Form 10-Q
Table of Contents

 

 

UNITED STATES

SECURITIES and EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

FORM 10-Q

 

 

 

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

For the quarterly period ended December 31, 2011

or

 

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

Commission file number: 001-12537

 

 

QUALITY SYSTEMS, INC.

(Exact name of registrant as specified in its charter)

 

 

 

California   95-2888568

(State or other jurisdiction of

incorporation or organization)

 

(IRS Employer

Identification No.)

18111 Von Karman Avenue, Suite 700, Irvine, California   92612
(Address of principal executive offices)   (Zip Code)

(949) 255-2600

(Registrant’s telephone number, including area code)

 

 

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 whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).    Yes  x    No  ¨

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.

 

Large accelerated filer   x    Accelerated filer   ¨
Non-accelerated filer   ¨  (Do not check if a smaller reporting company)    Small reporting company   ¨

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes  ¨    No  x

The number of outstanding shares of the Registrant’s common stock as of February 1, 2012 was 58,985,955 shares.

 

 

 


Table of Contents

QUALITY SYSTEMS, INC.

TABLE OF CONTENTS

FORM 10-Q

FOR THE QUARTERLY PERIOD ENDED DECEMBER 31, 2011

 

    

Item

  

Page

 
  PART I. FINANCIAL INFORMATION   
Item 1.   Financial Statements (Unaudited)   
 

Consolidated Balance Sheets as of December 31, 2011 and March 31, 2011

     3   
 

Consolidated Statements of Income for the three and nine months ended December 31, 2011 and 2010

     4   
 

Consolidated Statements of Cash Flows for the nine months ended December 31, 2011 and 2010

     5   
 

Notes to Consolidated Financial Statements

     7   
Item 2.   Management’s Discussion and Analysis of Financial Condition and Results of Operations      21   
Item 3.   Quantitative and Qualitative Disclosures about Market Risks      40   
Item 4.   Controls and Procedures      40   
  PART II. OTHER INFORMATION   
Item 1.   Legal Proceedings      41   
Item 1A.   Risk Factors      41   
Item 2.   Unregistered Sales of Equity Securities and Use of Proceeds      41   
Item 3.   Defaults Upon Senior Securities      41   
Item 4.   (Removed and Reserved)      41   
Item 5.   Other Information      41   
Item 6.   Exhibits      42   
  Signatures      43   

 

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PART I. FINANCIAL INFORMATION

 

ITEM 1. FINANCIAL STATEMENTS

QUALITY SYSTEMS, INC.

CONSOLIDATED BALANCE SHEETS

(In thousands, except per share data)

(Unaudited)

 

     December 31,
2011
     March 31,
2011
 

ASSETS

     

Current assets:

     

Cash and cash equivalents

   $ 129,046       $ 116,617   

Restricted cash

     2,166         3,787   

Marketable securities

     1,086         1,120   

Accounts receivable, net

     159,555         139,772   

Inventories

     3,194         1,933   

Income taxes receivable

     5,053         —     

Deferred income taxes, net

     10,466         10,397   

Other current assets

     8,664         8,768   
  

 

 

    

 

 

 

Total current assets

     319,230         282,394   

Equipment and improvements, net

     16,234         12,599   

Capitalized software costs, net

     18,733         15,150   

Intangibles, net

     24,585         16,890   

Goodwill

     58,445         46,721   

Other assets

     4,629         4,932   
  

 

 

    

 

 

 

Total assets

   $ 441,856       $ 378,686   
  

 

 

    

 

 

 

LIABILITIES AND SHAREHOLDERS’ EQUITY

     

Current liabilities:

     

Accounts payable

   $ 8,083       $ 6,686   

Deferred revenue

     90,617         76,695   

Accrued compensation and related benefits

     10,996         10,247   

Income taxes payable

     —           3,530   

Dividends payable

     10,305         10,162   

Other current liabilities

     18,209         29,316   
  

 

 

    

 

 

 

Total current liabilities

     138,210         136,636   

Deferred revenue, net of current

     1,127         1,099   

Deferred income taxes, net

     11,384         11,384   

Deferred compensation

     3,125         2,488   

Other noncurrent liabilities

     5,536         2,409   
  

 

 

    

 

 

 

Total liabilities

     159,382         154,016   

Commitments and contingencies (Note 12)

     

Shareholders’ equity:

     

Common stock $0.01 par value; authorized 100,000 shares; issued and outstanding 58,901 and 58,068 shares at December 31, 2011 and March 31, 2011, respectively

     589         580   

Additional paid-in capital

     161,007         132,969   

Retained earnings

     120,878         91,121   
  

 

 

    

 

 

 

Total shareholders’ equity

     282,474         224,670   
  

 

 

    

 

 

 

Total liabilities and shareholders’ equity

   $ 441,856       $ 378,686   
  

 

 

    

 

 

 

The accompanying notes are an integral part of these consolidated financial statements.

 

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Table of Contents

QUALITY SYSTEMS, INC.

CONSOLIDATED STATEMENTS OF INCOME

(In thousands, except per share data)

(Unaudited)

 

     Three Months Ended December 31,      Nine Months Ended December 31,  
     2011     2010      2011     2010  

Revenues:

         

Software, hardware and supplies

   $ 35,074      $ 29,675       $ 95,845      $ 74,806   

Implementation and training services

     6,555        4,262         18,121        13,069   
  

 

 

   

 

 

    

 

 

   

 

 

 

System sales

     41,629        33,937         113,966        87,875   

Maintenance

     36,245        27,908         102,961        80,973   

Electronic data interchange services

     12,101        10,360         36,178        30,266   

Revenue cycle management and related services

     11,147        11,496         34,170        33,443   

Other services

     11,643        8,170         33,566        23,698   
  

 

 

   

 

 

    

 

 

   

 

 

 

Maintenance, EDI, RCM and other services

     71,136        57,934         206,875        168,380   
  

 

 

   

 

 

    

 

 

   

 

 

 

Total revenues

     112,765        91,871         320,841        256,255   
  

 

 

   

 

 

    

 

 

   

 

 

 

Cost of revenue:

         

Software, hardware and supplies

     4,622        5,667         13,423        16,575   

Implementation and training services

     5,994        3,677         15,119        10,142   
  

 

 

   

 

 

    

 

 

   

 

 

 

Total cost of system sales

     10,616        9,344         28,542        26,717   

Maintenance

     4,412        3,381         12,260        10,073   

Electronic data interchange services

     7,890        6,908         23,816        20,390   

Revenue cycle management and related services

     8,405        8,715         25,687        25,082   

Other services

     7,011        3,981         18,977        12,054   
  

 

 

   

 

 

    

 

 

   

 

 

 

Total cost of maintenance, EDI, RCM and other services

     27,718        22,985         80,740        67,599   
  

 

 

   

 

 

    

 

 

   

 

 

 

Total cost of revenue

     38,334        32,329         109,282        94,316   
  

 

 

   

 

 

    

 

 

   

 

 

 

Gross profit

     74,431        59,542         211,559        161,939   

Operating expenses:

         

Selling, general and administrative

     33,096        27,958         94,651        79,025   

Research and development costs

     8,277        5,358         22,462        16,046   

Amortization of acquired intangible assets

     543        445         1,545        1,237   
  

 

 

   

 

 

    

 

 

   

 

 

 

Total operating expenses

     41,916        33,761         118,658        96,308   
  

 

 

   

 

 

    

 

 

   

 

 

 

Income from operations

     32,515        25,781         92,901        65,631   

Interest income

     55        55         212        244   

Other income (expense), net

     (218     —           (400     59   
  

 

 

   

 

 

    

 

 

   

 

 

 

Income before provision for income taxes

     32,352        25,836         92,713        65,934   

Provision for income taxes

     11,247        8,305         32,129        22,881   
  

 

 

   

 

 

    

 

 

   

 

 

 

Net income

   $ 21,105      $ 17,531       $ 60,584      $ 43,053   
  

 

 

   

 

 

    

 

 

   

 

 

 

Net income per share:

         

Basic

   $ 0.36      $ 0.30       $ 1.03      $ 0.74   

Diluted

   $ 0.36      $ 0.30       $ 1.03      $ 0.74   

Weighted-average shares outstanding:

         

Basic

     58,847        57,956         58,623        57,872   

Diluted

     59,128        58,280         58,943        58,182   

Dividends declared per common share

   $ 0.175      $ 0.150       $ 0.525      $ 0.450   

The accompanying notes are an integral part of these consolidated financial statements.

 

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QUALITY SYSTEMS, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands)

(Unaudited)

 

     Nine Months Ended December 31,  
     2011     2010  

Cash flows from operating activities:

    

Net income

   $ 60,584      $ 43,053   

Adjustments to reconcile net income to net cash provided by operating activities:

    

Depreciation

     3,853        3,198   

Amortization of capitalized software costs

     5,994        5,264   

Amortization of other intangibles

     3,175        2,425   

Provision for bad debts

     3,839        2,901   

Share-based compensation

     2,465        2,713   

Deferred income tax benefit

     —          (543

Tax benefit associated with stock options

     2,457        463   

Excess tax benefit from share-based compensation

     (2,457     (463

Loss (gain) on disposal of equipment and improvements

     71        (33

Changes in assets and liabilities, net of amounts acquired:

    

Accounts receivable

     (22,312     (18,639

Inventories

     (1,261     (602

Income taxes receivable

     (5,053     2,953   

Other current assets

     1,972        169   

Other assets

     303        (929

Accounts payable

     1,367        2,183   

Deferred revenue

     13,336        8,184   

Accrued compensation and related benefits

     749        371   

Income taxes payable

     (3,530     1,157   

Other current liabilities

     (7,574     4,735   

Deferred compensation

     637        357   

Other noncurrent liabilities

     3,127        1,388   
  

 

 

   

 

 

 

Net cash provided by operating activities

     61,742        60,305   
  

 

 

   

 

 

 

Cash flows from investing activities:

    

Additions to capitalized software costs

     (9,577     (8,649

Additions to equipment and improvements

     (7,372     (4,039

Proceeds for disposal of equipment and improvements

     11        336   

Proceeds from sale of marketable securities

     —          7,700   

Cash acquired from purchase of ViaTrack

     10        —     

Purchase of ViaTrack

     (5,710     —     

Cash acquired from purchase of CQI

     222        —     

Purchase of CQI

     (2,737     —     

Purchase of IntraNexus

     (3,279     —     
  

 

 

   

 

 

 

Net cash used in investing activities

     (28,432     (4,652
  

 

 

   

 

 

 

Cash flows from financing activities:

    

Excess tax benefit from share-based compensation

     2,457        463   

Proceeds from exercise of stock options

     7,346        3,518   

Dividends paid

     (30,684     (26,024
  

 

 

   

 

 

 

Net cash used in financing activities

     (20,881     (22,043
  

 

 

   

 

 

 

Net increase in cash and cash equivalents

     12,429        33,610   

Cash and cash equivalents at beginning of period

     116,617        84,611   
  

 

 

   

 

 

 

Cash and cash equivalents at end of period

   $ 129,046      $ 118,221   
  

 

 

   

 

 

 

 

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QUALITY SYSTEMS, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS – (Continued)

(In thousands)

(Unaudited)

 

     Nine Months Ended December 31,  
     2011     2010  

Supplemental disclosures of cash flow information:

    

Cash paid during the period for income taxes, net of refunds

   $ 38,254      $ 18,857   
  

 

 

   

 

 

 

Non-cash investing and financing activities:

    

Tenant improvement allowance received from landlord

   $ —        $ 1,970   
  

 

 

   

 

 

 

Unrealized loss on marketable securities, net of tax

   $ (34   $ —     
  

 

 

   

 

 

 

Common stock issued at fair value for Opus earnout settlement

   $ 11,888      $ —     
  

 

 

   

 

 

 

Effective November 14, 2011, the Company acquired ViaTrack in a transaction summarized as follows:

    

Fair value of net assets acquired

   $ 11,048     

Cash paid

     (5,710  

Common stock issued at fair value

     (1,068  

Purchase price holdback

     (1,187  

Fair value of contingent consideration

     (2,958  
  

 

 

   

Liabilities assumed

   $ 125     
  

 

 

   

Effective July 26, 2011, the Company acquired CQI in a transaction summarized as follows:

    

Fair value of net assets acquired

   $ 9,086     

Cash paid

     (2,737  

Common stock issued at fair value

     (2,864  

Purchase price holdback

     (600  

Fair value of contingent consideration

     (2,346  
  

 

 

   

Liabilities assumed

   $ 539     
  

 

 

   

Effective April 29, 2011, the Company acquired IntraNexus in a transaction summarized as follows:

    

Fair value of net assets acquired

   $ 4,524     

Cash paid

     (3,279  

Purchase price holdback

     (125  

Fair value of contingent consideration

     (800  
  

 

 

   

Liabilities assumed

   $ 320     
  

 

 

   

The accompanying notes are an integral part of these consolidated financial statements.

 

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QUALITY SYSTEMS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(In thousands, except shares and per share data)

(Unaudited)

1. Summary of Significant Accounting Policies

Principles of Consolidation. The consolidated financial statements include the accounts of Quality Systems, Inc. and its wholly-owned subsidiaries, which consists of NextGen Healthcare Information Systems (“NextGen”), Lackland Acquisition II, LLC dba Healthcare Strategic Initiatives (“HSI”), Practice Management Partners, Inc. (“PMP”), NextGen Inpatient Solutions, LLC (“NextGen IS” f/k/a Sphere), Opus Healthcare Solutions, LLC (“Opus”), IntraNexus, Inc. (“IntraNexus”), CQI Solutions, Inc. (“CQI”), ViaTrack Systems, LLC (“ViaTrack”), and Quality Systems India Healthcare Private Limited (“QSIH”) (collectively, the “Company”). All intercompany accounts and transactions have been eliminated.

Basis of Presentation. The accompanying unaudited consolidated financial statements as of December 31, 2011 and for the three and nine months ended December 31, 2011 and 2010 have been prepared in accordance with the requirements of Form 10-Q and Article 10 of the Securities and Exchange Commission Regulation S-X and therefore do not include all information and notes which would be presented were such consolidated financial statements prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”). These consolidated financial statements should be read in conjunction with the audited consolidated financial statements presented in the Company’s Annual Report on Form 10-K for the fiscal year ended March 31, 2011. Amounts related to disclosures of March 31, 2011 balances within these interim consolidated financial statements were derived from the aforementioned Form 10-K. In the opinion of management, the accompanying consolidated financial statements reflect all adjustments which are necessary for a fair presentation of the results of operations and cash flows for the periods presented. The results of operations for such interim periods are not necessarily indicative of results of operations to be expected for the full year.

Certain prior period amounts have been reclassified to conform with fiscal year 2012 presentation.

References to amounts in the consolidated financial statement sections are in thousands, except per share data, unless otherwise specified.

On July 27, 2011, the Company’s Board of Directors approved a two-for-one stock split (the “stock split”) of the Company’s outstanding shares of common stock. Shareholders of record at the close of business on October 6, 2011 received one additional share for every outstanding share held on the record date. The additional shares were distributed on October 26, 2011. All share and per share data provided herein gives effect to this stock split, applied retroactively.

Revenue Recognition. The Company generates revenue from the sale of licensing rights to its software products directly to end-users and value-added resellers, or VARs. The Company also generates revenue from sales of hardware and third-party software, implementation, training, electronic data interchange (“EDI”), post-contract support (maintenance) and other services, including revenue cycle management (“RCM”), performed for clients who license its products.

A typical system contract contains multiple elements of the above items. Revenue earned on software arrangements involving multiple elements is allocated to each element based on the relative fair values of those elements. The fair value of an element is based on vendor-specific objective evidence (“VSOE”). The Company limits its assessment of VSOE for each element to either the price charged when the same element is sold separately or the price established by management having the relevant authority to do so, for an element not yet sold separately. VSOE calculations are updated and reviewed quarterly or annually depending on the nature of the product or service. The Company has established VSOE for the related undelivered elements based on the bell-shaped curve method. Maintenance VSOE for the Company’s largest clients is based on stated renewal rates only if the rate is determined to be substantive and falls within the Company’s customary pricing practices.

When evidence of fair value exists for the delivered and undelivered elements of a transaction, then discounts for individual elements are aggregated and the total discount is allocated to the individual elements in proportion to the elements’ fair value relative to the total contract fair value.

When evidence of fair value exists for the undelivered elements only, the residual method is used. Under the residual method, the Company defers revenue related to the undelivered elements in a system sale based on VSOE of fair value of each of the undelivered elements and allocates the remainder of the contract price net of all discounts to revenue recognized from the delivered elements. If VSOE of fair value of any undelivered element does not exist, all revenue is deferred until VSOE of fair value of the undelivered element is established or the element has been delivered.

The Company bills for the entire system sales contract amount upon contract execution except for maintenance, which is billed separately. Amounts billed in excess of the amounts contractually due are recorded in accounts receivable as advance billings. Amounts are contractually due when services are performed or in accordance with contractually specified payment dates. Provided the fees are fixed or determinable and collection is considered probable, revenue from licensing rights and sales of hardware and third-party software is generally recognized upon physical or electronic shipment and transfer of title. In certain transactions where collection risk is high, the revenue is deferred until collection occurs or becomes probable. If the fee is not fixed or determinable, then the revenue recognized in each period (subject to application of other revenue recognition criteria) will be the lesser of the aggregate of amounts due and payable or the amount of the arrangement fee that would have been recognized if the fees were being recognized using the residual method. Fees which are considered fixed or determinable at the inception of the Company’s arrangements must include the following characteristics:

 

   

The fee must be negotiated at the outset of an arrangement and generally be based on the specific volume of products to be delivered without being subject to change based on variable pricing mechanisms such as the number of units copied or distributed or the expected number of users.

 

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Payment terms must not be considered extended. If a significant portion of the fee is due more than 12 months after delivery or after the expiration of the license, the fee is presumed not fixed or determinable.

Revenue from implementation and training services is recognized as the corresponding services are performed. Maintenance revenue is recognized ratably over the contractual maintenance period.

The Company ensures that the following criteria have been met prior to recognition of revenue:

 

   

the price is fixed or determinable;

 

   

the customer is obligated to pay and there are no contingencies surrounding the obligation or the payment;

 

   

the customer’s obligation would not change in the event of theft or damage to the product;

 

   

the customer has economic substance;

 

   

the amount of returns can be reasonably estimated; and

 

   

the Company does not have significant obligations for future performance in order to bring about resale of the product by the customer.

The Company has historically offered short-term rights of return in certain sales arrangements. If the Company is able to estimate returns for these types of arrangements, revenue is recognized, net of an allowance for returns, and these arrangements are recorded in the consolidated financial statements. If the Company is unable to estimate returns for these types of arrangements, revenue is not recognized in the consolidated financial statements until the rights of return expire.

Revenue related to sales arrangements that include hosting or the right to use software stored on the Company’s hardware is recognized in accordance to the same revenue recognition criteria discussed above only if the customer has the contractual right to take possession of the software without incurring a significant penalty and it is feasible for the customer to either host the software themselves or through another third-party. Otherwise, the arrangement is accounted for as a service contract in which the entire arrangement is deferred and recognized during the period that the hosting services are being performed.

From time to time, the Company offers future purchase discounts on its products and services as part of its sales arrangements. Such discounts that are incremental to the range of discounts reflected in the pricing of the other elements of the arrangement, that are incremental to the range of discounts typically given in comparable transactions, and that are significant, are treated as an additional element of the contract to be deferred. Amounts deferred related to future purchase options are not recognized until either the customer exercises the discount offer or the offer expires.

RCM service revenue is derived from services fees, which include amounts charged for ongoing billing and other related services, and are generally billed to the customer as a percentage of total collections. The Company does not recognize revenue for services fees until these collections are made, as the services fees are not fixed or determinable until such time.

Revenue is divided into two categories, “system sales” and “maintenance, EDI, RCM and other services.” Revenue in the system sales category includes software license fees, third-party hardware and software and implementation and training services related to purchase of the Company’s software systems. Revenue in the maintenance, EDI, RCM and other services category includes maintenance, EDI, RCM services, follow on training and implementation services, annual third-party license fees, hosting services and other services revenue.

Goodwill. Goodwill is related to the NextGen, HSI, PMP, NextGen IS, Opus, IntraNexus, CQI, and ViaTrack acquisitions (see Notes 3 and 4). The Company tests goodwill for impairment annually at the end of its first fiscal quarter, referred to as the annual test date. The Company will also test for impairment between annual test dates if an event occurs or circumstances change that would indicate the carrying amount may be impaired. Impairment testing for goodwill is performed at a reporting-unit level, which is defined as an operating segment or one level below an operating segment (referred to as a component). A component of an operating segment is a reporting unit if the component constitutes a business for which discrete financial information is available and segment management regularly reviews the operating results of that component.

The Company has determined that the NextGen Division and QSI Dental Division (which includes ViaTrack) each qualify as separate reporting units while HSI and PMP are combined as one reporting unit (the Practice Solutions Division) and NextGen IS, Opus, IntraNexus and CQI are combined as a separate reporting unit (the Inpatient Solutions Division) for which goodwill impairment testing is performed.

An impairment loss would generally be recognized when the carrying amount of the reporting unit’s net assets exceeds the estimated fair value of the reporting unit. As of December 31, 2011, the Company has not identified any events or circumstances that would require an interim goodwill impairment test. See Note 4.

 

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Share-Based Compensation. The following table shows total share-based compensation expense included in the consolidated statements of income for the three and nine months ended December 31, 2011 and 2010:

 

     Three Months Ended December 31,     Nine Months Ended December 31,  
     2011     2010     2011     2010  

Costs and expenses:

        

Cost of revenue

   $ 71      $ 70      $ 190      $ 207   

Research and development costs

     56        41        133        113   

Selling, general and administrative

     677        738        2,142        2,393   
  

 

 

   

 

 

   

 

 

   

 

 

 

Total share-based compensation

     804        849        2,465        2,713   

Amounts capitalized in software development costs

     —          —          —          (2
  

 

 

   

 

 

   

 

 

   

 

 

 

Amounts charged against earnings, before income tax benefit

   $ 804      $ 849      $ 2,465      $ 2,711   

Related income tax benefit

     (298     (304     (916     (967
  

 

 

   

 

 

   

 

 

   

 

 

 

Decrease in net income

   $ 506      $ 545      $ 1,549      $ 1,744   
  

 

 

   

 

 

   

 

 

   

 

 

 

Recent Accounting Standards. In April 2010, the Financial Accounting Standards Board (“FASB”) issued an amendment to stock compensation. The amendment clarifies that an employee stock-based payment award with an exercise price denominated in the currency of a market in which a substantial portion of the entity’s equity shares trades should not be considered to contain a condition that is not a market, performance, or service condition. Therefore, an entity would not classify such an award as a liability if it otherwise qualifies as equity. The amendment is effective for fiscal years, and interim periods within those fiscal years, beginning on or after December 15, 2010. There was no material impact from the adoption of this guidance on the Company’s consolidated financial position or results of operations since the Company’s stock-based payment awards have an exercise price denominated in the same currency of the market in which the Company’s shares are traded.

In December 2010, FASB issued an amendment to the goodwill impairment test. The amendment modifies Step 1 of the goodwill impairment test for reporting units with zero or negative carrying amounts. For those reporting units, an entity is required to perform Step 2 of the goodwill impairment test if it is more likely than not that a goodwill impairment exists. In determining whether it is more likely than not that s goodwill impairment exists, an entity should consider whether there are any adverse qualitative factors indicating that impairment may exist. The qualitative factors are consistent with the existing guidance and examples, which require that goodwill of a reporting unit be tested for impairment between annual tests if an event occurs or circumstances change that would more likely than not reduce the fair value of a reporting unit below its carrying amount. The amendment is effective for fiscal years, and interim periods within those years, beginning after December 15, 2010. There was no material impact from the adoption of this guidance on the Company’s consolidated financial position or results of operations since the Company does not have any reporting units with zero or negative carrying amounts.

In December 2010, FASB issued an amendment to the disclosure of supplementary pro forma information for business combinations. The amendment specifies that if a public entity presents comparative financial statements, the entity should disclose revenue and earnings of the combined entity as though the business combination that occurred during the current year had occurred as of the beginning of the comparable prior annual reporting period only. The amendment also expands the supplemental pro forma disclosures to include a description of the nature and amount of material, non-recurring pro forma adjustments directly attributable to the business combination included in the reported pro forma revenue and earnings. The amendment is effective prospectively for business combinations for which the acquisition date is on or after the beginning of the first annual reporting period beginning on or after December 15, 2010. The adoption of this guidance had no material impact on the Company’s consolidated financial position or results of operations, but may have an effect on the required disclosures for future business combinations.

In September 2011, FASB issued new accounting guidance intended to simplify goodwill impairment testing. Companies will be allowed to first perform a qualitative assessment on goodwill impairment to determine whether a quantitative assessment is necessary. This guidance is optional and effective for fiscal years beginning after December 15, 2011 with early adoption permitted. The Company is evaluating the option of adding a qualitative assessment to its goodwill impairment test.

 

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2. Fair Value Measurements

The following tables set forth by level within the fair value hierarchy the Company’s financial assets and liabilities that were accounted for at fair value on a recurring basis at December 31, 2011 and March 31, 2011:

 

     Balance at
December 31,
2011
     Quoted Prices in
Active Markets for
Identical Assets
(Level 1)
     Significant Other
Observable Inputs
(Level 2)
     Unobservable Inputs
(Level 3)
 

ASSETS

           

Cash and cash equivalents (1)

   $ 129,046       $ 129,046       $ —         $ —     

Restricted cash

     2,166         2,166         —           —     

Marketable securities (2)

     1,086         1,086         —           —     
  

 

 

    

 

 

    

 

 

    

 

 

 
   $ 132,298       $ 132,298       $ —         $ —     
  

 

 

    

 

 

    

 

 

    

 

 

 

LIABILITIES

           

Contingent consideration related to acquisitions

   $ 6,643       $ —         $ —         $ 6,643   
  

 

 

    

 

 

    

 

 

    

 

 

 
   $ 6,643       $ —         $ —         $ 6,643   
  

 

 

    

 

 

    

 

 

    

 

 

 
    

Balance at
March 31,

2011

     Quoted Prices in
Active Markets for
Identical Assets
(Level 1)
     Significant Other
Observable Inputs
(Level 2)
     Unobservable Inputs
(Level 3)
 

ASSETS

           

Cash and cash equivalents (1)

   $ 116,617       $ 116,617       $ —         $ —     

Restricted cash

     3,787         3,787         —           —     

Marketable securities (2)

     1,120         1,120         —           —     
  

 

 

    

 

 

    

 

 

    

 

 

 
   $ 121,524       $ 121,524       $ —         $ —     
  

 

 

    

 

 

    

 

 

    

 

 

 

LIABILITIES

           

Contingent consideration related to acquisitions

   $ 13,658       $ —         $ 12,743       $ 915   
  

 

 

    

 

 

    

 

 

    

 

 

 
   $ 13,658       $ —         $ 12,743       $ 915   
  

 

 

    

 

 

    

 

 

    

 

 

 

 

(1) Cash and cash equivalents consists of money market funds and certificates of deposit.
(2) Marketable securities consists of fixed-income municipal securities.

The Company’s contingent consideration liability is accounted for at fair value on a recurring basis and is adjusted to fair value when the carrying value differs from fair value. The categorization of the framework used to measure fair value of the contingent consideration liability is considered Level 3 due to the subjective nature of the unobservable inputs used. The fair values of the contingent consideration liability for NextGen IS, IntraNexus, CQI, and ViaTrack were estimated based on the probability of achieving certain business milestones and management’s forecast of expected revenues. See Note 3.

The following table presents activity in the Company’s financial assets and liabilities measured at fair value using significant unobservable inputs (Level 3), as of and for the nine months ended December 31, 2011:

 

     Total Liabilities  

Balance at April 1, 2011

   $ 915   

Acquisitions (Note 3)

     6,104   

Earnout payments

     (376

Fair Value Adjustments

     —     
  

 

 

 

Balance at December 31, 2011

   $ 6,643   
  

 

 

 

Non-Recurring Fair Value Measurements

The Company has certain assets, including goodwill and other intangible assets, which are measured at fair value on a non-recurring basis and are adjusted to fair value only if an impairment charge is recognized. The categorization of the framework used to measure fair value of the assets is considered Level 3 due to the subjective nature of the unobservable inputs used. During the nine months ended December 31, 2011, there were no adjustments to fair value of such assets, except for the intangible assets acquired from IntraNexus, CQI and ViaTrack as discussed below in Note 3.

 

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Table of Contents

3. Business Combinations

On November 14, 2011, the Company acquired ViaTrack, a developer and provider of information technologies that enhance EDI offerings. The ViaTrack purchase price totaled $10,923. The purchase price included contingent consideration payable over a one year period with a fair value of $2,958, which was estimated based on management’s forecast of expected revenues, but in no event shall this form of consideration exceed $4,000.

On July 26, 2011, the Company acquired CQI, a provider of hospital systems for surgery management. The CQI purchase price totaled $8,546. The purchase price included contingent consideration payable over a two year period with a fair value of $2,346, which was estimated based on management’s forecast of expected revenues, but in no event shall this form of consideration exceed $3,000.

On April 29, 2011, the Company acquired IntraNexus, a provider of Web-based integrated clinical and hospital information systems. The IntraNexus purchase price totaled $4,204. The purchase price included contingent consideration payable over a three year period with a fair value of $800, which was estimated based on management’s forecast of expected revenues, but in no event shall this form of consideration exceed $1,650.

The Company accounted for the ViaTrack, CQI and IntraNexus acquisitions as purchase business combinations. The purchase price for each was allocated to the tangible and intangible assets acquired and liabilities assumed based on their estimated fair values as of the applicable acquisition date. The fair value of the assets acquired and liabilities assumed represent management’s estimate of fair value. The estimated fair value of the acquired tangible and intangible assets and liabilities assumed were determined using multiple valuation approaches depending on the type of tangible or intangible asset acquired, including but not limited to the income approach, the excess earnings method and the relief from royalty method approach.

The total purchase price for IntraNexus, CQI, and ViaTrack are summarized as follows:

 

 

     IntraNexus      CQI      ViaTrack  

Cash paid

   $ 3,279       $ 2,737       $ 5,710   

Purchase price holdback

     125         600         1,187   

Common stock issued at fair value

     —           2,863         1,068   

Contingent consideration

     800         2,346         2,958   
  

 

 

    

 

 

    

 

 

 

Total purchase price

   $ 4,204       $ 8,546       $ 10,923   
  

 

 

    

 

 

    

 

 

 

The following table summarizes the final purchase price allocation for IntraNexus, CQI, and ViaTrack:

 

 

     IntraNexus     CQI     ViaTrack  

Fair value of the net tangible assets acquired and liabilities assumed:

      

Cash and cash equivalents

   $ —        $ 222      $ 10   

Current assets (including accounts receivable of $464, $409 and $436 for IntraNexus, CQI and ViaTrack, respectively)

     691        410        462   

Equipment and improvements and other long-term assets

     —          221        47   

Accounts payable and accrued liabilities

     (226     (19     (125

Deferred revenues

     (94     (520     —     
  

 

 

   

 

 

   

 

 

 

Total net tangible assets acquired and liabilities assumed

     371        314        394   

Fair value of identifiable intangible assets acquired:

      

Trade Name

     —          —          130   

Customer relationships

     1,100        600        1,800   

Software technology

     830        5,100        1,310   

Goodwill (including assembled workforce of $120 for IntraNexus)

     1,903        2,532        7,289   
  

 

 

   

 

 

   

 

 

 

Total identifiable intangible assets acquired

     3,833        8,232        10,529   
  

 

 

   

 

 

   

 

 

 

Total purchase price

   $ 4,204      $ 8,546      $ 10,923   
  

 

 

   

 

 

   

 

 

 

The pro forma effects of the ViaTrack, CQI and IntraNexus acquisitions would not have been material to the Company’s results of operations and are therefore not presented.

 

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Table of Contents

4. Goodwill

The Company does not amortize goodwill as our goodwill has been determined to have an indefinite useful life.

Goodwill consists of the following:

 

     March 31,
2011
     Acquisitions      December 31,
2011
 

QSI Dental Division

        

ViaTrack Systems, LLC

   $ —         $ 7,289       $ 7,289   
  

 

 

    

 

 

    

 

 

 

Total QSI Dental Division goodwill

     —           7,289         7,289   

NextGen Division

        

NextGen Healthcare Information Systems, Inc.

     1,840         —           1,840   
  

 

 

    

 

 

    

 

 

 

Total NextGen Division goodwill

     1,840         —           1,840   

Inpatient Solutions Division

        

CQI Solutions, Inc.

     —           2,532         2,532   

IntraNexus, Inc.

     —           1,903         1,903   

Opus Healthcare Solutions, Inc.

     13,537         —           13,537   

NextGen Inpatient Solutions, LLC

     1,020         —           1,020   
  

 

 

    

 

 

    

 

 

 

Total Inpatient Solutions Division goodwill

     14,557         4,435         18,992   
  

 

 

    

 

 

    

 

 

 

Practice Solutions Division

        

Practice Management Partners, Inc.

     19,485         —           19,485   

Healthcare Strategic Initiatives

     10,839         —           10,839   
  

 

 

    

 

 

    

 

 

 

Total Practice Solutions Division goodwill

     30,324         —           30,324   
  

 

 

    

 

 

    

 

 

 

Total goodwill

   $ 46,721       $ 11,724       $ 58,445   
  

 

 

    

 

 

    

 

 

 

5. Intangible Assets

In connection with the ViaTrack acquisition, the Company recorded $3,240 of intangible assets related to a trade name, customer relationships and software technology. The Company is amortizing the trade name over three years, the customer relationships over five years, and the software technology over five years.

In connection with the CQI acquisition, the Company recorded $5,700 of intangible assets related to customer relationships and software technology. The Company is amortizing the customer relationships over five years and the software technology over seven years.

In connection with the IntraNexus acquisition, the Company recorded $1,930 of intangible assets related to customer relationships and software technology. The Company is amortizing the customer relationships over five years and the software technology over four years.

The Company’s intangible assets, other than capitalized software development costs, with determinable lives are summarized as follows:

 

     December 31, 2011  
     Customer
Relationships
    Trade Name     Software
Technology
    Total  

Gross carrying amount

   $ 13,706      $ 767      $ 19,359      $ 33,832   

Accumulated amortization

     (5,299     (554     (3,394     (9,247
  

 

 

   

 

 

   

 

 

   

 

 

 

Net intangible assets

   $ 8,407      $ 213      $ 15,965      $ 24,585   
  

 

 

   

 

 

   

 

 

   

 

 

 

 

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Table of Contents
     March 31, 2011  
     Customer
Relationships
    Trade Name     Software
Technology
    Total  

Gross carrying amount

   $ 10,206      $ 637      $ 12,119      $ 22,962   

Accumulated amortization

     (3,879     (429     (1,764     (6,072
  

 

 

   

 

 

   

 

 

   

 

 

 

Net intangible assets

   $ 6,327      $ 208      $ 10,355      $ 16,890   
  

 

 

   

 

 

   

 

 

   

 

 

 

Activity related to the intangible assets for the nine months ended December 31, 2011 and 2010 is summarized as follows:

 

     Customer
Relationships
    Trade Name     Software
Technology
    Total  

Balance as of April 1, 2011

   $ 6,327      $ 208      $ 10,355      $ 16,890   

Acquisition

     3,500        130        7,240        10,870   

Amortization (1)

     (1,420     (125     (1,630     (3,175
  

 

 

   

 

 

   

 

 

   

 

 

 

Balance as of December 31, 2011

   $ 8,407      $ 213      $ 15,965      $ 24,585   
  

 

 

   

 

 

   

 

 

   

 

 

 
     Customer
Relationships
    Trade Name     Software
Technology
    Total  

Balance as of April 1, 2010

   $ 7,849      $ 368      $ 11,928      $ 20,145   

Amortization (1)

     (1,117     (120     (1,188     (2,425
  

 

 

   

 

 

   

 

 

   

 

 

 

Balance as of December 31, 2010

   $ 6,732      $ 248      $ 10,740      $ 17,720   
  

 

 

   

 

 

   

 

 

   

 

 

 

 

(1) Amortization of the customer relationships and trade name intangible assets is included in operating expenses and amortization of the software technology intangible assets is included in cost of revenue for software, hardware, and supplies.

The following table represents the remaining estimated amortization of intangible assets with determinable lives as of December 31, 2011:

 

For the year ended March 31, 2012 (remaining three months)

   $ 1,315   

2013

     5,125   

2014

     4,996   

2015

     3,938   

2016 and beyond

     9,211   
  

 

 

 

Total

   $ 24,585   
  

 

 

 

6. Capitalized Software Costs

The Company’s capitalized software development costs are summarized as follows:

 

     December 31,
2011
    March 31,
2011
 

Gross carrying amount

   $ 61,700      $ 52,123   

Accumulated amortization

     (42,967     (36,973
  

 

 

   

 

 

 

Net capitalized software costs

   $ 18,733      $ 15,150   
  

 

 

   

 

 

 

 

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Table of Contents

Activity related to net capitalized software costs for the nine months ended December 31, 2011 and 2010 is summarized as follows:

 

 

     2011     2010  

Balance as of April 1

   $ 15,150      $ 11,546   

Capitalized

     9,577        8,649   

Amortization

     (5,994     (5,264
  

 

 

   

 

 

 

Balance as of December 31

   $ 18,733      $ 14,931   
  

 

 

   

 

 

 

The following table represents the remaining estimated amortization of capitalized software costs as of December 31, 2011:

 

 

For the year ended March 31, 2012 (remaining three months)

   $ 2,502   

2013

     8,461   

2014

     5,897   

2015

     1,873   
  

 

 

 

Total

   $ 18,733   
  

 

 

 

7. Composition of Certain Financial Statement Captions

Accounts receivable include amounts related to maintenance and services that were billed but not yet rendered at each period end. Undelivered maintenance and services are included as a component of the deferred revenue balance on the accompanying consolidated balance sheets.

 

 

     December 31,
2011
    March 31,
2011
 

Accounts receivable, excluding undelivered software, maintenance and services

   $ 108,382      $ 90,487   

Undelivered software, maintenance and implementation services billed in advance, included in deferred revenue

     58,932        56,002   
  

 

 

   

 

 

 

Accounts receivable, gross

     167,314        146,489   

Allowance for doubtful accounts

     (7,759     (6,717
  

 

 

   

 

 

 

Accounts receivable, net

   $ 159,555      $ 139,772   
  

 

 

   

 

 

 

Inventories are summarized as follows:

 

 

     December 31,
2011
     March 31,
2011
 

Computer systems and components

   $ 3,187       $ 1,925   

Miscellaneous parts and supplies

     7         8   
  

 

 

    

 

 

 

Inventories

   $ 3,194       $ 1,933   
  

 

 

    

 

 

 

Equipment and improvements are summarized as follows:

 

 

     December 31,
2011
    March 31,
2011
 

Computer equipment

   $ 22,981      $ 23,567   

Furniture and fixtures

     6,029        5,861   

Leasehold improvements

     4,241        4,434   
  

 

 

   

 

 

 
     33,251        33,862   

Accumulated depreciation and amortization

     (17,017     (21,263
  

 

 

   

 

 

 

Equipment and improvements, net

   $ 16,234      $ 12,599   
  

 

 

   

 

 

 

 

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Table of Contents

Current and non-current deferred revenue are summarized as follows:

 

 

     December 31,
2011
     March 31,
2011
 

Maintenance

   $ 14,308       $ 11,108   

Implementation services

     61,491         52,197   

Annual license services

     12,135         10,127   

Undelivered software and other

     2,683         3,263   
  

 

 

    

 

 

 

Deferred revenue

   $ 90,617       $ 76,695   
  

 

 

    

 

 

 

Deferred revenue, net of current

   $ 1,127       $ 1,099   
  

 

 

    

 

 

 

Accrued compensation and related benefits are summarized as follows:

 

 

     December 31,
2011
     March 31,
2011
 

Payroll, bonus and commission

   $ 4,502       $ 5,014   

Vacation

     6,494         5,233   
  

 

 

    

 

 

 

Accrued compensation and related benefits

   $ 10,996       $ 10,247   
  

 

 

    

 

 

 

Other current liabilities are summarized as follows:

 

 

     December 31,
2011
     March 31,
2011
 

Contingent consideration related to acquisitions

   $ 5,449       $ 13,658   

Care services liabilities

     2,166         3,787   

Accrued EDI expense

     2,159         2,801   

Accrued royalties

     1,322         1,752   

Customer deposits

     1,075         962   

Accrued travel

     890         1,026   

Sales tax payable

     872         589   

Self insurance reserve

     834         475   

Deferred rent

     577         437   

Outside commission payable

     569         599   

Professional services

     55         155   

Other accrued expenses

     2,241         3,075   
  

 

 

    

 

 

 

Other current liabilities

   $ 18,209       $ 29,316   
  

 

 

    

 

 

 

8. Income Tax

The provision for income taxes for the three months ended December 31, 2011 and 2010 was approximately $11.2 million and $8.3 million, respectively. The effective tax rates were 34.7% and 32.1% for the three months ended December 31, 2011 and 2010, respectively. The effective tax rate increased as compared to the same prior year period primarily due to the same prior year period included discrete decreases related to the federal research and development tax credit statute which was reinstated subsequent to filing the fiscal 2010 tax return and decreased deductions related to incentive stock options that were exercised in the same prior year period.

The provision for income taxes for the nine months ended December 31, 2011 and 2010 was approximately $32.1 million and $22.9 million, respectively. The effective tax rate for both the nine months ended December 31, 2011 and 2010 was 34.7%. The provision for income taxes for the nine months ended December 31, 2011 differs from the combined statutory rates primarily due to the impact of varying state income tax rates, tax-exempt interest income, and the qualified productions activities deduction.

Uncertain tax positions

As of December 31, 2011, the Company has provided a liability of $387 for unrecognized tax benefits related to various federal and state income tax matters. If recognized, $387 would impact the Company’s effective tax rate. The reserve for the nine months ended December 31, 2011 decreased from the same prior year period by $272 due to the expiration of the statute of limitations of prior year tax positions of acquired companies.

 

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Table of Contents

The Company’s income tax returns filed for tax years 2008 through 2010 and 2007 through 2010 are subject to examination by the federal and state taxing authorities, respectively. The Company is currently under examination by the IRS and is under examination by three state income tax authorities. The Company does not anticipate that total unrecognized tax benefits will significantly change due to the settlement of audits or the expiration of statute of limitations within the next twelve months.

9. Earnings per Share

The Company provides dual presentation of “basic” and “diluted” earnings per share (“EPS”).

 

 

     Three Months Ended December 31,      Nine Months Ended December 31,  
     2011      2010      2011      2010  

Net income

   $ 21,105       $ 17,531       $ 60,584       $ 43,053   

Basic net income per share:

           

Weighted-average shares outstanding — Basic

     58,847         57,956         58,623         57,872   
  

 

 

    

 

 

    

 

 

    

 

 

 

Basic net income per common share

   $ 0.36       $ 0.30       $ 1.03       $ 0.74   
  

 

 

    

 

 

    

 

 

    

 

 

 

Net income

   $ 21,105       $ 17,531       $ 60,584       $ 43,053   

Diluted net income per share:

           

Weighted-average shares outstanding — Basic

     58,847         57,956         58,623         57,872   

Effect of potentially dilutive securities

     281         324         320         310   
  

 

 

    

 

 

    

 

 

    

 

 

 

Weighted-average shares outstanding — Diluted

     59,128         58,280         58,943         58,182   
  

 

 

    

 

 

    

 

 

    

 

 

 

Diluted net income per common share

   $ 0.36       $ 0.30       $ 1.03       $ 0.74   
  

 

 

    

 

 

    

 

 

    

 

 

 

The computation of diluted net income per share does not include 364 and 346 options to acquire shares of common stock for the three and nine months ended December 31, 2011, respectively, because their inclusion would have an anti-dilutive effect on net income per share.

The computation of diluted net income per share does not include 554 and 526 options to acquire shares of common stock for the three and nine months ended December 31, 2010, respectively, because their inclusion would have an anti-dilutive effect on net income per share.

10. Share-Based Awards

All share and per share data provided within this footnote is adjusted for the effect of the stock split, as discussed in Note 1.

Employee Stock Option Plans

In September 1998, the Company’s shareholders approved a stock option plan (the “1998 Plan”) under which 8,000,000 shares of common stock were reserved for the issuance of options. The 1998 Plan provides that employees, directors and consultants of the Company may, at the discretion of the Board of Directors or a duly designated compensation committee, be granted options to purchase shares of common stock. The exercise price of each option granted was determined by the Board of Directors at the date of grant, and options under the 1998 Plan expire no later than ten years from the grant date. Options granted will generally become exercisable in accordance with the terms of the agreement pursuant to which they were granted. Certain option grants to directors became exercisable three months from the date of grant. Upon an acquisition of the Company by merger or asset sale, each outstanding option may be subject to accelerated vesting under certain circumstances. The 1998 Plan terminated on December 31, 2007. As of December 31, 2011, there were 171,114 outstanding options related to the 1998 Plan.

In October 2005, the Company’s shareholders approved a stock option and incentive plan (the “2005 Plan”) under which 4,800,000 shares of common stock were reserved for the issuance of awards, including stock options, incentive stock options and non-qualified stock options, stock appreciation rights, restricted stock, unrestricted stock, restricted stock units, performance shares, performance units (including performance options) and other share-based awards. The 2005 Plan provides that employees, directors and consultants of the Company may, at the discretion of the Board of Directors or a duly designated compensation committee, be granted awards to acquire shares of common stock. The exercise price of each option award shall be determined by the Board of Directors at the date of grant in accordance with the terms of the 2005 Plan, and under the 2005 Plan awards expire no later than ten years from the grant date. Options granted will generally become exercisable in accordance with the terms of the agreement pursuant to which they were granted. Upon an acquisition of the Company by merger or asset sale, each outstanding option may be subject to accelerated vesting under certain circumstances. The 2005 Plan terminates on May 25, 2015, unless terminated earlier by the Board of Directors. As of December 31, 2011, there were 1,121,248 outstanding options and 3,236,660 shares available for future grant related to the 2005 Plan.

 

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A summary of stock option transactions during the nine months ended December 31, 2011 is as follows:

 

 

     Number of
Shares
    Weighted-
Average
Exercise
Price
per Share
     Weighted-
Average
Remaining
Contractual
Life (years)
     Aggregate
Intrinsic
Value
(in thousands)
 

Outstanding, April 1, 2011

     1,397,556      $ 22.20         3.9      

Granted

     459,400        43.04         7.4      

Exercised

     (419,114     17.53         1.2       $ 8,157   

Forfeited/Canceled

     (145,480     37.57         6.8      
  

 

 

         

Outstanding, December 31, 2011

     1,292,362      $ 29.39         4.9       $ 12,026   
  

 

 

         

Vested and expected to vest, December 31, 2011

     1,254,350      $ 29.30         4.9       $ 11,767   
  

 

 

         

Exercisable, December 31, 2011

     430,335      $ 21.31         2.7       $ 6,748   
  

 

 

         

The Company utilizes the Black-Scholes valuation model for estimating the fair value of share-based compensation with the following assumptions:

 

 

     Nine Months Ended December 31, 2011   Nine Months Ended December 31, 2010

Expected life

   4.3 years   4.2 years

Expected volatility

   41.2%   42.6% - 44.7%

Expected dividends

   1.6%   1.9% - 2.2%

Risk-free rate

   1.8%   1.5% - 2.1%

The weighted average grant date fair value of stock options granted during the nine months ended December 31, 2011 and 2010 was $13.32 and $9.24 per share, respectively.

The Company issues new shares to satisfy option exercises. Based on historical experience of option cancellations, the Company has estimated an annualized forfeiture rate of 3.9% and 2.8% for employee options for the nine months ended December 31, 2011 and 2010, respectively, and 0.0% for director options for the nine months ended December 31, 2011 and 2010. Forfeiture rates will be adjusted over the requisite service period when actual forfeitures differ, or are expected to differ, from the estimate.

During the nine months ended December 31, 2011, a total of 459,400 options to purchase shares of common stock were granted under the 2005 Plan at an exercise price equal to the market price of the Company’s common stock on the date of grant. A summary of stock options granted under the 2005 Plan during fiscal years 2012 and 2011 is as follows:

 

 

Option Grant Date

  

Number of
Shares

    

Exercise Price

    

Vesting
Terms (1)

  

Expires

May 31, 2011

     459,400       $ 43.04       Five years    May 31, 2019
  

 

 

          

Fiscal year 2012 option grants

     459,400            
  

 

 

          

November 29, 2010

     20,000       $ 32.16       Five years    November 29, 2018

August 3, 2010

     10,000       $ 27.62       Five years    August 3, 2018

June 4, 2010

     50,000       $ 28.15       Five years    June 4, 2018

June 2, 2010

     30,000       $ 29.31       Five years    June 2, 2018
  

 

 

          

Fiscal year 2011 option grants

     110,000            
  

 

 

          

 

(1) Options vest in equal annual installments on each grant anniversary date commencing one year following the date of grant.

 

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Performance-Based Awards

On May 25, 2011, the Board of Directors approved its fiscal year 2012 equity incentive program for certain employees to be awarded options to purchase the Company’s common stock. The maximum number of options available under the equity incentive program plan is 600,000, of which 300,000 are reserved for the Company’s named executive officers and 300,000 for non-executive employees of the Company. Under the program, executives are eligible to receive options based on meeting certain target increases in EPS performance and revenue growth during fiscal year 2012. Under the program, the non-executive employees are eligible to receive options based on satisfying certain management established criteria and recommendations of senior management. The options shall be issued pursuant to one of the Company’s shareholder approved option plans, have an exercise price equal to the closing price of the Company’s shares on the date of grant, a term of eight years and vesting in five equal annual installments commencing one year following the date of grant.

Compensation expense associated with the performance based awards under the Company’s equity incentive plans are initially based on the number of options expected to vest after assessing the probability that certain performance criteria will be met. Cumulative adjustments are recorded quarterly to reflect subsequent changes in the estimated outcome of performance-related conditions. The Company utilized the Black-Scholes option valuation model and recorded stock compensation expense related to the performance based awards of approximately $419 and $377 during the nine months ended December 31, 2011 and 2010, respectively, using the assumptions below.

 

 

     Nine Months Ended December 31, 2011   Nine Months Ended December 31, 2010

Expected life

   4.3 years   4.2 years

Expected volatility

   41.2% - 42.2%   42.5%

Expected dividends

   1.4% - 1.9%   1.7%

Risk-free rate

   0.8% - 1.8%   2.0%

Non-vested stock option award activity, including employee stock options and performance-based awards, during the nine months ended December 31, 2011 is summarized as follows:

 

 

     Non-Vested
Number of
Shares
    Weighted-
Average
Grant-Date
Fair Value
per Share
 

Outstanding, April 1, 2011

     803,036      $ 8.08   

Granted

     459,400        13.32   

Vested

     (254,929     6.93   

Forfeited/Canceled

     (145,480     11.75   
  

 

 

   

Outstanding, December 31, 2011

     862,027      $ 10.60   
  

 

 

   

As of December 31, 2011, $6,698 of total unrecognized compensation costs related to stock options is expected to be recognized over a weighted-average period of 3.3 years. This amount does not include the cost of new options that may be granted in future periods or any changes in the Company’s forfeiture percentage. The total fair value of options vested during the nine months ended December 31, 2011 and 2010 was $1,767 and $1,017, respectively.

Restricted Stock Units

On May 27, 2009, the Board of Directors approved its Outside Director Compensation Plan, whereby each non-employee director is to be awarded shares of restricted stock units upon election or re-election to the Board of Directors. The restricted stock units are awarded under the 2005 Plan. Such restricted stock units vest in two equal, annual installments on the first and second anniversaries of the grant date and are nontransferable for one year following vesting. Upon each vesting of the award, one share of common stock shall be issued for each restricted stock unit. The weighted-average grant date fair value for the restricted stock units was estimated using the market price of the common stock on the date of grant. The fair value of these restricted stock units is amortized on a straight-line basis over the vesting period.

As of December 31, 2011, 56,960 restricted stock units have been awarded under the Outside Director Compensation Plan from inception to date and approximately $394 and $324 of compensation expense related to these restricted stock units was recorded during the nine months ended December 31, 2011 and 2010, respectively. Restricted stock units activity for the nine months ended December 31, 2011 is summarized as follows:

 

 

     Number of
Shares
    Weighted-
Average
Grant-Date
Fair Value
per Share
 

Outstanding, April 1, 2011

     22,896      $ 27.09   

Granted

     22,668        39.75   

Vested

     (14,896     27.19   
  

 

 

   

Outstanding, December 31, 2011

     30,668      $ 36.41   
  

 

 

   

 

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As of December 31, 2011, $875 of total unrecognized compensation costs related to restricted stock units is expected to be recognized over a weighted-average period of 2.0 years. This amount does not include the cost of new restricted stock units that may be granted in future periods.

11. Concentration of Credit Risk

The Company had cash deposits at U.S. banks and financial institutions which exceeded federally insured limits at December 31, 2011. The Company is exposed to credit loss for amounts in excess of insured limits in the event of non-performance by the institutions; however, the Company does not anticipate non-performance by these institutions.

12. Commitments, Guarantees and Contingencies

Commitments and Guarantees

Software license agreements in both the QSI Dental Division and NextGen Division include a performance guarantee that the Company’s software products will substantially operate as described in the applicable program documentation for a period of 365 days after delivery. To date, the Company has not incurred any significant costs associated with its performance guarantee or other related warranties and does not expect to incur significant warranty costs in the future. Therefore, no accrual has been made for potential costs associated with these warranties. Certain arrangements also include performance guarantees related to response time, availability for operational use, and other performance-related guarantees. Certain arrangements also include penalties in the form of maintenance credits should the performance of the software fail to meet the performance guarantees. To date, the Company has not incurred any significant costs associated with these warranties and does not expect to incur significant warranty costs in the future. Therefore, no accrual has been made for potential costs associated with these warranties.

The Company has historically offered short-term rights of return in certain sales arrangements. If the Company is able to estimate returns for these types of arrangements and all other criteria for revenue recognition have been met, revenue is recognized and these arrangements are recorded in the consolidated financial statements. If the Company is unable to estimate returns for these types of arrangements, revenue is not recognized in the consolidated financial statements until the rights of return expire, provided also, that all other criteria of revenue recognition have been met.

Certain standard sales agreements contain a money back guarantee providing for a performance guarantee that is already part of the software license agreement as well as training and support. The money back guarantee also warrants that the software will remain robust and flexible to allow participation in the federal health incentive programs. The specific elements of the performance guarantee pertain to aspects of the software, which the Company has already tested and confirmed to consistently meet using the Company’s existing software without any modifications or enhancements. To date, the Company has not incurred any costs associated with this guarantee and does not expect to incur significant costs in the future. Therefore, no accrual has been made for potential costs associated with this guarantee.

The Company’s standard sales agreements in the NextGen Division contain an indemnification provision pursuant to which it shall indemnify, hold harmless, and reimburse the indemnified party for losses suffered or incurred by the indemnified party in connection with any United States patent, any copyright or other intellectual property infringement claim by any third-party with respect to its software. The QSI Dental Division arrangements occasionally utilize this type of language as well. As the Company has not incurred any significant costs to defend lawsuits or settle claims related to these indemnification agreements, the Company believes that its estimated exposure on these agreements is currently minimal. Accordingly, the Company has no liabilities recorded for these indemnification obligations.

The Company has entered into marketing assistance agreements with existing users of the Company’s products which provide the opportunity for those users to earn commissions if they host specific site visits upon the Company’s request for prospective clients that directly result in a purchase of the Company’s software by the visiting prospects. Amounts earned by existing users under this program are treated as a selling expense in the period when earned.

 

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13. Operating Segment Information

The Company has prepared operating segment information to report components that are evaluated regularly by its chief operating decision maker, or decision making group, in deciding how to allocate resources and in assessing performance.

In January 2011, QSIH was formed in Bangalore, India to function as the Company’s India-based captive to offshore technology application development and business processing services.

Operating segment data is as follows:

 

 

     Three Months Ended December 31,     Nine Months Ended December 31,  
     2011     2010     2011     2010  

Revenue:

        

QSI Dental Division

   $ 4,863      $ 4,321      $ 14,469      $ 14,319   

NextGen Division

     85,900        69,270        243,015        192,886   

Inpatient Solutions Division

     9,928        5,785        25,671        12,757   

Practice Solutions Division

     12,074        12,495        37,686        36,293   
  

 

 

   

 

 

   

 

 

   

 

 

 

Consolidated revenue

   $ 112,765      $ 91,871      $ 320,841      $ 256,255   
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating income:

        

QSI Dental Division

   $ 620      $ 797      $ 2,518      $ 3,355   

NextGen Division

     35,240        28,499        98,875        73,656   

Inpatient Solutions Division

     3,406        2,034        8,919        3,611   

Practice Solutions Division

     1,238        1,294        4,377        2,758   

Unallocated corporate expense (1)

     (7,989     (6,843     (21,788     (17,749
  

 

 

   

 

 

   

 

 

   

 

 

 

Consolidated operating income

   $ 32,515      $ 25,781      $ 92,901      $ 65,631   
  

 

 

   

 

 

   

 

 

   

 

 

 

 

(1) Unallocated corporate expense includes eliminations relating to QSIH revenues and related expenses included in the results of operating segments. For the nine months ended December 31, 2011 and 2010, eliminations were not significant.

Management evaluates performance based upon stand-alone segment operating income. Because the Company does not evaluate performance based upon return on assets at the operating segment level, assets are not tracked internally by segment. Therefore, segment asset information is not presented.

All of the recorded goodwill at December 31, 2011 relates to the Company’s QSI Dental Division, NextGen Division, Inpatient Solutions Division and Practice Solutions Division. The goodwill relating to the acquisition of ViaTrack is recorded in the QSI Dental Division. The goodwill relating to the acquisitions of HSI and PMP is recorded in the Practice Solutions Division. The goodwill amounts relating to the acquisitions of CQI, IntraNexus, Opus and NextGen IS are recorded in the Inpatient Solutions Division. See Note 4.

14. Subsequent Events

On January 25, 2012, the Board of Directors approved a quarterly cash dividend of $0.175 per share on the Company’s outstanding shares of common stock, payable to shareholders of record as of March 20, 2012 with an expected distribution date on or about April 5, 2012.

 

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

CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS

This Quarterly Report on Form 10-Q and certain information incorporated herein by reference contain forward-looking statements within the “safe harbor” provisions of the Private Securities Litigation Reform Act of 1995. All statements included or incorporated by reference in this Quarterly Report on Form 10-Q, other than statements that are purely historical, are forward-looking statements. Words such as “anticipate,” “expect,” “intend,” “plan,” “believe,” “seek,” “estimate,” “will,” “should,” “would,” “could,” “may,” and similar expressions also identify forward-looking statements. These forward-looking statements include, without limitation, discussions of our product development plans, business strategies, future operations, financial condition and prospects, developments in and the impacts of government regulation and legislation, including, without limitation, The American Recovery and Reinvestment Act and The Patient Protection and Affordable Care Act, and market factors influencing our results. Our expectations, beliefs, objectives, intentions and strategies regarding our future results are not guarantees of future performance and are subject to risks and uncertainties, both foreseen and unforeseen, that could cause actual results to differ materially from results contemplated in our forward-looking statements. These risks and uncertainties include, but are not limited to, our 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 affect our ability to achieve our goals, and interested persons are urged to review any risks that may be described in “Item 1A. Risk Factors” as set forth herein and other risk factors appearing in our most recent Annual Report on Form 10-K for the fiscal year ended March 31, 2011 (“Annual Report”), as supplemented by additional risk factors, if any, in our interim filings on our Quarterly Report on Form 10-Q, as well as in our other public disclosures and filings with the Securities and Exchange Commission (“SEC”). Because of these risk factors, as well as other variables affecting our financial condition and results of operations, past financial performance may not be a reliable indicator of future performance and historical trends should not be used to anticipate results or trends in future periods. We assume no obligation to update any forward-looking statements. You are cautioned not to place undue reliance on forward-looking statements, which speak only as of the date of the filing of this Quarterly Report on Form 10-Q.

This management’s discussion and analysis of financial condition and results of operation, or MD&A, is provided as a supplement to the consolidated financial statements and notes thereto included elsewhere in this Quarterly Report on Form 10-Q in order to enhance your understanding of our results of operations and financial condition and should be read in conjunction with, and is qualified in its entirety by, the consolidated financial statements and related notes thereto included elsewhere in this Quarterly Report on Form 10-Q. 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.

Our MD&A is organized as follows:

 

   

Management Overview. This section provides a general description of our Company and operating segments, a discussion as to how we derive our revenue, background information on certain trends and developments affecting our Company, a summary of our acquisition transactions and a discussion on management’s strategy for driving revenue growth.

 

   

Critical Accounting Policies and Estimates. This section discusses those accounting policies that are considered important to the evaluation and reporting of our financial condition and results of operations, and whose application requires us to exercise subjective or complex judgments in making estimates and assumptions. In addition, all of our significant accounting policies, including our critical accounting policies, are summarized in Note 1, “Summary of Significant Accounting Policies,” of our notes to consolidated financial statements included elsewhere in this Quarterly Report on Form 10-Q.

 

   

Company Overview. This section provides a more detailed description of our Company, operating segments, products and services offered.

 

   

Overview of Results of Operations and Results of Operations by Operating Divisions. These sections provide our analysis and outlook for the significant line items on our consolidated statements of income, as well as other information that we deem meaningful to understand our results of operations on both a consolidated basis and an operating division basis.

 

   

Liquidity and Capital Resources. This section provides an analysis of our liquidity and cash flows.

 

   

New Accounting Pronouncements. This section provides a summary of the most recent authoritative accounting standards and guidance that have either been recently adopted by our Company or may be adopted in the future.

 

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Management Overview

Quality Systems, Inc. and its wholly-owned subsidiaries operate as four business divisions which are comprised of: (i) the QSI Dental Division, (ii) the NextGen Division, (iii) the Inpatient Solutions Division and (iv) the Practice Solutions Division. In fiscal year 2011, we opened a captive entity in India called Quality Systems India Healthcare Private Limited (“QSIH”). We primarily derive revenue by developing and marketing healthcare information systems that automate certain aspects of medical and dental practices, networks of practices such as physician hospital organizations (“PHOs”) and management service organizations (“MSOs”), ambulatory care centers, community health centers and medical and dental schools along with comprehensive systems implementation, maintenance and support and add on complementary services such as revenue cycle management (“RCM”) and electronic data interchange (“EDI”). Our systems and services provide our clients with the ability to redesign patient care and other workflow processes while improving productivity through the facilitation of managed access to patient information. Utilizing our proprietary software in combination with third-party hardware and software solutions, our products enable the integration of a variety of administrative and clinical information operations.

The turbulence in the worldwide economy has impacted almost all industries. While healthcare is not immune to economic cycles, we believe it is more resilient than most segments of the economy. The impact of the current economic conditions on our existing and prospective clients has been mixed. While we continue to see organizations that are doing fairly well operationally, some organizations, especially those with a large dependency on Medicaid populations, have been impacted by the challenging financial conditions faced by many state governments. One factor that is anticipated to have a positive impact on the U.S. healthcare industry is the Obama Administration’s broad healthcare reform efforts. The American Recovery and Reinvestment Act (the “ARRA”), which was enacted on February 17, 2009, includes more than $20 billion in funding to help healthcare organizations modernize operations through the acquisition of health care information technology. During the quarter ended September 30, 2010, the Certification Commission for Health Information Technology (“CCHIT®”), a non-profit organization recognized by the Office of the National Coordinator for Health Information Technology as an approved Authorized Testing and Certification Body, announced that our EHR solution is certified as a Complete EHR and is 2011/2012 compliant. This certification was particularly timely, following the establishment of the Stage 1 Meaningful Use definition criteria under the ARRA, which was announced in July 2010. The continuing clarification of the uncertainties surrounding the Meaningful Use definition has positively impacted the healthcare information technology industry, and we believe we are well positioned to aid physicians and hospitals with their EHR decisions as they prepare to make incentive-based purchases.

Our strategy is to focus on providing software and services to the medical and dental communities, both in the ambulatory and inpatient settings. The key elements of this strategy are to continue development and enhancement of select software solutions in target markets, to continue to bring further integration between our ambulatory and inpatient products, to continue investments in our infrastructure including but not limited to product development, sales, marketing, implementation and support, to continue efforts to make infrastructure investments within an overall context of maintaining reasonable expense discipline, to add new clients through maintaining and expanding sales, marketing and product development activities and to expand our relationship with existing clients through delivery of add-on and complementary products and services while continuing our gold-standard commitment of service in support of our client satisfaction programs. We believe that our growing customer base that is using our software on a daily basis is a strategic asset, and we intend to expand our product and service offerings towards this customer base in order to leverage this strategic asset.

Critical Accounting Policies and Estimates

The discussion and analysis of our consolidated financial statements and results of operations is based upon our consolidated financial statements, which have been prepared in accordance with accounting principles generally accepted in the United States of America. The preparation of these consolidated financial statements requires us to make estimates and judgments that affect the reported amounts of assets, liabilities, revenue and expenses, and related disclosures of contingent assets and liabilities. On an on-going basis, we evaluate estimates (including but not limited to those related to revenue recognition, uncollectible accounts receivable, software development cost, intangible assets and self-insurance accruals) for reasonableness. We base our estimates on historical experience and on various other assumptions that management believes to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that may not be readily apparent from other sources. Actual results may differ from these estimates under different assumptions or conditions.

We describe our significant accounting policies in Note 2, “Summary of Significant Accounting Policies,” of our notes to consolidated financial statements included in our Annual Report. We discuss our critical accounting policies and estimates in Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” of our Annual Report. There have been no material changes in our significant accounting policies or critical accounting policies and estimates since the end of fiscal year 2011.

Company Overview

Quality Systems, Inc., a California corporation formed in 1974, was founded with an early focus on providing information systems to dental group practices. In the mid-1980’s, we capitalized on the increasing focus on medical cost containment and further expanded our information processing systems to serve the medical market. In the mid-1990’s, we made two acquisitions that accelerated our penetration of the medical market. These two acquisitions formed the basis for the NextGen Division. In 2008, we acquired two revenue cycle management companies that formed the basis of our Practice Solutions Division, which provides revenue cycle management services. Since 2009, we have completed four acquisitions that formed the basis of our Inpatient Solutions Division. Today, we serve the physician, inpatient and dental markets through our four business segments: QSI Dental Division, NextGen Division, Inpatient Solutions Division and Practice Solutions Division.

 

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The divisions operate largely as stand-alone operations, with each division maintaining its own distinct product lines, product platforms, development, implementation and support teams and branding. The divisions share the resources of our “corporate office,” which includes a variety of accounting and other administrative functions. Additionally, there are a small but growing number of clients who are simultaneously utilizing software or services from more than one of our divisions. We are in the process of further integrating the ambulatory and inpatient products to provide a more robust platform to offer both the inpatient and ambulatory markets.

The QSI Dental Division and NextGen Division develop and market practice management software that is designed to automate and streamline a number of the administrative functions required for operating a medical or dental practice. Examples of practice management software functions include scheduling and billing capabilities. It is important to note that since in both the medical and dental environments, practice management software systems have already been implemented by the vast majority of practices, we actively compete for the replacement market. In addition, the QSI Dental Division and NextGen Division develop and market software that automates patient records in both a practice and hospital setting. Therefore, we are typically competing to replace paper-based patient record alternatives as opposed to replacing previously purchased systems.

In January 2011, QSIH was formed in Bangalore, India to function as our India-based captive to offshore technology application development and business processing services.

We continue to pursue product and service enhancement initiatives within each of our divisions. The majority of such expenditures are currently targeted to the NextGen Division product line and client base.

The following table breaks down our reported segment revenue and segment revenue growth by division for the three and nine months ended December 31, 2011 and 2010:

 

     Segment Revenue Breakdown     Segment Revenue Growth  
     Three Months Ended
December 31,
    Nine Months Ended
December 31,
    Three Months Ended
December 31,
    Nine Months Ended
December 31,
 
     2011     2010     2011     2010     2011     2010     2011     2010  

QSI Dental Division

     4.3     4.7     4.5     5.6     12.5     (1.1 )%      1.0     14.8

NextGen Division

     76.2     75.4     75.8     75.2     24.0     16.7     26.0     14.7

Inpatient Solutions Division (1)

     8.8     6.3     8.0     5.0     71.6     N/A        101.2     N/A   

Practice Solutions Division

     10.7     13.6     11.7     14.2     (3.4 )%      11.3     3.8     11.0
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Consolidated

     100.0     100.0     100.0     100.0     22.7     22.6     25.2     20.1
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

(1) Inpatient Solutions Division consists of four acquisitions: CQI, IntraNexus, Opus, and NextGen IS, acquired in July 2011, April 2011, February 2010 and August 2009, respectively.

QSI Dental Division. The QSI Dental Division, co-located with our corporate headquarters in Irvine, California, currently focuses on developing, marketing and supporting software suites sold to dental organizations located throughout the US. In addition, the division supports a growing number of organizations utilizing its Software as a Service (“SaaS”) model-based NextDDS™ financial and clinical software and certain number of medical clients that utilize the division’s UNIX®-based medical practice management software product.

The QSI Dental Division’s practice management software suite utilizes a UNIX® operating system. Its Clinical Product Suite (“CPS”) utilizes the Windows operating system and can be fully integrated with the practice management software offered from each of our divisions. CPS incorporates a wide range of clinical tools including, but not limited to, periodontal charting and digital imaging of X-ray and inter-oral camera images as part of the electronic patient record. The division develops, markets and manages our Dental EDI/connectivity applications including our QSInet Application Service Provider (“ASP”). The QSI Dental Division also provides EDI services to dental practices. EDI services include electronic submission of claims to insurance providers as well as automated patient statements. On November 14, 2011, the Company acquired ViaTrack, a developer and provider of information technologies that enhance EDI offerings. We believe that significant opportunities exist to add EDI services to our portfolio of service offerings in the Inpatient market and ViaTrack will provide a platform to pursue this opportunity.

The QSI Dental Division participates jointly with the NextGen Division in providing software and services to Federally Qualified Health Centers (“FQHCs”). FQHCs are community based organizations funded by the federal government, which provide medical and dental services to underprivileged and underserved communities. The Patient Protection and Affordable Care Act, which was signed into law in March 2010, reserved $11 billion over a multiyear time period for the FQHCs program, creating unprecedented opportunities for FQHCs growth and the formation of new FQHCs.

 

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In July 2009, we licensed source code that allows us to deliver hosted, Web-based SaaS model practice management and clinical software solutions to the dental industry. This new software solution (“NextDDS™”) is being marketed primarily to the multi-location dental group practice market in which the QSI Dental Division has historically been a dominant player. NextDDS™ brings the QSI Dental Division to the forefront of the emergence of Internet-based applications and cloud computing and represents a significant growth opportunity for the Division to sell both to its existing client base as well as new clients.

NextGen Division. The NextGen Division, with headquarters in Horsham, Pennsylvania and significant locations in Atlanta, Georgia, provides integrated clinical, financial and connectivity solutions for ambulatory and dental provider organizations. The NextGen Division’s major product categories include the NextGen ambulatory product suite and NextGen Community Connectivity.

The NextGen Ambulatory product suite streamlines patient care with standardized, real-time clinical and administrative workflows within a physician’s practice, and major product categories include NextGen Electronic Health Records (“NextGenehr”), NextGen Practice Management (“NextGenpm”), NextGen Dashboard, NextGen Mobile and NextGen NextPen. NextGen Community Connectivity consists of NextGen Health Information Exchange (“NextGen HIE,” formerly Community Health Solution), NextGen Patient Portal (“NextMD.com”), and NextGen Health Quality Measures (“NextGen HQM”). The NextGen Division also offers hosting services, NextGuard – Data Protection services, and consulting services, such as strategic governance models and operational transformation, technical consulting such as data conversions or interface development. The NextGen Division products utilize Microsoft Windows technology and can operate in a client-server environment as well as via private intranet, the Internet, or in an ASP environment. The NextGen Division also provides EDI services, which include electronic submission of claims to insurance providers as well as automated patient statements.

Practice Solutions Division. The Practice Solutions Division, with locations in St. Louis, Missouri and Hunt Valley, Maryland, focuses primarily on providing physician practices with RCM services, primarily billing and collection services for medical practices. This division combines a Web-delivered SaaS model and the NextGenpm software platform to execute its service offerings. Execution of the plan to transition our client base onto the NextGen platform is under execution. The Practice Solutions Division provides technology solutions and consulting services to cover the full spectrum of providers’ revenue cycle needs from patient access through claims denials.

Inpatient Solutions Division. The Inpatient Solutions Division, with its primary location in Austin, Texas, provides integrated clinical, financial and connectivity solutions for rural and community hospitals. This division also develops and markets for the small hospital market an equivalent practice management software product, which performs administrative functions required for operating a small hospital. The Inpatient Solutions Division products deliver secure, highly adaptable and easy to use applications to patient centered hospitals and health systems and consist of NextGen Clinicals and NextGen Financials.

On July 26, 2011, we acquired CQI Solutions, Inc. (“CQI”), a provider of hospital systems for surgery management. On April 29, 2011, we acquired IntraNexus, Inc. (“IntraNexus”), a provider of Web-based integrated clinical and hospital information systems. On February 10, 2010, we acquired Opus Healthcare Solutions, Inc. (“Opus”), a provider of Web-based clinical solutions to hospital systems and integrated health networks nationwide. And on August 12, 2009, we acquired NextGen Inpatient Solutions, LLC (“NextGen IS” f/k/a Sphere), a provider of financial information systems to the small hospital inpatient market. These acquisitions are part of our strategy to expand into the small hospital market and to add new clients by taking advantage of cross selling opportunities between the ambulatory and inpatient markets. The acquired companies are established developers of software and services for the inpatient market and operate under our Inpatient Solutions Division.

Overview of Our Results

 

   

Consolidated revenue increased 25.2% and income from operations grew by 41.6% in the nine months ended December 31, 2011 as compared to the same prior year period. Revenue was positively impacted by growth in system sales as well as maintenance and EDI revenue, which grew 29.7%, 27.2% and 19.5%, respectively.

 

   

The increase in income from operations was partially offset by: (a) higher selling, general and administrative expenses, which was primarily a result of increased headcount expenses and selling-related expenses at the NextGen Division, (b) increased research and development costs, (c) higher corporate-related expenses and a higher effective tax rate.

 

   

We have benefited and hope to continue to benefit from the increased demands on healthcare providers for greater efficiency and lower costs, financial incentives from the ARRA to physicians who adopt electronic health records, as well as increased adoption rates for electronic health records and other technology in the healthcare arena.

 

   

While we expect to benefit from the increasing demands for greater efficiency as well as government support for increased adoption of electronic health records, the current economic environment, combined with unpredictability of the federal government’s plans to promote increased adoption of electronic medical records, makes the near term achievement of such benefits and, ultimately, their impact on system sales, uncertain.

NextGen Division

 

   

NextGen Division revenue increased 26.0% in the nine months ended December 31, 2011 and divisional operating income (excluding unallocated corporate expenses) increased 34.2% as compared to the same prior year period.

 

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Recurring revenue, which consists primarily of maintenance and EDI revenue, increased 24.4% to $118.9 million and accounted for 49.0% of total NextGen Division revenue for the nine months ended December 31, 2011. In the same period a year ago, recurring revenue of $95.6 million represented 49.6% of total NextGen Division revenue.

 

   

During the nine months ended December 31, 2011, we added staffing resources and increased our investment in research and development in anticipation of growth from the ARRA. Our goals include taking maximum advantage of benefits related to the ARRA and continuing to further enhance our existing products, including continued efforts to maintain our status as a qualified vendor under the ARRA, integrating our inpatient and ambulatory software products, developing new products for targeted markets, continuing to add new clients, selling additional software and services to existing clients, expanding penetration of connectivity and other services to new and existing clients, and capitalizing on growth and cross selling opportunities within the Practice Solutions Division and the Inpatient Solutions Division.

 

   

The NextGen Division’s growth is attributed to a strong brand name and reputation within a growing marketplace for electronic health records and investments in sales and marketing activities, including new marketing campaigns, trade show attendance and other expanded advertising and marketing expenditures. We have also benefited from winning numerous industry awards for the NextGen Division’s flagship NextGenehr and NextGenpm software products and more recently in 2010 for its NextGen HIE product. Further, the increasing acceptance of electronic records technology in the healthcare industry continues to provide growth opportunities.

QSI Dental Division

 

   

QSI Dental Division revenue increased 1.0% in the nine months ended December 31, 2011 and divisional operating income (excluding unallocated corporate expenses) decreased 25.0% as compared to the same prior year period. The decline is the result of higher selling, general and administrative expenses in the current period. It should also be noted that the QSI Dental Division’s new software solution (“NextDDS™”) is being sold as a SaaS solution which means that revenue is spread out over a longer period of time and not recognized upfront. Revenue recognized from NextDDS was not significant in the nine months ended December 31, 2011. Additionally, our acquisition of ViaTrack in November 2011 did not significantly impact the QSI Dental Division results for the period.

 

   

The QSI Dental Division is well-positioned to sell to the FQHCs market and intends to continue leveraging the NextGen Division’s sales force to sell its dental electronic medical records software to practices that provide both medical and dental services, such as FQHCs, which are receiving grants as part of the ARRA.

 

   

Our goal for the QSI Dental Division is to maximize profit performance given the constraints represented by a relatively weak purchasing environment in the dental group practice market while taking advantage of opportunities with the new NextDDS™ product.

Practice Solutions Division

 

   

Practice Solutions Division revenue increased 3.8% in the nine months ended December 31, 2011. Divisional operating income (excluding unallocated corporate expenses) increased to $4.4 million in the nine months ended December 31, 2011 as compared to $2.8 million for the same prior year period.

 

   

The Practice Solutions Division benefited from organic growth achieved through cross selling RCM services to existing NextGen Division clients and well as new clients added during the nine months ended December 31, 2011. The division also benefited from the cross sale of software and services to its existing customers. Systems sales to existing Practice Solutions customers are credited to the division.

 

   

The Company believes that a significant opportunity exists to cross sell revenue cycle management services to existing NextGen ambulatory customers. The portion of existing NextGen ambulatory customers who are using Practice Solutions revenue cycle management services is less than 15%. There is also a significant opportunity to expand the division’s services into the Inpatient Solution Division’s customers as well. Management is actively pursuing efforts to achieve faster growth from expanded efforts to leverage the existing NextGen sales force towards selling revenue cycle management services.

 

   

Operating income as a percentage of revenue increased to approximately 11.6% of revenue in the nine months ended December 31, 2011 versus 7.6% of revenue in the same prior year period primarily as a result of higher RCM revenue as well as systems sales. The same prior year period also included higher expenses related to certain non-recurring integration related expenses related to integrating the two entities that make up the Practice Solutions Division, transitioning and training of staff on the NextGen platform, initial set up and other costs related to achieving higher production volume from a new business.

Inpatient Solutions Division

 

   

Inpatient Solutions Division revenue increased 101.2% in the nine months ended December 31, 2011. Divisional operating income (excluding unallocated corporate expenses) increased to $8.9 million for the nine months ended December 31, 2011 as compared to $3.6 million for the same prior year period. This division consists of four acquisitions, CQI, IntraNexus, Opus and NextGen IS, acquired in July 2011, April 2011, February 2010 and August 2009, respectively.

 

   

The Inpatient Solutions Division has benefited from being able to offer both financial and CCHIT® certified clinical software, which has been packaged together. The Inpatient Solutions Division has also benefited from cross sell opportunities with existing NextGen Division customers, including hospitals that are owned or affiliated with physician offices.

 

   

Operating income as a percentage of revenue increased to approximately 34.7% of revenue in the nine months ended December 31, 2011 versus 28.3% of revenue in the same prior year period primarily as a result of a $12.9 million increase in divisional revenue, including system sales, implementation and training services, and maintenance.

 

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The following table sets forth, for the periods indicated, the percentage of net revenue represented by each item in our consolidated statements of income (certain percentages below may not sum due to rounding):

 

     Three Months Ended December 31,     Nine Months Ended December 31,  
(Unaudited)    2011     2010     2011     2010  

Revenues:

        

Software, hardware and supplies

     31.1     32.3     29.9     29.2

Implementation and training services

     5.8        4.6        5.6        5.1   
  

 

 

   

 

 

   

 

 

   

 

 

 

System sales

     36.9        36.9        35.5        34.3   

Maintenance

     32.1        30.4        32.1        31.6   

Electronic data interchange services

     10.7        11.3        11.3        11.8   

Revenue cycle management and related services

     9.9        12.5        10.7        13.1   

Other services

     10.3        8.9        10.5        9.2   
  

 

 

   

 

 

   

 

 

   

 

 

 

Maintenance, EDI, RCM and other services

     63.1        63.1        64.5        65.7   
  

 

 

   

 

 

   

 

 

   

 

 

 

Total revenues

     100.0        100.0        100.0        100.0   
  

 

 

   

 

 

   

 

 

   

 

 

 

Cost of revenue:

        

Software, hardware and supplies

     4.1        6.2        4.2        6.5   

Implementation and training services

     5.3        4.0        4.7        4.0   
  

 

 

   

 

 

   

 

 

   

 

 

 

Total cost of system sales

     9.4        10.2        8.9        10.5   

Maintenance

     3.9        3.7        3.8        3.9   

Electronic data interchange services

     7.0        7.5        7.4        8.0   

Revenue cycle management and related services

     7.5        9.5        8.0        9.8   

Other services

     6.2        4.3        5.9        4.7   
  

 

 

   

 

 

   

 

 

   

 

 

 

Total cost of maintenance, EDI, RCM and other service

     24.6        25.0        25.2        26.4   

Total cost of revenue

     34.0        35.2        34.1        36.8   
  

 

 

   

 

 

   

 

 

   

 

 

 

Gross profit

     66.0        64.8        65.9        63.2   

Operating expenses:

        

Selling, general and administrative

     29.3        30.4        29.5        30.8   

Research and development costs

     7.3        5.8        7.0        6.3   

Amortization of acquired intangible assets

     0.5        0.5        0.5        0.5   
  

 

 

   

 

 

   

 

 

   

 

 

 

Total operating expenses

     37.2        36.7        37.0        37.6   

Income from operations

     28.8        28.1        29.0        25.6   

Interest income

     0.0        0.1        0.1        0.1   

Other income (expense), net

     (0.2     0.0        (0.1     0.0   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income before provision for income taxes

     28.7        28.2        28.9        25.7   

Provision for income taxes

     10.0        9.0        10.0        8.9   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income

     18.7     19.2     18.9     16.8
  

 

 

   

 

 

   

 

 

   

 

 

 

Comparison of the Three Months Ended December 31, 2011 and December 31, 2010

During fiscal year 2011, as a result of certain organizational changes, the composition of our NextGen Division was revised to exclude our inpatient solutions entities (Opus and NextGen IS), both of which are now combined in our Inpatient Solutions Division. Following the reorganization, we now operate four reportable segments (not including our corporate office), comprised of the NextGen Division, the Inpatient Solutions Division, the QSI Dental Division and the Practice Solutions Division.

Prior period segment results were revised accordingly to reflect the organizational changes. The results of operations related to the fiscal year 2010 acquisitions of Opus and NextGen IS are now included in the Inpatient Solutions Division. The results of operations related to the fiscal year 2009 acquisitions of HSI and PMP are included in the Practice Solutions Division.

 

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Net Income. Our net income for the three months ended December 31, 2011 was $21.1 million, or $0.36 per share on both a basic and fully diluted basis. In comparison, we earned $17.5 million, or $0.30 per share on a basic and fully diluted basis for the three months ended December 31, 2010. The increase in net income for the three months ended December 31, 2011 was primarily attributed to the following:

 

   

a 22.7% increase in consolidated revenue, including an increase in revenues of $16.6 million from our NextGen Division and $4.1 million from our Inpatient Solutions Division;

 

   

a 25.5% increase in consolidated software license revenue, which accounted for 79.7% of system sales;

 

   

an increase in recurring revenue, including maintenance and EDI revenue, which grew 29.9% and 16.8%, respectively, compared to the prior year period; offset by

 

   

an increase in selling, general and administrative expenses and research and development costs.

Revenue. Revenue for the three months ended December 31, 2011 increased 22.7% to $112.8 million from $91.9 million for the three months ended December 31, 2010. NextGen Division revenue increased 24.0% to $85.9 million from $69.3 million in the three months ended December 31, 2010, QSI Dental Division revenue increased 12.5% to $4.9 million from $4.3 million, Practice Solutions Division revenue decreased 3.4% to $12.1 million from $12.5 million, and Inpatient Solutions Division revenue increased 71.6% during that same period to $9.9 million from $5.8 million.

System Sales. Revenue earned from our company-wide sales of systems for the three months ended December 31, 2011 increased 22.7% to $41.6 million from $33.9 million in the same prior year period.

Our increase in revenue from sales of systems was principally the result of an 18.1% increase in category revenue at our NextGen Division and a 62.4% increase at our Inpatient Solutions Division. NextGen Division sales in this category grew $5.3 million to $34.7 million during the three months ended December 31, 2011 from $29.4 million during the same prior year period while the Inpatient Solutions Division delivered a $2.1 million increase in category revenue to $5.4 million in the three months ended December 31, 2011 as compared to $3.3 million in the same prior year period. The increases were driven by higher sales of software to both new and existing clients at the NextGen Division and higher software and implementation revenue at the Inpatient Solutions Division.

The following table breaks down our reported system sales into software, hardware, third-party software, supplies and implementation and training services components on a consolidated and divisional basis for the three months ended December 31, 2011 and 2010 (in thousands):

 

     Software      Hardware,
Third

Party Software
and Supplies
     Implementation
and Training
Services
     Total System
Sales
 

Three Months Ended December 31, 2011

           

QSI Dental Division

   $ 703       $ 466       $ 233       $ 1,402   

NextGen Division

     28,641         1,037         4,989         34,667   

Inpatient Solutions Division

     3,728         397         1,285         5,410   

Practice Solutions Division

     102         —           48         150   
  

 

 

    

 

 

    

 

 

    

 

 

 

Consolidated

   $ 33,174       $ 1,900       $ 6,555       $ 41,629   
  

 

 

    

 

 

    

 

 

    

 

 

 

Three Months Ended December 31, 2010

           

QSI Dental Division

   $ 380       $ 347       $ 262       $ 989   

NextGen Division

     23,171         2,759         3,435         29,365   

Inpatient Solutions Division

     2,782         122         428         3,332   

Practice Solutions Division

     102         12         137         251   
  

 

 

    

 

 

    

 

 

    

 

 

 

Consolidated

   $ 26,435       $ 3,240       $ 4,262       $ 33,937   
  

 

 

    

 

 

    

 

 

    

 

 

 

NextGen Division software license revenue increased 23.6% in the three months ended December 31, 2011 versus the same period last year. The NextGen Division’s software revenue accounted for 82.6% of divisional system sales revenue during the three months ended December 31, 2011 compared to 78.9% during the same period a year ago. Software license revenue continues to be an area of primary emphasis for the NextGen Division.

During the three months ended December 31, 2011, 3.0% of the NextGen Division’s system sales revenue was represented by hardware and third-party software compared to 9.4% during same period a year ago. The number of clients who purchase hardware and third-party software and the dollar amount of hardware and third-party software revenue fluctuates each quarter depending on the needs of clients. The inclusion of hardware and third-party software in the NextGen Division’s sales arrangements is typically at the request of our clients.

 

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Implementation and training revenue related to system sales at the NextGen Division increased 45.2% in the three months ended December 31, 2011 compared to the same prior year period. Implementation and training revenue related to system sales at the Inpatient Solutions Division increased 200.2%, in the three months ended December 31, 2011 as compared to the same prior year period. The amount of implementation and training services revenue is dependent on several factors, including timing of client implementations, the availability of qualified staff and the mix of services being rendered. The number of implementation and training staff increased during the three months ended December 31, 2011 versus the same prior year period in order to accommodate the increased amount of implementation services sold in conjunction with increased software sales. In order to achieve growth in this area, additional staffing increases and additional training facilities are anticipated, though actual future increases in revenue and staff will depend upon the availability of qualified staff, business mix and conditions and our ability to retain current staff members.

For the QSI Dental Division, total system sales increased $0.4 million, or 41.8%, to $1.4 million in the three months ended December 31, 2011 as compared to $1.0 million in the same prior year period. Systems sales in the current year period included a larger amount of software compared to the prior year period.

Maintenance, EDI, RCM and Other Services. For the three months ended December 31, 2011, our company-wide revenue from maintenance, EDI, RCM and other services grew 22.8% to $71.1 million from $57.9 million in the same prior year period. The increase is primarily due to an increase in maintenance, EDI and other services revenue from the NextGen and Inpatient Solutions Divisions.

Total NextGen Division maintenance revenue for the three months ended December 31, 2011 grew 26.3% to $30.2 million from $23.9 million for the same prior year period while NextGen Division EDI revenue grew 18.9% to $10.9 million compared to $9.1 million in the same prior year period. Other services revenue for the NextGen Division, which consists primarily of third-party annual software license renewals, follow-on training hours, consulting services and hosting services, increased 48.5% to $10.1 million in the three months ended December 31, 2011 from $6.8 million in the same prior year period. Other services revenue benefited from a strong increase in consulting revenue and follow-on training services revenue to existing NextGen Division customers.

QSI Dental Division maintenance, EDI and other services revenue for the three months ended December 31, 2011 and 2010 was $3.5 million and $3.3 million, respectively. For the three months ended December 31, 2011, RCM revenue for the Practice Solutions Division decreased to $11.1 million compared to $11.5 million in the same prior year period. RCM revenue was negatively impacted by delays in the implementation and ramp up of certain customers. For the Inpatient Solutions Division, maintenance and other services revenue for the three months ended December 31, 2011 increased 84.3% as compared to the same prior year period primarily because divisional maintenance revenue increased $1.9 million to $4.0 million from $2.1 million in the same prior year period. Inpatient Solutions Division maintenance and other services revenue was positively impacted by new customers as well as contributions by the CQI and IntraNexus acquisitions.

The following table details maintenance, EDI, RCM and other services revenue by category on a consolidated and divisional basis for the three months ended December 31, 2011 and 2010 (in thousands):

 

     Maintenance      EDI      RCM      Other      Total  

Three Months Ended December 31, 2011

              

QSI Dental Division

   $ 1,946       $ 1,230       $ —         $ 285       $ 3,461   

NextGen Division

     30,246         10,871         —           10,116         51,233   

Inpatient Solutions Division

     4,029         —           —           489         4,518   

Practice Solutions Division

     24         —           11,147         753         11,924   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

Consolidated

   $ 36,245       $ 12,101       $ 11,147       $ 11,643       $ 71,136   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

Three Months Ended December 31, 2010

              

QSI Dental Division

   $ 1,805       $ 1,214       $ —         $ 313       $ 3,332   

NextGen Division

     23,946         9,146         —           6,814         39,906   

Inpatient Solutions Division

     2,117         —           —           335         2,452   

Practice Solutions Division

     40         —           11,496         708         12,244   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

Consolidated

   $ 27,908       $ 10,360       $ 11,496       $ 8,170       $ 57,934   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

Maintenance revenue for the NextGen Division increased by $6.3 million for the three months ended December 31, 2011 as compared to the same prior year period. The growth in maintenance revenue is a result of a $5.9 million increase related to net additional licenses from new clients and existing clients, and approximately $0.4 million related to a price increase that became effective during the quarter ended September 30, 2011.

The NextGen Division’s EDI revenue growth has come from new clients and from further penetration of the division’s existing client base while the growth in RCM revenue has come from new clients that have been acquired from cross selling opportunities with the NextGen Division client base. We intend to continue to promote maintenance, EDI and RCM services to both new and existing clients. Growth in other services revenue is primarily due to increases in third-party annual software licenses, follow on training services, consulting services and hosting services revenue.

 

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Cost of Revenue. Cost of revenue for the three months ended December 31, 2011 increased 18.6% to $38.3 million from $32.3 million in the same prior year period and the cost of revenue as a percentage of revenue decreased to 34.0% from 35.2% primarily due to a lower amount of hardware included in systems sales as compared to the same prior year period as well as strong software sales achieved in the current year period. This was partially offset by lower gross margins related to implementation, training, and consulting services which were impacted by increased hiring in the current quarter. Gross margins from implementation services declined to 8.6% from 13.7% in the same prior year period.

The following table details revenue and cost of revenue on a consolidated and divisional basis for the three months ended December 31, 2011 and 2010 (in thousands):

 

     Three Months Ended December 31,  
     2011      %     2010      %  

QSI Dental Division

        

Revenue

   $ 4,863         100.0   $ 4,321         100.0

Cost of revenue

     2,314         47.6     2,097         48.5
  

 

 

    

 

 

   

 

 

    

 

 

 

Gross profit

   $ 2,549         52.4   $ 2,224         51.5
  

 

 

    

 

 

   

 

 

    

 

 

 

NextGen Division

        

Revenue

   $ 85,900         100.0   $ 69,271         100.0

Cost of revenue

     23,804         27.7     19,862         28.7
  

 

 

    

 

 

   

 

 

    

 

 

 

Gross profit

   $ 62,096         72.3   $ 49,409         71.3
  

 

 

    

 

 

   

 

 

    

 

 

 

Inpatient Solutions Division

        

Revenue

   $ 9,928         100.0   $ 5,784         100.0

Cost of revenue

     2,879         29.0     1,367         23.6
  

 

 

    

 

 

   

 

 

    

 

 

 

Gross profit

   $ 7,049         71.0   $ 4,417         76.4
  

 

 

    

 

 

   

 

 

    

 

 

 

Practice Solutions Division

        

Revenue

   $ 12,074         100.0   $ 12,495         100.0

Cost of revenue

     8,685         71.9     9,003         72.1
  

 

 

    

 

 

   

 

 

    

 

 

 

Gross profit

   $ 3,389         28.1   $ 3,492         27.9
  

 

 

    

 

 

   

 

 

    

 

 

 

Unallocated cost of revenue

   $ 652         N/A      $ —           N/A   

Consolidated

        

Revenue

   $ 112,765         100.0   $ 91,871         100.0

Cost of revenue

     38,334         34.0     32,329         35.2
  

 

 

    

 

 

   

 

 

    

 

 

 

Gross profit

   $ 74,431         66.0   $ 59,542         64.8
  

 

 

    

 

 

   

 

 

    

 

 

 

Gross profit margins at the QSI Dental Division for the three months ended December 31, 2011 increased to 52.4% from 51.5% for the same prior year period. Gross profit margins at the NextGen Division for three months ended December 31, 2011 increased to 72.3% compared to 71.3% for the same prior year period due to strong software sales and an increase in maintenance revenue, which yields higher margins than other services, along with improvements in EDI margins. This was partially offset by lower margins achieved in implementation services, which declined to 8.6% from 13.7% in the same prior year period. Gross margin in the Inpatient Solutions Division decreased to 71.0% for the three months ended December 31, 2011 as compared to 76.4% for the same prior year period due to growth in implementation and training revenue which carries lower profit margins compared to software. Implementation and training revenue in the Inpatient Solutions Division represented approximately 12.9% of total Inpatient Solutions Division revenue compared to 7.4% in the year ago period. Gross margin in the Practice Solutions Division remained relatively consistent at 28.1% for the three months ended December 31, 2011 as compared to 27.9% for the same prior year period.

 

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The following table details the individual components of cost of revenue and gross profit as a percentage of total revenue on a consolidated and divisional basis for the three months ended December 31, 2011 and 2010:

 

     Hardware,
Third Party
Software
    Payroll and
Related
Benefits
    EDI     Other     Total Cost
of Revenue
    Gross Profit  

Three Months Ended December 31, 2011

            

QSI Dental Division

     7.4     24.1     6.6     9.5     47.6     52.4

NextGen Division

     1.0     12.3     7.1     7.3     27.7     72.3

Inpatient Solutions Division

     4.3     16.0     0.0     8.7     29.0     71.0

Practice Solutions Division

     0.0     47.6     2.3     22.0     71.9     28.1
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Consolidated

     1.5     16.9     6.0     9.6     34.0     66.0

Three Months Ended December 31, 2010

            

QSI Dental Division

     7.0     20.7     12.8     8.0     48.5     51.5

NextGen Division

     3.2     11.2     6.9     7.4     28.7     71.3

Inpatient Solutions Division

     7.0     12.5     0.0     4.1     23.6     76.4

Practice Solutions Division

     0.1     43.8     1.8     26.4     72.1     27.9
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Consolidated

     3.2     16.2     6.1     9.7     35.2     64.8
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

During the three months ended December 31, 2011, hardware and third-party software constituted a lower portion of cost of revenue compared to the same prior year period in the NextGen Division. The number of clients who purchase hardware and third-party software and the dollar amount of hardware and third-party software purchased fluctuates each quarter depending on the needs of our clients.

Our payroll and benefits expense associated with delivering our products and services increased to 16.9% of consolidated revenue in the three months ended December 31, 2011 compared to 16.2% during the same period last year. The absolute level of consolidated payroll and benefit expenses grew from $14.8 million in the three months ended December 31, 2010 to $19.1 million in the three months ended December 31, 2011, an increase of 28.6%, or approximately $4.3 million. Of the $4.3 million increase, approximately $0.3 million of the increase is related to the Practice Solutions Division as RCM is a service business, which inherently has higher percentage of payroll costs as a percentage of revenue. Increases of $2.8 million in the NextGen Division, $0.9 million for the Inpatient Solutions Division and $0.3 million in the QSI Dental Division for the three months ended December 31, 2011 are primarily due to headcount additions and increased payroll and benefits expense associated with delivering products and services. The amount of share-based compensation expense included in cost of revenue was not significant for the three months ended December 31, 2011 and 2010.

Other expense, which primarily consists of third-party annual license, hosting costs and outsourcing costs, decreased to 9.6% of total revenue during the three months ended December 31, 2011 as compared to 9.7% for the same period a year ago. Other expenses declined as a percentage of revenue primarily due to a higher percentage of revenue from software licenses which do not carry a significant amount of other expenses.

As a result of the foregoing events and activities, our gross profit percentage increased to 66.0% for the three months ended December 31, 2011 versus 64.8% for the same prior year period.

We anticipate continued additions to headcount in all of our divisions in areas related to delivering products and services in future periods, but due to the uncertainties in the timing of our sales arrangements, our sales mix, the acquisition and training of qualified personnel and other issues, we cannot accurately predict if related headcount expense as a percentage of revenue will increase or decrease in the future.

Selling, General and Administrative Expenses. Selling, general and administrative expenses for the three months ended December 31, 2011 increased 18.4% to $33.1 million as compared to $28.0 million for the same prior year period. The increase in these expenses resulted primarily from:

 

   

$3.6 million increase in salaries and related benefit expenses primarily as a result of headcount additions;

 

   

$1.5 million net increase in other selling and administrative expenses.

Share-based compensation expense was approximately $0.7 million for both the three months ended December 31, 2011 and 2010, and is included in the aforementioned amounts. Selling, general and administrative expenses as a percentage of revenue decreased from 30.4% in the three months ended December 31, 2010 to 29.3% in the three months ended December 31, 2011.

We do not anticipate significant increases in expenditures for trade shows, advertising and the employment of additional sales and administrative staff at the NextGen Division until additional revenue growth is achieved. We anticipate future increases in corporate expenditures being made in a wide range of areas including professional services and investment in a company-wide enterprise resource planning (“ERP”) system. While we expect selling, general and administrative expenses to increase on an absolute basis, we cannot accurately predict the impact these additional expenditures will have on selling, general and administrative expenses as a percentage of revenue.

 

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Research and Development Costs. Research and development costs for the three months ended December 31, 2011 and 2010 were $8.3 million and $5.4 million, respectively. The increases in research and development expenses were due in part to increased investment in the NextGen and Inpatient Solutions Divisions product lines including our ongoing project to bring greater integration between our ambulatory and inpatient software products and solutions. We have also invested significantly in enhancements to our specialty template development, preparation for ICD10 requirements, new products including NextGen Mobile, NextGen NextPen, NextGen Community Connectivity consisting of NextGen Health Information Exchange (“NextGen HIE,” formerly Community Health Solution), NextGen Patient Portal (“NextMD.com”), and NextGen Health Quality Measures (“NextGen HQM”), and other enhancements to our existing products. Additions to capitalized software costs offset increases in research and development costs. For the three months ended December 31, 2011 and 2010, our additions to capitalized software were at $3.4 million and $2.9 million, respectively, as we continue to enhance our software to meet the Meaningful Use definitions under the ARRA as well as further integrate both ambulatory and inpatient products. Research and development costs as a percentage of revenue increased to 7.3% in the three months ended December 31, 2011 from 5.8% for the same prior year period. Research and development expenses are expected to continue at or above current dollar levels as we develop a new integrated inpatient and outpatient, web-based software platform as well as continue to bring additional functionality and features to the medical community. Share-based compensation expense included in research and development costs was not significant for the three months ended December 31, 2011 and 2010.

Amortization of Acquired Intangible Assets. Amortization included in operating expenses related to acquired intangible assets for the three months ended December 31, 2011 and 2010 were $0.5 million and $0.4 million, respectively.

Interest and Other Income. Total interest and other expense for the three months ended December 31, 2011 was $0.2 million of expense as compared to income of $0.1 million for the three months ended December 31, 2010. Interest and other income consist primarily of dividends and interest earned on our investments offset by foreign currency losses associated with our India captive which began operating in January 2011.

Our investment policy is determined by our Board of Directors. We currently maintain our cash in very liquid short term assets including tax exempt and taxable money market funds and short-term U.S. Treasury securities with maturities of 90 days or less at the time of purchase. Our Board of Directors continues to review alternate uses for our cash including, but not limited to, payment of a special dividend, initiation of a stock buyback program, an expansion of our investment policy to include investments with longer maturities of greater than 90 days, and other items. Additionally, it is possible that we will utilize some or all of our cash to fund acquisitions or other similar business activities. Any or all of these programs could significantly impact our investment income in future periods.

Provision for Income Taxes. The provision for income taxes for the three months ended December 31, 2011 and 2010 were $11.2 million and $8.3 million, respectively. The effective tax rates were 34.7% and 32.1% for the three months ended December 31, 2011 and 2010, respectively. The effective rate for the three months ended December 31, 2011 increased as compared to the same prior year period primarily due to the same prior year period included discrete decreases related to the federal research and development tax credit statute which was reinstated subsequent to filing fiscal 2010 tax return and decreased deductions related to incentive stock options that were exercised in the same prior year period.

Comparison of the Nine Months Ended December 31, 2011 and December 31, 2010

During fiscal year 2011, as a result of certain organizational changes, the composition of our NextGen Division was revised to exclude our inpatient solutions entities (Opus and NextGen IS), both of which are now combined in our Inpatient Solutions Division. Following the reorganization, we now operate four reportable segments (not including our corporate offices), comprised of the NextGen Division, the Inpatient Solutions Division, the QSI Dental Division and the Practice Solutions Division.

Prior period segment results were revised accordingly to reflect the organizational changes. The results of operations related to the fiscal year 2010 acquisitions of Opus and NextGen IS are now included in the Inpatient Solutions Division. The results of operations related to the fiscal year 2009 acquisitions of HSI and PMP are included in the Practice Solutions Division.

Net Income. Our net income for the nine months ended December 31, 2011 was $60.6 million, or $1.03 per share on both a basic and fully diluted basis. In comparison, we earned $43.1 million, or $0.74 per share on a basic and fully diluted basis for the nine months ended December 31, 2010. The increase in net income for the nine months ended December 31, 2011 was primarily attributed to the following:

 

   

a 25.2% increase in consolidated revenue, including an increase in revenues of $50.1 million from our NextGen Division, $12.9 million from our Inpatient Solutions Division and $1.4 million from our Practice Solutions Division;

 

   

a 38.4% increase in consolidated software license revenue, which accounted for 79.2% of total system sales;

 

   

a 19.8% increase in recurring revenue, including RCM, maintenance and EDI revenue; offset by

 

   

an increase in selling, general and administrative expenses and research and development costs.

Revenue. Revenue for the nine months ended December 31, 2011 increased 25.2% to $320.8 million from $256.3 million for the nine months ended December 31, 2010. NextGen Division revenue increased 26.0% to $243.0 million from $192.9 million in the nine months ended December 31, 2010, QSI Dental Division revenue increased 1.0% to $14.5 million from $14.3 million, Practice Solutions Division revenue increased 3.8% to $37.7 million from $36.3 million, and Inpatient Solutions Division revenue increased 101.2% to $25.7 million from $12.8 million in the same prior year period.

 

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System Sales. Revenue earned from our company-wide sales of systems for the nine months ended December 31, 2011 increased 29.7% to $114.0 million from $87.9 million in the same prior year period.

Our increase in revenue from sales of systems was principally the result of a 23.5% increase in category revenue at our NextGen Division and a 131.4% increase at our Inpatient Solutions Division. NextGen Division sales in this category grew $18.1 million to $95.4 million during the nine months ended December 31, 2011 from $77.3 million during the same prior year period while the Inpatient Solutions Division delivered a $7.6 million increase in category revenue to $13.4 million in the nine months ended December 31, 2011 as compared to $5.8 million in the same prior year period. The increases were driven by higher sales of software to both new and existing clients at the NextGen Division and higher software and implementation revenue at the Inpatient Solutions Division.

The following table breaks down our reported system sales into software, hardware, third-party software, supplies and implementation and training services components on a consolidated and divisional basis for the nine months ended December 31, 2011 and 2010 (in thousands):

 

     Software      Hardware,
Third
Party Software
and Supplies
     Implementation
and Training
Services
     Total System
Sales
 

Nine Months Ended December 31, 2011

           

QSI Dental Division

   $ 1,996       $ 1,312       $ 893       $ 4,201   

NextGen Division

     78,870         3,336         13,232         95,438   

Inpatient Solutions Division

     8,658         890         3,827         13,375   

Practice Solutions Division

     783         —           169         952   
  

 

 

    

 

 

    

 

 

    

 

 

 

Consolidated

   $ 90,307       $ 5,538       $ 18,121       $ 113,966   
  

 

 

    

 

 

    

 

 

    

 

 

 

Nine Months Ended December 31, 2010

           

QSI Dental Division

   $ 1,819       $ 1,618       $ 769       $ 4,206   

NextGen Division

     58,446         7,682         11,163         77,291   

Inpatient Solutions Division

     4,688         234         859         5,781   

Practice Solutions Division

     300         19         278         597   
  

 

 

    

 

 

    

 

 

    

 

 

 

Consolidated

   $ 65,253       $ 9,553       $ 13,069       $ 87,875   
  

 

 

    

 

 

    

 

 

    

 

 

 

NextGen Division software license revenue increased 34.9% in the nine months ended December 31, 2011 versus the same period last year. The Division’s software revenue accounted for 82.6% of divisional system sales revenue during the nine months ended December 31, 2011 compared to 75.6% during the same period a year ago. Software license revenue continues to be an area of primary emphasis for the NextGen Division.

During the nine months ended December 31, 2011, 3.5% of the NextGen Division’s system sales revenue was represented by hardware and third-party software compared to 9.9% during the same period a year ago. The number of clients who purchase hardware and third-party software and the dollar amount of hardware and third-party software revenue fluctuates each quarter depending on the needs of clients. The inclusion of hardware and third-party software in the NextGen Division’s sales arrangements is typically at the request of our clients.

Implementation and training revenue related to system sales at the NextGen Division increased 18.5% in the nine months ended December 31, 2011 compared to the same prior year period. Implementation and training revenue related to system sales at the Inpatient Solutions Division increased 345.5%, in the nine months ended December 31, 2011 as compared to the same prior year period. The amount of implementation and training services revenue is dependent on several factors, including timing of client implementations, the availability of qualified staff and the mix of services being rendered. The number of implementation and training staff increased during the nine months ended December 31, 2011 versus the same prior year period in order to accommodate the increased amount of implementation services sold in conjunction with increased software sales. In order to achieve growth in this area, additional staffing increases and additional training facilities are anticipated, though actual future increases in revenue and staff will depend upon the availability of qualified staff, business mix and conditions and our ability to retain current staff members.

For the Practice Solutions Division, total system sales increased $0.4 million, or 59.5%, to $1.0 million in the nine months ended December 31, 2011 as compared to the same prior year period. Systems sales revenue within the Practice Solutions Division is composed of sales to existing RCM clients only and can fluctuate given the size of the current client base of the Practice Solutions Division.

 

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Maintenance, EDI, RCM and Other Services. For the nine months ended December 31, 2011, our company-wide revenue from maintenance, EDI, RCM and other services grew 22.9% to $206.9 million from $168.4 million in the same prior year period. The increase is primarily due to an increase in maintenance, EDI and other services revenue from the NextGen and Inpatient Solutions Divisions and RCM revenue from the Practice Solutions Division.

Total NextGen Division maintenance revenue for the nine months ended December 31, 2011 grew 25.1% to $86.4 million from $69.1 million for the same prior year period while NextGen Division EDI revenue grew 22.6% to $32.5 million compared to $26.5 million in the same prior year period. Other services revenue for the NextGen Division, which consists primarily of third-party annual software license renewals, follow-on training hours, consulting services and hosting services, increased 43.4% to $28.6 million in the nine months ended December 31, 2011 from $20.0 million in the same prior year period. Other services revenue benefited from a strong increase in consulting revenue and follow-on training services revenue to existing NextGen Division customers.

QSI Dental Division maintenance, EDI and other services revenue for the nine months ended December 31, 2011 and 2010 was $10.3 million and $10.1 million, respectively. For the nine months ended December 31, 2011, RCM revenue for the Practice Solutions Division grew $0.7 million, or 2.2%, to $34.2 million compared to $33.4 million in the same prior year period primarily as a result of increases in RCM revenue to new and existing clients. For the Inpatient Solutions Division, maintenance and other services revenue for the nine months ended December 31, 2011 increased 76.3% as compared to the same prior year period primarily because divisional maintenance revenue increased $4.4 million to $10.8 million from $6.3 million in the same prior year period.

The following table details maintenance, EDI, RCM and other services revenue by category on a consolidated and divisional basis for the nine months ended December 31, 2011 and 2010 (in thousands):

 

     Maintenance      EDI      RCM      Other      Total  

Nine Months Ended December 31, 2011

              

QSI Dental Division

   $ 5,713       $ 3,640       $ —         $ 915       $ 10,268   

NextGen Division

     86,403         32,538         —           28,636         147,577   

Inpatient Solutions Division

     10,757         —           —           1,539         12,296   

Practice Solutions Division

     88         —           34,170         2,476         36,734   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

Consolidated

   $ 102,961       $ 36,178       $ 34,170       $ 33,566       $ 206,875   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

Nine Months Ended December 31, 2010

              

QSI Dental Division

   $ 5,463       $ 3,729       $ —         $ 921       $ 10,113   

NextGen Division

     69,083         26,537         —           19,975         115,595   

Inpatient Solutions Division

     6,309         —           —           667         6,976   

Practice Solutions Division

     118         —           33,443         2,135         35,696   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

Consolidated

   $ 80,973       $ 30,266       $ 33,443       $ 23,698       $ 168,380   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

Maintenance revenue for the NextGen Division increased by $17.3 million for the nine months ended December 31, 2011 as compared to the same prior year period. The growth in maintenance revenue is primarily a result of increases related to net additional licenses from new clients and existing clients as well as a price increase that became effective during the quarter ended September 30, 2011.

The NextGen Division’s EDI revenue growth has come from new clients and from further penetration of the division’s existing client base while the growth in RCM revenue has come from new clients that have been acquired from cross selling opportunities with the NextGen Division client base. We intend to continue to promote maintenance, EDI and RCM services to both new and existing clients. Growth in other services revenue is primarily due to increases in third-party annual software licenses, follow on training services, consulting services and hosting services revenue.

Cost of Revenue. Cost of revenue for the nine months ended December 31, 2011 increased 15.9% to $109.3 million from $94.3 million in the same prior year period and the cost of revenue as a percentage of revenue decreased to 34.1% from 36.8% primarily due to a lower amount of hardware included in systems sales as compared to the same prior year period as well as strong software sales achieved in the current year period.

 

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The following table details revenue and cost of revenue on a consolidated and divisional basis for the nine months ended December 31, 2011 and 2010 (in thousands):

 

     Nine Months Ended December 31,  
     2011      %     2010      %  

QSI Dental Division

        

Revenue

   $ 14,469         100.0   $ 14,319         100.0

Cost of revenue

     6,672         46.1     6,744         47.1
  

 

 

    

 

 

   

 

 

    

 

 

 

Gross profit

   $ 7,797         53.9   $ 7,575         52.9
  

 

 

    

 

 

   

 

 

    

 

 

 

NextGen Division

        

Revenue

   $ 243,015         100.0   $ 192,886         100.0

Cost of revenue

     67,509         27.8     58,534         30.3
  

 

 

    

 

 

   

 

 

    

 

 

 

Gross profit

   $ 175,506         72.2   $ 134,352         69.7
  

 

 

    

 

 

   

 

 

    

 

 

 

Inpatient Solutions Division

        

Revenue

   $ 25,671         100.0   $ 12,757         100.0

Cost of revenue

     6,887         26.8     3,162         24.8
  

 

 

    

 

 

   

 

 

    

 

 

 

Gross profit

   $ 18,784         73.2   $ 9,595         75.2
  

 

 

    

 

 

   

 

 

    

 

 

 

Practice Solutions Division

        

Revenue

   $ 37,686         100.0   $ 36,293         100.0

Cost of revenue

     26,583         70.5     25,876         71.3
  

 

 

    

 

 

   

 

 

    

 

 

 

Gross profit

   $ 11,103         29.5   $ 10,417         28.7
  

 

 

    

 

 

   

 

 

    

 

 

 

Unallocated cost of revenue (1)

   $ 1,631         N/A      $ —           N/A   

Consolidated

        

Revenue

   $ 320,841         100.0   $ 256,255         100.0

Cost of revenue

     109,282         34.1     94,316         36.8
  

 

 

    

 

 

   

 

 

    

 

 

 

Gross profit

   $ 211,559         65.9   $ 161,939         63.2
  

 

 

    

 

 

   

 

 

    

 

 

 

 

(1) Relates to the amortization of software technology intangible assets acquired from the purchase of ViaTrack, CQI, IntraNexus, Opus and NextGen IS

Gross profit margins at the QSI Dental Division for the nine months ended December 31, 2011 increased to 53.9% from 52.9% for the same prior year period. Gross profit margins at the NextGen Division for nine months ended December 31, 2011 increased to 72.2% compared to 69.7% for the same prior year period due to strong software sales and an increase in maintenance revenue, which yields higher margins than other services, along with improvements in EDI margins. Gross margin in the Inpatient Solutions Division decreased to 73.2% for the nine months ended December 31, 2011 as compared to 75.2% for the same prior year period due to growth in higher margin software and maintenance revenue. Gross margin in the Practice Solutions Division increased to 29.5% for the nine months ended December 31, 2011 as compared to 28.7% for the same prior year period due to growth in higher margin software revenue.

 

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Table of Contents

The following table details the individual components of cost of revenue and gross profit as a percentage of total revenue on a consolidated and divisional basis for the nine months ended December 31, 2011 and 2010:

 

     Hardware,
Third Party
Software
    Payroll and
Related
Benefits
    EDI     Other     Total Cost
of Revenue
    Gross Profit  

Nine Months Ended December 31, 2011

            

QSI Dental Division

     7.4     22.0     8.5     8.2     46.1     53.9

NextGen Division

     1.2     12.0     7.7     6.9     27.8     72.2

Inpatient Solutions Division

     3.7     15.4     0.0     7.7     26.8     73.2

Practice Solutions Division

     0.0     45.8     2.1     22.6     70.5     29.5
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Consolidated

     1.5     16.7     6.5     9.4     34.1     65.9
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Nine Months Ended December 31, 2010

            

QSI Dental Division

     8.9     17.8     12.8     7.6     47.1     52.9

NextGen Division

     3.4     11.8     8.2     6.9     30.3     69.7

Inpatient Solutions Division

     4.5     16.8     0.0     3.5     24.8     75.2

Practice Solutions Division

     0.0     43.8     0.6     26.9     71.3     28.7
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Consolidated

     3.3     16.9     7.0     9.6     36.8     63.2
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

During the nine months ended December 31, 2011, hardware and third-party software constituted a lower portion of cost of revenue compared to the same prior year period in the NextGen Division. The number of clients who purchase hardware and third-party software and the dollar amount of hardware and third-party software purchased fluctuates each quarter depending on the needs of our clients.

Our payroll and benefits expense associated with delivering our products and services decreased to 16.7% of consolidated revenue in the nine months ended December 31, 2011 compared to 16.9% during the same period last year. The absolute level of consolidated payroll and benefit expenses grew from $43.4 million in the nine months ended December 31, 2010 to $53.5 million in the nine months ended December 31, 2011, an increase of 23.2%, or approximately $10.1 million. Of the $10.1 million increase, approximately $1.4 million of the increase is related to the Practice Solutions Division as RCM is a service business, which inherently has higher percentage of payroll costs as a percentage of revenue. Increases of $6.3 million in the NextGen Division, $1.8 million for the Inpatient Solutions Division and $0.6 million in the QSI Dental Division for the nine months ended December 31, 2011 are primarily due to headcount additions and increased payroll and benefits expense associated with delivering products and services. The amount of share-based compensation expense included in cost of revenue was not significant for nine months ended December 31, 2011 and 2010.

Other expense, which primarily consists of third-party annual license, hosting costs and outsourcing costs, decreased to 9.4% of total revenue during the nine months ended December 31, 2011 as compared to 9.6% for the same period a year ago.

As a result of the foregoing events and activities, our gross profit percentage increased to 65.9% for the nine months ended December 31, 2011 versus 63.2% for the same prior year period.

Selling, General and Administrative Expenses. Selling, general and administrative expenses for the nine months ended December 31, 2011 increased 19.8% to $94.7 million as compared to $79.0 million for the same prior year period. The increase in these expenses resulted primarily from:

 

   

$9.0 million increase in salaries and related benefit expenses primarily as a result of headcount additions and acquisitions;

 

   

$2.6 million increase in sales commissions primarily related to the NextGen Division;

 

   

$1.0 million increase in bad debt expense;

 

   

$3.0 million net increase in other selling and administrative expenses.

Share-based compensation expense was approximately $2.1 million and $2.4 million for the nine months ended December 31, 2011 and 2010 and is included in the aforementioned amounts. Selling, general and administrative expenses as a percentage of revenue decreased from 30.8% in the nine months ended December 31, 2010 to 29.5% in the nine months ended December 31, 2011.

Research and Development Costs. Research and development costs for the nine months ended December 31, 2011 and 2010 were $22.5 million and $16.0 million, respectively. The increases in research and development expenses were due in part to increased investment in the NextGen and Inpatient Solutions Division product lines. We have also invested significantly in enhancements to our specialty template development, preparation for ICD10 requirements, new products including NextGen Mobile, NextGen NextPen, NextGen Community Connectivity consisting of NextGen Health Information Exchange (“NextGen HIE,” formerly Community Health Solution), NextGen Patient Portal (“NextMD.com”), and NextGen Health Quality Measures (“NextGen HQM”), and other enhancements to our existing products. Additions to capitalized software costs offset increases in research and development costs. For the nine months ended December 31, 2011 and

 

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Table of Contents

2010, our additions to capitalized software were at $9.6 million and $8.6 million, respectively, as we continue to enhance our software to meet the Meaningful Use definitions under the ARRA as well as further integrate both ambulatory and inpatient products. Research and development costs as a percentage of revenue increased to 7.0% in the nine months ended December 31, 2011 from 6.3% for the same prior year period. Research and development expenses are expected to continue at or above current dollar levels as we develop a new integrated inpatient and outpatient, web-based software platform. Share-based compensation expense included in research and development costs was not significant for the nine months ended December 31, 2011 and 2010.

Amortization of Acquired Intangible Assets. Amortization included in operating expenses related to acquired intangible assets for the nine months ended December 31, 2011 and 2010 were $1.5 million and $1.2 million, respectively.

Interest and Other Income (Expense). Total interest and other expense for the nine months ended December 31, 2011 was $0.2 million of expense as compared to income of $0.3 million for the nine months ended December 31, 2010. Interest and other income consist primarily of dividends and interest earned on our investments offset by foreign currency losses.

Provision for Income Taxes. The provision for income taxes for the nine months ended December 31, 2011 and 2010 were $32.1 million and $22.9 million, respectively. The effective tax rate was 34.7% for both the nine months ended December 31, 2011 and 2010. The provision for income taxes for the nine months ended December 31, 2011 differs from the combined statutory rates primarily due to the impact of varying state income tax rates, tax-exempt interest income, and the qualified production activities deduction.

Liquidity and Capital Resources

The following table presents selected financial statistics and information for the nine months ended December 31, 2011 and 2010 (dollar amounts in thousands):

 

     Nine Months Ended December 31,  
     2011      2010  

Cash and cash equivalents

   $ 129,046       $ 118,221   

Net increase in cash and cash equivalents

   $ 12,429       $ 33,610   

Net income

   $ 60,584       $ 43,053   

Net cash provided by operating activities

   $ 61,742       $ 60,305   

Number of days of sales outstanding

     129         122   

Cash Flows from Operating Activities

Cash provided by operations has historically been our primary source of cash and has primarily been driven by our net income plus adjustments to add back non-cash expenses, including depreciation, amortization of intangibles and capitalized software costs, provisions for bad debts and inventory obsolescence, share-based compensation and deferred taxes.

The following table summarizes our consolidated statements of cash flows for the nine months ended December 31, 2011 and 2010 (in thousands):

 

     Nine Months Ended
December 31,
 
     2011     2010  

Net income

   $ 60,584      $ 43,053   

Non-cash expenses

     19,397        15,925   

Change in deferred revenue

     13,336        8,184   

Change in accounts receivable

     (22,312     (18,639

Change in other assets and liabilities

     (9,263     11,782   
  

 

 

   

 

 

 

Net cash provided by operating activities

   $ 61,742      $ 60,305   
  

 

 

   

 

 

 

Net Income. As referenced in the above table, net income makes up the majority of our cash generated from operations for the nine months ended December 31, 2011 and 2010.

Non-Cash Expenses. Non-cash expenses include depreciation, amortization of intangibles and capitalized software costs, provisions for bad debts, share-based compensation and deferred taxes. Total non-cash expenses were $19.4 million and $15.9 million for the nine months ended December 31, 2011 and 2010, respectively.

 

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The $3.5 million increase in non-cash expenses for the nine months ended December 31, 2011 as compared to the same prior year period is related to increases of approximately $0.7 million in depreciation, $0.7 million of amortization of capitalized software costs, $0.9 million of bad debt expense, $0.8 million of amortization of other intangibles, a $0.5 million decrease in deferred income tax benefit, and a $0.1 million loss on disposal of fixed assets, offset by a $0.2 million decrease in share-based compensation.

Deferred Revenue. Cash from operations benefited from increases in deferred revenue primarily due to an increase in the volume of implementation and maintenance services invoiced by the NextGen Division which had not yet been rendered or recognized as revenue. Deferred revenue increased by approximately $13.3 million for the nine months ended December 31, 2011 versus an increase of $8.2 million in the same prior year period, resulting in a $5.1 million increase to cash from operations as compared to the same prior year period.

Accounts Receivable. Accounts receivable grew by approximately $22.3 million and $18.6 million for the nine months ended December 31, 2011 and 2010, respectively. The increase in accounts receivable is due to the following factors:

 

   

NextGen Division revenue grew 26.0% and 14.7% on a year-over-year basis for the nine months ended December 31, 2011 and 2010, respectively;

 

   

Unpaid deferred revenue included in both accounts receivable and deferred revenue has grown to $58.9 million at December 31, 2011 compared to $40.5 million at December 31, 2010;

 

   

Inpatient Division revenue grew to $25.7 million for the nine months ended December 31, 2011 as compared to $12.8 million for the same prior year period; and

 

   

Turnover of accounts receivable is generally slower for systems sales revenue in the NextGen Division and Inpatient Solutions Division due to the fact that the systems sales related revenue have longer payment terms, generally up to one year, which historically have accounted for a major portion of both divisions’ sales.

The turnover of accounts receivable measured in terms of days sales outstanding (“DSO”) increased from 122 days to 129 days during the nine months ended December 31, 2011 as compared the same prior year period. The increase in DSO is primarily due to the factors mentioned above.

If amounts included in both accounts receivable and deferred revenue were netted, the turnover of accounts receivable expressed as DSO would be 81 days as of December 31, 2011 and 82 days as of December 31, 2010. Provided turnover of accounts receivable, deferred revenue and profitability remain consistent with the 2011 fiscal year, we anticipate being able to continue generating cash from operations during fiscal year 2012 primarily from our net income.

Other Assets and Liabilities. Cash from operations in the nine months ended December 31, 2011 was negatively impacted by a net $9.3 million decrease in other assets and liabilities compared to an increase of $11.8 million for the nine months ended December 31, 2010. For the nine months ended December 31, 2011, the $9.3 million change in other assets and liabilities is the result of income tax payments made during the period which moved us from a $3.5 million income tax payable at March 31, 2011 to a $5.1 million income tax receivable as of December 31, 2011.

Cash Flows from Investing Activities

Net cash used in investing activities for the nine months ended December 31, 2011 and 2010 was $28.4 million and $4.7 million, respectively. The $23.7 million increase in net cash used in investing activities during the nine months ended December 31, 2011 as compared to the same prior year period is primarily due to net cash paid for the acquisitions of IntraNexus, CQI, and ViaTrack of $3.3 million, $2.7 million, and $5.7 million, respectively, in addition to $0.9 million and $3.3 million, respectively, for capitalized software and equipment and improvements. The prior year period cash flows from investing activities included additions to capitalized software and equipment and improvements of $8.6 million and $4.0 million, respectively, which were partially offset by $7.7 million in proceeds from the sale of marketable securities.

Cash Flows from Financing Activities

Net cash used in financing activities for the nine months ended December 31, 2011 and 2010 was $20.9 million and $22.0 million, respectively. During the nine months ended December 31, 2011, we received proceeds of $7.3 million from the exercise of stock options and paid $30.7 million in dividends to shareholders compared to proceeds of $3.5 million from the exercise of stock options and payments of $26.0 million in dividends to shareholders during the same prior year period.

We recorded a reduction in our tax benefit from share-based compensation of $2.5 million and $0.5 million during the nine months ended December 31, 2011 and 2010, respectively, related to excess tax deductions received from stock option exercises. The benefit was recorded as additional paid in capital.

 

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Cash and Cash Equivalents and Marketable Securities

At December 31, 2011, we had cash and cash equivalents of $129.0 million. We may use a portion of these funds towards future acquisitions although the timing and amount of funds to be used has not been determined. We intend to expend some of these funds for the development of products complementary to our existing product line as well as new versions of certain of our products. These developments are intended to take advantage of more powerful technologies and to increase the integration of our products. We also intend to expend some of these funds related to the implementation of the ERP system. We believe the ERP will greatly enhance and streamline our operational processes and provide a common technology platform to support future growth opportunities. We anticipate capital expenditures will increase in fiscal year 2012 and will be funded from cash on hand and cash flows from operations.

In January 2007, our Board of Directors adopted a policy whereby we intend to pay a regular quarterly dividend of $0.125 per share on our outstanding common stock, subject to further review and approval and the establishment of record and distribution dates by our Board of Directors prior to the declaration of each such quarterly dividend. Our Board of Directors subsequently increased the quarterly dividend to $0.150 per share in August 2008 and to $0.175 per share in January 2011. We anticipate that future quarterly dividends, if and when declared by our Board of Directors pursuant to this policy, would likely be distributable on or about the fifth day of each of the months of October, January, April and July.

On January 25, 2012, the Board of Directors approved a quarterly cash dividend of $0.175 per share on our outstanding shares of common stock, payable to shareholders of record as of March 20, 2012 with an expected distribution date on or about April 5, 2012.

Our Board of Directors declared the following dividends during the periods presented (stock split adjusted):

 

Declaration Date

   Record Date    Payment Date    Per Share Dividend  

May 25, 2011

   June 17, 2011    July 5, 2011    $ 0.175   

July 27, 2011

   September 19, 2011    October 5, 2011    $ 0.175   

October 26, 2011

   December 20, 2011    January 5, 2012    $ 0.175   
        

 

 

 

Fiscal year 2012

         $ 0.525   
        

 

 

 

May 26, 2010

   June 17, 2010    July 6, 2010    $ 0.150   

July 28, 2010

   September 17, 2010    October 5, 2010    $ 0.150   

October 25, 2010

   December 17, 2010    January 5, 2011    $ 0.150   

January 26, 2011

   March 17, 2011    April 5, 2011    $ 0.175