August
22, 2000
QUALITY
SYSTEMS INC (QSII) Quarterly Report (SEC form 10-Q) Management's
Discussion and Analysis of Financial Condition and Results of
Operations.
Except
for the historical information contained herein, the matters discussed
in this Quarterly Report on Form 10-Q, including discussions of
the Company's product development plans and business strategies
and market factors influencing the Company's results, are forward-looking
statements that involve certain risks and uncertainties. Actual
results may differ from those anticipated by the Company as a
result of various factors, both foreseen and unforeseen, including,
but not limited to, the Company's ability to continue to develop
new products and increase systems sales in a market characterized
by rapid technological evolution, consolidation, and competition
from larger, better capitalized competitors. Many other economic,
competitive, governmental and technological factors could impact
the Company's ability to achieve its goals and interested persons
are urged to review the risks described below, as well as in the
Company's other public disclosures and filings with the Securities
and Exchange Commission.
COMPANY
OVERVIEW.
Quality Systems, Inc. ("QSI") and its wholly-owned subsidiaries,
Clinitec International, Inc. ("Clinitec") and MicroMed Healthcare
Information Systems, Inc. ("MicroMed"), (collectively, the "Company")
develop and market healthcare information systems that automate
medical and dental group practices, physician hospital organizations
("PHOs"), management service organizations ("MSOs"), community
health centers and dental schools. In response to the growing
need for more comprehensive, cost- effective information solutions
for physician and dental practices, the Company's systems provide
its clients with the ability to redesign patient care and other
workflow processes, improve productivity, reduce information processing
and administrative costs, and provide multi-site access to patient
information. The Company's proprietary software systems include
general patient information, electronic medical records, appointment
scheduling, billing, insurance claims submission and processing,
managed care plan implementation and referral management, treatment
outcome studies, treatment planning, drug formularies, dental
charting, and letter generation. Several of the Company's proprietary
software systems may be operated remotely using thin client connectivity
or a standard web browser. In addition to providing fully integrated
software information solutions to its clients, the Company offers
comprehensive hardware and software installation services, maintenance
and support services, system training services, and electronic
insurance claims submission services.
The
Company currently has an installed base of more than 600 healthcare
information systems serving PHOs, MSOs, group practices, specialty
practices, dental schools and other healthcare organizations,
each of which consists of from one to 250 physicians or dentists.
The Company believes that as healthcare providers are increasingly
required to reduce costs while maintaining the quality of healthcare,
the Company will be able to capitalize on its strategy of providing
fully integrated information systems and superior client service.
QSI
is a California Corporation formed in 1974 and was founded with
an early focus on providing information systems and services primarily
for dental group practices. QSI's initial "turnkey" systems were
designed to improve productivity while reducing information processing
costs and personnel requirements. In the mid-1980's, QSI capitalized
on the opportunity presented by the increasing pressure of cost
containment on physicians and healthcare organizations and further
expanded its information processing systems into the broader medical
market. Today, QSI primarily develops and provides integrated
character-based healthcare information systems utilizing a UNIX*
operating system for both the medical and dental markets ("Legacy
Product"). These expandable systems operate on a stand-alone basis
or in a networked environment.
During
fiscal 1998, QSI released a new product, the Clinical Product
Suite ("CPS"), a comprehensive dental solution designed specifically
for the large dental group practice environment. CPS integrates
the dental Legacy Product with a computer-based clinical information
system that incorporates a wide range of clinical tools, including
electronic charting of dental procedures, treatment plans and
existing conditions; periodontal charting, via light-pen, voice-activation,
or keyboard entry, for full periodontal examinations and PSR scoring;
digital imaging of x-ray and intra-oral camera images; computer-based
patient education modules; full access to patient information,
treatment plans, and insurance plans; and document and image scanning
for digital storage and linkage to the electronic patient record.
CPS incorporates a Windows-based client/server technology consisting
of one or more file servers together with any combination of desktops
or laptops. The file server(s) used in connection with CPS utilize(s)
a Windows NT** operating system. Based on the server configuration
chosen, CPS is scalable from one to hundreds of workstations.
QSI's
wholly owned subsidiaries, Clinitec and Micromed, develop and
sell both proprietary electronic medical records software and
practice management systems under the product name of NextGen***.
Major product categories of the NextGen suite of applications
include Electronic Medical Records (NextGenemr), Enterprise Practice
Management (NextGenepm), Enterprise Appointment Scheduling (NextGeneas),
Enterprise Master Patient Index (NextGenepi), Managed Care, Electronic
Data Interchange, System Interfaces, Internet Operability (NextGen
web), and a Patient-centric and Provider- centric Web Portal Solution
(NextMD).
NextGenemr
allows healthcare providers to create and maintain medical records
using a series of user-definable clinical "templates." Data is
generally captured using a light pen or a mouse, and entries are
then turned into sentences and/or paragraphs to create documentation.
NextGenemr also supports the scanning and annotation of paper
documents, photographs and X-rays, and contains many other advanced
features. NextGenemr is marketed both in conjunction with the
Company's practice management software offerings as well as on
a stand-alone basis where NextGenemr may interface with other
practice management systems. The Company believes that it currently
provides a comprehensive information management solution for the
medical marketplace.
*
UNIX is a registered trademark of AT&T; Corporation. ** Microsoft
Windows, Windows NT, Windows 95, Windows 98 and Windows 2000 are
registered Trademarks of Microsoft Corporation. *** NextGen is
a registered trademark of Clinitec International, Inc.
NextGenepm
has been developed with a client/server architecture; a GUI design
utilizing Windows 95, Windows 98, Windows 2000, or Windows NT
operating system platforms; and, a platform independent relational
database that is ANSI SQL-compliant. NextGenepm
is designed to provide a flexible, enterprise-wide solution employing
a master patient index.
Recognizing
the need and benefits to be obtained by using its software in
conjunction with the capabilities of the Internet, the Company
enhanced its enterprise practice management and electronic medical
software packages in fiscal 2000 to enable them to be run via
Private Intranet or the Internet in an Application Services Provider
(ASP) environment.
Additionally,
in April 2000, the Company announced the launch of an Internet-based
consumer health portal, NextMD.com. NextMD.com will be a vertical
portal for the healthcare industry, linking patients with their
physicians, insurers, laboratories, and online pharmacies, while
providing a centralized source of health-oriented information
for both consumers and medical professionals. Patients whose physicians
are linked to the portal will be able to request appointments,
send appointment changes or cancellations, receive test results
online, request prescription refills, view and/or pay their statements,
and communicate with their physicians, all in a secure, online
environment. The Company's NextGen suite of information systems
will be linked to NextMD.com, integrating a number of these features
with physicians' existing systems.
RISK
FACTORS. COMPETITION.
The market for healthcare information systems is intensely competitive
and the Company faces significant competition from a number of
different sources. The electronic medical records market, in particular,
is subject to rapid changes in technology and the Company expects
that competition in this portion of the market will increase as
new competitors enter the marketplace. In addition, several of
the Company's competitors have significantly greater name recognition
as well as substantially greater financial, technical, product
development and marketing resources than the Company.
The
industry is highly fragmented and includes numerous competitors,
none of which the Company believes dominates the overall market
for either group practice management or clinical systems.
Furthermore,
the Company also competes indirectly and to varying degrees with
other major healthcare related companies, information management
companies generally, and other software developers which may more
directly enter the markets in which the Company competes.
There
can be no assurance that future competition or new product introductions
will not have a material adverse effect on the Company's business,
results of operations and financial condition. Competitive pressures
and other factors, such as new product introductions by the Company
or its competitors, may result in price or market share erosion
that could have a material adverse effect on the Company's business,
results of operations and financial condition.
In
addition, the Company believes that once a healthcare provider
has chosen a particular healthcare information system vendor,
the provider will, for a period of time, be more likely to rely
on that vendor for its future information system requirements.
Furthermore, if the healthcare industry continues to undergo further
consolidation as it has recently experienced, each sale of the
Company's systems will assume even greater importance to the Company's
business, results of operations and financial condition. The Company's
inability to make initial sales of its systems to either newly
formed groups and/or healthcare providers that are replacing or
substantially modifying their healthcare information systems could
have a material adverse effect on the Company's business, results
of operations and financial condition. If new systems sales do
not materialize, maintenance service revenues can be expected
to decrease over time due to the effect of failure to capture
new maintenance revenues therefrom in combination with attrition
of existing maintenance revenues associated with the Company's
current clients whose systems become obsolete or are replaced
by competitors' products.
FLUCTUATION
IN QUARTERLY OPERATING RESULTS.
The Company's revenues and operating results have in the past
fluctuated, and may in the future fluctuate, from quarter to quarter
and period to period, as a result of a number of factors including,
without limitation: the size and timing of orders from clients;
the length of sales cycles and installation processes; the ability
of the Company's clients to obtain financing for the purchase
of the Company's products; changes in pricing policies or price
reductions by the Company or its competitors; the timing of new
product announcements and product introductions by the Company
or its competitors; the availability and cost of system components;
the financial stability of major clients; market acceptance of
new products, applications and product enhancements; the Company's
ability to develop, introduce and market new products, applications
and product enhancements and to control costs; the Company's success
in expanding its sales and marketing programs; deferrals of client
orders in anticipation of new products, applications or product
enhancements; changes in Company strategy; personnel changes;
and general economic factors.
The
Company's products are generally shipped as orders are received
and accordingly, the Company has historically operated with minimal
backlog. As a result, sales in any quarter are dependent on orders
booked and shipped in that quarter and are not predictable with
any degree of certainty. Furthermore, the Company's systems can
be relatively large and expensive and individual systems sales
can represent a significant portion of the Company's revenues
for a quarter such that the loss of even one such sale can have
a significant adverse impact on the Company's quarterly profitability.
Clients
often defer systems purchases until the Company's quarter end,
so quarterly results generally cannot be predicted and frequently
are not known until the quarter has concluded. The Company's initial
contact with a potential customer depends in significant part
on the customer's decision to replace, or substantially modify,
its existing information system. How and when to implement, replace
or substantially modify an information system are major decisions
for healthcare providers. Accordingly, the sales cycle for the
Company's systems can vary significantly and typically ranges
from three to 12 months from initial contact to contract execution/shipment.
Because
a significant percentage of the Company's expenses are relatively
fixed, a variation in the timing of systems sales and installations
can cause significant variations in operating results from quarter
to quarter. As a result, the Company believes that interim period-to-period
comparisons of its results of operations are not necessarily meaningful
and should not be relied upon as indications of future performance.
Further, the Company's historical operating results are not necessarily
indicative of future performance for any particular period.
Through
March 31, 1998, the Company recognized revenue in accordance with
the provisions of the American Institute of Certified Public Accountants
("AICPA") Statement of Position No. 91-1, "Software Revenue Recognition"
("SOP 91-1"). The AICPA has adopted Statement of Position No.
97-2, "Software Revenue Recognition" ("SOP 97-2"), that supersedes
SOP 91-1 and became effective for the Company on April 1, 1998.
There
can be no assurance that application and subsequent interpretations
of this pronouncement by the Company, its independent auditors
or the Securities and Exchange Commission will not further modify
the Company's revenue recognition policies, or that such modifications
would not have a material adverse effect on the operating results
reported in any particular quarter. There can be no assurance
that the Company will not be required to adopt changes in its
licensing or services practices to conform to SOP 97-2, or that
such changes, if adopted, would not result in delays or cancellations
of potential sales of the Company's products.
Due
to all of the foregoing factors, it is possible that in some future
quarter the Company's operating results may be below the expectations
of public market analysts and investors. In such event, the price
of the Company's Common Stock would likely be materially adversely
affected.
DEPENDENCE
ON PRINCIPAL PRODUCT AND NEW PRODUCT DEVELOPMENT.
The Company currently derives substantially all of its net revenues
from sales of its healthcare information systems and related services.
The Company believes that a primary factor in the market acceptance
of its systems has been its ability to meet the needs of users
of healthcare information systems. The Company's future financial
performance will depend in large part on the Company's ability
to continue to meet the increasingly sophisticated needs of its
clients through the timely development, successful introduction
and implementation of new and enhanced versions of its systems
and other complementary products. The Company has historically
expended a significant amount of its net revenues on product development
and believes that significant continuing product development efforts
will be required to sustain the Company's growth.
There
can be no assurance that the Company will be successful in its
product development efforts, that the market will continue to
accept the Company's existing or new products, or that products
or product enhancements will be developed and implemented in a
timely manner, meet the requirements of healthcare providers,
or achieve market acceptance. If new products or product enhancements
do not achieve market acceptance, the Company's business, results
of operations and financial condition could be materially adversely
affected. At certain times in the past, the Company has also experienced
delays in purchases of its products by clients anticipating the
launch of new products by the Company. There can be no assurance
that material order deferrals in anticipation of new product introductions
will not occur.
TECHNOLOGICAL
CHANGE.
The software market generally is characterized by rapid technological
change, changing customer needs, frequent new product introductions
and evolving industry standards. The introduction of products
incorporating new technologies and the emergence of new industry
standards could render the Company's existing products obsolete
and unmarketable. There can be no assurance that the Company will
be successful in developing and marketing new products that respond
to technological changes or evolving industry standards. New product
development depends upon significant research and development
expenditures which depend ultimately upon sales growth. Any material
weakness in revenues or research funding could impair the Company's
ability to respond to technological advances in the marketplace
and to remain competitive. If the Company is unable, for technological
or other reasons, to develop and introduce new products in a timely
manner in response to changing market conditions or customer requirements,
the Company's business, results of operations and financial condition
will be materially adversely affected.
In
response to increasing market demand, the Company is currently
developing new generations of certain of its software products
designed for the client-server and Internet/intranet environments.
There can be no assurance that the Company will successfully develop
these new software products or that these products will operate
successfully on the principal client-server operating systems,
which include UNIX, Microsoft Windows, Windows NT, Windows 95,
Windows 98 and Windows 2000, or that any such development, even
if successful, will be completed concurrently with or prior to
introduction by competitors of products designed for the client-
server and Internet/intranet environments. Any such failure or
delay could adversely affect the Company's competitive position
or could make the Company's current products obsolete.
LITIGATION.
On April 22, 1997, a purported class action entitled JOHN P. CAVENY
v. QUALITY SYSTEMS, INC., ET AL. was filed in the Superior Court
of the State of California for the County of Orange, in which
Mr. Caveny, on behalf of himself and all others who purchased
the Company's Common Stock between June 26, 1995 and July 3, 1996,
alleges that the Company, and Sheldon Razin, Robert J. Beck, Gregory
S. Flynn, Abe C. LaLande, Donn Neufeld, Irma G. Carmona, John
A. Bowers, Graeme H. Frehner, and Gordon L. Setran (all of the
foregoing individuals were either officers, directors or both
during the period from June 26, 1995 through July 3, 1996), as
well as other defendants not affiliated with the Company, violated
California Corporations Code Sections 25400 and 25500, California
Civil Code Sections 1709 and 1710, and California Business and
Professions Code Sections 17200 et. seq., by issuing positive
statements about the Company that allegedly were knowingly false,
in part, in order to assist the Company and the individual defendants
in selling Common Stock at an inflated price in the Company's
March 5, 1996 public offering and at other points during the class
period. The complaint seeks compensatory and punitive damages
in unspecified amounts, disgorgement, declaratory and injunctive
relief, and attorneys' fees.
On
January 25, 1999, the court denied plaintiffs' motion to certify
the class representative and class legal counsel. Plaintiffs have
appealed that decision. On February 25, 2000, the Fourth District
Court of Appeals affirmed the order disqualifying the class legal
counsel. On May 9, 2000, the Court of Appeals issued its Remittur
certifying its decision as final.
Plaintiff
will seek new class counsel. However, the named defendants will
again have the opportunity to oppose class certification. The
Company and its named officers and directors deny all remaining
allegations of wrongdoing made against them in these suits, consider
the allegations groundless and without merit, and intend to vigorously
defend against these actions.
On
May 14, 1997, a second purported class action entitled WENDY WOO
v. QUALITY SYSTEMS, INC., ET AL. was filed in the same court.
This complaint, which has been consolidated with the Caveny lawsuit,
essentially repeats the allegations in the Caveny lawsuit and
seeks identical relief. The Company and the other named defendants
successfully demurred to the plaintiffs' claim under California
Civil Code Sections 1709 and 1710, and that claim, which served
as the only basis for plaintiffs' request for punitive damages,
has been dismissed from both actions.
On
July 1, 1997, a third purported class action entitled WADE CHENEY
v. QUALITY SYSTEMS, INC., ET AL. was filed in the United States
District Court of the Central District of California, Southern
Division. The complaint makes essentially the same factual allegations
as in the Caveny and Woo complaints, and purports to state claims
under Section 10(b) of the Securities Exchange Act of 1934 and
Rule 10b-5 thereunder, and under Section 20(a) of said Act. By
Court order dated August 13, 1997, this action was stayed temporarily
and the Court reserved jurisdiction to lift the stay after all
matters are final in the Caveny and Woo actions or if otherwise
appropriate, and on August 15, 1997 the case was removed from
the Court's active caseload. The Company denies all allegations
of wrongdoing made in this suit, considers the allegations groundless
and without merit, and if the stay is ever lifted, the Company
intends to vigorously defend against this action.
On
March 23, 1999, a purported class action and derivative complaint
entitled IRVING ROSENZWEIG v. SHELDON RAZIN, ET AL. was filed
in the Superior Court of the State of California for the County
of Orange, in which Mr. Rosenzweig, on behalf of himself and all
non-director shareholders, and derivatively on behalf of the Company,
alleges that Sheldon Razin, John Bowers, William Bowers, Patrick
Cline, Janet Razin and Gordon Setran (all of the foregoing individuals
are directors of the Company) breached their fiduciary duties
by allegedly entrenching themselves in their positions of control,
failing to ensure that third- party offers involving the Company
were fully and fairly considered, and/or failing to conduct a
reasonable inquiry to assure the maximization of shareholder value.
The complaint seeks declaratory and injunctive relief, an accounting
of monetary damages allegedly suffered by plaintiff and the purported
class, and attorneys' fees. Defendants demurred to each of the
causes of action alleged in the complaint and the court sustained
those demurrers with leave to amend in December 1999. Rather than
file an amended complaint, plaintiff filed a motion for attorney's
fees. Defendants, in turn, filed a motion to dismiss the action
for failure to file an amended pleading within the time limit
specified by the court.
The
parties agreed to a settlement of action and stipulated to a final
judgement and order which was entered by the court on May 15,
2000 at which time the action was dismissed. The final judgement
and order provided for a dismissal of the action with prejudice,
releases given to each of the defendants, and payment of the nominal
sum of $100,000 (paid by the Company's Directors and Officers
Liability Insurance Company) in full settlement of plaintiff's
motion for attorney's fees.
The
settlement further expressly provided that it did not constitute
an admission of any liability of defendants, which defendants
continue to vigorously deny.
The
Company is a party to various other legal proceedings incidental
to its business, none of which are considered by the Company to
be material.
PROPRIETARY
TECHNOLOGY.
The Company is heavily dependent on the maintenance and protection
of its intellectual property and relies largely on license agreements,
confidentiality procedures, and employee nondisclosure agreements
to protect its intellectual property. The Company's software is
not patented and existing copyright laws offer only limited practical
protection.
There
can be no assurance that the legal protections and precautions
taken by the Company will be adequate to prevent misappropriation
of the Company's technology or that competitors will not independently
develop technologies equivalent or superior to the Company's.
Further, the laws of some foreign countries do not protect the
Company's proprietary rights to as great an extent as do the laws
of the United States and are often not enforced as vigorously
as those in the United States.
The
Company does not believe that its operations or products infringe
on the intellectual property rights of others. However, there
can be no assurance that others will not assert infringement or
trade secret claims against the Company with respect to its current
or future products or that any such assertion will not require
the Company to enter into a license agreement or royalty arrangement
with the party asserting the claim. As competing healthcare information
systems increase in complexity and overall capabilities and the
functionality of these systems further overlaps, providers of
such systems may become increasingly subject to infringement claims.
Responding to and defending any such claims may distract the attention
of Company management and have a material adverse effect on the
Company's business, results of operations and financial condition.
In addition, claims may be brought against third parties from
which the Company purchases software, and such claims could adversely
affect the Company's ability to access third party software for
its systems.
ABILITY
TO MANAGE GROWTH.
The Company has experienced periods of growth has increased personnel,
which has placed, and may continue to place, a significant strain
on the Company's resources. The Company also anticipates expanding
its overall software development, marketing, sales, client management
and training capacity. In the event the Company is unable to identify,
hire, train and retain qualified individuals in such capacities
within a reasonable timeframe, such failure could have a material
adverse effect on the Company. In addition, the Company's ability
to manage future increases, if any, in the scope of its operations
or personnel will depend on significant expansion of its research
and development, marketing and sales, management, and administrative
and financial capabilities. The failure of the Company's management
to effectively manage expansion in its business could have a material
adverse effect on the Company's business, results of operations
and financial condition.
DEPENDENCE
UPON KEY PERSONNEL.
The Company's future performance also depends in significant part
upon the continued service of its key technical and senior management
personnel, many of whom have been with the Company for a significant
period of time. The Company does not maintain key man life insurance
on any of its employees. Because the Company has a relatively
small number of employees when compared to other leading companies
in the same industry, its dependence on maintaining its employees
is particularly significant. The Company is also dependent on
its ability to attract and retain high quality personnel, particularly
highly skilled software engineers for applications development.
The
industry is characterized by a high level of employee mobility
and aggressive recruiting of skilled personnel. There can be no
assurance that the Company's current employees will continue to
work for the Company. Loss of services of key employees could
have a material adverse effect on the Company's business, results
of operations and financial condition. Furthermore, the Company
may need to grant additional stock options to key employees and
provide other forms of incentive compensation to attract and retain
such key personnel.
PRODUCT
LIABILITY.
Certain of the Company's products provide applications that relate
to patient clinical information. Any failure by the Company's
products to provide accurate and timely information could result
in claims against the Company. In addition, a court or government
agency may take the position that our delivery of health information
directly, including through licensed physicians, or delivery of
information by a third party-site that a consumer accesses through
the Company's web sites, exposes the Company to malpractice or
other personal injury liability for wrongful delivery of healthcare
services or erroneous health information. The Company maintains
insurance to protect against claims associated with the use of
its products, but there can be no assurance that its insurance
coverage would adequately cover any claim asserted against the
Company. A successful claim brought against the Company in excess
of its insurance coverage could have a material adverse effect
on the Company's business, results of operations and financial
condition. Even unsuccessful claims could result in the Company's
expenditure of funds in litigation and management time and resources.
Certain
physicians or other healthcare professionals who use the Company's
Internet based products will directly enter health information
about their patients including information that constitutes a
record under applicable law, that the Company will store on the
Company's computer systems. Numerous federal and state laws and
regulations, the common law, and contractual obligations govern
collection, dissemination, use and confidentiality of patient-identifiable
health information, including:
The
U.S. Congress has been considering proposed legislation that would
establish a new federal standard for protection and use of health
information. Any failure by us or by our personnel or partners
to comply with any of these legal and other requirements would
result in material liability.
Although
the company has systems in place for safeguarding patient health
information from unauthorized disclosure, these systems may not
preclude successful claims against the Company for violation of
applicable law or other requirements. Other third-party sites
or links that consumers access through the Company's web sites
also may not maintain systems to safeguard this health information,
or may circumvent systems the Company put in place to protect
the information from disclosure. In addition, future laws or changes
in current laws may necessitate costly adaptations to the Company's
systems.
There
can be no assurance that the Company will not be subject to product
liability claims, that such claims will not result in liability
in excess of its insurance coverage, that the Company's insurance
will cover such claims or that appropriate insurance will continue
to be available to the Company in the future at commercially reasonable
rates. Such claims could have a material adverse affect on the
Company's business, results of operations and financial condition.
UNCERTAINTY
IN HEALTHCARE INDUSTRY; GOVERNMENT REGULATION.
The healthcare industry is subject to changing political, economic
and regulatory influences that may affect the procurement processes
and operation of healthcare facilities. During the past several
years, the healthcare industry has been subject to an increase
in governmental regulation of, among other things, reimbursement
rates and certain capital expenditures. In the past, various legislators
have announced that they intend to examine proposals to reform
certain aspects of the U.S. healthcare system including proposals
which may increase governmental involvement in healthcare, lower
reimbursement rates and otherwise change the operating environment
for the Company's clients. Healthcare providers may react to these
proposals and the uncertainty surrounding such proposals by curtailing
or deferring investments, including those for the Company's systems
and related services. Cost-containment measures instituted by
healthcare providers as a result of regulatory reform or otherwise
could result in greater selectivity in the allocation of capital
funds. Such selectivity could have an adverse effect on the Company's
ability to sell its systems and related services. The Company
cannot predict what impact, if any, such proposals or healthcare
reforms might have on its business, results of operations and
financial condition.
In
the year 2001, the Department of Health and Human Services expects
to finalize proposed regulations at the federal level authorized
under the Health Insurance Portability and Accountability Act
of 1996.
These
proposed regulations will establish new federal standards for
privacy of health information. The Company anticipates that these
regulations will directly affect the Company's products and services,
but the Company cannot accurately predict the impact at this time.
Achieving compliance with these regulations could be costly and
distract management's attention and other resources from the Company's
historical business, and any noncompliance by the Company could
result in civil and criminal penalties. In addition, development
of related federal and state regulations and policies on confidentiality
of health information could negatively affect the Company's business.
The
Company's software may be subject to regulation by the FDA as
a medical device. Such regulation could require the registration
of the applicable manufacturing facility and software/hardware
products, application of detailed record-keeping and manufacturing
standards, and FDA approval or clearance prior to marketing. An
approval or clearance could create delays in marketing, and the
FDA could require supplemental filings or object to certain of
these applications, the result of which could have a material
adverse effect on the Company's business, results of operations
and financial condition.
YEAR
2000
The Company is aware of issues associated with the programming
code in existing computer systems related to the millennium. In
particular, software applications that use only two digits to
identify a year in the date field may fail or create errors in
the year 2000 ("Year 2000 Issues"). Year 2000 Issues create risk
for the Company from unforeseen problems in computer systems that
the Company sells to customers on a nationwide basis which are
used, among other things, to process their financial transactions
and schedule patients ("Company Products"), as well as systems
that the Company uses internally to provide certain services to
its customers and to process its own financial transactions ("Internal
Use Systems"). The potential costs and uncertainties associated
with Year 2000 Issues will depend upon a number of factors, including
the Company's proprietary and third party developed software,
hardware (hardware and third party developed software will hereinafter
be referred to collectively as "Third Party Products") and the
nature of the industry in which the Company operates.
The
nature of the Company's business and its relationships with its
customers make it difficult to assess the magnitude of the Company's
potential exposure as a result of Year 2000 issues. Company Products
and Third Party Products sold by the Company may fail to operate
properly or as expected due to Year 2000 Issues. Such failures
could result in system failures or miscalculations causing disruptions
of customers' operations, including among other things, an inability
to process transactions, send invoices, conduct communications,
treat patients or engage in similar normal business activities.
In addition, Company Products and Third Party Products are often
used in conjunction with other vendors' products and services
and the Company must rely on these other vendors to complete the
material remediation efforts necessary with regards to Year 2000
Issues in connection with such products and services. Should such
vendors be unable to complete such remediation efforts in a timely
manner, the use of such products and services on the same system
as Company Products and Third Party Products may result in system
failures. As a result of one or more of the above potential system
failures, certain of the Company's customers may assert breach
of warranty or other claims against the Company relating to Year
2000 functionality. The assertion of such claims may have a material
adverse impact upon the Company's business, results of operations
and financial condition. Furthermore, the efforts and resources
devoted to Year 2000 Issues of current and potential customers
of the Company could result in the deferral, delay or cancellation
by customers of current installations of and plans to purchase
systems from the Company. Internal Use Systems, including both
information systems and non- information systems, may not operate
properly or as expected due to Year 2000 Issues. Year 2000 Issues
could result in system failures or miscalculations causing disruption
of the Company's operations, including among other things, an
inability to process its own and certain of its customers' financial
transactions, send invoices, conduct communications, or engage
in similar normal business activities.
The
failure of one or more Internal Use Systems as a result of Year
2000 Issues may have a material adverse impact upon the Company's
business, results of operations and financial condition. The Company
cannot be sure that Year 2000 Issues will not affect its business.
Thus far, the Company has incurred no materially adverse problems
related to Year 2000 Issues associated with the computer systems,
software, other property and equipment it uses. However, the Company
cannot guarantee that Year 2000 Issues will not adversely affect
its business, operating results or financial condition at some
point in the future.
RESULTS
OF OPERATIONS.
The
following table sets forth for the periods indicated, the percentage
of net revenues represented by each item in the Company's consolidated
statements of operations.
Three Months
Ended
June 30,
----------------
2000 1999
------ -----
Net Revenues:
Sales of computer systems, upgrades and supplies 47.5% 56.2%
Maintenance and other services 52.5 43.8
------ ------
100.0 100.0
Cost of Products and Services 43.5 44.6
------ ------
Gross Profit 56.5 55.4
Selling, General and Administrative Expenses 36.4 33.4
Research and Development Costs 10.9 9.8
------ ------
Income (Loss) from Operations 9.2 12.2
Investment Income 2.7 1.8
------ ------
Income (Loss) before Provision
for (Benefit from) Income Taxes 11.9 14.0
Provision for (Benefit from) Income Taxes 5.2 5.9
------ ------
Net Income (Loss) 6.7% 8.1%
====== ======
FOR
THE THREE-MONTH PERIODS ENDED JUNE 30, 2000 AND 1999.
The Company's net income for the three months ended June 30,
2000 was $625,000, or $0.10 per share on a basic and diluted
basis, as compared to a net income of $742,000, or $0.12 per
share on a basic and diluted basis, for the three months ended
June 30, 1999.
Net Revenues. Net revenues for the three months ended June 30,
2000 increased 1.8% to $9.3 million from $9.1 million for the
three months ended June 30, 1999. Sales of computer systems,
upgrades and supplies declined 14.1% to $4.4 million from $5.1
million while net revenues from maintenance and other services
grew 22.1% to $4.9 million from $4.0 million during the comparable
periods. The decline in net revenues from sales of computer
systems, upgrades and supplies was principally the result of
a decrease in sales of the Legacy Product. The increase in maintenance
and other services net revenue resulted principally from an
increase in revenues from the Company's increased client base
from which to generate maintenance and other service revenue
together with an increase in revenues generated from the Company's
electronic data interchange services.
Cost of Products and Services. Cost of products and services
for the three months ended June 30, 2000 and 1999 were relatively
unchanged at $4.0 and $4.1 million respectively, while cost
of products and services as a percentage of net revenues decreased
to 43.5% from 44.6% during the comparable periods. The cost
of products and services as a percentage of net revenues decreased
while the dollar amount remained unchanged as a result of the
impact of increased sales in the June 30, 2000 period together
with a change in the relative mix of hardware content in such
sales.
Selling, General and Administrative Expenses. Selling, general
and administrative expenses for the three months ended June
30, 2000 increased 10.7% to $3.4 million as compared to $3.0
million for the three months ended June 30, 1999. Selling, general
and administrative expenses as a percentage of net revenues
increased to 36.4% from 33.4%. The increase in the amount of
such expenses resulted primarily from increased marketing expenses
of the NextGen EPM and EMR. The increase of such expenses as
a percentage of net revenues resulted from the increase in the
aforementioned expenses combined with relatively unchanged revenue.
Research and Development Costs. Research and development costs
for the three months ended June 30, 2000 increased 12.7% to
1.0 million compared to approximately $900,000 in the three
months ended June 30, 1999. The increase in research and development
costs can be attributed to stepped up investments in NextGen
ERM and EPM enhancements. Research and development costs as
a percentage of net revenues increased to 10.9% as compared
to 9.8% for the respective periods primarily as a result of
the effect of the increased expenses in the June 2000 quarter.
Investment Income. Investment income for the three months ended
June 30, 2000 was up 48.2% at approximately $250,000 compared
to $170,000 in the three months ended June 30, 1999. Investment
income in the quarter ended June 30, 1999 included a loss from
investments in certain special situation securities. The Company
had no investments in special situation securities during the
quarter ended June 30, 2000.
Provision for Income Taxes. The provision for income taxes for
the three months ended June 30, 2000 was approximately $480,000
as compared to approximately $540,000 for the three months ended
June 30, 1999.
The provision for and benefit from income taxes for the three
months ended June 30, 2000 and 1999 differ from the combined
statutory rates primarily due to the impact of non-deductible
amortization of certain intangible assets acquired in the May
1996 Clinitec acquisition and the effect of varying state income
tax rates.
LIQUIDITY AND CAPITAL RESOURCES.
Cash and cash equivalents decreased approximately $594,000 for
the three months ended June 30, 2000 primarily as a result of
a reduction in income taxes payable along with investments in
capitalized software and equipment. Cash and cash equivalents
increased $2.5 million for the three months ended June 30, 1999
principally as a result of cash provided by operating activities.
Net cash used by operating activities for the three months ended
June 30, 2000 was approximately $8,000 consisting primarily
of the Company's $625,000 in net income adjusted for the principal
non-cash operating expenses of depreciation and amortization
less an decrease in deferred service revenue, an increase in
accounts receivable, a decrease in accounts payable and a large
decrease in income taxes payable. Net cash provided by operating
activities for the three months ended June 30, 1999 was $2.9
million consisting primarily of the Company's $742,000 net income
adjusted for the principal non-cash operating expenses of depreciation
and amortization plus an increase in deferred revenue and a
decrease in accounts receivable offset in part by a decrease
in accounts payable.
Net cash used in investing activities for the three months ended
June 30, 2000 was $668,000 consisting principally of additions
to equipment and improvements and capitalized software. Net
cash used in investing activities for the three months ended
June 30, 1999 was $431,000 of additions to equipment and improvements
and capitalized software.
Net cash provided by financing activities for the three months
ended June 30, 2000 and 1999 was $82,000 and $4,000, respectively,
generated by the exercise of stock options.
In February 1997, the Company's Board of Directors authorized
the repurchase on the open market of up to 10% of the shares
of the Company's outstanding Common, subject to compliance with
applicable laws and regulations. This authorization has been
renewed annually and currently expires on June 7, 2001. The
timing and amount of any repurchase is at the discretion of
the Company's management. The Company's management could, in
the exercise of its judgment, repurchase fewer shares than authorized.
During the three months ended June 30, 2000, the Company did
not repurchase any shares. Since the inception of the repurchase
authorization through July 31, 2000, 113,400 shares have been
repurchased at a cost of $654,000.
At June 30, 2000, the Company had cash and cash equivalents
of $15.3 million and short-term investments of $246,000. Except
for the Company's intention to expend funds for the development
of complementary products to its existing product line and alternative
versions of certain of its products for the client-server environment
to take advantage of more powerful technologies and to enable
a more seamless integration of the Company's products, the Company
has no other significant capital commitments and currently anticipates
that additions to equipment and improvements for fiscal 2001
will be comparable to fiscal 2000. The Company believes that
its cash and cash equivalents and short-term investments on
hand at June 30, 2000, together with cash flows from operations,
if any, will be sufficient to meet its working capital and capital
expenditure requirements for the next year.