with an
early focus on providing information systems and services primarily for
dental group practices. QSI's initial "turnkey" systems were designed to
improve productivity while reducing information processing costs and
personnel requirements. In the mid-1980's, QSI capitalized on the
opportunity presented by the increasing pressure of cost containment on
physicians and healthcare organizations and further expanded its
information processing systems into the broader medical market. Today, QSI
primarily develops and provides 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.
During fiscal 1998, QSI released a new product, the Clinical Product Suite
("CPS"), a comprehensive dental solution designed specifically for the
large dental group practice environment. CPS integrates the dental Legacy
Product with a computer-based clinical information system that incorporates
a wide range of clinical tools, including electronic charting of dental
procedures, treatment plans and existing conditions; periodontal charting,
via light-pen, voice-activation, or keyboard entry, for full periodontal
examinations and PSR scoring; digital imaging of x-ray and intra-oral
camera images; computer-based patient education modules; full access to
patient information, treatment plans, and insurance plans; and document and
image scanning for digital storage and linkage to the electronic patient
record. CPS incorporates a Windows-based client/server technology
consisting of one or more file servers together with any combination of
desktops or laptops. The file server(s) used in connection with CPS
utilize(s) a Windows NT** operating system. Based on the server
configuration chosen, CPS is scalable from one to hundreds of workstations.
QSI's wholly owned subsidiaries, Clinitec and Micromed, develop and sell
both proprietary electronic medical records software and practice
management systems under the product name of NextGen***. Major product
categories of the NextGen suite of applications include Electronic Medical
Records (NextGen-emr), Enterprise Practice Management (NextGen-epm), Enterprise
Appointment Scheduling (NextGen-eas), Enterprise Master Patient Index
(NextGen-epi), Managed Care, Electronic Data Interchange, System Interfaces,
Internet Operability (NextGen web), and a Patient-centric and Provider-
centric Web Portal Solution (NextMD).
NextGen-emr 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-emr
also supports the scanning and annotation of paper documents, photographs
and X-rays, and contains many other advanced features. NextGen-emr is
marketed both in conjunction with the Company's practice management
software offerings as well as on a stand-alone basis where NextGen-emr may
interface with other practice management systems. The Company believes that
it currently provides a comprehensive information management solution for
the medical marketplace.
* UNIX is a registered trademark of AT&T Corporation.
** Microsoft Windows, Windows NT, Windows 95 and Windows 98 are
registered Trademarks of Microsoft Corporation.
*** NextGen is a registered trademark of Clinitec International, Inc.
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NextGen-epm has been developed with a client/server architecture; a GUI
design utilizing either Windows 95, Windows 98, Windows 2000, or Windows NT
operating system platforms; and, a platform independent relational database
that is ANSI SQL-compliant. NextGen-epm is designed to provide a flexible,
enterprise-wide solution employing a master patient index.
Recognizing the need and benefits to be obtained by using its software in
conjunction with the capabilities of the Internet, the Company enhanced its
enterprise practice management and electronic medical software packages in
Fiscal 2000 to enable them to be run via Private Intranet or the Internet
in an Application Services Provider (ASP) environment.
Additionally, in April 2000, the Company announced the launch of an
Internet-based consumer health portal, NextMD.com. NextMD.com will be a
vertical portal for the healthcare industry, linking patients with their
physicians, insurers, laboratories, and online pharmacies, while providing
a centralized source of health-oriented information for both consumers and
medical professionals. Patients whose physicians are linked to the portal
will be able to request appointments, send appointment changes or
cancellations, receive test results online, request prescription refills,
view and/or pay their statements, and communicate with their physicians,
all in a secure, online environment. The Company's NextGen suite of
information systems will be linked to NextMD.com, integrating a number of
these features with physicians' existing systems.
INDUSTRY BACKGROUND.
To compete in the changing healthcare environment, physicians and other
outpatient care providers are increasingly joining and affiliating with
other physicians, managed care organizations, hospitals and other
enterprises to form larger healthcare organizations such as PHOs, MSOs and
health maintenance organizations ("HMOs"). These organizations are designed
to take advantage of anticipated economies of scale associated with
managing healthcare services for large patient populations across inpatient
and outpatient settings while achieving improved quality, reduced costs and
strengthened negotiating positions with managed care entities. Similarly,
the dental profession has recently seen consolidation of dental practices
driven by many of the same factors as in the medical profession. The
consolidation occurring among medical and dental providers, respectively,
has created business organizations which require more sophisticated
computer information systems.
As the managed care environment continues to expand as many experts expect,
more healthcare provider organizations enter into contracts, and often
multiple contracts, which define the terms under which care is
administered. The expansion in the number of managed care and third-party
payor organizations, as well as additional government regulation and
changes in reimbursement models, has greatly increased the complexity of
pricing policies, billing procedures and reimbursement policies impacting
medical and dental practices. To operate effectively, healthcare provider
organizations must efficiently manage patient care and other workflow
processes which increasingly extend across multiple care locations and
business entities.
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To compete under the constraints of managed care while maintaining quality
of services, healthcare provider organizations have placed increasing
demands on their information systems. Initially, these information systems
automated financial and administrative functions. As it became necessary to
manage patient flow processes, the need arose to integrate "back-office"
data with such clinical information as patient test results and office
visits. Particularly for larger organizations and group practices, the
Company believes information systems must allow enterprise-wide exchange of
patient information incorporating administrative, financial and clinical
information from multiple entities, while focusing on the primary care
provider. In addition, large healthcare organizations increasingly require
information systems that can deliver high performance in environments with
multiple concurrent computer users.
Many existing healthcare information systems, including numerous systems
currently utilized by the solo practitioner and small group practices, were
designed for limited administrative tasks such as billing and scheduling
and can neither accommodate multiple computing environments nor operate
effectively across multiple locations and entities. As the healthcare
industry continues to evolve, physician and dental groups and other
healthcare organizations will increasingly require systems that compile
structured clinical information from multiple sources and enable
measurement of treatment outcomes and management of clinical processes. The
Company believes that systems which integrate this patient clinical data
with administrative, financial and other practice management data to
maintain patient flow while continuing to reduce costs and improve quality
of care are best positioned to succeed in the evolving managed care
environment.
As healthcare organizations transition to new computer platforms and newer
technologies, experts believe such organizations will be migrating toward
the implementation of enterprise-wide, patient-centered computing systems
embedded with automated patient medical records. These organizations cannot
afford significant downtime or reeducation, nor can they prudently risk
choosing a system that has not proven its ability to handle high volume
processing with continuous dependability. The Company believes, therefore,
that successful systems vendors in the market most likely will have a
sufficient installed base and adequate resources to offer high quality,
fully integrated products together with the value-added services needed to
expand and support growing clients throughout this evolutionary process.
PRODUCTS.
In response to the growing need for more comprehensive, cost-effective
healthcare 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 while improving productivity through
multi-site and multi-user access to patient information. Utilizing proven
third-party hardware solutions combined with the Company's proprietary
software configured to maximize the efficiency of a healthcare
organization's information processing requirements, the Company's solutions
enable an integration of a variety of administrative and clinical
information operations. Leveraging over 20 years of experience in the
healthcare information services industry, the Company believes that it
continues to distinguish its solutions by providing its clients with
sophisticated, full-featured software systems along with comprehensive
systems implementation, maintenance and support.
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PRACTICE MANAGEMENT SYSTEMS.
The Legacy Product consists primarily of proprietary healthcare software
applications together with third party hardware and other non-industry
specific software. The systems range in capacity from one to hundreds of
users, allowing the Company to address the needs of both small and large
organizations. The systems are modular in design and may be expanded to
grow with changing client requirements.
The software configuration for a typical Legacy Product system includes a
basic medical or dental application and additional software to meet
identified needs of each client. The basic Legacy Product software
automates many aspects of group practice management, including general
patient registration, appointment scheduling, billing, insurance claims
submission and processing, and treatment planning. Add-on applications
include such modules as outside referral management for managed care,
patient eligibility, electronic insurance claims and electronic patient
statements processing, and various proprietary and third party accounting
and word-processing packages.
A typical Legacy Product system also consists of third party hardware
components, including one or more central processing units, disk drives,
magnetic tape units, video display terminals, PCs, and printers together
with telecommunications equipment, which the client often purchases as a
turnkey system from the Company.
The Legacy Product system primarily uses the IBM RS6000* central processing
unit and IBM'S AIX** version of the UNIX operating system as a platform for
its application software enabling a wide range of flexible and functional
systems. The hardware components, as well as the requisite operating
system licenses, are purchased from manufacturers or distributors of those
components. QSI assembles and tests the hardware components and
incorporates the Legacy Product software and other third party packages
into completed systems tailored to accommodate particular client
requirements. The Company continually evaluates the hardware components of
its systems with a view toward utilizing hardware that is functional,
reliable and cost-effective.
NextGen-epm expands the Company's practice management system product line
that historically has been primarily character-based software solutions.
NextGen-epm has been developed using a GUI client/server platform for
compatibility with Windows 95, Windows 98, Windows 2000, and Windows NT
operating systems and a relational database that is ANSI SQL-compliant.
NextGen-epm, which has been designed initially for healthcare provider
networks, is scalable and includes a master patient index, enterprise-wide
appointment scheduling with referral tracking, clinical support, and
centralized or decentralized patient financial management based on either a
managed care or fee-for-service model.
NextGen-epm is designed to be used on any computer that supports
Windows 95, Windows 98, Windows 2000, or Windows NT operating systems. The
system's three-tiered architecture allows work to be performed on the
database server, the application server and the client workstation.
* RS6000 is a registered trademark of International Business Machines
Corporation.
** AIX is a registered trademark of International Business Machines
Corporation.
8
To date, the Company generally has made hardware recommendations for
NextGen-epm to its clients based upon information provided by each client.
However, the client is responsible for the ultimate selection,
installation, and integration of the hardware that each client purchases
directly from third party suppliers other than the Company.
Recognizing the need and benefits to be obtained by using its software in
conjunction with the capabilities of the Internet, the Company enhanced its
NextGen-epm in Fiscal 2000 to enable NextGen-epm to be run via private Intranet
or the Internet in an Application Services Provider (ASP) environment.
The Company has previously released an Internet dental practice management
product, QSINET that includes such features as patient registration,
scheduling, collections and receivables tracking, treatment planning, and
management reporting. QSINET connects dental groups to the extensive and
growing electronic commerce network enabling users to process insurance
claims and patient statements more rapidly and also allows the practice to
communicate with its patients via e-mail for appointment reminders,
treatment recalls, and other patient notifications. The system can be
accessed using a personal computer with Internet access. In addition, the
Company has also provided an Intranet solution to several of its clients
based on the QSINET product. The Company does not generally provide any
hardware in connection with its Internet/intranet products.
CLINICAL SYSTEMS.
Clinitec provides software applications that are complementary to, and
interface with, the Company's medical practice management offerings. The
applications incorporated into the Company's practice management solutions
(such as scheduling, eligibility, billing and claims processing) are
augmented by clinical information captured by NextGen-emr, including
services rendered and diagnoses used for billing purposes.
NextGen-emr was developed with a client/server architecture and a graphical
user interface ("GUI") utilizing Microsoft Windows 95, Windows 98, Windows
2000, or Windows NT on each workstation and either Windows NT, UNIX or
Novell* on the server. NextGen-emr maintains data using an industry standard
relational database engine such as Microsoft SQL Server**, INFORMIX*** or
Oracle****. The system is scalable from one to hundreds of workstations.
NextGen-emr stores and maintains clinical data including:
- - Data captured using user-customized input "templates";
- - Scanned or electronically acquired images, including x-rays
and photographs;
- - Data electronically acquired through interfaces with clinical
instruments;
- - Other records, documents or notes, including electronically
captured handwriting and annotations; and
- - Digital voice recordings.
* Novell is a registered trademark of Novell, Inc.
** Microsoft is a registered trademark and SQL Server is
a registered trademark of Microsoft Corporation.
*** INFORMIX is a registered trademark of Informix Corporation.
**** Oracle is a registered trademark of Oracle Corporation.
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NextGen-emr also offers a workflow module, prescription management, automatic
document and letter generation, patient education, referral tracking,
interfaces to billing and lab systems, physician alerts and reminders, and
powerful reporting and data analysis tools.
NextGen-emr is sold either as a combination of software and services, or as a
turnkey system including computer hardware, which can include network
servers, PC workstations, tape back-up units, printers, scanners and
requisite operating system software. Computer hardware for turnkey systems
is purchased for resale by the Company from third party manufacturers or
distributors.
Recognizing the need and benefits to be obtained by using its software in
conjunction with the capabilities of the Internet, the Company enhanced the
NextGen-emr application in Fiscal 2000 to enable NextGen-emr to be run via
private Intranet or the Internet in an Application Services Provider (ASP)
environment.
Additionally, in April 2000, the Company announced the launching of an
Internet-based consumer health portal, NextMD.com. NextMD.com will be a
vertical portal for the healthcare industry, linking patients with their
physicians, insurers, laboratories, and online pharmacies, while providing
a centralized source of health-oriented information for both consumers and
medical professionals. Patients whose physicians are linked to the portal
will be able to request appointments, send appointment changes or
cancellations, receive test results on-line, request prescription refills,
view and/or pay their statements, and communicate with their physicians,
all in a secure, on-line environment. The Company's NextGen suite of
information systems will be linked to NextMD.com, integrating a number of
these features with physicians' existing systems.
The Company's dental charting software system, the Clinical Product Suite,
(CPS) is a comprehensive dental solution designed specifically for the
large dental group practice environment. CPS integrates the dental Legacy
Product with a computer-based clinical information system that incorporates
a wide range of clinical tools, including:
- - Electronic charting of dental procedures, treatment plans and existing
conditions;
- - Periodontal charting, via light-pen, voice-activation, or keyboard
entry, for full periodontal examinations and PSR scoring;
- - Digital imaging of x-ray and intra-oral camera images;
- - Computer-based patient education modules, viewable chairside to
enhance case presentation;
- - Full access to patient information, treatment plans, and insurance
plans via a fully integrated interface with the dental Legacy Product;
and
- - Document and image scanning for digital storage and linkage to the
electronic patient record.
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The result is a comprehensive clinical information management system that
saves time, reduces costs, improves case presentation, and enhances the
delivery of dental services and quality of care. Clinical information is
managed and maintained electronically thus forming an electronic patient
record that allows for the implementation of the "chartless" office.
CPS incorporates a Windows-based client/server technology consisting of one
or more file servers together with any combination of one or more desktop,
laptop, or pen-based PC workstations. The file server(s) used in connection
with CPS utilize(s) a Windows NT operating system and the hardware is
typically a Pentium* based single or multi-processor platform. Based on
the server configuration chosen, CPS is scalable from one to hundreds of
workstations. A typical configuration may also include redundant disk
storage, magnetic tape units, intra and extra oral cameras, digital x-ray
components, digital scanners, conventional and flat screen displays, and
printers. The hardware components, including the requisite operating
system licenses, are purchased from third party manufacturers or
distributors either directly by the customer or by the Company for resale
to the customer.
ELECTRONIC DATA INTERCHANGE.
The Company makes available electronic data interchange (EDI)capabilities
and services to its customers which increase the utility of the system
for these customers. These EDI capabilities and services facilitate
the sharing of information across multiple business entities to increase
office efficiency; reduce processing time and shorten accounts receivable
days; and reduce the possibilities of errors. The EDI capabilities
encompass direct interfaces between the Company's products and external
third-party systems, as well as transaction-based services. Services
include:
- - Electronic claims submission through the Company's relationships with a
number of national claims clearinghouses;
- - Electronic patient statements, appointment reminder cards, recall cards,
patient letters, and other correspondence;
- - Electronic insurance eligibility verification;
- - Electronic posting of remittances from insurance carriers into the
accounts receivable application.
SALES AND MARKETING.
The Company sells and markets its products nationwide through a direct
sales force. The Company's sales and marketing employees identify and
contact prospective clients by a variety of means, including referrals from
existing clients and contacts at professional society meetings and seminars
with persons involved in group practices as well as trade journal
advertising, direct mail advertising, and telemarketing.
These sales employees are knowledgeable about medical and dental group
healthcare entities, as well as computer applications. Typically, sales
employees make presentations to potential clients by demonstrating the
system and its capabilities on the prospective client's premises.
* Pentium is a registered trademark of Intel Corporation
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The Company's sales cycle can vary significantly and typically ranges from
three to 12 months from initial contact to contract execution. Systems are
normally delivered to a customer within 30 to 60 days of receipt of a
system order, and therefore, the Company does not believe data pertaining
to backlog is meaningful. As part of the fees paid by its clients, the
Company receives up-front licensing fees and a monthly or quarterly service
fee based on system configuration.
Several clients have purchased the Company's practice management system
and, in turn, are providing either time-share or billing services to local
single and group practice practitioners. Under the time-share or billing
service agreements, the client provides the use of its system for a fee to
one or more practitioners. Although the Company does not receive a fee
directly from the client's customers, implementation of such arrangements
has resulted in the purchase of additional system capacity by the client
offering the services, as well as new system purchases made by the client's
customers should such customers decide to perform the practice management
functions in-house.
The Company continues to concentrate its sales and marketing efforts on
medical and dental practices, dental schools, physician clinics, MSOs, PHOs
and community health centers.
MSOs and PHOs to which the Company has sold systems provide use of the
Company's software to those group and single physician practices associated
with the organization or hospital on either a service basis or by directing
the Company to contract with those practices for the sale of stand-alone
systems.
The Company has also entered into marketing assistance agreements with
certain of its clients pursuant to which the clients allow the Company to
demonstrate to potential clients the use of systems on the existing
clients' premises. In addition, the Company has established certain of its
clients as dealers for its systems. Through this arrangement to date, the
dealer markets and sells the Legacy Product to prospects in a local
territory. These prospects are generally smaller healthcare facilities than
those actively pursued by the Company. The Company's PC-based Legacy
Products are well suited to this dealer marketing. In addition, the dealer
typically provides a variety of ongoing services for its clients. Dealers
are compensated based on system size and profitability, and the services
which they perform in place of the Company.
The Company often assists prospective clients in identifying third party
sources for financing the purchase of the Company's systems. The financing
usually is obtained by the client directly from institutional lenders and
typically takes the form of a loan from the institution secured by the
system to be purchased or a leasing arrangement.
The Company has numerous clients and does not believe that the loss of any
single client would have a material adverse effect on the Company. No
client accounted for ten percent or more of net revenues during fiscal
years ended March 31, 2000, 1999 or 1998.
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CUSTOMER SERVICE AND SUPPORT.
The Company believes its success is attributable in part to its exceptional
customer service and support. The Company offers support to its clients
seven days a week, 24 hours a day. All of the Legacy Product systems have a
dedicated computer port for dial-up remote access facilitating rapid
response by technicians to system inquiries. Most inquiries can be resolved
without the need to dispatch technicians to the client location. These
support services also provide the Company with the opportunity to monitor
changes in each client's information processing requirements and to
recommend the purchase of system hardware or software enhancements designed
to satisfy these additional requirements. The Company believes that its
commitment to provide extensive support has contributed significantly to
the development of its business.
The Company's continuing system support staff is comprised of specialists
who are knowledgeable in the area of hardware and software technology as
well as in the day-to-day operations of a group practice. This system
support ranges from correcting minor procedural problems in the client's
system to performing complex database reconstructions or software updates.
The Company also utilizes an automated online support system for the
Legacy Product which assists clients in resolving minor problems and
facilitates automated electronic retrieval of problems and symptoms
following a client's call to the automated support system. Additionally,
this online support system maintains a complete call record at both the
client's facility and the Company.
The Company offers its clients support services for most system components,
including hardware and software maintenance, for a fixed monthly or
quarterly fee. The Company also subcontracts, in certain instances, with
IBM to perform specific hardware maintenance tasks under the Company's
direction. This arrangement has provided the Company with economies of
scale associated with IBM's service infrastructure while still maintaining
service standards.
IMPLEMENTATION AND TRAINING.
The Company offers implementation and training services and believes that
its system delivery, implementation and support services are key elements
of successful client relationships. When a client signs a contract for the
purchase of a system, a client manager/implementation specialist, trained
in medical and/or dental group practice procedures, is assigned to assure
that the client is fully informed of system options and that the proper
software system configuration is installed. This information is determined
through discussions with the client and observation of the client's
practice. Once the set of software features is established, the software
configuration unique to a given client can be created in an automated
fashion.
Before activation of the client's practice management system, Company
personnel typically convert, or assist in conversion of, the relevant
client data onto the system. Usually, the data is converted electronically
from another computer system enabling a quick, cost-effective and accurate
conversion. The system is then subjected to extensive testing which
includes processing representative data using the client's system
configuration. One or more Company trainers experienced in group practice
procedures are assigned to conduct an intensive training program for the
client's employees.
13
The program may include a combination of computer assisted instruction
("CAI") for certain of the Company's products, remote training techniques
and training classes conducted by Company staff at the client's office(s).
CAI consists of workbooks, computer interaction and self-paced instruction.
CAI is also offered to clients, for an additional charge, after the initial
training program is completed for the purpose of training new and
additional employees. Remote training allows a trainer at the Company
office to train one or more people at a client site via telephone and
computer connection, thus allowing an interactive and office-specific mode
of training without the expense and time required for travel. In addition,
the Company's on-line "help" documentation feature facilitates client
training as well as ongoing support.
COMPETITION.
The market for medical group practice management systems is intensely
competitive and the Company faces significant competition from a number of
different sources. The industry is highly fragmented and includes numerous
competitors, none of which the Company believes dominates the overall
market for medical group practice management systems. In addition, several
of the Company's competitors have significantly greater financial,
technical, product development and marketing resources than the Company.
The Company believes its principal competitive advantages are the features
and capabilities of its products and services, its high level of customer
support and its extensive experience in the industry.
There can be no assurance that the NextGen suite of applications will
achieve broad market acceptance or will successfully compete with other
Windows-based practice management software products.
To date, the Company has not encountered substantial competition for its
dental practice management and clinical products in the Company's primary
niche market of dental group practices consisting of six or more dentists.
The Company is anticipating that market competition in this dental group
practice niche market will increase as new competitors enter the
marketplace. The Company believes that numerous firms sell computerized
data processing systems to group dental practices consisting of five or
fewer dentists.
The market for electronic medical records systems is highly competitive and
subject to rapid changes in technology. The Company expects that market
competition will increase as new competitors enter the marketplace. The
industry is highly fragmented and includes numerous competitors, none of
which the Company believes dominates the electronic medical records market.
Many of the Company's competitors have substantially greater name
recognition and technical, marketing and financial resources. The Company
believes its principal competitive advantages are the features and
flexibility of its NextGen products. There can be no assurance that future
competition or new product introductions in the electronic medical records
market will not have a material adverse effect on the Company's business,
financial condition and results of operations. There can be no assurance
that the NextGen suite of applications will achieve broad market
acceptance.
14
Competitive pressures and other factors, such as new product introductions
by the Company or its competitors, may result in price erosion that could
have a material adverse effect on the Company's business, financial
condition and results of operations. Furthermore, the Company also
competes in all of its markets indirectly and to varying degrees with other
major healthcare related companies, information management companies and
systems integrators generally, and other software developers which may more
directly enter the markets in which the Company competes. There can be no
assurance that future competition will not have a material adverse effect
on the Company's business, financial condition and results of operations.
PRODUCT ENHANCEMENT AND DEVELOPMENT.
The healthcare information management and computer software and hardware
industries are characterized by rapid technological change requiring the
Company to engage in continuing efforts to improve its systems. During
fiscal years 2000, 1999 and 1998 the Company expended approximately $4.9
million, $4.8 million and $4.9 million, respectively, on research and
development activities including capitalized software amounts of $1.1
million, $1.2 million and $1.9 million, respectively. In addition, many of
the Company's product enhancements have resulted from software development
work performed under contracts with its clients. To the extent that the
Company fails to achieve technological advances comparable to those made by
others in the computer and healthcare information management industries,
its products and services may become obsolete.
GOVERNMENTAL 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. On the other hand, changes in the
regulatory environment have increased and may continue to increase the
needs of healthcare organizations for cost-effective data management and
thereby enhance the overall market for healthcare management information
systems. The Company cannot predict what impact, if any, such proposals or
healthcare reforms might have on the Company's business, financial
condition and results of operations.
The Health Insurance Portability and Accountability Act of 1996 (HIPAA)
mandates the use of national standards for transmissions of certain patient
healthcare information, prescribed security measures to protect the
confidentiality of such information, and other provisions within two years
after the adoption of final regulations by the Department of Health and
Human Services ("HHS"). The Company is following the progress of the HHS
implementation of HIPAA, but at this time, it is uncertain what regulations
will be ratified by HHS and the impact of those regulations on the
Company's products and services and on the products and services offered by
our business partners.
15
Our intention is to modify our products and services as necessary to become
compliant with the final regulations but there can be no assurance that the
Company will be able to do so in a timely manner.
In addition, the Company's software may be subject to regulation by the
U.S. Food and Drug Administration (the "FDA") as a medical device. Such
regulation could require the registration of the applicable manufacturing
facility and software and hardware products; application of detailed
record-keeping 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, financial condition and results
of operations.
EMPLOYEES.
As of May 31, 2000, the Company employed 232 persons of which 228 were
full-time employees. Systems analysts, programmers and qualified sales and
marketing personnel are in short supply and, consequently, competition for
such individuals is intense. The Company believes that its future success
depends in part upon recruiting and retaining qualified marketing and
technical personnel as well as other employees. The Company considers its
employee relations to be good.
RISK FACTORS.
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.
16
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
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.
17
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 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.
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.
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.
18
TECHNOLOGICAL CHANGE.
The software market generally is characterized by rapid technological
change, changing customer needs, frequent new product introductions and
evolving industry standards. The introduction of products incorporating new
technologies and the emergence of new industry standards could render the
Company's existing products obsolete and unmarketable. There can be no
assurance that the Company will be successful in developing and marketing
new products that respond to technological changes or evolving industry
standards. New product development depends upon significant research and
development expenditures which depend ultimately upon sales growth. Any
material weakness in revenues or research funding could impair the
Company's ability to respond to technological advances in the marketplace
and to 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, Windows 95 and Windows 98, 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.
LITIGATION.
The Company faces several Federal and State securities actions (see "Item
3. Legal Proceedings."). 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.
19
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
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 experienced periods of growth has increased personnel,
which has placed, and may continue to place, a significant strain on the
Company's resources. The Company also 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.
20
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. In addition, a court or government agency may take the position
that our delivery of health information directly, including through
licensed physicians, or delivery of information by a third party-site that
a consumer accesses through the Company's web sites, exposes the Company to
malpractice or other personal injury liability for wrongful delivery of
healthcare services or erroneous health information. The Company maintains
insurance to protect against claims associated with the use of its
products, but there can be no assurance that its insurance coverage would
adequately cover any claim asserted against the Company. A successful claim
brought against the Company in excess of its insurance coverage could have
a material adverse effect on the Company's business, 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.
Certain physicians or other healthcare professionals who use the Company's
Internet based products will directly enter health information about their
patients including information that constitutes a record under applicable
law, that the Company will store on the Company's computer systems.
Numerous federal and state laws and regulations, the common law, and
contractual obligations govern collection, dissemination, use and
confidentiality of patient-identifiable health information, including:
- - State privacy and confidentiality laws;
- - The Company's contracts with customers and partners;
- - State laws regulating healthcare professionals, such as physicians,
pharmacists and nurse practitioners;
- - Medicaid laws;
- - The Heath Insurance Portability and Accountability Act of 1996 and
related rules proposed by the Heath Care Financing Administration; and
Health Care Financing Administration standards for Internet
transmission of health data.
The U.S. Congress has been considering proposed legislation that would
establish a new federal standard for protection and use of health
information. Any failure by us or by our personnel or partners to comply
with any of these legal and other requirements would result in material
liability.
21
Although the company has systems in place for safeguarding patient health
information from unauthorized disclosure, these systems may not preclude
successful claims against the Company for violation of applicable law or
other requirements. Other third-party sites or links that consumers access
through the Company's web sites also may not maintain systems to safeguard
this health information, or may circumvent systems the Company put in place
to protect the information from disclosure. In addition, future laws or
changes in current laws may necessitate costly adaptations to the Company's
systems.
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.
In the year 2001, the Department of Health and Human Services expects to
finalize proposed regulations at the federal level authorized under the
Health Insurance Portability and Accountability Act of 1996. These
proposed regulations will establish new federal standards for privacy of
health information. The Company anticipates that these regulations will
directly affect the Company's products and services, but the Company cannot
accurately predict the impact at this time. Achieving compliance with these
regulations could be costly and distract management's attention and other
resources from the Company's historical business, and any noncompliance by
the Company could result in civil and criminal penalties. In addition,
development of related federal and state regulations and policies on
confidentiality of health information could negatively affect the Company's
business.
The Company's software may be subject to regulation by the FDA as a medical
device. Such regulation could require the registration of the applicable
manufacturing facility and software/hardware products, application of
22
detailed record-keeping 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.
YEAR 2000
The Company is aware of issues associated with the programming code in
existing computer systems related to the millennium. In particular,
software applications that use only two digits to identify a year in the
date field may fail or create errors in the year 2000 ("Year 2000 Issues").
Year 2000 Issues create risk for the Company from unforeseen problems in
computer systems that the Company sells to customers on a nationwide basis
which are used, among other things, to process their financial transactions
and schedule patients ("Company Products"), as well as systems that the
Company uses internally to provide certain services to its customers and to
process its own financial transactions ("Internal Use Systems"). The
potential costs and uncertainties associated with Year 2000 Issues will
depend upon a number of factors, including the Company's proprietary and
third party developed software, hardware (hardware and third party
developed software will hereinafter be referred to collectively as "Third
Party Products") and the nature of the industry in which the Company
operates.
The nature of the Company's business and its relationships with its
customers make it difficult to assess the magnitude of the Company's
potential exposure as a result of Year 2000 issues. Company Products and
Third Party Products sold by the Company may fail to operate properly or as
expected due to Year 2000 Issues. Such failures could result in system
failures or miscalculations causing disruptions of customers' operations,
including among other things, an inability to process transactions, send
invoices, conduct communications, treat patients or engage in similar
normal business activities. In addition, Company Products and Third Party
Products are often used in conjunction with other vendors' products and
services and the Company must rely on these other vendors to complete the
material remediation efforts necessary with regards to Year 2000 Issues in
connection with such products and services. Should such vendors be unable
to complete such remediation efforts in a timely manner, the use of such
products and services on the same system as Company Products and Third
Party Products may result in system failures. As a result of one or more of
the above potential system failures, certain of the Company's customers may
assert breach of warranty or other claims against the Company relating to
Year 2000 functionality. The assertion of such claims may have a material
adverse impact upon the Company's business, results of operations and
financial condition. Furthermore, the efforts and resources devoted to Year
2000 Issues of current and potential customers of the Company could result
in the deferral, delay or cancellation by customers of current
installations of and plans to purchase systems from the Company.
Internal Use Systems, including both information systems and non-
information systems, may not operate properly or as expected due to Year
2000 Issues. Year 2000 Issues could result in system failures or
miscalculations causing disruption of the Company's operations, including
among other things, an inability to process its own and certain of its
customers' financial transactions, send invoices, conduct communications,
or engage in similar normal business activities.
23
The failure of one or more Internal Use Systems as a result of Year 2000
Issues may have a material adverse impact upon the Company's business,
results of operations and financial condition. The Company cannot be sure
that Year 2000 Issues will not affect its business. Thus far, the Company
has incurred no materially adverse problems related to Year 2000 Issues
associated with the computer systems, software, other property and
equipment it uses. However, the Company cannot guarantee that Year 2000
Issues will not adversely affect its business, operating results or
financial condition at some point in the future. See "Management's
Discussion and Analysis of Financial Condition and Results of Operations -
Year 2000 Implications.".
Item 2. Properties.
-----------
The Company's principal administrative, data processing, marketing and
development operations are located in approximately 19,000 square feet of
leased space in Tustin, California under a lease which expires in March
2001. In addition, the Company leases approximately 13,000 square feet of
space in Santa Ana, California to house its assembly and warehouse
operations, approximately 15,000 square feet of space in Horsham,
Pennsylvania, the principal office for Clinitec, approximately 12,000
square feet of space in Atlanta, Georgia, the principal office for
MicroMed, and an aggregate of 4,000 square feet of space in Florida,
Kansas, Minnesota, Texas, Wisconsin and Washington to house additional
sales, training and service operations. These leases, including options,
have expiration dates ranging from month-to-month to August 2001. The
Company believes that its facilities are adequate for its current needs and
that suitable additional or substitute space is available, if needed, at
commercially reasonable rates.
Item 3. LEGAL PROCEEDINGS.
------------------
On April 22, 1997, a purported class action entitled JOHN P. CAVENY v.
QUALITY SYSTEMS, INC., ET AL. was filed in the Superior Court of the State
of California for the County of Orange, in which Mr. Caveny, on behalf of
himself and all others who purchased the Company's Common Stock between
June 26, 1995 and July 3, 1996, alleges that the Company, and Sheldon
Razin, Robert J. Beck, Gregory S. Flynn, Abe C. LaLande, Donn Neufeld, Irma
G. Carmona, John A. Bowers, Graeme H. Frehner, and Gordon L. Setran (all of
the foregoing individuals were either officers, directors or both during
the period from June 26, 1995 through July 3, 1996), as well as other
defendants not affiliated with the Company, violated California
Corporations Code Sections 25400 and 25500, California Civil Code Sections
1709 and 1710, and California Business and Professions Code Sections 17200
et. seq., by issuing positive statements about the Company that allegedly
were knowingly false, in part, in order to assist the Company and the
individual defendants in selling Common Stock at an inflated price in the
Company's March 5, 1996 public offering and at other points during the
class period. The complaint seeks compensatory and punitive damages in
unspecified amounts, disgorgement, declaratory and injunctive relief, and
attorneys' fees.
On January 25, 1999, the court denied plaintiffs' motion to certify the
class representative and class legal counsel. Plaintiffs have appealed that
decision. On February 25, 2000, the Fourth District Court of Appeals
affirmed the order disqualifying the class legal counsel. On May 9, 2000,
the Court of Appeals issued its Remittur certifying its decision as final.
Plaintiff will seek new class counsel, however, the named defendants will
again have the opportunity to oppose class certification.
24
The Company and its named officers and directors deny all remaining
allegations of wrongdoing made against them in these suits, consider the
allegations groundless and without merit, and intend to vigorously defend
against these actions.
On May 14, 1997, a second purported class action entitled WENDY WOO v.
QUALITY SYSTEMS, INC., ET AL. was filed in the same court. This complaint,
which has been consolidated with the Caveny lawsuit, essentially repeats
the allegations in the Caveny lawsuit and seeks identical relief. The
Company and the other named defendants successfully demurred to the
plaintiffs' claim under California Civil Code Sections 1709 and 1710, and
that claim, which served as the only basis for plaintiffs' request for
punitive damages, has been dismissed from both actions.
On July 1, 1997, a third purported class action entitled WADE CHENEY v.
QUALITY SYSTEMS, INC., ET AL. was filed in the United States District Court
of the Central District of California, Southern Division. The complaint
makes essentially the same factual allegations as in the Caveny and Woo
complaints, and purports to state claims under Section 10(b) of the
Securities Exchange Act of 1934 and Rule 10b-5 thereunder, and under
Section 20(a) of said Act. By Court order dated August 13, 1997, this
action was stayed temporarily and the Court reserved jurisdiction to lift
the stay after all matters are final in the Caveny and Woo actions or if
otherwise appropriate, and on August 15, 1997 the case was removed from the
Court's active caseload. The Company denies all allegations of wrongdoing
made in this suit, considers the allegations groundless and without merit,
and if the stay is ever lifted, the Company intends to vigorously defend
against this action.
On March 23, 1999, a purported class action and derivative complaint
entitled IRVING ROSENZWEIG v. SHELDON RAZIN, ET AL. was filed in the
Superior Court of the State of California for the County of Orange, in
which Mr. Rosenzweig, on behalf of himself and all non-director
shareholders, and derivatively on behalf of the Company, alleges that
Sheldon Razin, John Bowers, William Bowers, Patrick Cline, Janet Razin and
Gordon Setran (all of the foregoing individuals are directors of the
Company) breached their fiduciary duties by allegedly entrenching
themselves in their positions of control, failing to ensure that third-
party offers involving the Company were fully and fairly considered, and/or
failing to conduct a reasonable inquiry to assure the maximization of
shareholder value. The complaint seeks declaratory and injunctive relief,
an accounting of monetary damages allegedly suffered by plaintiff and the
purported class, and attorneys' fees. Defendants demurred to each of the
causes of action alleged in the complaint and the court sustained those
demurrers with leave to amend in December 1999. Rather than file an
amended complaint, plaintiff filed a motion for attorney's fees.
Defendants, in turn, filed a motion to dismiss the action for failure to
file an amended pleading within the time limit specified by the court.
Those motions are currently pending.
The parties agreed to a settlement of action and stipulated to a final
judgement and order which was entered by the court on May 15, 2000 at which
time the action was dismissed. The final judgement and order provided for
a dismissal of the action with prejudice, releases given to each of the
defendants, and payment of the nominal sum of $100,000 (paid by the
Company's Directors and Officers Liability Insurance Company) in full
settlement of plaintiff's motion for attorney's fees. The settlement
further expressly provided that it did not constitute an admission of any
liability of defendants, which defendants continue to vigorously deny.
25
The Company is a party to various other legal proceedings incidental to its
business, none of which are considered by the Company to be material.
26
Item 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS.
----------------------------------------------------
No matter was submitted to a vote of security holders during the fourth
quarter of fiscal year 2000.
Executive Officers of the Registrant.
- -------------------------------------
The executive officers of the Company as of May 31, 2000 were as follows:
Name Age Position
- ------------------ ------ -------------------------------------
Patrick B. Cline 39 Interim Chief Executive Officer
Greg Flynn 42 General Manager,
Executive Vice President
Don L. Jackson 39 Vice President Marketing
Donn Neufeld 43 Vice President Software
and Operations
David Razin 36 Vice President Business Development
Paul Holt 34 Interim Chief Financial Officer,
Secretary
Executive officers of the Company are elected by, and serve at the
discretion of, the Board of Directors. Additional information regarding the
Company's executive officers is set forth below.
Patrick B. Cline has served as Interim Chief Executive Officer since April
2000. Mr. Cline has served as Executive Vice President of the Company
since May 1996. Mr. Cline is a co-founder of Clinitec and has served as its
President since its inception in January 1994 and as its Chief Operating
Officer since May 1996 when it was acquired by QSI. Mr. Cline served as
Clinitec's Chairman of the Board of Directors and Chief Executive Officer
from January 1994 until May 1996. Prior to co-founding Clinitec, Mr. Cline
served, from July 1987 to January 1994, as Vice President of Sales and
Marketing with Script Systems, a subsidiary of InfoMed, a healthcare
information systems company. From January 1994 to May 1994, after the
founding of Clinitec, Mr. Cline continued to serve, on a part time basis,
as Script Systems' Vice President of Sales and Marketing. Mr. Cline has
held senior positions in the healthcare information systems industry since
1981. Mr. Cline has been appointed interim Chief Executive Officer
following the resignation of Sheldon Razin on April 3, 2000.
Greg Flynn has served as the Company's General Manager since April 2000 and
as Executive Vice President since August 1998 after serving as Vice
President of Sales and Marketing from January 1996 to August 1998. Prior to
January 1996, Mr. Flynn served as Vice President Administration since June
1992. In these capacities, Mr. Flynn has been responsible for numerous
functions related to the ongoing management of the Company and sales.
Previously, Mr. Flynn served as the Company's Vice President Corporate
Communications. Since joining the Company in January 1982, Mr. Flynn has
held a variety of increasingly responsible management positions within the
organization. He holds a B.A. degree in English from the University of
California, Santa Barbara.
27
Don L. Jackson joined the Company in June 1998 as its Vice President of
Marketing. Prior to joining the Company, Mr. Jackson was the Vice President
of Sales and Marketing of Wyndgate Technologies, a developer of information
systems for blood banks and transfusion management. From February 1992 to
May 1997, Mr. Jackson held several senior management positions with Henry
Schein, Inc., Practice Management Technologies Division, a leading provider
of computer-based solutions to the dental, medical, and veterinary markets.
From 1985 to 1992, Mr. Jackson was Executive Vice President of FoxMeyer's
Retail Services Business unit, a developer and distributor of retail
pharmacy point of sale computer systems. Mr. Jackson holds an M.B.A. from
Southern Methodist University and a B.A. in Computer Science from the
University of Texas at Austin.
Donn Neufeld has served as the Company's Vice President Software and
Operations since January 1996 and as Vice President Operations from June
1986 until January 1996. From April 1981 until June 1986, Mr. Neufeld held
the position of Manager of Customer Support. He joined the Company in
December 1980 as part of the System Generation Department. Prior to joining
the Company, Mr. Neufeld was a System Analyst/Programmer at Loma Linda
University Medical Center.
David Razin has served as Vice President Business Development of the
Company since August 1997. Before being named to this position, Mr. Razin
served from 1995 to 1997 as Director of Product Development. In that
position, Mr. Razin oversaw the development of the Company's Legacy
Products, EDI services network and Internet/intranet applications. From
1988 to 1995, Mr. Razin held the position of Manager of Client Managing and
Training. Prior to that, Mr. Razin held various positions in software
development from 1985 to 1988. David Razin is the son of Sheldon Razin.
Paul Holt was appointed Interim Chief Financial Officer in May 2000. Mr.
Holt has served as the Company's Controller since January, 2000. Prior to
joining the Company, Mr. Holt was the Controller of Sierra Alloys Co.,
Inc., a titanium metal manufacturing company from August 1999 to December
1999. From May 1997 to July 1999, he was Controller of Refrigeration
Supplies Distributor, a wholesale distributor and manufacturer of
refrigeration supplies and heating controls. From March 1995 to April
1997, he was Assistant Controller of Refrigeration Supplies Distributor.
Mr. Holt is a Certified Public Accountant and holds an M.B.A. from the
University of Southern California and a B.A. in Economics from the
University of California, Irvine.
28
PART II.
Item 5. MARKET FOR REGISTRANT'S COMMON
EQUITY AND RELATED STOCKHOLDER MATTERS
---------------------------------------
The Company's Common Stock is traded on the Nasdaq National Market under
the symbol "QSII". The following table sets forth for the quarters
indicated the high and low sales prices as reported by NASDAQ. The
quotations reflect inter-dealer prices, without retail markup, markdown, or
commissions, and may not necessarily represent actual transactions.
Quarter Ended High Low
- ------------------ -------- --------
June 30, 1998 11.25 7.25
September 30, 1998 9.28 3.50
December 31, 1998 5.00 3.00
March 31, 1999 4.94 3.50
June 30, 1999 6.56 3.75
September 30, 1999 8.38 5.63
December 31, 1999 7.75 5.88
March 31, 2000 18.75 6.75
At May 31, 2000, there were approximately 153 holders of record of the
Company's Common Stock. The Company estimates the number of beneficial
holders of its Common Stock to be in excess of 1,200.
Through May 31, 2000, the Company has not paid cash dividends on shares of
its Common Stock. The Company anticipates that for the foreseeable future,
all earnings, if any, will be retained for use in the Company's business
and it does not anticipate paying any cash dividends in the future. Payment
of future dividends, if any, will be at the discretion of the Company's
Board of Directors after taking into account various factors, including the
Company's financial condition, operating results, current and anticipated
cash needs and plans for expansion.
29
Item 6. SELECTED FINANCIAL DATA.
------------------------
The following selected financial data with respect to the Company's
Consolidated Statements of Operations Data for each of the five years in
the period ended March 31, 2000 and the Consolidated Balance Sheet Data as
of the end of each such fiscal year are derived from the audited financial
statements of the Company. The following information should be read in
conjunction with the Consolidated Financial Statements of the Company and
the related notes thereto and "Item 7. Management's Discussion and Analysis
of Financial Condition and Results of Operations." included elsewhere
herein.
Consolidated Statements of Operations Data
(In thousands, except for per share data)
Year Ended March 31,
-------------------------------------------
2000 1999 1998 1997 1996
------- ------- ------- ------- -------
Net Revenues $36,373 $33,816 $31,216 $20,127 $16,732
Cost of Products
and Services 16,395 15,834 13,509 10,089 7,929
------- ------- ------- ------- -------
Gross Profit 19,978 17,982 17,707 10,038 8,803
Selling, General
and Administrative 12,645 13,495 12,485 7,736 3,897
Research and Development 3,726 3,603 3,072 1,978 1,567
Purchased In-Process
Research and Development(1) - - 10,200 8,300 -
------- ------- ------- ------- -------
Income (Loss)
from Operations (3) 3,607 884 (8,050) (7,976) 3,339
Investment Income 759 413 971 1,285 482
------- ------- ------- ------- -------
Income (Loss) before
Provision for (Benefit
from) Income Taxes (3) 4,366 1,297 (7,079) (6,691) 3,821
Provision for (Benefit
from) Income Taxes (2) 1,862 713 (2,463) 784 1,528
------- ------- ------- ------- -------
Net Income (Loss) (3) $ 2,504 $ 584 $(4,616) $(7,475) $ 2,293
======= ======= ======= ======= =======
Net Income (Loss) per Share:
Basic (3) $ 0.40 $ 0.09 $ (0.77) $(1.26) $ 0.49
======= ======= ======= ======= =======
Diluted (3) $ 0.40 $ 0.09 $ (0.77) $(1.26) $ 0.49
======= ======= ======= ======= =======
Weighted Average
Shares Outstanding:
Basic 6,208 6,176 5,981 5,937 4,640
======= ======= ======= ======= =======
Diluted 6,261 6,185 5,981 5,937 4,776
======= ======= ======= ======= =======
30
Consolidated Balance Sheet Data
(in thousands)
March 31,
-------------------------------------------
2000 1999 1998 1997 1996
------- ------- ------- ------- -------
Cash and Cash Equivalents and
Short-Term Investments $16,169 $14,441 $17,080 $22,735 $28,944
Working Capital 21,332 18,166 15,543 25,613 30,196
Total Assets 44,136 40,218 40,916 37,866 37,272
Total Liabilities 12,053 10,554 13,475 5,596 4,571
Shareholders' Equity $32,083 $29,664 $27,441 $32,270 $32,701
======= ======= ======= ======= =======
(1) In May 1996, the Company acquired Clinitec (see "Item 1. Business.
Acquisitions.") which was treated as a purchase transaction for
accounting purposes. In connection with this treatment, the Company
incurred an $8.3 million charge for purchased in-process research and
development during the year ended March 31, 1997.
In May 1997, the Company acquired MicroMed (see "Item 1. Business.
Acquisitions.") which was treated as a purchase transaction for
accounting purposes. In connection with this treatment, the Company
incurred a $10.2 million charge for purchased in-process research and
development during the year ended March 31, 1998.
(2) The provision for income taxes for the year ended March 31, 1997
differs from the Company's combined Federal and State statutory rates
primarily due to the non-deductible charge for purchased in-process
research and development incurred in connection with the acquisition of
Clinitec in May 1996.
(3) Includes a charge of $10.2 million and $8.3 million for purchased in-
process research and development for the years ended March 31, 1998 and
1997, respectively. Excluding the charge, on a pro forma basis, income
from operations and income before provision for (benefit from) income
taxes would have been $2.2 million and $3.1 million, respectively, for
fiscal 1998 and $324,000 and $1.6 million, respectively for fiscal
1997. The income tax benefit related to the charge for purchased in-
process research and development for the years ended March 31, 1998 and
1997 was $3.9 million and $0, respectively. Excluding the charge and
related income tax benefit, on a pro forma basis, net income and basic
and diluted income per share would have been $1.7 million, $0.29 and
$0.28, respectively, for fiscal 1998 and $825,000, $0.14 and $0.14,
respectively, for fiscal 1997.
31
Item 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF
FINANCIAL CONDITION AND RESULTS OF OPERATIONS.
----------------------------------------------
Except for the historical information contained herein, the matters
discussed in this Annual Report on Form 10-K, including discussions of the
Company's product development plans, business strategies and market factors
influencing the Company's results, are forward-looking statements that
involve certain risks and uncertainties. Actual results may differ from
those anticipated by the Company as a result of various factors, both
foreseen and unforeseen, including, but not limited to, the Company's
ability to continue to develop new products and increase systems sales in
markets characterized by rapid technological evolution, consolidation, and
competition from larger, better capitalized competitors. Many other
economic, competitive, governmental and technological factors could impact
the Company's ability to achieve its goals, and interested persons are
urged to review the risks described in "Item 1. Business. Risk Factors."
and in "Management's Discussion and Analysis of Financial Condition and
Results of Operations." set forth below, as well as in the Company's other
public disclosures and filings with the Securities and Exchange Commission.
The following discussion should be read in conjunction with, and is
qualified in its entirety by, the Consolidated Financial Statements and
related notes thereto included elsewhere herein. Historical results of
operations, percentage margin fluctuations and any trends that may be
inferred from the discussion below are not necessarily indicative of the
operating results for any future period.
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.
Year Ended March 31,
---------------------------
2000 1999 1998
------- ------- -------
Net Revenues:
Sales of computer systems,
upgrades and supplies 52.9% 55.8% 64.9%
Maintenance and other services 47.1 44.2 35.1
------- ------- -------
100.0 100.0 100.0
Cost of Products and Services 45.1 46.8 43.3
------- ------- -------
Gross Profit 54.9 53.2 56.7
Selling, General and Administrative Expenses 34.8 39.9 40.0
Research and Development Costs 10.2 10.7 9.8
Purchased In-Process Research and Development - - 32.7
------- ------- -------
Income (Loss) from Operations 9.9 2.6 (25.8)
Investment Income 2.1 1.2 3.1
------- ------- -------
Income (Loss) before Provision
for (Benefit from) Income Taxes 12.0 3.8 (22.7)
Provision for (Benefit from) Income Taxes 5.1 2.1 (7.9)
------- ------- -------
Net Income (Loss) 6.9% 1.7% (14.8)%
======= ======= =======
32
FOR THE YEARS ENDED MARCH 31, 2000 AND 1999.
For the year ended March 31, 2000, the Company's net income was $2,504,000
or $0.40 per share on a basic and diluted basis. In comparison, the
company earned $584,000 or $0.09 per share on a basic and diluted basis in
the year ended March 31, 1999. The increase in net income was achieved
through a combination of an increase in revenue from software systems
sales, maintenance, and other services along with a reduction in selling,
general and administrative expenses. Selling, general and administrative
expenses declined due to the integration of the Company's two subsidiaries,
Clinitec and Micromed. For the year ended March 31, 2000, revenue
increased 7.6% to $36.4 million compared to $33.8 million in the year ended
March 31, 1999. Selling, general and administrative expenses declined 6.3%
to $12.6 million in the year ended March 31, 2000 compared to $13.5 million
in the year ended March 31, 1999.
Net Revenues. Net revenues for the year ended March 31, 2000 increased
7.6% to $36.4 million from $33.8 million for the year ended March 31, 1999.
Sales of computer systems, upgrades and supplies increased 2.0% to $19.2
million from $18.9 million while net revenues from maintenance and other
service grew 14.6% to $17.1 from $14.9 million during comparable periods.
The increase in net revenues from sales of computer systems, upgrades and
supplies was principally due to increased sales of the Company's Clinical
Product Suite, NextGen-epm and NextGen-emr products offset by a decrease in
sales of Legacy systems. The increase in maintenance and other services
net revenue resulted primarily from the Company's increased client base
together with an increase in revenues generated from the Company's
electronic data interchange services. Revenue from the Company's
electronic data interchange services increased 37.6% to $3.8 million for
the year ending March 31, 2000 compared to $2.8 million in the year ending
March 31, 1999.
Cost of Products and Services. Cost of products and services for the year
ended March 31, 2000 increased 3.5% to $16.4 million from $15.8 million for
the year ended March 31, 1999 while the cost of products and services as a
percentage of net revenues decreased to 45.1% compared to 46.8% during the
comparable periods. The decrease in cost of products and services as a
percentage of net revenues resulted from a combination of: the effects of
the increase of maintenance and other services revenues, a change in the
mix of new systems sales toward systems with lower hardware content, a
leveling out of product development, customer service, support and training
costs, and an increase in the cost of electronic data interchange services.
In the year ended March 31, 2000, the Company was able to leverage its
existing infrastructure on to a higher level of computer systems, upgrades
and supplies sales. This contributed to the reduction in cost of products
and services as a percentage of revenue during the year ended March 31,
2000. Also, new computer systems sales in the year ended March 31, 2000
had a lower level of hardware content compared to the year ended March 31,
1999. System sales without significant hardware components generally yield
higher margins than those systems sales with a higher level of hardware
content. The mixture of sales with and without significant hardware
components fluctuates from period to period. The effect of the mentioned
items was slightly offset by an increase in revenue from electronic data
interchange services which yield a lower margin than other products and
services.
Selling, General and Administrative. Selling, general and administrative
expenses for the year ending March 31, 2000 decreased 6.3% to $12.6 million
from $13.5 million.
33
The decrease in selling, general and administrative expenses was primarily
the result of the integration of Clinitec and Micromed along with a
reduction in bad debt expense for the year ended March 31, 2000 compared to
the year ended March 31, 1999.
Selling, general and administrative expenses as a percentage of net revenue
declined to 34.8% for the year ended March 31, 2000 compared to 39.9% in
the year ended March 31, 1999. The decline in selling, general and
administrative expenses as a percentage of net revenue was due to the
decrease in selling, general and administrative expense along with the
increase in revenue described above.
Research and Development Costs. Research and development costs for the
year ended March 31, 2000 increased 3.4% to $3.7 million from $3.6 million
for the year ended March 31, 1999. The increase is the result of increased
research and development efforts by Clinitec and Micromed. Research and
development costs as a percentage of net revenues decreased to 10.2% as
compared to 10.7% for the respective fiscal years as a result of the effect
of costs associated with the increased research and development efforts
growing at a proportionately lower rate than net revenues during the
comparable years.
Investment Income. Investment income for the year ended March 31, 2000
increased 83.8% to $759,000 from $413,000 for the year ended March 31,
1999. During the year ended March 31, 1999, the Company liquidated certain
investments and incurred a loss of $241,000. Also contributing to the
comparative increase in investment income was an increase in average funds
available for investment during the year ended March 31, 2000.
Provision for (Benefit from) Income Taxes. The provision for income taxes
for the year ended March 31, 2000 was $1,862,000 as compared to $713,000
for the year March 31, 1999. The provision for income taxes for the years
ended March 31, 2000 and 1999 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.
34
FOR THE YEARS ENDED MARCH 31, 1999 AND 1998.
For the year ended March 31, 1999, the Company's net income was $584,000,
or $0.09 per share on a basic and diluted basis. In comparison, after
recognizing a $10.2 million charge for purchased in-process research and
development in connection with the MicroMed acquisition, the Company
incurred a net loss of $(4.6) million, or $(0.77) per share on a basic and
diluted basis, for the year ended March 31, 1998. Excluding the charge, net
of the related income tax benefit, net income for the year ended March 31,
1998 would have been $1.7 million, or $0.29 per share and $0.28 per share
on a basic and diluted basis, respectively.
Net Revenues. Net revenues for the year ended March 31, 1999 increased 8.3%
to $33.8 million from $31.2 million for the year ended March 31, 1998.
Sales of computer systems, upgrades and supplies decreased 6.9% to $18.9
million from $20.3 million while net revenues from maintenance and other
services grew 36.5% to $14.9 million from $10.9 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 year ended
March 31, 1999 combined with the effect of a slight decrease in new system
sales during fiscal 1999. The increase in maintenance and other services
net revenue resulted principally from an increase in revenues from the
Company's increased client base together with an increase in revenues
generated from the Company's electronic data interchange services.
Cost of Products and Services. Cost of products and services for the year
ended March 31, 1999 increased 17.2% to $15.8 million from $13.5 million
for the year ended March 31, 1998 while cost of products and services as a
percentage of net revenues increased to 46.8% from 43.3% during the
comparable periods. The increase in cost of products and services in amount
during the 1999 fiscal year as compared to the 1998 fiscal year resulted
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 1999 fiscal
year; a change in the mix of new systems sales toward systems with higher
hardware content in the fiscal 1999 year; 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 year ended March 31, 1999 as
compared to the year ended March 31, 1998 resulted primarily from a
combination of the overall increase in the costs associated with the
above-described infrastructure expansion growing at a proportionately
greater rate on a year to year 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 year ended March 31, 1999 increased 8.1% to
$13.5 million from $12.5 million for the year ended March 31, 1998
primarily as a result of: the inclusion of such MicroMed expenses for the
entire year ended March 31, 1999 as compared to the inclusion of such
MicroMed expenses for only that portion of the corresponding year ended
35
March 31, 1998 following the May 1997 MicroMed acquisition; an additional
$236,000 provision for 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 remained relatively
unchanged at 39.9% and 40.0% for the respective years despite an increase
in net revenues.
Research and Development Costs. Research and development costs for the year
ended March 31, 1999 increased 17.3% to $3.6 million from $3.1 million for
the year ended March 31, 1998. The increase is the result of increased
research and development efforts by Clinitec and MicroMed as well as
consolidation of MicroMed's research and development costs for the entire
1999 fiscal year as compared to consolidating such expenses only for that
portion of the corresponding 1998 fiscal year following the May 1997
purchase of the MicroMed business. Research and development costs as a
percentage of net revenues increased to 10.7% as compared to 9.8% for the
respective fiscal years 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 years.
Purchased In-Process Research and Development. In connection with the
acquisition of MicroMed in May 1997, the purchase price allocated to in-
process research and development for which technological feasibility had
not been established was $10.2 million. In accordance with Statement of
Financial Accounting Standards No. 86, "Accounting for the Costs of
Computer Software to be Sold, Leased or Otherwise Marketed," software
development costs must be expensed until technological feasibility has been
established. Accordingly, the purchase price allocated to MicroMed's
purchased in-process research and development was expensed during the year
ended March 31, 1998. There was no similar acquisition transaction during
the year ended March 31, 1999.
Investment Income. Investment income for the year ended March 31, 1999
decreased 57.5% to $413,000 from $971,000 for the year ended March 31,
1998. The Company had an investment in a fund which traded in special
situation securities. During the year ended March 31, 1999, the investment
was liquidated and the Company incurred a loss of $241,000 after
recognizing an unrealized gain of $120,000 during fiscal 1998 relating to
this investment. Over the life of this investment, the Company incurred a
net gain of $22,000 in connection therewith. Also contributing to the
change in investment income for the fiscal 1999 year as compared to the
fiscal 1998 year was a decrease in average funds available for investment
during the year ended March 31, 1999. 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 year ended March 31, 1999 was $713,000 as compared to a benefit of
$2.5 million for the year ended March 31, 1998. The provision for and
benefit from income taxes for the years ended March 31, 1999 and 1998,
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.
36
LIQUIDITY AND CAPITAL RESOURCES.
Cash and cash equivalents increased $1.7 million in the year ended March
31, 2000 after declining by $1.9 million and $5.7 million in the years
ended March 31, 1999 and March 31, 1998, respectively. The large decreases
in cash and cash equivalents in fiscal 1998 and 1997 were as a result of
payments made in connection with the Clinitec and MicroMed acquisitions.
Net cash provided by operating activities was $3.6 million, $3.3 million
and $2.2 million for the years ended March 31, 2000, 1999 and 1998,
respectively. Net cash provided by operations for the year ended March 31,
2000 consisted principally of net income before depreciation and
amortization and increases in deferred service revenue, offset by an
increase in accounts receivable and a decrease in accounts payable.
Net cash provided by operations for the year ended March 31, 1999 consisted
primarily of the Company's net loss adjusted for the principal non-cash
operating expenses of depreciation, amortization and the $10.2 million
charge for purchased in-process research and development incurred in
connection with the acquisition of MicroMed together with increases in
deferred service revenue and other current liabilities offset in part by an
increase in accounts receivable and deferred income tax benefits. The
increase in accounts receivable during each of the fiscal years resulted
primarily from increased sales and the timing of sales in each period.
Net cash used in investing activities was $1.8 million, $5.1 million and
$7.8 million for the years ended March 31, 2000, 1999 and 1998,
respectively. Net cash used in investing activities for the year ended
March 31, 2000 was principally composed of investments in capitalized
software and fixed assets. Net cash used in investing activities for the
years ended March 31, 1999 and 1998 was principally impacted by the $3.8
million and $5.3 million, respectively, paid in connection with the
MicroMed acquisition. Net cash used for additions to equipment,
improvements and capitalized software for the years ended March 31, 2000,
1999 and 1998 were $1.7 million, $1.7 million and $2.7 million
respectively. There were no material short-term investment sales or
purchases during the years ended March 31, 2000 and 1998. Net cash used in
investing activities for the year ended March 31, 1999 were offset in part
by cash provided from net sales of short-term investments of $467,000.
Net cash used in financing activities for the years ended March 31, 2000
and 1999 was $85,000 and $197,000, respectively, which includes $111,000
and $247,000 used in each fiscal year to repurchase 17,400 shares and
40,100 shares, respectively, of the Company's Common Stock. Net cash
provided by (used in) financing activities for the years ended March 31,
2000, 1999 and 1998 also includes the proceeds from the exercise of
employee stock options.
The Company has no significant capital commitments and currently
anticipates that additions to equipment and improvements for fiscal 2001
will be comparable to fiscal 2000.
At March 31, 2000, the Company had cash and cash equivalents of $15.9
million and short-term investments of $243,000. The Company believes that
its cash and cash equivalents and short-term investments on hand at March
31, 2000, together with the cash flows from operations, if any, will be
sufficient to meet its working capital and capital expenditure
requirements for the next year.
37
YEAR 2000 IMPLICATIONS.
INTRODUCTION.
The Company is aware of issues associated with the programming code in
existing computer systems as the millennium approaches. In particular,
software applications that use only two digits to identify a year in the
date field may fail or create errors in the year 2000 ("Year 2000 Issues").
Year 2000 Issues create risk for the Company from unforeseen problems in
computer systems that the Company sells to customers on a nationwide basis
which are used, among other things, to process their financial transactions
and schedule patients ("Company Products"), as well as systems that the
Company uses internally to provide certain services to its customers and to
process its own financial transactions ("Internal Use Systems"). The
potential costs and uncertainties associated with Year 2000 Issues will
depend upon a number of factors, including the Company's proprietary and
third party developed software, hardware (hardware and third party
developed software will hereinafter be referred to collectively as "Third
Party Products") and the nature of the industry in which the Company
operates.
Company Products and Third Party Products sold by the Company may fail to
operate properly or as expected due to Year 2000 Issues. Such failures
could result in system failures or miscalculations causing disruptions of
customers' operations, including among other things, an inability to
process transactions, send invoices, conduct communications, schedule and
treat patients or engage in similar normal business activities. Further,
products and services used by the Company's customers, but not supplied by
the Company, could fail to operate properly or as expected due to Year 2000
Issues. Customers' efforts to plan for such events could result in the
deferral, delay or cancellation by customers of current installations of
and plans to purchase systems from the Company. Similarly, Internal Use
Systems, including both information systems and non-information systems,
may not operate properly or as expected due to Year 2000 Issues. Year 2000
Issues could result in system failures or miscalculations causing
disruption of the Company's operations, including among other things, an
inability to process its own and certain of its customers financial
transactions, send invoices, conduct communications, or engage in similar
normal business activities.
The Company cannot be sure that Year 2000 Issues will not affect its
business. Thus far, the Company has incurred no materially adverse
problems related to Year 2000 Issues associated with the computer systems,
software, other property and equipment we use. However, the Company cannot
guarantee that Year 2000 Issues will not adversely affect its business,
operating results or financial condition at some point in the future.
38
STATE OF READINESS.
The Company has undertaken various initiatives intended to address Year
2000 Issues. The Company has identified individuals and/or working groups
to (1) develop and implement the Company's definition of Year 2000
readiness; (2) assess Company Products, Third Party Products and Internal
Use Systems for possible Year 2000 Issues; (3) monitor development, testing
and remediation efforts with respect to Company Products, Third Party
Products and Internal Use Systems; (4) monitor and coordinate the Company's
deployment plans and results with respect to Year 2000 releases of Company
Products, Third Party Products and Internal Use Systems; and, (5) develop
contingency plans with respect to Company Products, Third Party Products
and Internal Use Systems. Although the Company's efforts to address Year
2000 Issues do not fall precisely into sequential phases, generally these
efforts are comprised of an assessment phase, a development phase (only
with respect to Company Products and certain proprietary Internal Use
Systems), a deployment or remediation phase, and a contingency planning
phase.
Company Products. The NextGen Suite of Applications and CPS are designed to
be Year 2000 compliant and contain no known Year 2000 Issues when
configured and used in accordance with the related documentation, and
provided that the underlying operating system of the host machine and any
other software used with or in the host machine are also Year 2000
compliant. However, there can be no assurance that such products do not
contain undetected errors or defects associated with Year 2000 Issues.
The Company's Legacy Product has required significant development and
remediation efforts in connection with Year 2000 Issues with many of these
efforts commencing in 1997. The Company completed its development efforts
in connection with Year 2000 Issues associated with the Legacy Product and
certain associated ancillary products during calendar 1999. Also during
calendar 1999, the Company completed deployment of Version 9 of its Legacy
Product which has been designed to be Year 2000 compliant.
Third Party Products Sold by the Company. The Company works closely with
vendors of significant Third Party Products sold by the Company and has
communicated with them to determine the extent to which their products and
services are, or will be, Year 2000 compliant. In addition, Company
Products have been tested, and the Company plans to continue testing
Company Products, with certain Third Party Products. Based upon its current
assessments, the Company believes that it has received adequate assurances
that significant Third Party Product vendors expect to successfully address
their significant identified Year 2000 Issues on a timely basis. Due to
uncertainties associated with Third Party Product vendors, the Company is
unable to predict whether a material adverse effect on the Company's
business, results of operations and financial condition may result form
Year 2000 Issues related to Third Party Products despite the Company's
current assessment to the contrary.
39
Internal Use Systems. Based upon the Company's assessment efforts to date,
the Company believes that its critical Internal Use Systems are Year 2000
compliant.
Certain of the Internal Use Systems are proprietary and were developed by
the Company. Company personnel have used similar techniques to identify
Year 2000 issues with its Company Products and proprietary Internal Use
Systems.
The proprietary Internal Use Systems have either been modified by Company
personnel or replaced with third party developed systems which the Company
believes will not fail as a result of Year 2000 Issues. The Company has
communicated with developers and/or vendors of certain of its third party
developed Internal Use Systems to determine the extent to which those
products and services are Year 2000 compliant. Based upon its current
assessments, the Company believes that it has received adequate assurances
that critical third party developed Internal Use Systems are Year 2000
compliant.
Contingency Plans. The Company is currently engaged in contingency planning
to address company-wide personnel, resource, technical and communication
matters in connection with foreseeable scenarios that may develop from Year
2000 Issues despite the Company's remediation efforts. The Company expects
that its development, remediation, testing, deployment and contingency
planning efforts with respect to Company Products, Third Party Products and
Internal Use Systems will continue up to and beyond March 31, 2000. The
Company's contingency planning includes possible (1) failure by the Company
and its vendors to complete efforts to avoid or minimize the impact of Year
2000 Issues on a timely basis; (2) failure of customers to be ready for, or
cooperate with, the deployment of Year 2000 compliant Company Products on a
timely basis; and, (3) delay, deferral or cancellation by customers of
current installations and prospective purchase decisions with respect to
Company Products. A reasonably likely "worst case" scenario has not yet
been identified, but it is anticipated that such scenario would include the
failure of significant communications and computing infrastructures by the
Company, its customers and its suppliers together with failures of
infrastructures encompassing utilities, transportation, banking and
government.
COSTS.
The total cost to address the Company's Year 2000 Issues were not material
to the Company's financial condition. The Company does not separately track
all of its internal personnel costs incurred in connection with identifying
and resolving Year 2000 Issues. Excluding internal costs, total
expenditures to address Year 2000 Issues were less than $100,000. All of
these expenditures have been funded from operations.
40
Item 7A. QUALITATIVE AND QUANTITATIVE DISCLOSURES ABOUT MARKET RISK.
-----------------------------------------------------------
Not Applicable.
41
Item 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA.
--------------------------------------------
The Financial Statements of the Company identified in the Index to
Financial Statements appearing under "Item 14. Exhibits, Financial
Statement Schedules, and Reports on Form 8-K." of this report are
incorporated herein by reference to Item 14.
42
Item 9. CHANGES IN AND DISAGREEMENTS WITH
ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE.
---------------------------------------------------
None.
43
PART III.
Item 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT.
---------------------------------------------------
Except for information concerning the Company's executive officers which is
included under the caption "Executive Officers of the Registrant."
following Part I, Item 4 of this report, the information required by Item
10 is incorporated herein by reference from the Company's definitive proxy
statement scheduled to be filed with the Securities and Exchange Commission
on or before July 29, 2000 for the Company's 2000 annual shareholders'
meeting.
44
Item 11. EXECUTIVE COMPENSATION.
-----------------------
The information required by Item 11 is incorporated herein by reference
from the Company's definitive proxy statement scheduled to be filed with
the Securities and Exchange Commission on or before July 29, 2000 for the
Company's 2000 annual shareholders' meeting.
45
Item 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT.
---------------------------------------------------------------
The information required by Item 12 is incorporated herein by reference
from the Company's definitive proxy statement scheduled to be filed with
the Securities and Exchange Commission on or before July 29, 2000 for the
Company's 2000 annual shareholders' meeting.
46
Item 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS.
-----------------------------------------------
The information required by Item 13 is incorporated herein by reference
from the Company's definitive proxy statement scheduled to be filed with
the Securities and Exchange Commission on or before July 29, 2000 for the
Company's 2000 annual shareholders' meeting.
47
PART IV.
Item 14. EXHIBITS, FINANCIAL STATEMENT SCHEDULES, AND REPORTS ON FORM 8-K.
------------------------------------------------------------------
Page
----------
(a) Documents filed as part of this report.
(1) Index to Financial Statements.
Independent Auditors' Report. F-1
Consolidated Balance Sheets
at March 31, 2000 and 1999 F-2
Consolidated Statements of Operations
and Comprehensive Operations for the
Years Ended March 31, 2000, 1999 and 1998 F-3
Consolidated Statements of Shareholders' Equity
for the Years Ended March 31, 2000, 1999 and 1998 F-4
Consolidated Statements of Cash Flows for
the Years Ended March 31, 2000, 1999 and 1998 F-5
Notes to Financial Statements F-7
(2) Financial Statement Schedule.
Schedule II - Valuation and Qualifying Accounts F-21
(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.
48
INDEX TO EXHIBITS
(continued)
Sequential
Page
Exhibit No.
- ------- ----------
3.2.2 Text of Sections 2 and 3 of Article II of the
Bylaws of the Registrant is hereby incorporated
by reference to Exhibit 3.2.2 to the Registrant's
Quarterly report on Form 10-QSB for the period
ended December 31, 1996, File No. 0-13801.
3.2.3 Certificate of Amendment of Bylaws of the
Registrant. 74
10.2* 1989 Incentive Stock Option Plan is hereby
incorporated by reference to Exhibit 4.1 to
the Registrant's Registration Statement on
Form S-8, File No. 33-31949.
10.2.1* Form of Incentive Stock Option Agreement is
hereby incorporated by reference to
Exhibit 10.2 to the Registrant's Registration
Statement on Form S-1, File No. 333-00161.
10.2.2* Form of Non-Qualified Stock Option Agreement
is hereby incorporated by reference to
Exhibit 10.3 to the Registrant's Registration
Statement on Form S-1, File No. 333-00161.
10.3* Form of Incentive Stock Option Agreement is
hereby incorporated by reference to
Exhibit 10.2 to the Company's Registration
Statement on Form S-1, File No. 2-80056.
10.4* 1993 Deferred Compensation Plan, is hereby
incorporated by reference to Exhibit 10.5
to the Registrant's Annual Report on
Form 10-KSB for the year ended March 31, 1994,
File No. 0-13801.
10.4.2* Profit Sharing and Retirement Plan, as
amended, is hereby incorporated by reference
to Exhibit 10.4.2 to the Registrant's Annual
Report on Form 10-KSB for the year ended
March 31, 1994, File No. 0-13801.
10.4.3* Profit Sharing and Retirement Plan, as
amended, amendments No. 2 and 3, are hereby
incorporated by reference to Exhibit 10.4.3
to the Registrant's Annual Report on
Form 10-KSB for the year ended March 31, 1996,
File No. 0-13801.
49
INDEX TO EXHIBITS
(continued)
Sequential
Page
Exhibit No.
- ------- ----------
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.
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.
50
INDEX TO EXHIBITS
(continued)
Sequential
Page
Exhibit No.
------- ----------
10.12 Shareholder Rights Agreement, dated as of November
25, 1996, by and between Quality Systems, Inc.
and U.S. Stock Transfer Corp. is hereby
incorporated by reference to the Exhibit to the
Registrant's Registration Statement on Form 8-A,
File No. 001-12537.
10.13 Asset Purchase Agreement, dated May 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.
10.16* Memorandum of Understanding regarding the April 3,
2000 resignation of Sheldon Razin between Sheldon
Razin and Quality Systems, Inc.
10.17* Memoradum of Understanding Relating to Director Nominees
is hereby incorporated by reference to Registrant's
Definitive Proxy Statement for the Company's 1999
Shareholder's Meeting, File No. 001-12537.
21 List of Subsidiaries. 78
23.1 Independent Auditor's Consent -
Deloitte & Touche LLP. 80
27.1 Financial Data Schedule, is filed herewith. 82
* This exhibit is a management contract or a
compensatory plan or arrangement.
51
INDEX TO EXHIBITS
(continued)
(b) Reports on Form 8-K: None
52
SIGNATURES.
In accordance with Section 13 or 15(d) of the Securities Exchange Act of
1934, the registrant caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.
QUALITY SYSTEMS, INC.
By: /s/PATRICK CLINE Date: June 26, 2000
- ----------------------------- ---------------------------
PATRICK CLINE
Interim Chief Executive Officer
In accordance with the Securities Exchange Act of 1934, this report has
been signed below by the following persons on behalf of the registrant and
in the capacities and on the dates indicated.
Signature Title Date
--------- ----- ----
/s/ SHELDON RAZIN Chairman of the Board June 26, 2000
- -------------------------- of Directors
SHELDON RAZIN
/s/ AHMED HUSSEIN Co-Chairman of the Board June 26, 2000
- -------------------------- of Directors
AHMED HUSSEIN
/s/ PATRICK CLINE Interim Chief Executive June 26, 2000
- -------------------------- Officer
PATRICK CLINE
/s/ PAUL HOLT Interim Chief Financial
- -------------------------- Officer, Secretary June 26, 2000
PAUL HOLT (Principal Financial and Accounting Officer)
/s/ MOHAMMED TAWFICK EL-BARDAI
- -------------------------- Director June 26, 2000
MOHAMMED TAWFICK EL-BARDAI
/s/ DALE HANSON
- -------------------------- Director June 26, 2000
DALE HANSON
/s/ FRANK MEYER
- -------------------------- Director June 26, 2000
FRANK MEYER
/s/ WILLIAM SMALL
- -------------------------- Director June 26, 2000
WILLIAM SMALL
/s/ EMAD ZIKRY
- -------------------------- Director June 26, 2000
EMAD ZIKRY
53
INDEPENDENT AUDITORS' REPORT
----------------------------
Board of Directors and Shareholders
Quality Systems, Inc.
We have audited the accompanying consolidated balance sheets of Quality
Systems, Inc. and subsidiaries as of March 31, 2000 and 1999, and the
related consolidated statements of operations and comprehensive operations,
shareholders' equity and cash flows for each of the three years in the
period ended March 31, 2000. Our audits also included the financial
statement schedule listed in the Index of Item 14. (a) (2). These financial
statements and schedule are the responsibility of the Company's management.
Our responsibility is to express an opinion on these financial statements
and schedule based on our audits.
We conducted our audits in accordance with auditing standards generally
accepted in the United States of America. Those standards require that we
plan and perform the audits to obtain reasonable assurance about whether
the financial statements are free of material misstatement. An audit
includes examining, on a test basis, evidence supporting the amounts and
disclosures in the financial statements. An audit also includes assessing
the accounting principles used and significant estimates made by
management, as well as evaluating the overall financial statement
presentation. We believe that our audits provide a reasonable basis for our
opinion.
In our opinion, such consolidated financial statements present fairly, in
all material respects, the financial position of Quality Systems, Inc. and
subsidiaries as of March 31, 2000 and 1999, and the results of their
operations and their cash flows for each of the three years in the period
ended March 31, 2000 in conformity with accounting principles generally
accepted in the United States of America. Also, in our opinion, the related
financial statement schedule, when considered in relation to the basic
financial statements taken as a whole, presents fairly in all material
respects the information set forth therein.
DELOITTE & TOUCHE LLP
Costa Mesa, California
May 19, 2000
F-1
54
QUALITY SYSTEMS, INC.
CONSOLIDATED BALANCE SHEETS
(in thousands)
March 31,
----------------
ASSETS 2000 1999
------- -------
Current Assets:
Cash and cash equivalents $15,926 $14,196
Short-term investments 243 245
Accounts receivable, less allowance for
doubtful accounts of $1,121 and $754, respectively 13,710 12,488
Inventories 1,010 772
Deferred Tax Asset 2,066 765
Other current assets 430 254
------- -------
Total current assets 33,385 28,720
Equipment and Improvements, net 1,797 1,783
Capitalized Software Costs, net 1,984 2,144
Deferred Tax Asset 3,042 3,254
Excess of Cost Over Net Assets of
Acquired Business, net of accumulated
amortization of $1,294 and $954, respectively 2,112 2,452
Other Assets 1,816 1,865
------- -------
Total assets $44,136 $40,218
======= =======
LIABILITIES AND SHAREHOLDERS' EQUITY
Current Liabilities:
Accounts payable $ 1,246 $ 1,813
Deferred service revenue 5,691 4,484
Other current liabilities 5,116 4,257
------- -------
Total liabilities 12,053 10,554
------- -------
Commitments and Contingencies
Shareholders' Equity:
Common stock, $0.01 par value, 20,000
shares authorized, 6,201 and 6,214
shares issued and outstanding, respectively 62 62
Additional paid-in capital 35,483 35,568
Accumulated deficit (3,462) (5,966)
------- -------
Total shareholders' equity 32,083 29,664
------- -------
Total liabilities and shareholders' equity $44,136 $40,218
======= =======
See notes to consolidated financial statements.
F-2
55
QUALITY SYSTEMS, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE OPERATIONS
(in thousands, except per share amounts)
Years Ended March 31,
-----------------------------
2000 1999 1998
------- ------- -------
Net Revenues:
Sales of computer
systems, upgrades and supplies $19,247 $18,875 $20,273
Maintenance and other services 17,126 14,941 10,943
------- ------- -------
36,373 33,816 31,216
Cost of Products and Services 16,395 15,834 13,509
------- ------- -------
Gross Profit 19,978 17,982 17,707
Selling, General and
Administrative Expenses 12,645 13,495 12,485
Research and Development Costs 3,726 3,603 3,072
Purchased In-Process
Research and Development - - 10,200
------- ------- -------
Income (Loss) from Operations 3,607 884 (8,050)
Investment Income 759 413 971
------- ------- -------
Income (Loss) before Provision
for (Benefit from) Income Taxes 4,366 1,297 (7,079)
Provision for
(Benefit from) Income Taxes 1,862 713 (2,463)
------- ------- -------
Net Income (Loss) and
Comprehensive Income (Loss) $ 2,504 $ 584 $(4,616)
======= ======= =======
Net Income (Loss) per Share,
basic and diluted $ 0.40 $ 0.09 $ (0.77)
======= ======= =======
See notes to consolidated financial statements.
F-3
56
QUALITY SYSTEMS, INC.
CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY
(in thousands)
Common
Shares Issued Additional
-------------- Paid-in Accumulated
Number Amount Capital Deficit
------ ------ ---------- ----------
Balance at
April 1, 1997 5,997 60 34,144 (1,934)
Exercise of
Stock Options 31 - 48 -
Tax Benefit
Resulting from
Stock Options - - 10 -
Purchases of
Common Stock (40) - (271) -
Net Loss - - - (4,616)
------ ------ ---------- ----------
Balance at
March 31, 1998 5,988 60 33,931 (6,550)
Shares Issued in
Acquisition of
MicroMed Healthcare
Information
Systems, Inc. 245 3 1,833 -
Exercise of
Stock Options 33 - 50 -
Purchases of
Common Stock (52) (1) (246) -
Net Income - - - 584
------ ------ ---------- ----------
Balance at
March 31, 1999 6,214 $ 62 $ 35,568 $ (5,966)
Exercise of
Stock Options 4 - 25 -
Tax Benefit Resulting
From Stock Options - - 1
Purchases of
Common Stock (17) - (111) -
Net Income - - - 2,504
------ ------ ---------- ----------
Balance at
March 31, 2000 6,201 $ 62 $ 35,483 $ (3,462)
See notes to consolidated financial statements.
F-4
57
QUALITY SYSTEMS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands)
Years Ended March 31,
----------------------------------
2000 1999 1998
---------- ---------- ----------
Cash Flows from Operating Activities:
Net income (loss) $ 2,504 $ 584 $ (4,616)
Adjustments to reconcile net
income (loss) to net cash
provided by operating activities:
Purchased in-process
research and development - - $ 10,200
Depreciation and amortization 2,204 2,465 1,895
Provision for bad debts 529 954 339
(Loss) gain on short-term
investments and other 132 261 (90)
Deferred income taxes (1,088) (592) (3,336)
Changes, net of
amounts acquired, in:
Accounts receivable (1,751) (3,496) (3,514)
Inventories (238) 556 (257)
Other current assets (176) (2) 116
Accounts payable (567) 486 (72)
Deferred service revenue 1,207 2,240 590
Income taxes payable
and taxes related to
equity accounts 723 344 397
Other current liabilities 136 (453) 590
---------- ---------- ----------
Net Cash Provided By
Operating Activities 3,615 3,347 2,242
---------- ---------- ----------
Cash Flows from Investing Activities:
Proceeds from sales of
short-term investments 29 542 -
Purchases of short-term investments (50) (75) -
Additions to equipment
and improvements (588) (521) (810)
Additions to
capitalized software costs (1,130) (1,204) (1,861)
Purchase of net assets of MicroMed
Healthcare Information Systems, Inc. - (3,840) (5,327)
Change in other assets (60) 37 234
---------- ---------- ----------
Net Cash Used In Investing Activities (1,799) (5,061) (7,764)
---------- ---------- ----------
See notes to consolidated financial statements.
F-5
58
QUALITY SYSTEMS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS (continued)
(in thousands)
Years Ended March 31,
----------------------------------
2000 1999 1998
---------- ---------- ----------
Cash Flows from Financing Activities:
Purchases of Common Stock $ (111) $ (247) $ (271)
Proceeds from
exercise of stock options 25 50 48
---------- ---------- ----------
Net Cash Used In Financing Activities (86) (197) (223)
---------- ---------- ----------
Net Increase (Decrease) in Cash
and Cash Equivalents 1,730 (1,911) (5,745)
Cash and Cash
Equivalents, beginning of year 14,196 16,107 21,852
---------- ---------- ----------
Cash and Cash Equivalents, end of year $ 15,926 $ 14,196 $ 16,107
========== ========== ==========
Supplemental Information - During fiscal 2000, 1999 and 1998 the Company
made income tax payments of $2,421, $951 and $485, respectively.
Years Ended March 31,
----------------------------------
2000 1999 1998
---------- ---------- ----------
Detail of businesses
acquired in purchase transactions:
Purchased In-Process
Research and Development $ - $ - $ 10,200
Fair Value of Assets Acquired - - 1,480
Liabilities Assumed - - (677)
Common Stock Issued in Acquisition - (1,836) -
Acquisition Obligation - 5,676 (5,676)
---------- ---------- ----------
Cash Paid for the
Acquisition, net of cash acquired $ - $ 3,840 $ 5,327
========== ========== ==========
See notes to consolidated financial statements.
F-6
59
QUALITY SYSTEMS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
NOTE 1 - DESCRIPTION OF BUSINESS
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
proprietary computer information systems for medical and dental group
practices, community health centers, physician hospital organizations,
management service organizations, and dental schools. The Company's
proprietary software systems include general patient information,
appointment scheduling, billing, insurance claims submission and
processing, managed care plan implementation and referral management,
treatment outcome studies, treatment planning, drug formularies, electronic
medical records, dental charting and letter generation. In addition to
providing fully integrated solutions, the Company provides its clients with
comprehensive hardware and software maintenance and support services,
system training services and electronic claims submission services.
NOTE 2 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Principles of Consolidation - The consolidated financial statements include
the accounts of the Company and its wholly owned subsidiaries. All
significant inter-company amounts have been eliminated.
Basis of Presentation - The accompanying consolidated financial statements
have been prepared in accordance with accounting principals generally
accepted in the United States of America.
Revenue Recognition - In October 1997, the American Institute of Certified
Public Accounts 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
vendor specific 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 contractual maintenance period.
F-7
60
QUALITY SYSTEMS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)
Cash Equivalents - The Company considers all highly liquid interest earning
deposits purchased with an original maturity of three months or less to be
cash equivalents.
Short-Term Investments - The Company classifies its short-term investments
into one of the following categories:
Held to maturity - Debt securities for which the Company has the intent
and the ability to hold to maturity.
Trading - Debt securities that do not meet the "intent-to-hold"
criteria and equity securities, both of which are bought and held
principally for the purpose of being sold in the near term.
Available-for-sale - Debt securities that do not meet the "intent-to-
hold" criteria and which are not classified as trading securities, as
well as all equity securities not otherwise classified as trading
securities.
Held to maturity securities are carried in the balance sheet at cost
(unless there are declines in the values of individual securities that are
not due to temporary declines), and realized gains and losses are recorded
in the statement of operations in the period that they are earned or
incurred. Trading securities are carried in the balance sheet at fair
market value and unrealized gains and losses are recorded in the statement
of operations. Available-for-sale securities are carried in the balance
sheet at fair market value; realized gains and losses are recorded in the
statement of operations when they are earned or incurred, and unrealized
gains and losses, net of tax effect, are recognized as a component of
shareholders' equity. Realized gains and losses from investment
transactions are determined on a first-in, first-out basis.
Accounts Receivable -The Company provides credit terms ranging from 30 days
to 12 months for most system and maintenance contract sales and generally
does not require collateral. The Company performs ongoing credit
evaluations of its customers and maintains reserves for potential credit
losses.
Inventories - Inventories are valued at lower of cost (first-in, first-out)
or market. Certain inventories are maintained for customer support pursuant
to service agreements and are amortized over a five-year period using the
straight-line method.
Equipment and Improvements - Equipment and improvements are stated at cost
less accumulated depreciation and amortization. Depreciation and
amortization of equipment and improvements are provided over the estimated
useful lives of the assets, or the related lease terms if shorter, by the
straight-line method. Useful lives range from five to seven years.
Software Development Costs - Development costs incurred in the research and
development of new software products and enhancements to existing software
products are expensed as incurred until technological feasibility has been
established. After technological feasibility is established, any additional
development costs are capitalized in accordance with Statement of Financial
Accounting Standards ("SFAS") No. 86, "Accounting for the Costs of Computer
Software to be Sold, Leased or Otherwise Marketed." Such costs are
F-8
61
QUALITY SYSTEMS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)
generally amortized on a straight line basis over the lesser of three years
or the economic life of the related product. The Company performs a
periodic review of the recoverability of such capitalized software costs.
At the time a determination is made that capitalized amounts are not
recoverable based on the estimated cash flows to be generated from the
applicable software, any remaining capitalized amounts are written off.
Excess of Cost Over Net Assets of Acquired Business and Intangible Assets -
Excess of costs over net assets of acquired business and intangible assets
are being amortized using the straight-line method over ten years and five
years, respectively. The Company performs a periodic review of the
recoverability of such unamortized amounts. At the time a determination is
made that any portion of such unamortized amounts are not recoverable based
on the estimated cash flows to be generated, the excess amount is written
off.
Long Lived Assets - The Company accounts for the impairment and disposition
of long-lived assets in accordance with Statement of Financial Accounting
Standards (SFAS) No. 121, "Accounting for the Impairment of Long-Lived
Assets and for Long-Lived Assets to Be Disposed Of. In accordance with
SFAS No. 121, long-lived assets to be held are reviewed for events or
changes in circumstances which indicate that their carrying value may not
be recoverable. The Company periodically reviews the carrying value of
long-lived assets to determine whether or not an impairment to such value
has occurred and has determined that there was no impairment at March 31,
2000.
Income Taxes - Income taxes are provided for the tax effects of
transactions reported in the financial statements and consist of taxes
currently due plus deferred taxes related primarily to differences between
the basis of assets and liabilities for financial and tax reporting. The
deferred tax assets and liabilities represent the future tax return
consequences of those differences, which will either be taxable or
deductible when the assets and liabilities are recovered or settled.
Deferred taxes also are recognized for operating losses that are available
to offset future taxable income and tax credits that are available to
offset future income taxes. Valuation allowances are established as a
reduction of net deferred tax assets when management cannot determine that
it is now more likely than not that the deferred assets will be realized.
Earnings per Share - Pursuant to SFAS No 128, "Earnings Per Share," ("SFAS
No. 128"), the Company provides dual presentation of "basic" and "diluted"
earnings per share ("EPS"). SFAS No. 128 replaced "primary" and "fully
diluted" EPS under Accounting Principles Board ("APB") Opinion No. 15.
Basic EPS excludes dilution from common stock equivalents and is computed
by dividing income available to common stockholders by the weighted average
number of common shares outstanding for the period. Diluted EPS reflects
the potential dilution from common stock equivalents, similar to fully
diluted EPS, but uses only the average stock price during the period as
part of the computation.
F-9
62
QUALITY SYSTEMS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)
The following table reconciles the weighted average shares outstanding for
basic and diluted net income (loss) per share for the periods presented.
Years Ended March 31,
-------------------------
2000 1999 1998
------- ------- -------
(in thousands except per share amounts)
Net income (loss) $ 2,504 $ 584 $(4,616)
------- ------- -------
Basic net income (loss) per common share:
Weighted average of common shares outstanding 6,208 6,176 5,981
------- ------- -------
Basic net income(loss) per common share $ 0.40 $ 0.09 $ (0.77)
======= ======= =======
Diluted net income (loss) per share:
Weighted average of common shares outstanding 6,208 6,176 5,981
Weighted average of common shares equivalents-
Weighted average options outstanding 53 9 -
------- ------- -------
Weighted average number of common
and common equivalent shares 6,261 6,185 5,981
------- ------- -------
Diluted net income(loss) per common share $ 0.40 $ 0.09 $ (0.77)
======= ======= =======
Stock-Based Compensation - The Company accounts for stock-based awards to
employees using the intrinsic value method in accordance with APB Opinion
No. 25, "Accounting for Stock Issued to Employees" ("APB No. 25").
Comprehensive Income (Loss) - In fiscal 1999, the Company adopted 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 years
ended, March 31, 2000, 1999, and 1998, there were no significant
differences between net income (loss) and comprehensive income (loss).
Segment Disclosures - In fiscal 1999, the Company adopted SFAS No. 131,
"Disclosures About Segments of an Enterprise and Related Information"
("SFAS No. 131"). The Company adopted SFAS No. 131 effective with the
fiscal year ended March 31, 1999. SFAS No. 131 establishes standards for
reporting information regarding operating segments in annual financial
statements and requires selected information for those segments to be
presented in interim financial reports issued to shareholders. SFAS No. 131
also establishes standards for related disclosures about major customers,
products and services, and geographic areas. Operating segments are
identified as components of an enterprise about which separate discrete
financial information is available for evaluation by the chief operating
decision maker, or decision making group, in making decisions on how to
allocate resources and assess performance.
The Company views its operations and manages its business as one segment,
healthcare information solutions, which includes software, hardware and
related services. Substantially all of the Company's operations are in the
United States.
F-10
63
QUALITY SYSTEMS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)
No one customer accounted for 10% or more of the Company's revenues in
fiscal 2000, 1999, or 1998. As a result, the financial information
disclosed herein represents all of the material financial information
related to the Company's principal operating segment.
Use of Estimates - The preparation of financial statements in conformity
with generally accepted accounting principles requires management to make
estimates and assumptions that affect the reported amounts of assets and
liabilities and disclosure of contingent assets and liabilities at the date
of the financial statements and the reported amounts of revenues and
could differ from those estimates made in the current year.
Reclassifications - Certain amounts in the accompanying financial
statements have been reclassified to conform with the March 31, 2000
presentation.
New Accounting Pronouncements - In June 1998, the FASB issued SFAS No. 133,
Accounting for Derivative Instruments and Hedging Activities ("SFAS No.
133"), which the Company is required to adopt in fiscal 2002. This
statement establishes accounting and reporting standards for derivative
instruments, including certain derivative instruments embedded in other
contracts for hedging activities. As of March 31, 2000, the Company had no
derivative instruments nor had it engaged in hedging activities, but it
will continue to evaluate the effects of adopting SFAS No. 133.
NOTE 3 - CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS
At March 31, 2000 and 1999, the Company had cash equivalents of $15.1
million and $12.9 million, respectively, invested in a major national
brokerage firm's institutional fund that specializes in U.S. government
securities and commercial paper with high credit ratings.
At March 31, 2000 and 1999, all short-term investments consist of trading
securities. The Company bears no off-balance sheet risk on its investments.
Investment income for each of the three years ended March 31, 2000 consists
of the following:
Years Ended March 31,
----------------------------------
2000 1999 1998
---------- ---------- ----------
(in thousands)
Interest Income $ 783 $ 674 $ 884
Net Gains (Losses) on
Short-Term Investments --
Realized 0 (220) 146
Unrealized (24) (38) (58)
Other 0 (3) (1)
---------- ---------- ----------
$ 759 $ 413 $ 971
========== ========== ==========
F-11
64
QUALITY SYSTEMS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)
NOTE 4 - CAPITALIZED SOFTWARE COSTS
Capitalized software costs at March 31, 2000 and 1999 were net of
accumulated amortization of $3.3 million and $2.0 million, respectively.
Information related to net capitalized software costs is as follows:
Years Ended March 31,
----------------------------------
2000 1999 1998
---------- ---------- ----------
(in thousands)
Beginning of year $ 2,144 $ 2,183 $ 1,041
Capitalized 1,130 1,204 1,861
Amortization (1,290) (1,243) (719)
---------- ---------- ----------
End of year $ 1,984 $ 2,144 $ 2,183
========== ========== ==========
F-12
65
QUALITY SYSTEMS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)
NOTE 5 - COMPOSITION OF CERTAIN FINANCIAL STATEMENT CAPTIONS
March 31,
----------------------
2000 1999
---------- ----------
(in thousands)
INVENTORIES:
Computer systems and components $ 785 $ 529
Replacement parts for certain client
systems, net of accumulated amortization
of $594 and $652, respectively 188 194
Miscellaneous parts and supplies 37 49
---------- ----------
$ 1,010 $ 772
========== ==========
EQUIPMENT AND IMPROVEMENTS:
Computers and electronic test equipment $ 3,175 $ 2,870
Furniture and fixtures 964 899
Vehicles 72 72
Leasehold improvements 133 198
---------- ----------
4,344 4,039
Accumulated depreciation and amortization (2,547) (2,256)
---------- ----------
$ 1,797 $ 1,783
========== ==========
OTHER ASSETS:
Intangible assets, net of accumulated
amortization of $1,196 and $841, respectively $ 574 $ 929
Other 1,242 936
---------- ----------
$ 1,816 $ 1,865
========== ==========
OTHER CURRENT LIABILITIES:
Accrued payroll and related expenses $ 1,322 $ 1,369
Deferred compensation 1,021 821
Income taxes payable 1,445 897
Other accrued expenses 1,328 1,170
---------- ----------
$ 5,116 $ 4,257
========== ==========
F-13
66
QUALITY SYSTEMS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)
NOTE 6 - INCOME TAXES
The income tax provision (benefit) consists of the following components:
Years Ended March 31,
---------------------------------
2000 1999 1998
---------- ---------- ----------
(in thousands)
Federal-
Current taxes $ 2,308 $ 1,095 $ 672
Deferred taxes (808) (473) (2,832)
---------- ---------- ----------
1,500 622 (2,160)
State- ---------- ---------- ----------
Current taxes 642 210 201
Deferred taxes (280) (119) (504)
---------- ---------- ----------
362 91 (303)
---------- ---------- ----------
$ 1,862 $ 713 $ (2,463)
========== ========== ==========
The income tax provision (benefit) differs from an amount computed at the
Federal statutory rate as follows:
Years Ended March 31,
----------------------------------
2000 1999 1998
---------- ---------- ----------
(in thousands)
Federal income tax provision
(benefit) at statutory rate (34%) $ 1,485 $ 441 $ (2,407)
Increases (decreases) resulting from:
Non-deductible amortization
of purchased intangible assets 160 161 144
State income taxes 222 96 (201)
Other (5) 15 1
---------- ---------- ----------
$ 1,862 $ 713 $ (2,463)
========== ========== ==========
F-14
67
QUALITY SYSTEMS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)
The net deferred tax benefits in the accompanying consolidated balance
sheets include the following components:
March 31,
----------------------
2000 1999
---------- ----------
(in thousands)
Deferred tax assets -
Short-term investments $ 14 $ 10
Accounts receivable 1,459 298
Inventories 70 56
Purchased in-process research and development 3,130 3,388
Intangible assets 128 83
Accrued compensation 291 280
Accrued liability for deferred compensation 348 277
Other Accrued Liabilities 12 -
Deferred revenue 109 297
State income taxes 139 54
Net operating loss carryforward - 84
---------- ----------
5,700 4,827
Deferred tax liabilities - ---------- ----------
Inventories (18) (21)
Equipment and improvements (12) (12)
Accumulated depreciation (57) (76)
Capitalized software (495) (490)
Deferred revenue (10) (209)
---------- ----------
(592) (808)
---------- ----------
$ 5,108 $ 4,019
========== ==========
The deferred tax assets and liabilities have been shown net in the
accompanying balance sheets based on the long-term or short-term nature of
the items which give rise to the deferred amount.
NOTE 7 - EMPLOYEE BENEFIT PLANS
QSI, Clinitec and MicroMed each have a profit sharing and retirement plan
(collectively, the "Retirement Plans") for the benefit of substantially all
of their employees. Participating employees may defer up to 15% of their
compensation per year. The Company's annual contribution is determined by
the Company's Board of Directors and the Retirement Plans may be amended or
discontinued at the discretion of the Board of Directors. Contributions of
$73,000, $53,000 and $43,000 were made to the Retirement Plans for the
fiscal years ended March 31, 2000, 1999 and 1998, respectively.
During the fiscal year ended March 31, 1994, QSI initiated a deferred
compensation plan (the "Deferral Plan") for the benefit of officers and key
employees. Participating employees may defer all or a portion of their
compensation for a Deferral Plan year. In addition, the Company may, but is
not required to, make contributions into the Deferral Plan on behalf of
participating employees. Each participating employee's deferred
compensation and share of Company contributions has been invested in a life
F-15
68
QUALITY SYSTEMS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)
insurance policy which has death benefit and mutual fund features.
Investment decisions are made by each participating employee from a family
of mutual funds. The Company is the owner and beneficiary of the life
insurance policies and has an obligation to pay the greater of the death
benefit or the net cash surrender value upon each employee's death or
termination. The net cash surrender value of the life insurance policies
and the related Company obligation for deferred compensation was $1,021,000
and $821,000 at March 31, 2000 and 1999, respectively. The Company made
contributions of $10,000, $8,000 and $8,000 to the Deferral Plan for the
fiscal years ended March 31, 2000, 1999 and 1998, respectively.
NOTE 8 - EMPLOYEE STOCK OPTION PLANS
During fiscal 1990, the Company's shareholders approved a stock option plan
(the "1989 Plan") under which 1,000,000 shares of Common Stock have been
reserved for the issuance of options. The 1989 Plan provides that salaried
officers, key employees and non-employee directors of the Company may, at
the discretion of the Board of Directors, be granted options to purchase
shares of Common Stock at an exercise price not less than 85% of their fair
market value on the option grant date. Upon an acquisition of the Company
by merger or asset sale, each outstanding option will be subject to
accelerated vesting under certain circumstances. The 1989 Plan terminated
on June 30, 1999, however there remain 274,359 outstanding options under
the 1989 plan which remain eligible for exercise until the expiration of
their respective terms.
In September 1998, the Company's shareholders approved a stock option plan
(the "1998 Plan") under which 1,000,000 shares of Common Stock have been
reserved for the issuance of options. The 1998 Plan provides that
employees, directors and consultants of the Company, at the discretion of
the Board of Directors, be granted options to purchase shares of Common
Stock. The exercise price of each option granted shall be determined by the
Company's Board of Directors at the date of grant. Upon an acquisition of
the Company by merger or asset sale, each outstanding option will be
subject to accelerated vesting under certain circumstances. The 1998 Plan
terminates on December 31, 2007, unless sooner terminated by the Board. At
March 31, 2000, 899,000 shares were available for future grant under the
1998 Plan.
F-16
69
QUALITY SYSTEMS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)
A summary of option transactions under the 1989 & 1998 Plans for the three
years ended March 31, 2000 is as follows:
Weighted
Average
Number Exercise
of Shares Price
----------- ----------
Outstanding, April 1, 1997 (43,000 exercisable
at a weighted average price of $2.98) 267,500 15.20
Granted (weighted average fair value of $662,000) 164,831 7.37
Exercised (30,250) 1.60
Cancelled (182,549) 21.08
-----------
Outstanding, March 31, 1998 (50,500 exercisable
at a weighted average price of $3.45) 219,532 6.31
Granted (weighted average fair value of $123,000) 60,000 7.26
Exercised (33,000) 1.50
Cancelled (66,250) 7.56
-----------
Outstanding, March 31, 1999 (53,821 exercisable
at a weighted average price of $7.09) 180,282 $ 7.04
Granted (weighted average fair value of $775,000) 220,250 6.58
Exercised (4,625) 5.52
Cancelled (23,048) 6.86
-----------
Outstanding, March 31, 2000 (107,867 exercisable
at a weighted average price of $7.11) 372,859 6.80
=========== ==========
The outstanding stock options vest ratably over a four-year period
commencing from the respective option grant dates. Stock options
outstanding at March 31, 2000 are summarized as follows:
Options Outstanding - Weighted
Average
Number Remaining Weighted
Range of Outstanding at Contractual Average
Exercise Prices March 31, 2000 Life (Yrs.) Exercise Price
- --------------- -------------- ----------- --------------
$ 3.69 - $ 6.25 127,625 3.8 $ 6.04
6.38 - 8.13 226,734 3.6 6.91
9.38 - 23.50 18,500 3.6 10.71
--------------
$ 3.69 - $23.50 372,859 3.7 $ 6.80
=============== ============== =========== ==============
Options Exercisable - Number Weighted
Range of Exercisable at Average
Exercise Prices March 31, 2000 Exercise Price
--------------- -------------- --------------
$ 3.69 - $ 6.25 2,500 $ 4.31
6.38 - 8.13 100,492 6.90
9.38 - 23.50 4,875 12.82
--------------
$ 3.69 - $23.50 107,867 $ 7.11
=============== ============== ==============
F-17
70
QUALITY SYSTEMS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)
The Company continues to account for its stock-based awards using the
intrinsic value method in accordance with APB No. 25. Accordingly, no
compensation expense has been recognized in the financial statements for
employee stock option grants which had market value excersize prices. SFAS
No. 123, "Accounting for Stock-Based Compensation," ("SFAS No. 123")
requires the disclosure of pro forma net income (loss) and pro forma net
income (loss) per share had the Company adopted the fair value method as of
the beginning of fiscal 1996. Under SFAS No. 123, the fair value of stock-
based awards to employees is calculated through the use of option pricing
models, even though such models were developed to estimate the fair value
of freely tradable, fully transferable options without vesting
restrictions, which significantly differ from the Company's stock option
awards. These models also require subjective assumptions, including future
stock price volatility and expected time to exercise, which greatly affect
the calculated values.
The Company's calculations were made using the Black-Scholes option pricing
model with the following assumptions: expected life -- twelve months
following full vesting or approximately 42 months from the date of the
grant; stock volatility -- ranging from 50% to 60% in fiscal 2000, ranging
from 44% to 81% in fiscal 1999, and ranging from 47% to 59% in fiscal 1998;
risk free interest rates -- 6.0% in fiscal 2000, 5.5% in fiscal 1999, and
5.9% in fiscal 1998; and, no dividends during the expected term. The
Company's calculations are based on a single option valuation approach and
forfeitures are recognized as they occur. If the computed fair values of
the fiscal 2000, 1999 and 1998 awards had been amortized to expense over
the vesting period of the awards, pro forma net income would have been
$2,111,000 or $0.34 per share, in fiscal 2000; the pro forma net income
would have been $410,000, or $0.06 per share, in fiscal 1999; and the pro
forma net loss would have been $(4,801,000), or $(0.80) per share, in
fiscal 1998. These amounts are based on calculated values for option awards
in fiscal 2000, 1999 and 1998 of $775,000, $123,000 and $662,000,
respectively.
NOTE 9 - COMMITMENTS AND CONTINGENCIES
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 January
25, 1999 the court denied plaintiffs' motion to certify the class
representative and class legal counsel. On May 9, 2000, the Court of
Appeals affirmed the order disqualifying the class legal counsel as final.
The Plaintiff will seek new class counsel however, the Company and its
named officers and directors will have the opportunity to oppose class
certification. 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.
F-18
71
QUALITY SYSTEMS, INC
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)
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. By court order dated August 13, 1997, this action was
stayed temporarily and the Court reserved jurisdiction to list the stay
after all matters are final in the class action filed on April 22, 1997.
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.
On March 23, 1999, a purported class action and derivative complaint was
filed in California Superior Court on behalf of the Company's non-director
shareholders alleging that certain of the Company's directors breached
their fiduciary duties principally by failing to assure the maximization of
shareholder value. The parties in this action have agreed to a settlement
which calls for a dismissal of the action with prejudice, release given to
each of the defendants, and payment of the nominal sum of $100,000 (paid by
the Company's Directors and Officers Liability Insurance Company) in full
settlement of plaintiff's motion for attorney's fees. The settlement
further expressly provides that it does not constitute an admission of any
liability of defendants, which defendants continue to vigorously deny.
The Company is a party to various other claims, legal actions and
complaints arising in the ordinary course of business. The Company believes
such matters are without merit, or involve such amounts that unfavorable
disposition would not have a material adverse effect on the Company's
financial statements.
Rental Commitments - The Company leases its facilities and offices under
non-cancelable operating lease agreements expiring at various dates through
July 2002. The Company has rental commitments under these agreements in
fiscal 2001, 2002 and 2003 of $827,000, $216,000, and $72,000,
respectively. Total rental expense for all operating leases was $901,000,
$807,000 and $672,000 for the years ended March 31, 2000, 1999 and 1998,
respectively.
NOTE 10 - ACQUISITIONS
MicroMed - On May 15, 1997, the Company acquired substantially all of the
assets of 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 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 QSI Common Stock valued at $1.8 million, or
$7.48 per share.
The acquisition was recorded as a purchase transaction. In connection with
this treatment, the $10.6 million paid, by the Company, including related
acquisition costs, together with a $550,000 loan payable by MicroMed to the
Company as of the acquisition date and $677,000 of assumed MicroMed
liabilities was allocated to $1.3 million of acquired identified assets,
$10.2 million of acquired in-process research and development, and $264,000
of purchase price in excess of assets acquired.
F-19
72
QUALITY SYSTEMS, INC
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)
The technological feasibility of the acquired in-process research and
development had not been established at the dates the purchase price was
allocated and, accordingly, the allocated value was charged to operations
during the year ended March 31, 1998. If the MicroMed acquisition had been
consummated as of the beginning of the year ended March 31, 1998, the
impact on pro forma revenues, net loss and net loss per share would not
have been material for the year ended March 31, 1998.
NOTE 11 - SHAREHOLDER RIGHTS PLAN
Each share of the Company's Common Stock included a Right to purchase from
the Company one share of Common Stock for $40, subject to adjustment. These
Rights were be exercisable only if a person or group without prior consent
of the Company's board became the beneficial owner of 15% or more of the
Common Stock. The terms of the Rights served to deter potential attempts to
acquire control of the Company without the approval of the Company's Board
of Directors. In August 1999, the Company's Board of Directors terminated
the shareholder rights plan and authorized the redemption of all
outstanding Rights issued under the Rights agreement.
NOTE 12 - STOCK REPURCHASE PLAN
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, subject to compliance with applicable laws and
regulations. This authorization has been renewed annually and currently
expires on June 7, 2001. As of March 31, 2000, the Company has repurchased
109,900 shares at a cash cost of $629,000. The Company's management could,
in the exercise of its judgment, decide not to effect any additional
repurchases, or to repurchase fewer shares than authorized.
F-20
73
QUALITY SYSTEMS, INC.
SCHEDULE II - VALUATION AND QUALIFYING ACCOUNTS
ALLOWANCE FOR DOUBTFUL ACCOUNTS
(in thousands)
Column C - Additions
---------------------
Column E
Column B (1) (2) Balance
Balance at Charged to Charged to at end
Column A beginning of costs and other Column D of
Description period expenses accounts Deductions Period
- ------------------ ------------ ---------- ---------- ---------- --------
Fiscal Year Ended:
March 31, 2000 $ 754 $ 529 $ - $ 162 $1,121
March 31, 1999 521 954 - 721 754
March 31, 1998 $ 297 $ 339 $ - $ 115 $ 521
============ ========== ========== ========== ========
F-21
74
Exhibit 3.2.3
75
Exhibit 3.2.3
CERTIFICATE OF AMENDMENT OF BYLAWS.
The undersigned hereby certifies that she is the duly elected and acting
Secretary of Quality Systems, Inc., a California corporation ("QSI"), and
that the following amendment was duly adopted by the Board of Directors of
QSI at a duly called and noticed meeting thereof, held on the ninth of
September, 1998:
WHEREAS, Article III, Section 2 of the Bylaws of the Corporation
currently provides that the authorized number of directors of the
Corporation shall be not less than five (5) and not more than nine
(9), with the exact number of directors having been fixed within those
limits at six (6); and
WHEREAS, the exact number of directors, within the limits specified, may
be altered from time to time by an amendment of the last sentence of
Article III, Section 2 of the Bylaws duly adopted by the Board of
Directors or the shareholders; and
WHEREAS, it is deemed to be advisable and in the best interests of this
Corporation and its shareholders that this Board of Directors adopt
an amendment to the last sentence of Article III, Section 2 of the
Bylaws so as to increase the actual number of directors to seven (7)
from six (6);
NOW, THEREFORE, BE IT RESOLVED, that the last sentence of Article III,
Section 2 of the Bylaws of the Corporation be, and hereby is, amended
to read in its entirety as follows:
"The exact number of directors shall be seven
(7) until changed as provided in this Section 2."
and that the foregoing amendment has not been rescinded, modified or
revoked and is in full force and effect.
Executed in Tustin, California this ninth day of September, 1998.
/s/
--------------------------
TBD
76
Exhibit 10.16
77
Exhibit 10.16
MEMORANDUM OF UNDERSTANDING
1. Sheldon Razin ("Razin") will go on vacation, effective
March 31, 2000, and return April 3, 2000. He will resign as CEO on
April 3, 2000. The press announcement will not contain negative remarks
and will indicate his continued Chairmanship pursuant to the 8/99 MOU.
2. Razin's existing options to purchase QSII shares
(approx. 30,000 shares) shall vest in equal installments over the next
four years, as if he had remained as CEO.
3. Razin will receive as a severance his current salary
through September 30, 2000.
4. Razin will remain on the Company's insurance plans
until age 65, at the Company's expense.
5. Razin will take over his Center Club membership,
health club membership, and be permitted to buy his company car at
FMV (blue book). He will transfer his cellphone into his name, and
may purchase certain personal items, such as his desk, which will be
identified later.
6. Razin will be designated an employee if necessary to
accomplish items 2 and 4 above.
7. Razin will vacate his office no later than April 7,
2000.
QUALITY SYSTEMS, INC.
By:
- ----------------------- -------------------------
Sheldon Razin
78
Exhibit 21
79
Exhibit 21
QUALITY SYSTEMS, INC.
List of Subsidiaries
1. Clinitec International, Inc., a California Corporation,
is a wholly-owned subsidiary of Quality Systems, Inc.
2. MicroMed Healthcare Information Systems, Inc.,
a California Corporation, is a wholly-owned subsidiary of
Quality Systems, Inc.
80
Exhibit 23.1
81
Exhibit 23.1
INDEPENDENT AUDITORS' CONSENT
We consent to the incorporation by reference in Registration Statements
Number 2-82773, 33-31949, 333-63131 and 333-67115 on Form S-8 of our report
dated May 19, 2000, appearing in this Annual Report on Form 10-K for
Quality Systems, Inc. for the year ended March 31, 2000.
DELOITTE & TOUCHE LLP
Costa Mesa, California
June 21, 2000
82
Exhibit 27.1