Document


 
 
 
 
 

UNITED STATES
SECURITIES and EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 10-Q


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

For the quarterly period ended September 30, 2016

or

o 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
(State or other jurisdiction of incorporation or organization)

18111 Von Karman Avenue, Suite 800, Irvine, California
(Address of principal executive offices)
95-2888568
(IRS Employer Identification No.)

92612
(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 þ    No o

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 þ    No o

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 þ
Accelerated filer o
Non-accelerated filer o (Do not check if a smaller reporting company)
Small reporting company o

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

The number of outstanding shares of the Registrant’s common stock as of October 25, 2016 was 62,094,488 shares.


 
 
 
 
 




QUALITY SYSTEMS, INC.

TABLE OF CONTENTS
FORM 10-Q
FOR THE THREE MONTHS ENDED SEPTEMBER 30, 2016

 
Item    
Page
 
 
 
 
PART I. FINANCIAL INFORMATION
 
Item 1.
Financial Statements.
 
 
Unaudited Consolidated Balance Sheets as of September 30, 2016 and March 31, 2016
 
Unaudited Consolidated Statements of Comprehensive Income for the three and six months ended September 30, 2016 and 2015
 
Unaudited Consolidated Statements of Cash Flows for the six months ended September 30, 2016 and 2015
 
Notes to Unaudited Consolidated Financial Statements
Management’s Discussion and Analysis of Financial Condition and Results of Operations.
Item 3.
Quantitative and Qualitative Disclosures about Market Risk.
Item 4.
Controls and Procedures.
 
PART II. OTHER INFORMATION
 
Item 1.
Legal Proceedings.
Item 1A.
Risk Factors.
Unregistered Sales of Equity Securities and Use of Proceeds.
Item 3.
Defaults Upon Senior Securities.
Item 4.
Mine Safety Disclosure.
Item 5.
Other Information.
Item 6.
Exhibits.
 
Signatures




2



PART I. FINANCIAL INFORMATION

ITEM 1.    FINANCIAL STATEMENTS.

QUALITY SYSTEMS, INC.
CONSOLIDATED BALANCE SHEETS
(In thousands, except per share data)
(Unaudited)
 
September 30, 2016
 
March 31, 2016
ASSETS
 
 
 
Current assets:
 
 
 
Cash and cash equivalents
$
26,246

 
$
27,176

Restricted cash and cash equivalents
4,458

 
5,320

Marketable securities

 
9,297

Accounts receivable, net
78,406

 
94,024

Inventory
353

 
555

Income taxes receivable
15,276

 
32,709

Prepaid expenses and other current assets
18,519

 
14,910

Total current assets
143,258

 
183,991

Equipment and improvements, net
25,985

 
25,790

Capitalized software costs, net
13,750

 
13,250

Deferred income taxes, net
8,018

 
8,198

Intangibles, net
80,297

 
91,675

Goodwill
188,555

 
188,837

Other assets
19,025

 
19,049

Total assets
$
478,888

 
$
530,790

 
 
 
 
LIABILITIES AND SHAREHOLDERS' EQUITY
 
 
 
Current liabilities:
 
 
 
Accounts payable
$
5,438

 
$
11,126

Deferred revenue
52,295

 
57,935

Accrued compensation and related benefits
15,192

 
18,670

Income taxes payable
185

 
91

Other current liabilities
50,734

 
50,238

Total current liabilities
123,844

 
138,060

Deferred revenue, net of current
1,403

 
1,335

Deferred compensation
6,794

 
6,357

Line of credit
48,000

 
105,000

Other noncurrent liabilities
13,376

 
10,661

Total liabilities
193,417

 
261,413

Commitments and contingencies (Note 13)


 


Shareholders' equity:
 
 
 
Common stock
 
 
 
$0.01 par value; authorized 100,000 shares; issued and outstanding 62,094 and 60,978 shares at September 30, 2016 and March 31, 2016, respectively
621

 
610

Additional paid-in capital
224,089

 
211,262

Accumulated other comprehensive loss
(565
)
 
(481
)
Retained earnings
61,326

 
57,986

Total shareholders' equity
285,471

 
269,377

Total liabilities and shareholders' equity
$
478,888

 
$
530,790


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

3



QUALITY SYSTEMS, INC.
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
(In thousands, except per share data)
(Unaudited)
 
Three Months Ended September 30,
 
Six Months Ended September 30,
 
2016
 
2015
 
2016
 
2015
Revenues:
 
 
 
 
 
 
 
Software license and hardware
$
17,182

 
$
19,687

 
$
31,971

 
$
35,876

Software related subscription services
21,490

 
12,437

 
41,365

 
24,683

Total software, hardware and related
38,672

 
32,124

 
73,336

 
60,559

Support and maintenance
38,974

 
42,176

 
76,981

 
85,889

Revenue cycle management and related services
20,936

 
20,793

 
41,989

 
41,036

Electronic data interchange and data services
21,613

 
20,581

 
43,737

 
40,770

Professional services
6,971

 
9,695

 
13,328

 
19,279

Total revenues
127,166

 
125,369

 
249,371

 
247,533

Cost of revenue:
 
 
 
 
 
 
 
Software license and hardware
6,427

 
6,578

 
13,547

 
13,619

Software related subscription services
8,675

 
5,963

 
17,762

 
11,921

Total software, hardware and related
15,102

 
12,541

 
31,309

 
25,540

Support and maintenance
7,036

 
8,394

 
13,604

 
16,337

Revenue cycle management and related services
14,359

 
14,680

 
28,590

 
29,192

Electronic data interchange and data services
12,807

 
12,539

 
25,570

 
24,865

Professional services
6,693

 
8,444

 
13,739

 
16,641

Total cost of revenue
55,997

 
56,598

 
112,812

 
112,575

Gross profit
71,169

 
68,771

 
136,559

 
134,958

Operating expenses:
 
 
 
 
 
 
 
Selling, general and administrative
42,790

 
37,396

 
83,371

 
76,567

Research and development costs, net
18,292

 
17,981

 
36,516

 
35,066

Amortization of acquired intangible assets
2,617

 
898

 
5,321

 
1,795

Restructuring costs
701

 

 
4,454

 

Total operating expenses
64,400

 
56,275

 
129,662

 
113,428

Income from operations
6,769

 
12,496

 
6,897

 
21,530

Interest income
1

 
44

 
9

 
346

Interest expense
(803
)
 
(3
)
 
(1,816
)
 
(3
)
Other expense, net
(55
)
 
(54
)
 
(142
)
 
(104
)
Income before provision for income taxes
5,912

 
12,483

 
4,948

 
21,769

Provision for income taxes
1,925

 
4,168

 
1,608

 
7,092

Net income
$
3,987

 
$
8,315

 
$
3,340

 
$
14,677

Other comprehensive income:
 
 
 
 
 
 
 
Foreign currency translation, net of tax
29

 
(212
)
 
(93
)
 
(284
)
Unrealized gain (loss) on marketable securities, net of tax

 
(1
)
 
10

 
(5
)
Comprehensive income
$
4,016

 
$
8,102

 
$
3,257

 
$
14,388

Net income per share:
 
 
 
 
 
 
 
Basic
$
0.06

 
$
0.14

 
$
0.05

 
$
0.24

Diluted
$
0.06

 
$
0.14

 
$
0.05

 
$
0.24

Weighted-average shares outstanding:
 
 
 
 
 
 
 
Basic
61,658

 
60,461

 
61,420

 
60,387

Diluted
62,052

 
61,194

 
61,704

 
61,129

Dividends declared per common share
$

 
$
0.175

 
$

 
$
0.35

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

4



QUALITY SYSTEMS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)
(Unaudited)
 
Six Months Ended September 30,
 
2016
 
2015
Cash flows from operating activities:
 
 
 
Net income
$
3,340

 
$
14,677

Adjustments to reconcile net income to net cash provided by operating activities:
 
 
 
Depreciation
5,106

 
4,449

Amortization of capitalized software costs
4,819

 
4,929

Amortization of other intangibles
11,378

 
3,601

Amortization of debt issuance costs
538

 

Loss on disposal of equipment and improvements
175

 
81

Provision for bad debts
1,969

 
963

Provision for inventory obsolescence
224

 
92

Share-based compensation
3,177

 
1,585

Deferred income taxes
180

 
468

Change in fair value of contingent consideration
5,830

 
822

Restructuring costs
701

 

Changes in assets and liabilities:
 
 
 
Accounts receivable
13,649

 
8,313

Inventory
(22
)
 
(119
)
Accounts payable
(5,834
)
 
699

Deferred revenue
(5,572
)
 
(8,846
)
Accrued compensation and related benefits
(4,179
)
 
(7,730
)
Income taxes
17,213

 
(12,449
)
Deferred compensation
437

 
575

Other assets and liabilities
3,256

 
1,776

Net cash provided by operating activities
56,385

 
13,886

Cash flows from investing activities:
 
 
 
Additions to capitalized software costs
(5,319
)
 
(6,687
)
Additions to equipment and improvements
(4,989
)
 
(6,012
)
Proceeds from sales and maturities of marketable securities
9,291

 
3,810

Purchases of marketable securities

 
(4,419
)
Net cash used in investing activities
(1,017
)
 
(13,308
)
Cash flows from financing activities:
 
 
 
Principal repayments on line of credit
(57,000
)
 

Proceeds from issuance of shares under employee plans
702

 
479

Dividends paid

 
(21,403
)
Net cash used in financing activities
(56,298
)
 
(20,924
)
Net increase decrease in cash and cash equivalents
(930
)
 
(20,346
)
Cash and cash equivalents at beginning of period
27,176

 
118,993

Cash and cash equivalents at end of period
$
26,246

 
$
98,647


5



QUALITY SYSTEMS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS – (Continued)
(In thousands)
(Unaudited)
 
Six Months Ended September 30,
 
2016
 
2015
Supplemental disclosures of cash flow information:
 
 
 
Cash paid for income taxes
$
3,977

 
$
20,748

Cash refunds from income taxes
$
19,762

 
$
1,930

Cash paid for interest
$
1,443

 
$

Common stock issued for Mirth share-based contingent consideration
$
9,273

 
$
9,273

Non-cash investing and financing activities:
 
 
 
Tenant improvement allowance from landlord
$
3,094

 
$

Dividends declared but not paid
$

 
$
10,722

Unpaid additions to equipment and improvements
$
488

 
$
248

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

6



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 (collectively, the “Company”). Each of the terms “we,” “us,” or “our” as used herein refers collectively to the Company, unless otherwise stated. All intercompany accounts and transactions have been eliminated.
Basis of Presentation. The accompanying unaudited consolidated financial statements as of September 30, 2016 and for the three and six months ended September 30, 2015 have been prepared in accordance with the requirements of Quarterly Report on 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 our Annual Report on Form 10-K for the fiscal year ended March 31, 2016. In the opinion of management, the accompanying consolidated financial statements reflect all adjustments which are necessary for a fair statement 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.
References to amounts in the consolidated financial statement sections are in thousands, except shares and per share data, unless otherwise specified.
Significant Accounting Policies. Effective July 1, 2016, we revised our reportable operating segments (see Note 14). There have been no other material changes to the significant accounting policies from those disclosed in our Annual Report on Form 10-K for the fiscal year ended March 31, 2016.
Share-Based Compensation. The following table shows total share-based compensation expense included in the consolidated statements of comprehensive income for the three and six months ended September 30, 2016 and 2015:
 
Three Months Ended September 30,
 
Six Months Ended September 30,
 
2016
 
2015
 
2016
 
2015
Costs and expenses:
 
 
 
 
 
 
 
Cost of revenue
$
166

 
$
102

 
$
315

 
$
199

Research and development costs, net
334

 
103

 
417

 
213

Selling, general and administrative
1,418

 
696

 
2,445

 
1,173

Total share-based compensation
1,918

 
901

 
3,177

 
1,585

Income tax benefit
(695
)
 
(276
)
 
(1,107
)
 
(476
)
Decrease in net income
$
1,223

 
$
625

 
$
2,070

 
$
1,109


Recent Accounting Standards. Recent accounting pronouncements requiring implementation in future periods are discussed below or in the notes, where applicable.
In August 2016, the FASB issued Accounting Standards Update ("ASU") 2016-15, Classification of Certain Cash Receipts and Cash Payments. ASU 2016-15 is intended to add and clarify guidance on the classification of certain cash receipts and cash payments in the statement of cash flows to eliminate diversity in practice related to such cash receipts and cash payments are presented and classified in the statement of cash flows. ASU 2016-15 is effective for interim and annual reporting periods beginning after December 15, 2017. Early adoption is permitted, including adoption in an interim period. ASU 2016-15 is effective for us in the first quarter of fiscal 2019. We do not expect the adoption of this new standard to have a material impact on our consolidated financial statements.
In March 2016, the FASB issued Accounting Standards Update ("ASU") 2016-09, Compensation - Stock Compensation (Topic 718): Improvements to Employee Share-Based Payment Accounting ("ASU 2016-09"). ASU 2016-09 simplifies the accounting for and reporting on share-based payment transactions, including the income tax consequences, classification of awards as either equity or liabilities, and classification on the statement of cash flows. ASU 2016-09 is effective for interim and annual reporting periods beginning after December 15, 2016, with early adoption permitted. The amendments in this update are to be applied differently upon adoption with certain amendments being applied prospectively, retrospectively and under a modified retrospective transition method. ASU 2016-09 is effective for us in the first quarter of fiscal 2018. We do not expect the adoption of this new standard to have a material impact on our consolidated financial statements.

7



In February 2016, the FASB issued ASU 2016-02, Leases (Topic 842) (“ASU 2016-02”), which is intended to improve financial reporting about leasing transactions. The new guidance will require lessees to recognize on their balance sheets the assets and liabilities for the rights and obligations created by leases and to disclose key information about the leasing arrangements. ASU 2016-02 is effective for interim and annual periods beginning after December 15, 2018, with early adoption permitted. ASU 2016-02 is effective for us in the first quarter of fiscal 2020. We are currently in the process of evaluating the potential impact of adoption of this updated authoritative guidance on our consolidated financial statements.
In July 2015, the FASB issued ASU 2015-11, Simplifying the Measurement of Inventory ("ASU 2015-11"), which replaces the concept of subsequently measuring inventory at 'lower of cost or market' with that of 'lower of cost and net realizable value'. The guidance only applies to inventories for which cost is determined by methods other than last-in first-out (LIFO) and the retail inventory method (RIM). ASU 2015-11 is effective for fiscal years beginning after December 15, 2016 and interim periods within those fiscal years. Early adoption is permitted. ASU 2015-11 is effective for us in the first quarter of fiscal 2018. We do not expect the adoption of this new standard to have a material impact on our consolidated financial statements.
In April 2015, the FASB issued ASU 2015-05, Customer’s Accounting for Fees Paid in a Cloud Arrangement ("ASU 2015-05"), which requires a customer to determine whether a cloud computing arrangement contains a software license that should be accounted for as internal-use software or as a service contract. ASU 2015-05 is effective for interim and annual reporting periods beginning after December 15, 2015, with early adoption permitted. Upon adoption, an entity has the option to apply the provisions of ASU 2015-05 either prospectively to all arrangements entered into or materially modified, or retrospectively. The adoption of this new standard did not have material impact on our consolidated financial statements.
In August 2014, the FASB issued ASU 2014-15, Disclosure of Uncertainties about an Entity’s Ability to Continue as a Going Concern ("ASU 2014-15"), which incorporates and expands upon certain principles that currently exist in U.S. auditing standards. ASU 2014-15 provides guidance regarding management's responsibility to evaluate whether there is substantial doubt about an organization's ability to continue as a going concern and to provide related footnote disclosures. The new standard requires management to perform interim and annual evaluations and sets forth principles for considering the mitigating effect of management's plans. The standard mandates certain disclosures when conditions give rise to substantial doubt about a company’s ability to continue as a going concern within one year from the financial statement issuance date. ASU 2014-15 is effective for us commencing fiscal year ending March 31, 2017. The adoption of this new standard has not had, and is not expected to have, an impact on our consolidated financial statements.
In May 2014, the FASB, along with the International Accounting Standards Board, issued ASU 2014-09, Revenue from Contracts with Customers ("ASU 2014-09"), which supersedes the revenue recognition requirements in ASC 605, Revenue Recognition.  ASU 2014-09 provides enhancements to the quality and consistency of how revenue is reported while also improving comparability in the financial statements of companies reporting using International Financial Reporting Standards and GAAP.  The core principle of this updated guidance is that an entity should recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. The new standard also requires additional disclosure about revenue and provides improved guidance for multiple element arrangements. In July 2015 decision, the FASB issued ASU 2015-14, Deferral of Effective Date ("ASU 2015-14") to delay the effective date by one year. In March 2016, the FASB issued ASU 2016-08, Revenue from Contracts with Customers (Topic 606) –Principal versus Agent Consideration ("ASU 2016-08"). In April 2016, the FASB issued ASU 2016-10, Revenue from Contracts with Customers (Topic 606) - Identifying Performance Obligations and Licensing ("ASU 2016-10”). In May 2016, the FASB issued ASU 2016-11, Revenue from Contracts with Customers (Topic 606) and Derivatives and Hedging (Topic 815) – Rescission of SEC Guidance Because of ASU 2014-09 and 2014-16 ("ASU 2016-11") and ASU 2016-12, Revenue from Contracts with Customers (Topic 606) –Narrow Scope Improvements and Practical Expedients ("ASU 2016-12"). The new ASUs do not change the core principle of the guidance in Topic 606 (as amended by ASU 2014-09), but rather help to provide further interpretive clarifications on the new guidance in ASU 2014-09. ASU 2014-09, as amended by ASU 2015-14, is effective for us in the first quarter of fiscal 2019. Companies are permitted to adopt this new guidance following either a full retrospective or modified retrospective approach. 
We have established a cross-functional team to assess the potential impact of the new revenue standard. Our assessment process consists of reviewing our current accounting policies and practices to identify potential differences that would result from applying the requirements of the new standard to our revenue contracts and identifying appropriate changes to our business processes, systems and controls to support revenue recognition and disclosure requirements under the new standard. Our assessment is expected to be completed during fiscal 2017. Additionally, we are currently evaluating the potential impact that the implementation of this new revenue standard will have on our consolidated financial statements as well as selection of the method of adoption. We currently do not expect to implement this new standard prior to the required effective date.
We do not believe that any other recently issued, but not yet effective accounting standards, if adopted, would have a material impact on our consolidated financial statements.


8



2. Fair Value Measurements

The following tables set forth by level within the fair value hierarchy our financial assets and liabilities that were accounted for at fair value on a recurring basis at September 30, 2016 and March 31, 2016:
 
Balance at
 
Quoted Prices in Active Markets for Identical Assets (Level 1)
 
Significant Other Observable Inputs (Level 2)
 
Unobservable Inputs (Level 3)
 
September 30,
2016
 
 
 
ASSETS
 
 
 
 
 
 
 
Cash and cash equivalents (1)
$
26,246

 
$
26,246

 
$

 
$

Restricted cash and cash equivalents
4,458

 
4,458

 

 

 
$
30,704

 
$
30,704

 
$

 
$

LIABILITIES
 
 
 
 
 
 
 
Contingent consideration related to acquisitions
$
20,400

 
$

 
$

 
$
20,400

 
$
20,400

 
$

 
$

 
$
20,400

 
Balance at
 
Quoted Prices in Active Markets for Identical Assets (Level 1)
 
Significant Other Observable Inputs (Level 2)
 
Unobservable Inputs (Level 3)
 
March 31,
2016
 
 
 
ASSETS
 
 
 
 
 
 
 
Cash and cash equivalents (1)
$
27,176

 
$
27,176

 
$

 
$

Restricted cash and cash equivalents
5,320

 
5,320

 

 

Marketable securities (2)
9,297

 
9,297

 

 

 
$
41,793

 
$
41,793

 
$

 
$

LIABILITIES
 
 
 
 
 
 
 
Contingent consideration related to acquisitions
$
23,843

 
$

 
$

 
$
23,843

 
$
23,843

 
$

 
$

 
$
23,843

___________________________________
(1) Cash equivalents consist of money market funds.
(2) Marketable securities consist of available-for-sale money market instruments and fixed-income securities, including certificates of deposit, corporate bonds and notes, and municipal securities.
The contingent consideration liability as of September 30, 2016 relates to the acquisition of HealthFusion (see Note 3). We assess the fair value of our contingent consideration liability on a recurring basis and any adjustments to fair value subsequent to the measurement period are reflected in the consolidated statements of comprehensive income. Key assumptions include discount rates and probability-adjusted achievement estimates of certain revenue targets that are not observable in the market. 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 following table presents activity in our financial assets and liabilities measured at fair value using significant unobservable inputs (Level 3), as of and for the six months ended September 30, 2016:
 
 
Total Liabilities
Balance at April 1, 2016
 
$
23,843

Settlement of contingent consideration related to Mirth
 
(9,273
)
Fair value adjustments
 
5,830

Balance at September 30, 2016
 
$
20,400


During the six months ended September 30, 2016, we issued shares of common stock to settle $9,273 in contingent consideration liabilities related to the acquisition Mirth. We also recorded $5,830, of which $5,400 was related to HealthFusion and $430 was related to Mirth, of fair value adjustments to contingent consideration liabilities, which are included as a component of selling, general and administrative expense.


9



Non-Recurring Fair Value Measurements
We have 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 three and six months ended September 30, 2016, we recorded a $282 adjustment to HealthFusion goodwill related to a final working capital adjustment calculated pursuant to the HealthFusion merger agreement. There were no other adjustments to fair value of such assets.

3. Business Combinations
HealthFusion Acquisition
On January 4, 2016, we completed our acquisition of HealthFusion Holdings, Inc. ("HealthFusion") pursuant to the Agreement and Plan of Merger (the “Merger Agreement"), dated October 30, 2015. HealthFusion provides Web-based, cloud computing software for physicians, medical billing service providers, and hospitals. Its flagship product, MediTouch®, is a fully-integrated, cloud-based software suite consisting of clearinghouse, practice management, electronic health records, and patient portals with rich functionality to enable mobility, workflow automation, and advanced reporting and analytics aimed primarily at small-to-mid-size physician practices. The acquisition of HealthFusion is part of our strategy to expand its client base and cloud-based solution capabilities in the ambulatory market. Over time, we plan to expand the HealthFusion platform to satisfy the needs of practices of increasing size and complexity.
The preliminary purchase price totals $182,767, which includes preliminary working capital and other customary adjustments and the fair value of contingent consideration related to an additional $25,000 of cash in the form of an earnout, subject to HealthFusion achieving certain revenue targets through December 31, 2016. The initial estimated fair value of contingent consideration of $16,700 was based on a Monte Carlo-based valuation model that considered, among other assumptions and inputs, our estimate of projected HealthFusion revenues. During the three and six months ended September 30, 2016, we recorded fair value adjustments to the contingent consideration of $3,000 and $5,400, respectively, which are included as a component of selling, general and administrative expense.
The acquisition was initially funded by a draw against the revolving credit agreement (see Note 7), a portion of which was subsequently repaid from existing cash on hand.
We accounted for the HealthFusion acquisition as a purchase business combination using the acquisition method of accounting. The preliminary purchase price was allocated to the tangible and intangible assets acquired and liabilities assumed based on their preliminary estimated fair values as of the acquisition date. The preliminary fair values of acquired assets and liabilities assumed represent management’s estimate of fair value and are subject to change if additional information, such as changes to deferred taxes and/or working capital, becomes available. We expect to finalize the purchase price allocation as soon as practicable within the measurement period, but not later than one year following the acquisition date.
The preliminary 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 preliminary amount of goodwill represents the excess of the preliminary purchase price over the preliminary net identifiable assets acquired and liabilities assumed. Goodwill primarily represents, among other factors, the value of synergies expected to be realized and the assemblage of all assets that enable us to create new client relationships, neither of which qualify as separate amortizable intangible assets. Goodwill arising from the acquisition of HealthFusion was determined as the excess of the preliminary purchase price over the net acquisition date fair values of the acquired assets and the liabilities assumed, and is not deductible for tax purposes. HealthFusion operates under our Software and Related Solutions segment.
The total preliminary purchase price for the HealthFusion acquisition is summarized as follows:
Initial purchase price
$
165,000

Contingent consideration
16,700

Preliminary working capital and other adjustments
1,067

Total preliminary purchase price
$
182,767


10



 
January 4, 2016
Preliminary fair value of the net tangible assets acquired and liabilities assumed:
 
Acquired cash and cash equivalents
$
2,225

Accounts receivable, net
1,514

Prepaid expenses and other current assets
4,645

Equipment and improvements, net
767

Capitalized software costs, net
307

Other assets
700

Accounts payable
(1,085
)
Accrued compensation and related benefits
(533
)
Deferred revenue
(1,067
)
Deferred income taxes, net
(12,027
)
Other liabilities
(2,721
)
Total preliminary net tangible assets acquired and liabilities assumed
(7,275
)
Preliminary fair value of identifiable intangible assets acquired:
 
Software technology
42,500

Customer relationships
28,500

Trade name
4,000

Goodwill
115,042

Total preliminary identifiable intangible assets acquired
190,042

Total preliminary purchase price
$
182,767


4. Goodwill
We test goodwill for impairment annually during our first fiscal quarter, referred to as the annual test date. We 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. We have not identified any events or circumstances as of September 30, 2016 that would require an interim goodwill impairment test.
We do not amortize goodwill as it has been determined to have an indefinite useful life.
We have also determined that the change in reportable operating segments as a result of our ongoing reorganization efforts (see Note 14) did not have a significant impact on the amount of goodwill that is allocated to each reporting unit and each reportable operating segment. Goodwill by reportable operating segment consists of the following:
 
September 30,
2016
 
March 31,
2016
Software and Related Solutions
$
156,265

 
$
156,547

RCM and Related Services
32,290

 
32,290

Total goodwill
$
188,555

 
$
188,837



11



5. Intangible Assets
Our definite-lived intangible assets, other than capitalized software development costs, are summarized as follows:
 
September 30, 2016
 
Customer Relationships
 
Trade Name and Contracts
 
Software Technology
 
Total
Gross carrying amount
$
50,550

 
$
7,368

 
$
67,810

 
$
125,728

Accumulated amortization
(24,393
)
 
(3,441
)
 
(17,597
)
 
(45,431
)
Net intangible assets
$
26,157

 
$
3,927

 
$
50,213

 
$
80,297

 
March 31, 2016
 
Customer Relationships
 
Trade Name and Contracts
 
Software Technology
 
Total
Gross carrying amount
$
50,550

 
$
7,368

 
$
67,810

 
$
125,728

Accumulated amortization
(19,618
)
 
(2,895
)
 
(11,540
)
 
(34,053
)
Net intangible assets
$
30,932

 
$
4,473

 
$
56,270

 
$
91,675

Amortization expense related to customer relationships and trade name and contracts recorded as operating expenses in the consolidated statements of comprehensive income was $2,617 and $897 for the three months ended September 30, 2016 and 2015, respectively. Amortization expense related to software technology recorded as cost of revenue was $3,030 and $904 for the three months ended September 30, 2016 and 2015, respectively.
Amortization expense related to customer relationships and trade name and contracts recorded as operating expenses in the consolidated statements of comprehensive income was $5,321 and $1,794 for the six months ended September 30, 2016 and 2015, respectively. Amortization expense related to software technology recorded as cost of revenue was $6,057 and $1,807 for the six months ended September 30, 2016 and 2015, respectively.
The following table represents the remaining estimated amortization of definite-lived intangible assets as of September 30, 2016:
 
Amortization Expense Recorded As:
 
Operating Expense
 
Cost of Revenue
 
Total
For the year ended March 31,
 
 
 
 
 
2017 (remaining six months)
5,114

 
5,969

 
11,083

2018
7,264

 
11,851

 
19,115

2019
4,852

 
11,851

 
16,703

2020
3,855

 
11,851

 
15,706

2021
3,006

 
7,968

 
10,974

2022 and beyond
5,993

 
723

 
6,716

Total
$
30,084

 
$
50,213

 
$
80,297


6. Capitalized Software Costs
Our capitalized software costs are summarized as follows:
 
September 30,
2016
 
March 31,
2016
Gross carrying amount
$
102,018

 
$
96,699

Accumulated amortization
(88,268
)
 
(83,449
)
Net capitalized software costs
$
13,750

 
$
13,250

Amortization expense related to capitalized software costs was $2,448 and $2,490 for the three months ended September 30, 2016 and 2015, respectively. Amortization expense related to capitalized software costs was $4,819 and $4,929 for the six months ended September 30, 2016 and 2015, respectively.
The following table presents the remaining estimated amortization of capitalized software costs as of September 30, 2016. The estimated amortization is comprised of (i) amortization of released products and (ii) the expected amortization for products that are not yet available for sale based on their estimated economic lives and projected general release dates.
For the year ended March 31,
 
2017 (remaining six months)
$
3,300

2018
4,700

2019
3,800

2020
1,950

Total
$
13,750



12



7. Line of Credit
On January 4, 2016, we entered into a $250,000 revolving credit agreement (“Credit Agreement”) with JP Morgan Chase Bank, N.A., as administrative agent, U.S. Bank National Association, as syndication agent, and certain other lenders. The credit agreement is secured by substantially all of our existing and future property and material domestic subsidiaries. The Credit Agreement provides a subfacility of up to $10,000 for letters of credit and a subfacility of up to $10,000 for swing-line loans. The Credit Agreement matures on January 4, 2021 and the full balance of the revolving loans and all other obligations under the agreement must be paid at that time. The revolving loans under the Credit Agreement will be available for letters of credit, working capital and general corporate purposes. We were in compliance with all covenants under the Credit Agreement as of September 30, 2016.
As of September 30, 2016, we had $48,000 in outstanding loans and $202,000 of unused credit under the Credit Agreement.
During the three months ended September 30, 2016, we recorded $532 of interest expense and $269 in amortization of deferred debt issuance costs related to the Credit Agreement. During the six months ended September 30, 2016, we recorded $1,272 of interest expense and $538 in amortization of deferred debt issuance costs related to the Credit Agreement.

8. Composition of Certain Financial Statement Captions

Accounts receivable may include amounts invoiced for undelivered products and services at each period end. Undelivered products and services are included as a component of the deferred revenue balance on the accompanying consolidated balance sheets.
 
September 30,
2016
 
March 31,
2016
Accounts receivable, gross
$
91,257

 
$
104,467

Sales return reserve
(9,530
)
 
(7,541
)
Allowance for doubtful accounts
(3,321
)
 
(2,902
)
Accounts receivable, net
$
78,406

 
$
94,024


Inventory is comprised of computer systems and components.

Prepaid expenses and other current assets are summarized as follows:
 
September 30,
2016
 
March 31,
2016
Prepaid expenses
$
13,558

 
$
11,804

Other current assets
4,961

 
3,106

Prepaid expenses and other current assets
$
18,519

 
$
14,910


Equipment and improvements are summarized as follows:
 
September 30,
2016
 
March 31,
2016
Computer equipment
$
26,059

 
$
32,213

Internal-use software
10,616

 
10,201

Furniture and fixtures
10,904

 
9,799

Leasehold improvements
14,820

 
13,408

 
62,399

 
65,621

Accumulated depreciation and amortization
(36,414
)
 
(39,831
)
Equipment and improvements, net
$
25,985

 
$
25,790


The current portion of deferred revenue are summarized as follows:
 
September 30,
2016
 
March 31,
2016
Professional services
$
22,793

 
$
23,128

Software license, hardware and other
10,962

 
14,913

Support and maintenance
10,100

 
11,902

Software related subscription services
8,440

 
7,992

Deferred revenue
$
52,295

 
$
57,935


13




Accrued compensation and related benefits are summarized as follows:
 
September 30,
2016
 
March 31,
2016
Payroll, bonus and commission
$
7,071

 
$
9,683

Vacation
8,121

 
8,987

Accrued compensation and related benefits
$
15,192

 
$
18,670


Other current and noncurrent liabilities are summarized as follows:
 
September 30,
2016
 
March 31,
2016
Contingent consideration and other liabilities related to acquisitions
$
20,400

 
$
24,153

Customer credit balances and deposits
4,852

 
4,123

Care services liabilities
4,458

 
5,339

Users group meeting deposits
3,049

 

Accrued self insurance expense
2,508

 
1,862

Accrued consulting and outside services
2,391

 
3,650

Accrued EDI expense
2,167

 
2,382

Deferred rent
1,441

 
828

Accrued outsourcing costs
1,439

 
1,604

Accrued royalties
1,233

 
2,341

Accrued legal expense
1,017

 
864

Other accrued expenses
5,779

 
3,092

Other current liabilities
$
50,734

 
$
50,238

 
 
 
 
Deferred rent
$
9,292

 
$
6,577

Uncertain tax position and related liabilities
4,084

 
4,084

Other noncurrent liabilities
$
13,376

 
$
10,661


9. Income Taxes
The provision for income taxes for the three months ended September 30, 2016 was $1,925 and the provision for income taxes for the three months ended September 30, 2015 was $4,168. The effective tax rates were 32.6% and 33.4% for the three months ended September 30, 2016 and 2015, respectively. The effective rate for the three months ended September 30, 2016 decreased compared to the prior year period primarily due to lower qualifying production activity deductions and other discrete adjustments, offset by the impact of the federal and state research and development credit in the current period.
The provision for income taxes for the six months ended September 30, 2016 was $1,608 and the provision for income taxes for the six months ended September 30, 2015 was $7,092. The effective tax rates were 32.5% and 32.6% for the six months ended September 30, 2016 and 2015, respectively. The effective rate for the six months ended September 30, 2016 remained consistent with the prior year period because the impact of the federal and state research and development credit was substantially offset by lower qualifying production activity deductions and other discrete adjustments.
The deferred tax assets and liabilities have been shown net in the accompanying consolidated balance sheets as noncurrent. We expect to receive the full benefit of the deferred tax assets recorded with the exception of certain state credits and state net operating loss carryforwards for which we have recorded a valuation allowance.

14



Uncertain tax positions
We had a liability of $3,955 and $3,955 for unrecognized tax benefits related to various federal, state and local income tax matters as of September 30, 2016 and March 31, 2016, respectively. If recognized, this amount would reduce our effective tax rate.
We are no longer subject to U.S. federal income tax examinations for tax years before 2013. With few exceptions, we are no longer subject to state income tax examinations for tax years before 2011. We do 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.

10. Earnings per Share

The dual presentation of “basic” and “diluted” earnings per share (“EPS”) is provided below. Share amounts below are in thousands.
 
Three Months Ended September 30,
 
Six Months Ended September 30,
 
2016
 
2015
 
2016
 
2015
Earnings per share — Basic:
 
 
 
 
 
 
 
Net income
$
3,987

 
$
8,315

 
$
3,340

 
$
14,677

Weighted-average shares outstanding — Basic
61,658

 
60,461

 
61,420

 
60,387

Net income per common share — Basic
$
0.06

 
$
0.14

 
$
0.05

 
$
0.24

 
 
 
 
 
 
 
 
Earnings per share — Diluted:
 
 
 
 
 
 
 
Net income
$
3,987

 
$
8,315

 
$
3,340

 
$
14,677

Weighted-average shares outstanding
61,658

 
60,461

 
61,420

 
60,387

Effect of potentially dilutive securities
394

 
733

 
284

 
742

Weighted-average shares outstanding — Diluted
62,052

 
61,194

 
61,704

 
61,129

Net income per common share — Diluted
$
0.06

 
$
0.14

 
$
0.05

 
$
0.24


The computation of diluted net income per share does not include 3,230 and 2,997 options to acquire shares of common stock for the three and six months ended September 30, 2016, 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 1,990 and 1,878 options to acquire shares of common stock for the three and six months ended September 30, 2015, respectively, because their inclusion would have an anti-dilutive effect on net income per share.

11. Share-Based Awards
Employee Stock Option and Incentive Plans
In October 2005, our 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 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 our employees and directors may, at the discretion of the Board of Directors or a duly designated compensation committee, be granted certain share-based awards. In the case of option awards granted under the 2005 Plan, the exercise price of each option is determined based on the date of grant and expire no later than 10 years from the date of grant. Awards granted pursuant to the 2005 Plan are subject to the vesting schedule or performance metrics set forth in the agreements pursuant to which they are granted. Upon a change of control of our Company, as such term is defined in the 2005 Plan, awards under the 2005 Plan will fully vest under certain circumstances. The 2005 Plan expired on May 25, 2015. As of September 30, 2016, there were 1,186,101 outstanding options and 567 outstanding shares of restricted stock, restricted stock units and performance based restricted stock under the 2005 Plan.
In August 2015, our shareholders approved a stock option and incentive plan (the “2015 Plan”) under which 11,500,000 shares of common stock were reserved for the issuance of awards, including incentive stock options and non-qualified stock options, stock appreciation rights, restricted stock awards and restricted stock unit awards, performance stock awards and other share-based awards. The 2015 Plan provides that our employees and directors may, at the discretion of the Board of Directors or a duly designated compensation committee, be granted certain share-based awards. In the case of option awards granted under the 2015 Plan, the exercise price of each option is determined based on the date of grant and expire no later than 10 years from

15



the date of grant. Awards granted pursuant to the 2015 Plan are subject to the vesting schedule or performance metrics set forth in the agreements pursuant to which they are granted. Upon a change of control of our Company, as such term is defined in the 2015 Plan, awards under the 2015 Plan will fully vest under certain circumstances. As of September 30, 2016, there were 1,993,250 outstanding options, 723,233 outstanding shares of restricted stock awards and 8,389,780 shares available for future grant under the 2015 Plan.
A summary of stock option transactions during the six months ended September 30, 2016 follows:
 
 
Number of
Shares
 
Weighted-
Average
Exercise
Price
per Share
 
Weighted-
Average
Remaining
Contractual
Life (years)
 
Aggregate
Intrinsic
Value
(in thousands)
Outstanding, April 1, 2016
 
2,447,286

 
$
19.55

 
6.3
 
$
574

Granted
 
1,006,500

 
12.83

 
7.7
 
 
Forfeited/Canceled
 
(274,435
)
 
20.51

 
1.5
 


Outstanding, September 30, 2016
 
3,179,351

 
$
17.34

 
6.4
 
$

Vested and expected to vest, September 30, 2016
 
2,882,425

 
$
17.61

 
6.4
 
$

Exercisable, September 30, 2016
 
757,466

 
$
25.89

 
4.1
 
$


We utilize the Black-Scholes valuation model for estimating the fair value of share-based compensation with the following assumptions:
 
Three Months Ended September 30,
 
Six Months Ended September 30,
 
2016
 
2015
 
2016
 
2015
Expected term
6.6 years
 
3.9 years
 
6.0 - 6.6 years
 
3.8 - 3.9 years
Expected volatility
36.9%
 
38.9%
 
36.9% - 37.4%
 
38.3% - 38.9%
Expected dividends
—%
 
5.3%
 
—%
 
4.1% - 5.3%
Risk-free rate
1.2%
 
1.3%
 
1.2% - 1.5%
 
1.3% - 1.6%
The weighted-average grant date fair value of stock options granted during the six months ended September 30, 2016 and 2015 was $4.92 and $3.36 per share, respectively.
During the six months ended September 30, 2016, a total of 1,006,500 options to purchase shares of common stock were granted under the 2015 Plan at an exercise price equal to the market price of our common stock on the date of grant, as summarized below:
Option Grant Date
 
Number of Shares
 
Exercise Price
 
Vesting Terms (1)
 
Expiration
May 31, 2016
 
100,000

 
$
12.71

 
Five years
 
May 31, 2024
May 25, 2016
 
216,500

 
$
12.78

 
Four years
 
May 25, 2024
May 24, 2016
 
540,000

 
$
12.93

 
Four years
 
May 24, 2024
July 11, 2016
 
150,000

 
$
12.60

 
Four years
 
July 11, 2024
Fiscal year 2017 grants
 
1,006,500

 
 
 
 
 
 
__________________________________
(1) Options vest in equal annual installments on each grant anniversary date commencing one year following the date of grant.
Non-vested stock option award activity during the six months ended September 30, 2016 is summarized as follows:
 
 
Non-Vested
Number of
Shares
 
Weighted-
Average
Grant-Date
Fair Value
per Share
Outstanding, April 1, 2016
 
1,859,750

 
$
4.67

Granted
 
993,250

 
4.92

Vested
 
(275,595
)
 
5.39

Forfeited/Canceled
 
(168,770
)
 
4.37

Outstanding, September 30, 2016
 
2,408,635

 
$
4.71


16



As of September 30, 2016, $9,635 of total unrecognized compensation costs related to stock options is expected to be recognized over a weighted-average period of 3.8 years. This amount does not include the cost of new options that may be granted in future periods or any changes in our forfeiture percentage. The total fair value of options vested during the six months ended September 30, 2016 and 2015 was $1,486 and $1,735, respectively.
Employee Share Purchase Plan
On August 11, 2014, our shareholders approved an Employee Share Purchase Plan (the “Purchase Plan”) under which 4,000,000 shares of common stock were reserved for future grant.  The Purchase Plan allows eligible employees to purchase shares through payroll deductions of up to 15% of total base salary at a price equal to 90% of the lower of the fair market values of the shares as of the beginning or the end of the corresponding offering period.  Any shares purchased under the Purchase Plan are subject to a six-month holding period.  Employees are limited to purchasing no more than 1,500 shares on any single purchase date and no more than $25,000 in total fair market value of shares during any one calendar year. As of September 30, 2016, we have issued 181,203 shares under the Purchase Plan and 3,818,797 shares are available for future issuance.
Share-based compensation expense recorded for the employee share purchase plan was $81 and $78 for the three months ended September 30, 2016 and 2015, respectively. Share-based compensation expense recorded for the employee share purchase plan was $207 and $146 for the six months ended September 30, 2016 and 2015, respectively.
Restricted Stock Awards
Restricted stock awards activity during the three and six months ended September 30, 2016 is summarized as follows:
 
 
Number of
Shares
 
Weighted-
Average
Grant-Date
Fair Value
per Share
Outstanding, April 1, 2016
 
191,247

 
$
14.44

Granted
 
619,874

 
12.68

Vested
 
(68,309
)
 
14.17

Canceled
 
(19,012
)
 
12.78

Outstanding, September 30, 2016
 
723,800

 
$
12.99

Share-based compensation expense related to restricted stock awards was $972 and $217 for the three months ended September 30, 2016 and 2015, respectively. Share-based compensation expense related to restricted stock awards was $1,517 and $415 for the six months ended September 30, 2016 and 2015, respectively.
The weighted-average grant date fair value for the restricted stock awards was estimated using the market price of the common stock on the date of grant. The fair value of the restricted stock awards is amortized on a straight-line basis over the vesting period.
As of September 30, 2016, $8,217 of total unrecognized compensation costs related to restricted stock awards is expected to be recognized over a weighted-average period of 2.2 years. This amount does not include the cost of new restricted stock awards that may be granted in future periods.

12. Concentration of Credit Risk
We had cash deposits at U.S. banks and financial institutions which exceeded federally insured limits at September 30, 2016. We are exposed to credit loss for amounts in excess of insured limits in the event of non-performance by the institutions; however, we do not anticipate non-performance by these institutions.

13. Commitments, Guarantees and Contingencies
Commitments and Guarantees
Our software license agreements include a performance guarantee that our software products will substantially operate as described in the applicable program documentation for a period of 365 days after delivery. To date, we have not incurred any significant costs associated with our performance guarantee or other related warranties and do 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, we have not incurred any significant costs associated with these warranties and do not expect to incur significant warranty costs in the future. Therefore, no accrual has been made for potential costs associated with these warranties.

17



We have historically offered short-term rights of return in certain sales arrangements. If we are 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 we are 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.
Our standard sales agreements contain an indemnification provision pursuant to which we 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 our software. As we have not incurred any significant costs to defend lawsuits or settle claims related to these indemnification agreements, we believe that our estimated exposure on these agreements is currently minimal. Accordingly, we have no liabilities recorded for these indemnification obligations.
Hussein Litigation
On October 7, 2013, a complaint was filed against our Company and certain of our officers and directors in the Superior Court of the State of California for the County of Orange, captioned Ahmed D. Hussein v. Sheldon Razin, Steven Plochocki, Quality Systems, Inc. and Does 1-10, inclusive, No. 30-2013-00679600-CU-NP-CJC, by Ahmed Hussein, a former director and significant shareholder of our Company.  We filed a demurrer to the complaint, which the Court granted on April 10, 2014. An amended complaint was filed on April 25, 2014. The amended complaint generally alleges fraud and deceit, constructive fraud, negligent misrepresentation and breach of fiduciary duty in connection with statements made to our shareholders regarding our financial condition and projected future performance. The amended complaint seeks actual damages, exemplary and punitive damages and costs. We filed a demurrer to the amended complaint. On July 29, 2014, the Court sustained the demurrer with respect to the breach of fiduciary duty claim, and overruled the demurrer with respect to the fraud and deceit claims. On August 28, 2014, we filed an answer and also filed a cross-complaint against the plaintiff, alleging that the plaintiff breached fiduciary duties owed to the Company, Mr. Razin and Mr. Plochocki. Mr. Razin and Mr. Plochocki have dismissed their claims against Hussein, leaving QSI as the sole plaintiff in the cross-complaint. On June 26, 2015, we filed a motion for summary judgment, which the Court granted on September 16, 2015, dismissing all claims against us. On September 23, 2015, the plaintiff filed an application for reconsideration of the Court's summary judgment order, which the Court denied. On October 28, 2015, the plaintiff filed a motion for summary judgment, seeking to dismiss our cross-complaint, which the Court denied on March 3, 2016. On May 9, 2016, the plaintiff filed a motion for summary adjudication, seeking to again dismiss our cross-complaint, which the Court denied on August 5, 2016. On August 5, 2016, the plaintiff filed a motion for judgment on the pleadings, seeking to again dismiss our cross-complaint, which the Court denied on September 2, 2016. Trial is set for April 10, 2017 on QSI's cross-complaint. At this time, we are unable to estimate the probability or the amount of liability, if any, related to this claim.
Federal Securities Class Action
On November 19, 2013, a putative class action complaint was filed on behalf of the shareholders of our Company other than the defendants against us and certain of our officers and directors in the United States District Court for the Central District of California by one of our shareholders. After the Court appointed lead plaintiffs and lead counsel for this action, and recaptioned the action In re Quality Systems, Inc. Securities Litigation, No. 8L13-cv-01818-CJC(JPRx), lead plaintiffs filed an amended complaint on April 7, 2014. The amended complaint, which is substantially similar to the litigation described above under the caption “Hussein Litigation,” generally alleges that statements made to our shareholders regarding our financial condition and projected future performance were false and misleading in violation of Section 10(b) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), and that the individual defendants are liable for such statements because they are controlling persons under Section 20(a) of the Exchange Act. The complaint seeks compensatory damages, court costs and attorneys' fees. We filed a motion to dismiss the amended complaint on June 20, 2014, which the Court granted on October 20, 2014, dismissing the complaint with prejudice. Plaintiffs filed a motion for reconsideration of the Court's order, which the Court denied on January 5, 2015. On January 30, 2015, Plaintiffs filed a notice of appeal to the United States Court of Appeals for the Ninth Circuit, captioned In re Quality Systems, Inc. Securities Litigation, No. 15-55173. Plaintiffs filed their opening brief and we answered. Oral argument is set for December 5, 2016. We believe that the plaintiffs' claims are without merit and continue to defend against them vigorously. At this time, we are unable to estimate the probability or the amount of liability, if any, related to this claim.
Shareholder Derivative Litigation
On January 24, 2014, a complaint was filed against our Company and certain of our officers and current and former directors in the United States District Court for the Central District of California, captioned Timothy J. Foss, derivatively on behalf of himself and all others similarly situated, vs. Craig A. Barbarosh, George H. Bristol, James C. Malone, Peter M. Neupert, Morris Panner, D. Russell Pflueger, Steven T. Plochocki, Sheldon Razin, Lance E. Rosenzweig and Quality Systems, Inc., No. SACV14-00110-DOC-JPPx, by Timothy J. Foss, a shareholder of ours. The complaint arises from the same allegations described above under the captions “Hussein Litigation” and “Federal Securities Class Action” and generally alleges breach of fiduciary duties, abuse of control and gross mismanagement by our directors, in addition to unjust enrichment and insider selling by individual directors. The complaint seeks compensatory damages, restitution and disgorgement of all profits, court costs, attorneys’ fees and implementation of enhanced corporate governance procedures. The parties have agreed to stay this litigation until the United States Court of Appeals for the Ninth Circuit issues a ruling on the pending appeal described above under the caption “Federal Securities Class Action”. We believe that the plaintiff’s claims are without merit and intend to defend against them vigorously. At this time, we are unable to estimate the probability or the amount of liability, if any, related to this claim.

18




14. Operating Segment Information
Effective July 1, 2016, we revised our reportable operating segments. As part of our ongoing reorganization efforts, we refined the measurement of our segment data to better reflect our current internal organizational structure whereby certain functions that formerly existed within each individual operating segment have changed. Our operating segments now consist of the Software and Related Solutions segment and the RCM and Related Services segment, which is consistent with the disaggregated financial information used and evaluated by our chief operating decision maker (consisting of our Chief Executive Officer) to assess performance and make decisions about the allocation of resources. Revenue and gross profit are the key measures of segment profitability used by our chief operating decision maker to measure segment operating performance and to make key business decisions. The revenues and gross profit of each segment are derived from distinct product and services within each segment. The Software and Related Solutions segment aggregates the revenues and gross profit of our software-related products and services, including software license and hardware, software-related subscription services, support and maintenance, EDI and data services, and certain professional services, such as implementation, training, and consulting. The RCM and Related Services segment aggregates the revenues and gross profit of our RCM services and certain related ancillary service offerings.
Certain functional roles that do not engage in revenue generating activities, such as product solutions and strategy, research and development, and certain corporate general and administrative functions, including finance, human resources, marketing, and legal, are considered to be shared-services and are not controlled by segment-level leadership. Although the segments may derive direct benefits as a result of such shared-services functions, our chief operating decision maker evaluates performance based upon stand-alone segment revenues and gross profit. Accordingly, the shared-services functions are not considered separate operating segments, and the related operating expenses are not included within our operating segments disclosure. Additionally, total assets are managed at a consolidated level and thus are also not included within our operating segments disclosure. Accounting policies for each of our operating segments are the same as those applied to our consolidated financial statements.
Operating segment data for the three and six months ended September 30, 2016 and 2015 is summarized in the table below. Prior period data has been retroactively reclassified to present all segment information on a comparable basis. The change in reportable segments has no impact to consolidated revenues and consolidated cost of revenue, nor does it affect our presentation of revenue and cost of revenue on the consolidated statements of comprehensive income.
 
 
Three Months Ended September 30,
 
Six Months Ended September 30,
 
 
2016
 
2015
 
2016
 
2015
Revenue:
 
 
 
 
 
 
 
 
Software and Related Solutions
 
$
105,475

 
$
100,536

 
$
205,896

 
$
197,856

RCM and Related Services
 
21,691

 
21,652

 
43,475

 
42,827

Hospital Solutions(1)
 

 
3,181

 

 
6,850

Consolidated revenue
 
$
127,166

 
$
125,369

 
$
249,371

 
$
247,533

 
 
 
 
 
 
 
 
 
Gross profit (loss):
 
 
 
 
 
 
 
 
Software and Related Solutions
 
$
69,615

 
$
64,605

 
$
133,162

 
$
126,033

RCM and Related Services
 
7,017

 
6,645

 
14,260

 
13,023

Hospital Solutions(1)
 

 
915

 

 
2,638

Unallocated cost of revenue(2)
 
(5,463
)
 
(3,394
)
 
(10,863
)
 
(6,736
)
Consolidated gross profit
 
$
71,169

 
$
68,771

 
$
136,559

 
$
134,958

___________________________________
(1) The former Hospital Solutions Division was divested in October 2015 and therefore, does not represent a distinct operating segment. Historical amounts for Hospital Solutions have not been revised.
(2) Consists of amortization of acquired software technology and amortization of capitalized software costs not allocated to the operating segments for the purposes of measuring performance.
15. Restructuring Plan
In fiscal year 2016, we initiated a three-phase plan intended to better position our organization for future success. We implemented a series of actions with the objective of achieving greater synergies and further integration of our products and services in support of our business strategies, and enabling a more efficient, integrated and client-centered delivery of the holistic solutions that we believe is required by our ambulatory care clients. We also transformed our management team with the appointment of a new chief executive officer, chief financial officer, chief technology officer, and chief client officer. In the first phase, we redesigned the organization to more effectively support the execution of our strategy. Under phase two of our reorganization, we will continue to build our infrastructure and enhance our healthcare information technology capabilities to

19



drive future revenue growth. The third phase of the plan will consist of developing and marketing the services and solutions that we believe will accelerate revenue growth.
The overall plan also includes a multi-year initiative, called NextGen 2.0, to merge our business units into a single, streamlined, functional-based organization structure and to realign our organizational structure by consolidating the sales, marketing, information services, and software development responsibilities into single, company-wide roles in order to achieve greater efficiency. As a result, our reportable segments have changed and may change again due to such changes in the organization of our business.
The first phase was completed in April 2016, when we announced a corporate restructuring plan, which was approved by our Board of Directors. Under the restructuring plan, we reduced our domestic headcount by approximately 150 employees, or approximately six percent of our U.S.-based workforce. During the three and six months ended September 30, 2016, we recorded $701 and $4,454, respectively, of restructuring costs within operating expenses in our consolidated statements of comprehensive income. The restructuring costs consist primarily of payroll-related costs, such as severance, outplacement costs, and continuing healthcare coverage, associated with the involuntary separation of employees pursuant to a one-time benefit arrangement, which were accrued when it was probable that the benefits will be paid and the amount were reasonably estimable. As of September 30, 2016, we had a remaining liability of $701 related to our restructuring costs, nearly all of which we expect to settle in the third quarter of fiscal 2017. The restructuring plan is expected to be complete by the end of fiscal 2017.


20



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 ("Report") 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 Report, 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, the Patient Protection and Affordable Care Act, and the Medicare Access and CHIP Reauthorization Act of 2015, 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, 2016 (“Annual Report”), as supplemented by additional risk factors, if any, in our interim filings on our Quarterly Reports 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 Report.
This management's discussion and analysis of financial condition and results of operations ("MD&A") is provided as a supplement to the consolidated financial statements and notes thereto included elsewhere in this Report 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 Report. 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.
Company Overview
Quality Systems, Inc., primarily through its NextGen Healthcare subsidiary, provides technology-based solutions and services to the ambulatory care market in the United States. Our solutions 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. We help promote healthy communities by empowering physician practice success and enriching the patient care experience while lowering the cost of healthcare.
We primarily derive revenue by developing and marketing software and services that automate certain aspects of practice management (“PM”) and electronic health records (“EHR”) for medical and dental practices. Our software can be licensed on a perpetual, on-premise basis, hosted in a private cloud or, in certain instances, as a software-as-a-service (“SaaS”) solution. We market and sell our solutions through a dedicated sales force and to a much lesser extent, through resellers. Our clients include single and small practice physicians, networks of practices such as physician hospital organizations (“PHOs”), management service organizations (“MSOs”), accountable care organizations (“ACOs”), ambulatory care centers, community health centers and medical and dental schools. We also provide implementation, training, support and maintenance for software and complementary services such as revenue cycle management (“RCM”) and electronic data interchange (“EDI”).
We have a history of developing new and enhanced technologies. Over the course of a number of years, we have also made strategic acquisitions to complement and enhance our product portfolio in the ambulatory care, RCM, and hospital markets.
Quality Systems, Inc. was incorporated in California in 1974. Our principal offices are located at 18111 Von Karman Ave., Suite 800, Irvine, California, 92612. Our websites are located at www.Nextgen.com and www.qsii.com. We operate on a fiscal year ending on March 31.
Trends and Events in Our Business
We believe that the following trends and events as described below have contributed to our consolidated results of operations and may continue to impact our future results.

21



We believe healthcare is more heavily influenced by regulatory and national health projects than by the cycles of our economy. The healthcare industry has been significantly impacted by the Obama Administration's broad healthcare reform efforts, including the Health Information Technology for Economic and Clinical Health portion of the American Recovery and Reinvestment Act of 2009 ("HITECH Act") and the Patient Protection and Affordable Care Act ("ACA") that provided significant incentives to health care organizations for "Meaningful Use" adoption and interoperable electronic health record solutions.
We also believe that healthcare reform, including the repeal of the sustainable growth rate ("SGR") formula as part of the Medicare Access and CHIP Reauthorization Act of 2015 ("MACRA"), and a movement towards a value-based, pay-for-performance model and quality initiative efforts will stimulate demand for robust electronic health record solutions as well as new health information technology solutions from bundled billing capabilities to patient engagement and population health management. We believe MACRA may be the most important of the three regulations for our market because it permanently changes how ambulatory healthcare providers are reimbursed by Medicare. It offers certainty and a timeline for the market’s move away from volume-based, fee-for-service models to value-based payment models that reward the delivery of lower cost, high quality care.
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 market for physician based electronic health records software is becoming increasingly saturated while physician group practices are rapidly being consolidated by hospitals, insurance payers and other entities. Hospital software providers are leveraging their position with their hospital clients to gain market share with hospital owned physician practices. Insurance providers and large physician groups are also consolidating physician offices creating additional opportunity for ambulatory software providers like us. Our strategy is to focus on addressing the growing needs of accountable care organizations around interoperability, patient engagements, population health, and data analytics.
We believe that our core strength lies in the central role our software products and services play in the delivery of healthcare by the primary physician in an ambulatory setting. We intend to remain at the forefront of upcoming new regulatory requirements and meaningful use requirements for stimulus payments. We intend to continue the development and enhancement of our software solutions to support healthcare reform, such as the recently enacted MACRA, which promotes the transition from fee-for-service to value-based, pay-for-performance and patient-centric and quality initiatives such as accountable care organizations. Key elements of our future software development will be to expand our interoperability capabilities enhancing the competitiveness of our software offerings, make our products more intuitive and easy to use, and to enhance the capability of our MediTouch® Platform to allow us to deliver our software over the cloud to larger ambulatory care practices.
In addition to the activities described above, mergers and acquisitions have been important to our development. In September 2013 we acquired Mirth Corporation ("Mirth"), a global leader in health information technology that helps clients achieve interoperability. In April 2015, we acquired Gennius, Inc. ("Gennius"), a population health analytics company which we believe enhances and leverages our acquisition of Mirth by broadening our business intelligence capabilities in the growing population health and value based care areas. In January 2016, we completed the acquisition of HealthFusion Holdings, Inc. ("HealthFusion"), a cloud-based healthcare information technology (“HCIT”) company providing electronic health record (“EHR”) and practice management (“PM”) software primarily to the one-to-ten physician size market. We entered into a revolving credit agreement to fund the transaction. We believe the acquisition provided us with access to a market we were not in and provides us with technology that will accelerate our transition to the cloud.
We continue to evaluate the organizational structure of our company with the objective of achieving greater synergies and further integration of our products and services, in support of our business strategies. In fiscal 2016, we initiated a three-phase plan to better position our organization for future success. In the first phase, we redesigned the organization to more effectively support the execution of our strategy. We also transformed our management team with the appointment of a new chief executive officer, chief financial officer, chief technology officer, and chief client officer. This first phase was completed in April 2016, when we announced a corporate restructuring plan intended to enable a more efficient, integrated and client-centered delivery of the holistic solutions that we believe is required by our ambulatory care clients. The restructuring plan includes merging our business units into a single, streamlined, functional-based organization structure. We are now beginning phase two of our reorganization, which includes building and enhancing the capabilities that will drive future revenue growth. The third phase of the plan will consist of developing and marketing the services and solutions that we believe will accelerate revenue growth.
We have made and intend to continue making substantial investments in our infrastructure while continuing our strong commitment of service in support of our client satisfaction programs and maintaining reasonable expense discipline. Such investments include but are not limited to maintaining and expanding sales, marketing and product development activities to improve patient care and reduce healthcare costs, providing industry-leading, integrated clinical and administrative healthcare data systems, services, and expertise to clinical, medical, technology, and healthcare business professionals. We also strive to add new clients and expand our relationship with existing clients through delivery of add-on and complementary products and services. We believe that the client base that uses our software on a daily basis is a strategic asset, and we intend to leverage this strategic asset by expanding our product and service offerings towards this client base.
Led by our vision and mission, we are resetting our strategy and structure to deliver value to our clients. To achieve lower-cost, increased structural capability, our new management team is building an aligned, client-focused organization, supported by a recurring revenue stream and a large and diverse existing client base.

22




Our Strategy
We strive to be the trusted partner for clients of all size, integrating services, software and analytics into a consolidated solution. As a healthcare information technology and services company, we plan to continue investing in our current capabilities as well as building and/or acquiring new capabilities as we guide our clients from fee-for-service to fee-for-value payer reimbursement models. With approximately 90,000 providers using our solutions, we are enabling care and believe we can truly transform the delivery of care through the following strategic priorities:
Focus on the ambulatory client segment. In October 2015, we sold our Hospital Solutions Division to focus on our core ambulatory clients. Further, a recent operational reorganization better allows us to serve the needs of our ambulatory clients through a simpler, more nimble, and focused organization. We believe it is essential to protect, build and sell new capabilities within our ambulatory platform. We are focused on our core by increasing quality and the serviceability of our solutions. We intend to continue to enhance the capabilities of our NextGen Ambulatory flagship product.
Cloud transition. Through our acquisition of HealthFusion in January 2016, we acquired a highly scalable, pure cloud-based and mobile-enabled platform that operates under the tradename MediTouch®. We intend to expand the capability of this platform to serve the requirements of larger ambulatory practices. When combined with our Mirth-branded products, we can offer our clients a full suite of cloud-based solutions that better enable our clients to focus on care delivery.
Solutions selling. We believe there is significant opportunity to extend the solutions we offer existing and new clients through value added services such as RCM, EDI, interoperability solutions and professional services. This will evolve our relationships from being a seller of products and services to delivering a consistent solution suite and experience for our clients.
Population health software and services. We are migrating into applications, analytics and services that we believe will enable our clients to be successful in managing the health of patient populations. We are establishing strong development partners within our core client base, participating in shared-risk contracts, and working together to determine population health solutions.
More effective use of capital. From cessation of the dividend, leveraging our balance sheet for future opportunities, to managing our cost structure, we are transforming our capital strategy. Our recent reorganization was formulated to result in a more efficient, integrated and streamlined organization.
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 ("GAAP"). The preparation of these consolidated financial statements requires us to make estimates and judgments that affect our reported amounts of assets, liabilities, revenue and expenses, and related disclosures. We base our assumptions, estimates and judgments on historical experience, current trends, and other factors we believe to be reasonable under the circumstances, and we evaluate these estimates on an ongoing basis. On a regular basis, we review the accounting policies and update our assumptions, estimates, and judgments, as needed, to ensure that our consolidated financial statements are presented fairly and in accordance with GAAP. Actual results could differ materially from our estimates under different assumptions or conditions. To the extent that there are material differences between our estimates and actual results, our financial condition or results of operations will be affected.
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 Part II, 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 fiscal year ended March 31, 2016.


23



Results of Operations
The following table sets forth the percentage of revenue represented by each item in our consolidated statements of comprehensive income for the three and six months ended September 30, 2016 and 2015 (certain percentages below may not sum due to rounding):
 
Three Months Ended September 30,
 
Six Months Ended September 30,
 
2016
 
2015
 
2016
 
2015
Revenues:
 
 
 
 
 
 
 
Software license and hardware
13.5
%
 
15.7
%
 
12.8
%
 
14.5
%
Software related subscription services
16.9

 
9.9

 
16.6

 
10.0

Total software, hardware and related
30.4

 
25.6

 
29.4

 
24.5

Support and maintenance
30.6

 
33.6

 
30.9

 
34.7

Revenue cycle management and related services
16.5

 
16.6

 
16.8

 
16.6

Electronic data interchange and data services
17.0

 
16.4

 
17.5

 
16.5

Professional services
5.5

 
7.7

 
5.3

 
7.8

Total revenues
100.0

 
100.0

 
100.0

 
100.0

Cost of revenue:
 
 
 
 
 
 
 
Software license and hardware
5.1

 
5.2

 
5.4

 
5.5

Software related subscription services
6.8

 
4.8

 
7.1

 
4.8

Total software, hardware and related
11.9

 
10.0

 
12.6

 
10.3

Support and maintenance
5.5

 
6.7

 
5.5

 
6.6

Revenue cycle management and related services
11.3

 
11.7

 
11.5

 
11.8

Electronic data interchange and data services
10.1

 
10.0

 
10.3

 
10.0

Professional services
5.3

 
6.7

 
5.5

 
6.7

Total cost of revenue
44.0

 
45.1

 
45.2

 
45.5

Gross profit
56.0

 
54.9

 
54.8

 
54.5

Operating expenses:
 
 
 
 
 
 
 
Selling, general and administrative
33.6

 
29.8

 
33.4

 
30.9

Research and development costs, net
14.4

 
14.3

 
14.6

 
14.2

Amortization of acquired intangible assets
2.1

 
0.7

 
2.1

 
0.7

Restructuring costs
0.6

 

 
1.8

 

Total operating expenses
50.6

 
44.9

 
52.0

 
45.8

Income from operations
5.3

 
10.0

 
2.8

 
8.7

Interest income

 

 

 
0.1

Interest expense
(0.6
)
 

 
(0.7
)
 

Other expense, net

 

 
(0.1
)
 

Income before provision for income taxes
4.6

 
10.0

 
2.0

 
8.8

Provision for income taxes
1.5

 
3.3

 
0.6

 
2.9

Net income
3.1
%
 
6.6
%
 
1.3
%
 
5.9
%



24



Revenues
The following table presents our consolidated revenues for the three and six months ended September 30, 2016, and 2015 (in thousands):
 
Three Months Ended September 30,
 
Six Months Ended September 30,
 
2016
 
2015
 
2016
 
2015
Revenues:
 
 
 
 
 
 
 
Software license and hardware
$
17,182

 
$
19,687

 
$
31,971

 
$
35,876

Software related subscription services
21,490

 
12,437

 
41,365

 
24,683

Total software, hardware and related
38,672

 
32,124

 
73,336

 
60,559

 
 
 
 
 
 
 
 
Support and maintenance
38,974

 
42,176

 
76,981

 
85,889

Revenue cycle management and related services
20,936

 
20,793

 
41,989

 
41,036

Electronic data interchange and data services
21,613

 
20,581

 
43,737

 
40,770

Professional services
6,971

 
9,695

 
13,328

 
19,279

Total revenues
$
127,166

 
$
125,369

 
$
249,371

 
$
247,533

We generate revenue from sales of licensing rights and subscriptions to our software products, hardware and third party software products, support and maintenance services, revenue cycle management and related services ("RCM"), electronic data interchange and data services (“EDI”), and professional services, such as implementation, training, and consulting performed for clients who use our products.
Consolidated revenue for the three months ended September 30, 2016 increased $1.8 million compared to the prior year period. Consolidated revenue for the six months ended September 30, 2016 also increased $1.8 million compared to the prior year period. The increase in consolidated revenues for both the three and six month periods was driven primarily by subscription sales of the MediTouch® cloud-based system acquired from HealthFusion in January 2016, partially offset by lower software license and hardware revenue, lower professional services revenue, and lower support and maintenance revenue. The decline in software license and hardware revenue was mostly caused by a shift in market dynamics toward cloud-based solutions and away from perpetual license arrangements, which has also resulted in lower demand for our professional services, including implementation, training, and consulting services. The decline in support and maintenance is due to the disposition of the former Hospital Solutions Division in October 2015 and net attrition in products sold with accompanying maintenance. The growth in EDI and RCM revenue for both the three and six month periods was due to the addition of new clients, further penetration of our existing client base, and additional cross-sell of newer products.
Recurring service revenue, consisting of software related subscription services, support and maintenance, RCM, and EDI, represented 81.0% and 76.6% of total revenue for the three months ended September 30, 2016 and 2015, respectively. For the six months ended September 30, 2016 and 2015, recurring service revenue represented 81.8% and 77.7%, respectively, of total revenue.
We expect to benefit from the growth of a replacement market driven by an expected consolidation of electronic health records vendors. We also anticipate the creation of new opportunities in connection with the evolution of healthcare from a fee-for-services reimbursement model to a pay-for-performance model around the management of patient populations. Our acquisitions of Gennius and Mirth provided us with new products and services around population health, collaborative care management, interoperability and enterprise analytics to address these market dynamics. While it remains difficult to assess the relative impact or the timing of positive and negative trends affecting the aforementioned market opportunities, we believe we are well positioned to remain a leader in serving the evolving market needs for healthcare information technology.

25



Gross Profit
The following table presents our consolidated cost of revenue and gross profit for the three and six months ended September 30, 2016 and 2015 (in thousands):
 
Three Months Ended September 30,
 
Six Months Ended September 30,
 
2016
 
2015
 
2016
 
2015
Total cost of revenue
$
55,997

 
$
56,598

 
$
112,812

 
$
112,575

Gross profit
71,169

 
68,771

 
136,559

 
134,958

Gross margin %
56.0
%
 
54.9
%
 
54.8
%
 
54.5
%
Cost of revenue consists primarily of compensation expense, including share-based compensation, for personnel that deliver our products and services. Cost of revenue also includes amortization of capitalized software costs and acquired technology, third party consultant and outsourcing costs, costs associated with our EDI business partners and clearinghouses, hosting service costs, third party software costs and royalties, and other costs directly associated with delivering our products and services. Refer to Note 5, "Intangible Assets" and Note 6, "Capitalized Software Costs" of our notes to consolidated financial statements included elsewhere in this Report for additional information on current period amortization of capitalized software costs and acquired technology and an estimate of future expected amortization.
Share-based compensation expense included in cost of revenue was $0.2 million and $0.1 million for the three months ended September 30, 2016 and 2015 and is included in the amounts above. Share-based compensation expense included in cost of revenue was $0.3 million and $0.2 million for the six months ended September 30, 2016 and 2015 and is included in the amounts above.
Gross profit for the three months ended September 30, 2016 increased $2.4 million compared to the prior year period due primarily to the higher revenues, as discussed above, combined with a $0.6 million decrease in cost of revenue, which was driven by lower payroll costs associated with delivering support and maintenance and professional services, partially offset by amortization of the software technology intangible asset acquired from HealthFusion. As a result, the gross margin percentage increased to 56.0% for the three months ended September 30, 2016 compared to 54.9% in the prior year period.
Gross profit for the six months ended September 30, 2016 increased $1.6 million compared to the prior year period due primarily to higher revenues, as discussed above, offset by a $0.2 million increase in cost of revenue. Cost of revenue increased due to amortization of the software technology intangible asset acquired from HealthFusion, partially offset by lower payroll costs associated with delivering support and maintenance and professional services. As a result, the overall gross margin percentage remained consistent compared to the prior year period.
Selling, General and Administrative Expense
The following table presents our consolidated selling, general and administrative expense for the three and six months ended September 30, 2016 and 2015 (in thousands):
 
Three Months Ended September 30,
 
Six Months Ended September 30,
 
2016
 
2015
 
2016
 
2015
Selling, general and administrative
$
42,790

 
$
37,396

 
$
83,371

 
$
76,567

Selling, general and administrative, as a percentage of revenue
33.6
%
 
29.8
%
 
33.4
%
 
30.9
%
Selling, general and administrative expense consist of compensation expense, including share-based compensation, for management and administrative personnel, selling and marketing expense, facilities costs, depreciation, professional service fees, including legal and accounting services, acquisition and transaction-related costs, and other general corporate and administrative expenses.
Share-based compensation expense included in selling, general and administrative expenses was $1.4 million and $0.7 million for the three months ended September 30, 2016 and 2015, respectively, and is included in the amounts above. Share-based compensation expense included in selling, general and administrative expenses was $2.4 million and $1.2 million for the six months ended September 30, 2016 and 2015, respectively, and is included in the amounts above.
Selling, general and administrative expenses increased $5.4 million for the three months ended September 30, 2016 compared to the prior year period primarily due to $2.5 million of incremental selling, general and administrative expense associated with the acquisition of HealthFusion and $3.0 million of acquisition costs primarily related to the fair value adjustments of the HealthFusion contingent consideration.

26



Selling, general and administrative expenses increased $6.8 million for the six months ended September 30, 2016 compared to the prior year period primarily due to $5.0 million of incremental selling, general and administrative expense associated with the acquisition of HealthFusion and $5.4 million of acquisition costs primarily related to the fair value adjustments of the HealthFusion contingent consideration, partially offset by lower payroll costs associated with the corporate restructuring plan (refer to Note 15, "Restructuring Plan" of our notes to consolidated financial statements included elsewhere in this Report for additional information) and the disposition of the Hospital Solutions Division in October 2015.
Research and Development Costs, net
The following table presents our consolidated net research and development costs, capitalized software costs, and gross expenditures prior to capitalization, for the three and six months ended September 30, 2016 and 2015 (in thousands):
 
Three Months Ended September 30,
 
Six Months Ended September 30,
 
2016
 
2015
 
2016
 
2015
Gross expenditures
$
20,663

 
$
21,033

 
$
41,835

 
$
41,753

Capitalized software costs
(2,371
)
 
(3,052
)
 
(5,319
)
 
(6,687
)
Research and development costs, net
$
18,292

 
$
17,981

 
$
36,516

 
$
35,066

 
 
 
 
 
 
 
 
Research and development costs, as a percentage of revenue
14.4
%
 
14.3
%
 
14.6
%
 
14.2
%
Capitalized software costs as a percentage of gross expenditures
11.5
%
 
14.5
%
 
12.7
%
 
16.0
%
Gross research and development expenditures, including costs expensed and costs capitalized, consist of compensation expense, including share-based compensation, for research and development personnel, certain third-party consultant fees, software maintenance costs, and other costs related to new product development and enhancement to our existing products. We intend to continue to invest heavily in research and development expenses as we continue to bring additional functionality and features to the medical community and develop a new integrated inpatient and outpatient, web-based software platform.
The capitalization of software development costs results in a reduction to our reported net research and development costs. Our software capitalization rate, or capitalized software costs as a percentage of gross expenditures, has varied historically and may continue to vary based on the nature and status of specific projects and initiatives in progress. Although changes in software capitalization rates have no impact on our overall cash flows, it results in fluctuations in the amount of software development costs being expensed up front and the amount of net research and development costs reported in our consolidated statement of comprehensive income.
Share-based compensation expense included in research and development costs was $0.3 million and $0.1 million for the three months ended September 30, 2016 and 2015, respectively, and is included in the amounts above. Share-based compensation expense included in research and development costs was $0.4 million and $0.2 million for the six months ended September 30, 2016 and 2015, respectively, and is included in the amounts above.
Net research and development costs for the three months ended September 30, 2016 increased $0.3 million compared to the prior year period primarily as a result of a $0.7 million decline in capitalized software costs, offset by a $0.4 million decline in our gross expenditures. Net research and development costs for the six months ended September 30, 2016 increased $1.5 million compared to the prior year period primarily as a result of a $1.4 million decline in capitalized software costs. The acquisition of HealthFusion contributed $0.9 million and $1.5 million of net research and development costs for the three and six months ended September 30, 2016, respectively. Such increase was partially offset by lower gross expenditures from the discontinuation of the NextGen Now development project during the fourth quarter of fiscal 2016 and lower personnel costs associated with the restructuring plan.
The reduction in capitalized software costs for the three and six months ended September 30, 2016 is due to a decline in the rate of the software capitalization compared to the prior year periods, which reflects differences in the nature and status of our projects and initiatives during a given period that affects the amount of development costs that may be capitalized and the discontinuation of the NextGen Now development project.

27



Amortization of Acquired Intangible Assets
The following table presents our amortization of acquired intangible assets for the three and six months ended September 30, 2016 and 2015 (in thousands):
 
Three Months Ended September 30,
 
Six Months Ended September 30,
 
2016
 
2015
 
2016
 
2015
Amortization of acquired intangible assets
$
2,617

 
$
898

 
$
5,321

 
$
1,795

Amortization of acquired intangible assets included in operating expense consist of the amortization related to our customer relationships, trade name, and contracts intangible assets acquired as part of our business combinations. Refer to Note 5, "Intangible Assets" of our notes to consolidated financial statements included elsewhere in this Report for an estimate of future expected amortization.
Amortization of acquired intangible assets for the three and six months ended September 30, 2016 increased $1.7 million and $3.5 million, respectively, compared to the prior year periods due to additional amortization of the customer relationships and trade name intangible assets related to the acquisition of HealthFusion. Refer to Note 5, "Business Combinations" of our notes to consolidated financial statements included elsewhere in this Report for additional information.
Restructuring Costs
During the three and six months ended September 30, 2016, we recorded $0.7 million and $4.5 million, respectively, of restructuring costs within operating expenses in our consolidated statements of comprehensive income. The restructuring costs resulted from a restructuring plan that we announced in April 2016 whereby we reduced our domestic headcount by approximately 150 employees, or approximately six percent of our U.S.-based workforce, and such costs consist primarily of payroll-related costs, such as severance, outplacement costs, and continuing healthcare coverage, associated with the involuntary separation of employees pursuant to a one-time benefit arrangement. As of September 30, 2016, we had a remaining liability of $0.7 million related to our restructuring costs, nearly all of which we expect to settle in the third quarter of fiscal 2017. The restructuring plan is expected to be complete by the end of fiscal 2017.
The restructuring is part of a three-phase plan initiated in fiscal year 2016 that was intended to better position our organization for future success. In the first phase, we restructured the organization to more effectively support the execution of our strategy. We believe that the restructuring will reduce our costs and improve our financial performance. As we begin phase two of our reorganization, we will continue to build our infrastructure and enhance our healthcare information technology capabilities to drive future revenue growth. The third phase of the plan will consist of developing and marketing the services and solutions that we believe will accelerate revenue growth.
The overall plan also includes a multi-year initiative, called NextGen 2.0, to merge our business units into a single, streamlined, functional-based organization structure and to realign our organizational structure by consolidating the sales, marketing, information services, and software development responsibilities into single, company-wide roles in order to achieve greater efficiency.
Refer to Note 15, "Restructuring Plan" of our notes to consolidated financial statements included elsewhere in this Report for additional information.
Interest and Other Income and Expense
The following table presents our interest expense for the three and six months ended September 30, 2016 and 2015 (in thousands):
 
Three Months Ended September 30,
 
Six Months Ended September 30,
 
2016
 
2015
 
2016
 
2015
Interest income
$
1

 
$
44

 
$
9

 
$
346

Interest expense
(803
)
 
(3
)
 
(1,816
)
 
(3
)
Other expense, net
(55
)
 
(54
)
 
(142
)
 
(104
)
Interest income relates primarily to our marketable securities. Interest expense relates to our revolving credit agreement that was entered into in January 2016 and the related amortization of deferred debt issuance costs. Refer to Note 7, “Line of Credit” of our notes to consolidated financial statements included elsewhere in this Report for additional information. Other expense and income relates primarily to net realized gains and losses on our marketable securities.

28



Interest expense for the three and six months ended September 30, 2016 increased $0.8 million and $1.8 million, respectively, compared to the prior year. The increase is primarily related to the interest expense associated with our revolving credit agreement and the amortization of deferred debt issuance costs. As of September 30, 2016, we had $48.0 million in outstanding loans under the revolving credit agreement.
All other fluctuations in interest and other income and expense are not deemed significant.
Provision for Income Taxes
The following table presents our provision for income taxes for the three and six months ended September 30, 2016 and 2015 (in thousands):
 
Three Months Ended September 30,
 
Six Months Ended September 30,
 
2016
 
2015
 
2016
 
2015
Provision for income taxes
$
1,925

 
$
4,168

 
$
1,608

 
$
7,092

Effective tax rate
32.6
%
 
33.4
%
 
32.5
%
 
32.6
%
The effective rate for the three months ended September 30, 2016 decreased compared to the prior year period primarily due to lower qualifying production activity deductions and other discrete adjustments, offset by the impact of the federal and state research and development credit in the current period. The effective rate for the six months ended September 30, 2016 remained consistent with the prior year period because the favorable impact of the federal and state research and development credit was substantially offset by lower qualifying production activity deductions and other discrete adjustments.
Net Income
The following table presents our net income (in thousands) and net income per share and for the three and six months ended September 30, 2016 and 2015:
 
Three Months Ended September 30,
 
Six Months Ended September 30,
 
2016
 
2015
 
2016
 
2015
Net income
$
3,987

 
$
8,315

 
$
3,340

 
$
14,677

Net income per share:
 
 
 
 
 
 
 
Basic
$
0.06

 
$
0.14

 
$
0.05

 
$
0.24

Diluted
$
0.06

 
$
0.14

 
$
0.05

 
$
0.24

As a result of the foregoing changes in revenue and expense, net income for the three and six months ended September 30, 2016 decreased $4.3 million and $11.3 million, respectively, compared to the prior year period.
Operating Segment Information
Effective July 1, 2016, we revised our reportable operating segments. As part of our ongoing reorganization efforts, we refined the measurement of our segment data to better reflect our current internal organizational structure whereby certain functions that formerly existed within each individual operating segment have changed. Our operating segments now consist of the Software and Related Solutions segment and the RCM and Related Services segment, which is consistent with the disaggregated financial information used and evaluated by our chief operating decision maker (consisting of our Chief Executive Officer) to assess performance and make decisions about the allocation of resources. Revenue and gross profit are the key measures of segment profitability used by our chief operating decision maker to measure segment operating performance and to make key business decisions. The revenues and gross profit of each segment are derived from distinct product and services within each segment. The Software and Related Solutions segment aggregates the revenues and gross profit of our software-related products and services, including software license and hardware, software-related subscription services, support and maintenance, EDI and data services, and certain professional services, such as implementation, training, and consulting. The RCM and Related Services segment aggregates the revenues and gross profit of our RCM services and certain related ancillary service offerings.

29



Operating segment data for the three and six months ended September 30, 2016 and 2015 is summarized in the table below. Prior period data has been retroactively reclassified to present all segment information on a comparable basis. The change in reportable segments has no impact to consolidated revenues and consolidated cost of revenue, nor does it affect our presentation of revenue and cost of revenue on the consolidated statements of comprehensive income.