December 12 , 1999

Texas-based MSO to Implement MicroMed's NextGenEMR and NextGenWEB
HORSHAM, Pa. — MicroMed Healthcare Information Systems, a division of Quality Systems, Inc. (Nasdaq:QSII - news) and the result of a combination of Clinitec International, Inc. and MicroMed Healthcare Information Systems, Inc., announced today an agreement with Impel Management Services, L.L.C. (Impel).

Under the agreement, Impel will implement NextGen� at the Medical Clinic of North Texas, P.A. (MCNT), the first of several Impel managed practices to receive MicroMed's NextGenEMR and NextGenWEB.

"The software contained more functionality than any other product we researched," said Mike Yerrid, Impel's Chief Information Officer.

Impel Management Services is an MSO (management service organization) that provides physician practices with a full range of management services including information systems, billing and collecting, accounting, medical management, contracting, human resources, staffing and practice management. Impel also provides billing and information systems to eight other physician practices (besides MCNT) comprised of 25 Family Practice, Endocrinology, Internal Medicine, and Obstetrics and Gynecology providers.

Yerrid added, "We chose the NextGenEMR for several reasons. The flexibility of the software lets us be in control of how we utilize the product and allows us to modify our use of the EMR, as future business needs dictate.

"Additionally, we believe that MicroMed has an excellent functional and technological vision for the future of EMR integration in the physician office setting and has the financial stability to be our business partner for many years to come."

Impel was formed in January 1995. Since that time, Impel's primary client, MCNT, has grown from 20 physicians in 5 locations to 51 physicians and 9 PA/NPs in 17 locations throughout the Dallas/Fort Worth Area. MCNT has physicians specializing in Internal Medicine, Obstetrics and Gynecology, Family Practice and Pediatrics. As MCNT has grown, so has Impel. Impel currently has over 300 employees providing MCNT and other clients its full complement of services.

MicroMed's president, Patrick Cline commented, "We're delighted with Impel's selection of NextGen. Our products are well suited to forward-thinking, high-growth organizations committed to top quality care."

MicroMed's NextGenEMR is an innovative electronic medical records system designed to improve quality of care, reduce risk, cut costs and increase revenue. NextGen creates and maintains complete medical records, streamlines workflow, controls utilization and manages critical data related to outcomes of patient care.

It automatically creates documents and letters, generates prescriptions, stores clinical images, provides patient education, and exchanges data with hospitals, labs and practice management systems.

NextGenWEB is a "patient-centric" Internet-based suite of applications for health care groups, allowing medical practices to achieve a higher level of communication with their patients by using the Internet.

NextGenWEB includes the following features for patients: access to key parts of their medical record, including certain test results; access to health-education materials; direct input of demographic and insurance information, as well as medical and social history; patient-satisfaction surveys; appointment requests, confirmations and cancellations; and links to other related/informative sites.

MicroMed Healthcare Information Systems is a division of Quality Systems, Inc., one of the leading developers and providers of computer-based practice management and electronic medical records systems for medical and dental group practices, with a customer base of approximately 500 clients in 45 states, Canada and Saudi Arabia.

This news release contains forward-looking statements, including those related to revenue and net income, that involve a number of risks and uncertainties. Among the important factors that could cause actual results to differ materially from those indicated by such forward-looking statements are volume and timing of systems sales and installations; length of sales cycles and installation process; the possibility that the products will not achieve market acceptance; seasonal patterns of sales and customer buying behavior; the development by competitors of new or superior technologies; delays in product development; undetected errors or bugs in software; product liability; changing economic, political or regulatory influences in the health-care industry; changes in product-pricing policies; competitive pressures; possible regulation of the company's software by the U.S. Food and Drug Administration; general economic conditions; and the risk factors detailed from time to time in Quality Systems' periodic reports and registration statements filed with the Securities and Exchange Commission.