Transcript of the QSI Conference Call
Moderator: Louis Silverman
November 2, 2000
2:00 pm EST



OPERATOR: Good afternoon, and welcome the Quality Systems , Incorporated <Company: Quality Systems Inc.;� Ticker: QSII;� URL: http://www.qsii.com/> second quarter fiscal 2001 earnings results conference call.

At this time, all participants have been placed on a listen-only mode, and the floor will be open for questions and comments, following the presentation.�

It is now my pleasure to introduce your host, Mr. Lou Silverman, President and CEO.�

Sir, you may begin.�

LOU SILVERMAN, PRESIDENT/CEO, QUALITY SYSTEMS, INC:� Thank you, Stephanie (ph).�

I'd like to welcome everyone to Quality Systems' second quarter conference call.� On today's call, I have here in our Tustin, California, facility, Greg Flynn, who is the Executive Vice President and General Manager of our QSI division, which includes our dental business, EDI business, and legacy medical systems operation, and Paul Holt, who is our Interim CFO.� Pat Cline, who is President of our MicroMed divisions, joins us remotely from our offices in the Philadelphia area.�

Before we begin, let me point out that comments made on this call may includes statements that are forward-looking, within the meaning of the securities laws, including statements related to anticipated industry trends, the companies plans and strategies and projected operating results.� Actual results may differ materially form our expectations and projections, and our should refer to our SEC Forms 10-K and 10-Q for discussions of the risk factors which could impact our actual performance.�

The announcement of our second quarter results, Wednesday, reflected revenues of 9.663 million, compared to $9.709 million in the same quarter, last year.� That was up 4.3 percent, from 9.262 million in the previous quarter.� Earnings-per-share came in at 12 cents per basic and diluted share, which was even with the 12 cents earned in the same quarter, prior year, and up sequentially from the 10 cents announced for our fiscal first quarter.�

Looking briefly at divisional performance, the MicroMed division, coming off a 30 percent growth year last fiscal year, set a new all-time high of 5.12 million in revenues for the quarter.� The QSI division rebounded from a very difficult quarter one, with revenues of 4.5 million, which was up 8.4 percent over the prior quarter. That said, signaling the continued softness in our target dental market, the QSI division's revenues were down 6.7 percent, over the year prior.�

By line of business, maintenance and other services, which is or recurring revenue stream, was up 20 percent, year-over-year. Systems sales dropped off in the quarter, versus the year prior, although that was against a very strong systems quarter in the year prior.� Sequentially, the systems line was up 9 percent, versus Q1, and recurring revenues were flat.�

Overall, we look at the quarter as a continuation of the positive revenue, profit, earnings-per-share, and product progress that we've made, coming from a somewhat difficult third and fourth quarter of the prior year.� We also look at the quarter as confirmation that there is much more to be accomplished.�

Our quarter war marked by a number of notable achievements, including the revenue record for the MicroMed division, which I've mentioned, something that we're obviously very proud of, and something that we're working very hard to build upon.� Our EDI business was another highlight, up 47 percent on a year-over-year basis.� The product line also shows good sequential growth, up over nine percent over the prior quarter.� Also encouraging in our EDI space is the fact that we're beginning to see some penetration of EDI services within our MicroMed division.� We piloted several promising new product extensions in EDI during the quarter, and feel that there is good reason for optimism that some of these will become significant contributors to our future growth.�

The quarter included a significant installation into the home health market, and further progress with our ASP initiative.� On the ASP front, MicroMed signed one additional ASP VAR account during the quarter, which gives us a total of five accounts of this type signed so far.� We also show good progress on the QSINET dental ASP initiative during the quarter, including some initial breakthroughs in revenue-generating patients' online payment, and online appointment registration.� Clearly, these revenue streams are not significant for us, now — that is, the ASP revenue streams — nor are they likely to be significant revenue generators in the near term future; however, we do continue to feel that the business model has significant potential to, over time, allow us to reach into and penetrate the smaller-practice market.�

While not yet ready for broad release, new versions of some of our flagship software suites are progressing through our development and testing queues on schedule, and our wireless initiatives also continue to make good progress.� Significant organizational events include, as of yesterday, we have completed a reorganization in our ASI division, which is intended to position that division to better capture available growth opportunities.�

A little more specifically, we have consolidated our sales and service operations under one of our senior managers, so that we bring more resources to bear on selling new clients and products, in addition to getting improved product penetration in our existing client relationships.� We will have another of our senior managers spending the majority of his time pursuing the growth of our EDI business, our QSINET business, and pursuing alliances and partnerships on a company-wide basis.�

Further, we've consolidated our key software maintenance and development initiative under another of our key senior managers.� Again, these changes position us to more aggressively capitalize on the opportunities for growth in this business unit.�

Also, during the quarter and continuing into the current quarter, we've worked to achieve a continued and significant streamlining of our accounting operations and processes.� Proof of the ongoing improvements in the area, is the fact that our earnings release and this call are something on the order of 11 days earlier than in the year prior.� We've also begun to implement some very significant enhancements to our internal management reporting processes, and our AR management process.�

I'd also like to add that I feel like our new management team is coming together very nicely.� We've accomplished a lot in a very short time, and I only see that continuing into the future.�

At this time, I'll turn things over to Paul Holt for additional comments on our financial statement.�

PAUL HOLT, INTERIM CHIEF FINANCIAL OFFICER, QUALITY SYSTEMS, INC.: Greetings to all those on the call.� I'm going to discuss each component of our income statement, and also hit on certain highlights of our balance sheet.�

As Lou mentioned, our second quarter revenue totaled $9.66 million. This represents a four percent increase from our prior quarter, and was roughly unchanged from the year-ago quarter.� The composition of our revenues, this quarter, are very different from where we were a year ago, reflecting the consistent growth we've been experiencing in EDI maintenance revenue.� Recurring revenues now make up approximately 50 percent of our revenue, compared with 40 percent, a year ago.

I want to add that our year-ago quarter benefited from a couple of� very large contracts, which resulted in a very strong quarter, in terms of systems sales.� Total computer systems sales, upgrades, and supplies, grew by 9.1 percent, compared to the June quarter. Our total maintenance and other services revenue was unchanged, compared to the June quarter.�

EDI revenue growth — EDI revenue came to approximately 1.25 million, in the quarter, as Lou has already mentioned.� This represents a nine percent growth rate, compared to the June quarter.� However, our growth in EDI revenue was offset by a decline in the somewhat volatile time-and-materials revenue category.�

Our gross profit margins declined slightly, from 56.5 percent in the June quarter, to 54.8 percent in our current quarter.� The September quarter included an increase in hardware and third-party software sales, which lowered our gross profit margin.� As I have mentioned in our last call, the sale of hardware and third-party software carries much smaller gross profit margins, compared to software-only, and can have a disproportionate effect on gross margins.� Our year-ago gross margin was 54 percent, reflecting an even greater level of hardware content in the year-ago quarter.�

Overall, SG&A expense declined by $12,000 in this quarter, coming a t$3,244,000; compared to 3,365,000 in the June quarter.� This decline was expected, as the prior quarter included a significant amount of marketing expenses related to two major trade shows attended in the quarter.�

Also, as mentioned in our prior conference call, we've initiated selective cost cuts, primarily in our ASI division.� The impact of these cuts have been partially offset by growth in certain expenses in our MicroMed division related to the development and maintenance of our Internet portal, as well as ongoing marketing expenses of the NextGen product line.� As a percentage of total revenue, SG&A expense declined this quarter, to 33.6 percent, compared to 36.3 percent in the June quarter.�

Our R&D expense came in at 974,000 compared to a million-five, in the June quarter.� R&D expense as a percentage of revenue was 10.1 percent in the September quarter, compared to 10.9 percent in the June quarter.� The year-ago quarter R&D expense was 965,000; or 9.9 percent of revenue.� As can be seen by our numbers, our level of R&D expense has stayed consistently within our target of 10 percent of revenue.�

Investment income rose two percent, to 251,000, compared to 246,000 in the June quarter.� For the past several quarters, the company has kept its cash invested in money market accounts, which have yielded consistent rates of return, in both the September and June quarters. Investment income in the year-ago quarter was 182,000.� This was lower primarily due to a lower interest rate a year ago.�

Now I am going to change gears here and talk about a couple of key items on our balance sheet.� Cash and cash equivalents rose to $16.6 million, as of September 30, compared to 15.9 million as of March 31.� The company has generated approximately 1.8 million in cash from operations, in the six-month period.� We've also invested 1.1 million in capitalized software and equipment, resulting in an ongoing net positive cash flow of approximately 700,000 in the six-month period.� Accounts receivable rose to approximately 15.1 million as of September 30, compared to 13.7 million.�

Our days sales outstanding now stands at 143 days.� We — as Lou has mentioned, we are making some procedural changes which we believe will help us reduce our DSOs.� As I mentioned in the last call, we've also started to work on shortening some of our payment terms, which we are starting to do.� However, it takes time for some of these terms to begin their way through in lower DSOs.�

Our intangible assets include goodwill and capitalized software costs. And these assets are continuing to decline, as we amortize goodwill, and continue to capitalize less software development costs than we are amortizing.� Capitalized software as of September 30 was 1,894,000, compared to 1,936,000 at the end of the June quarter.

For those of you who are really checking out the details of our balance sheet, you'll find that other current assets and other current liability both declined by approximately $1 million, comparing the September quarter to the March quarter.� This is due to the timing of certain income tax payments which result in a large swing in certain deferred income tax assets and liabilities.

To update the companies stock buy-back program � during the September quarter, we purchased 5,000 shares of our stock, at a cost of approximately $35,000.� During the month of October, we've purchased 24,400 shares, at a cost of approximately $175,000.�

Our total shareholder's equity, as of September 30, is $33,500,000. That equates to a book value of $5.40 per share, and total cash per share of $2.68.� We have no debt.� Deferred revenue of approximately $5.7 million, and working capital of approximately $23 million.

I want to thank all of your for being on the call, and for your interest in the company.�

I will now turn things over to Greg Flynn, Executive Vice President and General Manger of our QSI division, who will provide you with an update of the QSI division.�

GREG FLYNN, SENIOR EXECUTIVE VICE PRESIDENT/GENERAL MANAGER, QUALITY SYSTEMS, INC.:� Thank you, Paul.�

Good afternoon to everyone on the call.�

First, let me expand a bit further on some of the specifics on the QSI numbers, and our improvements over the previous quarter.�

On the new systems sales side, we saw improvement in our dental sales, with five systems sales, totaling $266,000 in recognized revenue for the quarter.� This includes one sale that we had reported on our last call had pushed for that quarter.� Additionally, we made a medical systems sale into our niche FQAC market, of $124,000 of recognizable revenue.� Also, the quarter saw improved sales of court licenses.� Particularly noteworthy were large buys, an expanding dental consolidator.� Also, as mentioned, we are pleased that EDI remains an exciting growth area for the company, with revenues for the quarter of approximately $1,250,000.� We will continue to make a strong, ongoing, dedicated effort to further grow our EDI revenues.�

Switching to the expense side, we have made significant� strides in this area.� Comparatively, the QSI operating expenses in Q3, 2000 were $3,039,000.� In Q4, 2000, they were $2,864,000.� In Q1, 2001, they were $2,735,000; and in this last quarter, they were $2,541,000. We'll continue to focus heavily on our cost structure, while at the same time, pursuing avenues of new growth for our business.

In reference to our reorganization here at QSI, I'm very excited that this new structure should maximize the strengths of our management team and staff, and positions us well for potential growth.� Our various departmental units are now better aligned to realize the synergies that exist between them.� In particular, I believe this new structure better supports our new systems sales efforts, our sales of new and current products and services to our existing client base, and provides a more focused, dedicated approach to both our EDI and Internet opportunities.�

Now I will turn the call over to Pat Cline, leader of our MicroMed division.�

PATRICK CLINE, PRESIDENT/MICROMED, QUALITY SYSTEMS, INC.:� Thank you, Greg.�

I'm happy with the record revenue that MicroMed delivered in the September quarter, but I'm certain we can do better.� During the quarter, we executed 11 new contracts, including a couple that, I think, are noteworthy that I'll tell you about.�

One is an agreement with a physician practice-management company that's going to be rolling our software out to well over 200 physicians, nationally.� Another was an agreement, as Lou, I think, briefly mentioned, with an ASP partner, a new relationship there.� We also executed an agreement with a large managed care company that intends to deploy our medical record technology to hundreds of users within their organization.� A couple of these new relationships, we think, has — have significant potential for downstream revenue.

We've now started to connect customers � real customers, to our NextMD Internet portal, and we've now successfully tested the physician-to-patient communications features in a live setting.� There's a lot more work to do in that regard, and there are a lot of additional features to bring on line, but we think we are making good progress.�

We've also changed the look-and-feel of the site, and we hope to have these changes, which have been developed here internally, in production probably mid- to the end of December.�

Another thing I'll mention is we've recently seen an industry trend that we anticipated some time ago, and that is a trend toward hand-held wireless devices becoming more popular in healthcare, and the convergence of PDA and wireless Internet technology.� As a company, we've been working on wireless technology and solutions for PDAs for a couple of years — wireless technology for four five years, and our PDA solution for a couple of years.� And though we haven't made any formal announcements yet, we feel pretty strongly that we're ahead of competition in this area.�

In the MicroMed division, the pipeline remains pretty strong.� Over the next couple of quarters, the figure at this point stands at 23 million, and that's the same as it was, I believe, on the last call, and I think, even the call before that.� The good news is, as we increase revenues quarter-to-quarter, we're bringing more potential deals into our pipeline.� And at this point, I think, based on the pipeline that I see, the outlook for the current quarter is positive.�

And I'll close by just saying that I'm focusing on growing revenues, increasing the top line, and also keeping the costs in line.

With that, Stephanie, I think we're ready to take questions.�

OPERATOR: Thank you.�

The floor is now open for questions.� If you do have a question or a comment, please press the numbers one, followed by four, on your touch-tone telephone at this time.� If at any point your question has been answered, you may remove yourself from the queue by pressing the pound key.� Questions will be taken in the order they are received.� If you are listening on a speaker phone, please pick up your handset while posing your question, to ensure proper sound quality.�

Please hold they line while we poll for questions.�

Once again, if you do have a question or a comment, please press the numbers one, followed by four, on your touch-tone telephone at this time.�

The first question is coming from Andrew Shapiro.�

Sir, please pose your question.�

ANDREW SHAPIRO, LAWNDALE CAPITAL MANAGEMENT:� Hi.�

A few questions � we'll back off, and then come back to us; let some other people in here.�

If we could just compare apples-to-apples, Pat and Greg; I'm not sure if I missed a dental, the QSI division pipeline, if you gave it, but if you could provide the pipeline and the definition of that?�

As well as, Pat, provide the definition of the $23 million pipeline your have set forth?�

GREG FLYNN:� Yes, I'll go ahead first, Pat.� Our sales pipeline is approximately 6.4 million, and those are prospects that were amongst the finalists that we expect will make a decision in the next180 days, which is consistent with our past goals.�

PATRICK CLINE:� And on this side, Andy � this is Pat � our pipeline consists of deals that we feel are 50 percent or more likely to close within the next 120 days.� As I've mentioned on previous calls, it never quite turns out that way.� What's important is the relativity in the growth, or the shrinking of the number, because sales cycles tend to become a little more protracted, as customers do more due diligence and those types of things.�

ANDREW SHAPIRO:� OK, and if you, in particular, because the marketing effort had been made, here, and you had a record amount of leads on the medical side, Pat, can you — at MicroMed — can you give us an update, I guess, as to the maturation, or the milestones and progression, of the big record amount of leads that you had brought in, via the trade show flow you had about six months ago?

PATRICK CLINE:� Sure.� Though I can't give you a lot of specifics, we do have a heck of a lot of not only trade show leads, but leads from other sources.� We are moving through — we're moving those leads through the sales process.� We think that we probably have more maturity in the pipeline, use your word, than we've had in a long, long time, perhaps in our history, and we are hopeful that we'll sell a number of them.� In fact, we've already sold a couple of them, I believe, in the current quarter.�

ANDREW SHAPIRO:� OK, so the new contacts made at the shows, I guess, six months to nine months ago, they're just now starting to be closed sales?�

PATRICK CLINE:� I would say that that's generally true, although some of the smaller leads that we might attract at a trade show will have shorter sales cycles, so it's possible that we've already closed some of those.� Larger deals tend to take a little bit more time, and very typically, have six month to a 12 month process, probably more typical than the six to nine month process that you — timeframe that you indicated.�

ANDREW SHAPIRO:� OK, I'll back off.� I have some more questions, so please come back to us.�

OPERATOR: Once again, if there will be any further questions or comments, please press one, followed by four, at this time.�

The next question is coming from Neal Bradsher.�

Sir, please pose your question.�

NEAL BRADSHER, WHITEHALL ASSET MANAGEMENT:� I'm only jumping in because —you seem to have a dearth of questions.� Unfortunately, another of my conference calls overlapped with yours, so I only got onto your call just as you were finishing your preamble, and got to begin the Q&A.� So therefore, I apologize if anything that I ask covers something you've already covered.�

Earlier in the year, the company was considering the possibility of being acquired or merging with another company.� Clearly you have a strong growth plan, currently.� I'm wondering how we should look at the possibility of an acquisition or merger in the future?

LOU SILVERMAN:� Neal, this Lou.� I would say that those would be Board matters that we would be referred to the board for action.� And I would say that we would have an obligation to look at any entreaties that came in from outside parties, about buying us.� And we also feel a very strong obligation to look at opportunities to acquire — to be an "acquiror" for businesses that would be additive to our current business model.�

NEAL BRADSHER:� Are you actively looking at potential acquisitions at this point —acquisitions that you would make of other companies?

LOU SILVERMAN:� I would say that we would not put an acquisition search at the very top of our corporate priority list, but we certainly are on the dance card for a lot of the bankers who represent potentially interesting opportunities, and we regularly look at those, and pursue discussions of those that look interesting.�

NEAL BRADSHER:� OK.� With respect to your answer on the main part of the question, regarding a response if you were approached � I take it, then, that it is not the board's priority at this point to look at sale in the near term.� It will be a response to something; it is not a priority to seek such an activity?�

LOU SILVERMAN:� I think it's really difficult for me to speak for what the board's priority is, or whatever.� I would just leave it to say that any matters on the sale of the business are handled by the board, and I think the matter is in good hands, there.

NEAL BRADSHER:� OK.�

Then turning to the results you're reported � again, apologies in advance, if I'm asking anything that you already covered in your discussion. The effort on the maintenance and other services line seems to be very successful.� My guess is a bunch of that is being driven by continued growth of EDI and some of your other recurring revenue streams.� Could you just specifically highlight how those revenue elements are doing?�

LOU SILVERMAN:� Sure.� I'm not sure I'm exactly clear on what your getting at, but certainly we are comfortable and pleased with the way that the maintenance dollars are coming in � a little flatter, quarter-over-quarter, than we would have hoped, but certainly, with a base of around 50percent of our revenues, and some quarters a little higher, some quarters a little lower.�

We very much enjoy having the stability and the foundation on maintenance. Clearly the big driver there has been EDI.� We had mentioned a couple of times that EDI was 1.25 million in the quarter, which is up roughly 47 percent over the prior year, and nine percent sequentially from Q1.� There's a few other specific categories that go into the maintenance line, where we have the predictable ups and downs, but the headlines, I'd say, are that we're at 4.9 million for the quarter, of which EDI was 1.25.�

NEAL BRADSHER:� OK, you said EDI was up 47 percent?�

LOU SILVERMAN:� Year-over-year.�

NEAL BRADSHER:� OK.� Great.�

What is the status of the buy-back.�

LOU SILVERMAN:� Paul has those numbers.� We've purchased 5,000 in the quarter, and then so far in Q3, we told people on the call that we had purchased another 24,400 shares through 10/31.�

NEAL BRADSHER:� And what were the price ranges of the purchases?�

PAUL HOLT:� Neal, this is Paul.� The total cost of the purchases during October was $175,000,so you can do the math and figure out what the average price was.�

NEAL BRADSHER:� OK.� That's in October.� That was the 24,000 — how many?�

PAUL HOLT:� Twenty-four-thousand-four-hundred shares at cost of $175,000. Now also ...�

NEAL BRADSHER:� That's in October, and then the 5,000 in the quarter?

PAUL HOLT:� Yes, in the quarter, the average cost was — well, it was $35,000 is what the cost was, for the quarter.� That's an easy one:� seven bucks a share.�

NEAL BRADSHER:� Understood.� Good.� That answers my questions for now. Thank you.�

PAUL HOLT:� Thanks, Neal.�

OPERATOR: We have another question coming from Andrew Shapiro.�

Sir, please pose your question.�

ANDREW SHAPIRO:� Hi.�

OK, if I could, understand the — what your penetrated market is if a few areas, and what is left for you to penetrate.� What percentage of our customers — and they may be different on the dental and the medical side?� I'm not sure exactly, I think, where most of the EDI is being done right now?� What percent of your customers would you estimate are doing EDI through you?�

UNKNOWN MALE #1:� Andy, that's a number we're gong to have to get back to you on.� I do not have that readily available, but I know where to get it.�

ANDREW SHAPIRO:� OK, how about just back-of-the-hand kind of estimate? Would you say more than half, or less than half of your customers are using you for EDI?�

UNKNOWN MALE #1:� It's a bit more complex than that, because I think the way you'd want to analyze it is, we may have more than half our clients using our EDI services ...�

ANDREW SHAPIRO:� Oh, I'm going to get — I was going to get the next question, where you and I are both thinking, here, which is what percent of their business are they actually running through you? But I'm trying to get, first off, the penetration.� Would you say more than half of your customers use you?�

UNKNOWN MALE #1:� I'm going to guess, and again, we'll get you more precise numbers.� And probably it's half, or a little bit better.�

ANDREW SHAPIRO:� OK, and is that the same on the medical side, or is that just something that's starting up now?�

UNKNOWN MALE #2:� Dental is very much in the early stages of its penetration.

ANDREW SHAPIRO:� Oh, mean medical that is?�

UNKNOWN MALE #2:� Medical, I mean.�

ANDREW SHAPIRO:� And then, Greg, then, on the percentage of your customers' business that they're using an EDI, in other words, how much they're using your for EDI versus, I guess, someone else, or not using EDI at all, again, any estimate of more than half?� Less than half?�

GREG FLYNN:� That number, I'm more unclear on.� I'm just being straightforward; we'll have to get back to you on that, Andy.�

ANDREW SHAPIRO:� OK.� In terms of the untapped marketplace, I understand also, on the medical side, this is in the medical records, Pat. Before the Y2K issue, electronic medical records — hello?�

PATRICK CLINE:� Yes.�

ANDREW SHAPIRO:� Before Y2K, it seemed that EMR and clinical-medical was an area people were holding off for, and there was an opportunity more in the MicroMed PMS side of the equation.� And since Y2K is behind us, it seems that the big buzzword everyone's talking about is clinical and medical records, et cetera.� Is that your experience now in the MicroMed division, is that the medical record side is generally — that product line is leading product sales, and PMS is the tag-along that comes as an integrated product?

PATRICK CLINE:� Well, I'm not sure I'd put it that way.� To speak to the first part of your question, certainly the EMR market is beginning to heat up.� The leads that we're seeing seem to be more qualified, more bona fide interest, rather than the tire-kicking that we saw just a year ago, or two years ago.� And there are many more organizations that have been kicking tires for a couple of years that are now getting around to seriously looking.� So that has to do with some of that maturity — lead maturity that we talked about.�

With that said, we do still see fairly strong interest, also I was talking about market trend in the Windows-based client server end-tier practice management system market as well.� A lot of the practice management systems that are in operation today, probably more than four out of five, are Legacy systems.� And there is a desire on the part of the overall market, in our opinion, to move toward newer technology.� So, sometimes we'll see a lead come in through the practice management door, and we'll introduce them to the medical records side, and sometimes we'll see the reverse.�

ANDREW SHAPIRO:� It's not — is there a predominance that you're seeing?

PATRICK CLINE:� I would say, in the quarter that we're talking about, there was a little more on the EMR side.� That will range, though � or vary, Andy, quarter-to-quarter.�

ANDREW SHAPIRO:� OK and in terms of penetrated market, understand in the two different areas.� When you're making a PMS sale, is that now generally replacing an existing system?�

PATRICK CLINE:� Yes it is, in almost every case.�

ANDREW SHAPIRO:� OK, and the factors that gain you entree for your little QSI, little MicroMed, what are your competitive advantages to make that kind of sale?� And then I want to then segue over and hear the similar issue, which I think is more virgin territory, in the EMR side?�

UNKNOWN MALE #3:� I'm sorry, Andy.� Could you rephrase that?� I'm not sure I understood the first part of the question.�

ANDREW SHAPIRO:� Let's look at the PMS side.� On the PMS side, if you're replacing existing systems � OK, you know, MicroMed is not really a large enterprise; there's a lot larger players out there � so what is the competitive advantage, or what are the success factors that get the MicroMed PMS, practice management product in there to replace someone's Legacy system?�

UNKNOWN MALE #3:� OK.� While MicroMed as a company is not a large enterprise, compared to an IDX <Company:� IDX Systems Corporation;� Ticker: IDXC;� URL:� http://www.idx.com/> or an HBOC, or that type of firm, our system is far superior to what we see in the practice management market, with respect to managing an enterprise, a large healthcare enterprise, a hospital PHO, or large network of physician.

Unlike most of the practice management systems on the market and in use today, the MicroMed system was developed from the ground up with a large enterprise in mind.� The first customer was actually a fairly large enterprise, so there are a lot of enterprise features built into the system, that large healthcare prospects like to see, and I would say that's one reason that folks buy the MicroMed practice management system.�

Other features � just the fact that it's a graphical user interface, based on the Windows operating system, and Microsoft <Company: Microsoft Corporation ; Ticker: MSFT ; URL: http://www.microsoft.com/> Tools, the Microsoft SQL database provides an openness that's unmatched by most of the Legacy systems, allowing customers to get at their data, and slice their data, and analyze their data in ways that they generally can not do so today.�

ANDREW SHAPIRO:� OK.� And then moving into the EMR side, the EMR side, when you're making an EMR sale, that — my assumption is � please correct me if I'm wrong � is that you're selling an EMR product into someone who doesn't have anything like it, previously.�

UNKNOWN MALE #4:� That's control.� That's correct.�

ANDREW SHAPIRO:� OK, is there � are there market estimates out there as to what the prospective market is?� How much of the prospective market has already been penetrated — in other words, how virgin territory is this?� And what would your estimates be as to next — you know, NextGen EMR's position and market share that has been penetrated?�

UNKNOWN MALE #4:� That's � there are three or four questions in there; I'll try to get to each one of them.�

With respect to the market itself, and saturation, by most counts, most consultants and folks that look at this thing in the market are saying that we're about four percent saturated; that is, about of the outpatient physician world, medical practice world, is using an electronic medical record, or some type of computer system to document care.�

There are probably 450 to 525,000 potential targets — physicians that are potential targets.� There are more physicians than that, but some of them are in education and some in research.� Our system does have applicability to some areas of research; that's why I give you a range of the number of physicians that might be targets. And we have probably a few thousand of them that we've sold licenses to, so you'd have to do some math to figure out what our market share is, but it's relatively small.�

ANDREW SHAPIRO:� OK, you have, understand, a few thousand of the broad market, but only four percent have been saturated.� Right? �

UNKNOWN MALE #4:� That's correct.� Four percent of the total market is saturated at this point, so there are � there's another 96 percent of the market that most people feel that over a period of time, whatever that time is — it might be five years, it might be longer — that will move largely an electronic medical record.�

ANDREW SHAPIRO:� OK, so if you could then help me fill in two blanks here:� Is there a monetary estimate as to the size of the EMR market, the whole hundred percent?� What it might be in the five- to ten-year range?�

UNKNOWN MALE #4:� Yes.� I can't tell you what that is, off the top of my head.� I could probably get back to you.� There are a couple of industry reports and consulting reports that I've seen that contain numbers. �

ANDREW SHAPIRO:� Is it in the hundreds of millions, or in the billions?

UNKNOWN MALE #4:� It's in the hundreds of millions.�

ANDREW SHAPIRO:� OK � hundreds of millions.� OK, that's the market size.

And then the other hole, the fill-in-the-blank, here, if you could help me, is:� Will you have about a thousand, I guess, placements, you say, approximately in EMR?� Or a thousand doctors?�

UNKNOWN MALE #4:� As far as physicians are concerned, we have probably between 2,000 and 3,000 physicians that have licensed the software, at this point.� I don't want to get into a sort of a quarterly-by-quarterly update on ...�

ANDREW SHAPIRO:� No.� I'm just trying to just get a handle on what, you know, are you number-one in the market?� Are you number-10 in the market?� You're a small-time player in the PMS area, but it seems like you're a much bigger market player here in electronic medical records.�

UNKNOWN MALE #4:� I would say we're a fairly big player in the medical records market.� We're probably � with respect to sales of systems in our core market, we're probably among the top three of four companies.� We may be in the top one or two.� I just � I don't know; a couple of our competitors in the EMR world are private companies, and it's harder for me to get their numbers.�

ANDREW SHAPIRO:� OK, I'll back off.� I have some more questions, if you'll please come back to me.�

OPERATOR: The next question is coming from Thomas Kikis.�

Sir, please pose your question.�

THOMAS KIKIS, KIKIS ASSET MANAGEMENT:� Hi.�

I was wondering if you could comment on your revenue projections through the next two quarters, and potentially into the next fiscal year, given the new pipelines and leads, et cetera?�

LOU SILVERMAN:� Yes, this is Lou.� We've historically refrained from giving out specific numbers and guidance.� I would leave it to say that we are pleased with the recent trend lines that we've developed in the past few quarters.� We're not content to rest on our laurels, and we continue to be very optimistic that our best months are ahead of us.� But we're not going to give out specific numbers on a go-forward basis.�

THOMAS KIKIS:� That's fine.�

And do you break out the hardware-versus-software component of the — on the sales line?�

UNKNOWN MALE #5:� Not on our reported sales line.� You want to know what an actual ...�

THOMAS KIKIS:� I'd like to know the breakdown of the four-three � or the four-million-four, on the sales of computers systems upgrades and supplies.� Can you break that down between hardware and software?

UNKNOWN MALE #5:� That's a level of detail I think that we're not going to get into on a call like this.�

THOMAS KIKIS:� OK, have you ever done that in the past?�

THOMAS KIKIS:� Do you anticipate doing it in the future.�

UNKNOWN MALE #6:� I don't think so.� And the reason is � we're not trying to be shut into the bunker, here, at all � but they way our deals are put together, we — many of them are package deals.� And it's sometimes a little hard to do a really accurate accounting job of figuring out exactly what dollars in a deal you want to say are hardware, in terms of the revenue line, versus software versus services.� And so we've elected to choose an accounting convention that we think fairly represents the nature of the sale of we're making, which is a new systems sale, understanding that, you know, in any given sale and in any given quarter, the absolute breakdown, or breakouts between those categories will vary, and certainly how we decide to dis-aggregate a particular deal, you know, is not an insignificant issue.�

THOMAS KIKIS:� All right, would you � would you anticipate your gross margin staying the same, or increasing as we go forward?�

UNKNOWN MALE #6:� If you look back, our gross margin has been in a fairly narrow band, over the last several quarters.�

THOMAS KIKIS:� Right.�

UNKNOWN MALE #6:� And I say that the best guidance I could give you is that we'd expect to stay in that band, but the fact is that, you know, if the next big sale had a lot of hardware in it, it would probably be in the lower end of that band.� If we had very little hardware in a very big sale or two that hit in the quarter, we'd be at the higher end of the band.�

So I think � the fact is � the fact that it is a tight band is helpful to you in putting together your models, and I feel like — I feel comfortable in saying that based on expectations and our foreseeable future here, we very much expect to stay in the band.�

THOMAS KIKIS:� If I could ask one more question � I know you've just sort of signed on, Lou, but have you — do you have any plans to bring this company to any sell-side analysts, or anything of that nature, in order to try to raise what has been an extremely limited visibility?�

LOU SILVERMAN:� Absolutely.� That's a process that, believe it or not, began my very first week here.� We had some meetings set up that we took, and they went well.� It does take a little while to percolate these relationships and contacts.� Now that this quarter's release is out, we'll be picking up that process again.

I think, more broadly, you're on a great point, and everybody on the call, and our employees and investors should know that this is a priority for me and for the company, and we're treating it � treating it and acting accordingly.�

THOMAS KIKIS:� OK, should we expect to see something in the near future, or is that sort of up in the air, so to speak?�

LOU SILVERMAN:� Well, I'd say that I'd love it if we did, but I'd say that, you know, back to the point that I made earlier, it takes a little bit of time to percolate these relationships, you know, if we could simply put an ad in the paper that said we were looking for analysts, and sign them all up when they came in � yes, we'd do that.� But it does take a while to get the story out, and develop some relationships, develop some mutual confidence, let's say.� And we're working hard on that, and we'd love to see results as soon as possible.�

THOMAS KIKIS:� That's fair enough.� Thanks a lot.�

OPERATOR: We have another question coming from Andrew Shapiro.�

Sir, please pose your question.�

ANDREW SHAPIRO:� Hi, thanks.�

Lou, can you go a little bit in greater detail, or help us understand, I guess, how the org chart now, as you've mentioned some reorganization as of yesterday, how that's laid out?� And in particular, if I could a handle on how many people you would be considering as direct sales reps, that are out there selling the products, by division � that� would be helpful?�

LOU SILVERMAN:� We'll give you those numbers, but before we do, let me kind of preface.� One of the things that I think is very important to know about the company is that you sell despite whatever your title is, so people that have title of manager, or client support, or what have you, we routinely bring the top broad parts of our employee base to help us close sales.�

Having said that � and Pat and Greg, you can help me out here on some details � but I believe that we're in the 10 to 12 range on the MicroMed side for titled sales.�

PATRICK CLINE:� Yes, that's � that's close.�

LOU SILVERMAN:� And then, on the QSI side, we're probably in the four to five range.�

GREG FLYNN:� Five to six.�

LOU SILVERMAN:� OK, five to six range.�

GREG FLYNN:� You know, there's some partial deployment, there; that's why it's not a precise.�

LOU SILVERMAN:� We also, on the point, and I think this is directionally very important, and consistent with what we've talked about; we are, and we have as a priority, to add to those numbers.� We've made a couple of transitions both the MicroMed and the QSI division to take folks that have the right product knowledge and the right personalities.� We've taken them from prior positions that they've been in with the company, and put them into direct revenue-generating roles.� Those have been fairly recent occurrences, but directionally, we'd like to continue in that mode.�

We think that we need to — I know that we need to very much focus on growing the top line, and one very effective way to do that is actually have people out selling, more people out selling. So, we're not really content to stop where we are.� We're going to continue to add to that number, over time.�

ANDREW SHAPIRO:� OK, going off of that, with that base, and the comments made by Pat abut superior PMS product, in particular, and in dental, the need to grow this thing into additional clients, as long as the consolidators are slowly but surely coming back to life. Can you go into a little bit more the strategic alliances and the focus that you have, and how some of these alliances you feel will serve to help leverage and facilitate this revenue growth?

LOU SILVERMAN:� Yes, if you're speaking prospectively, let me say that if I'm speaking prospectively in terms of the reorganization here, we've got one of our senior people spending a part of their time pursuing partnerships and affiliations that we think will help us, down the road, not just on the QSI side, but as I mentioned, the company as a whole.�

We're certainly looking out to our competitors to perhaps capture some ideas from them on some of the partnerships that they're looking at.� We certainly have, I think, a very deep well of ideas internally on some, I think, creative things that we want to pursue, and we are just as in the very beginning process of pursuing those. As I mentioned, the reorg was just announced yesterday.�

ANDREW SHAPIRO:� Well, I guess what I'm trying to get a handle on is the examples of what types of things would be value-added, and how they would be value-added, either for us to see, look out for, or as you then announce them, will understand better why those announcements are good things.�

LOU SILVERMAN:� Well, I think it's a fair question.� I guess what I prefer to do, Andy, is to let us do our work in the background and secure these partnerships and alliances, and then announce them to you in a forthright, expeditious fashion.� And then if the connections are obvious, we can talk about those.� If they're not so obvious, we'll certainly be happy to answer questions about that.�

I would add that we are not partnerships- and alliance-free at this point.� We do have some good partnerships and alliances out there.

And Pat, do you want to speak about the partnership that we just revised, during the quarter?�

PATRICK CLINE:� Well, I wouldn't want to get into specific partnerships, I don't think, and what the potential is for this one versus that one.� But as Lou mentioned, we do have four or five, for example, ASP partners.� These are partners focused providing our solutions to the market, and partners that we're trying to make — or trying to help them be successful.�

We think that there's a lot of downstream revenue opportunity with these relationships.� These partners that — or these alliances that we've developed are with reasonable companies, good companies, have reasonably strong people.� And they're out there pushing our products, using the ASP model, where you're leasing the software or renting the software on a monthly basis, with subscription type of fee structure.�

And that reduces the up-front investment that a customer has to make, and provides nice visibility with respect to revenues, and takes that ongoing revenue stream up, and gives us the stability and predictability in our business model.� It also helps open up, obviously, the low end of the market that traditionally can't afford the huge capital investment that it takes in hardware and infrastructure and personnel to operate sophisticated systems.

LOU SILVERMAN:� I would add to that, Andy, that if you divided the world into kind of horizontal partnerships and vertical partnerships, where, at least, in my definition, horizontal would be adding to the breadth of your product offering, and vertical would be taking our same product and trying to move up or down market. I feel, like, both of those kinds of partnerships are on the radar screen for us.� And both are very important.�

I think the place where there's some really fun creativity is in the horizontal partnerships to bring new products and services to the installed base that we have, and increase the marketability of the products that we're taking out to new prospects.�

ANDREW SHAPIRO:� Well, with respect to the fact that you have a few — now, it's not prospectively, but some relationships here, and each one individually doesn't seem to have garnered announcement status, as a whole, in their own discrete press release, and a desire to increase visibility here for the company � wouldn't these quarterly conference calls be the time to possibly summarize the past achievements and past alignments that you've established that haven't been individually announced?�

LOU SILVERMAN:� Yes, I would say, with an asterisk, yes.�

ANDREW SHAPIRO:� Is there a competitive reason not to?�

LOU SILVERMAN:� There are some — there will be — there have been and there will be some situations where there is a competitive disadvantage to announcing the partnership in a forum like this. There will be some places that at least I could imagine that their will be some confidentiality issues, where we have a good partnership, but for whatever set of reasons, the person on the other end may not want to announce it publicly.�

And � but I would say that a going-forward basis, relative to partnership announcements � and really any other announcements of significance that we do plan on having a higher level of public exposure and press releases to keep folks like yourselves and other interested parties out there � aware of what we're doing.� As you know, we have operated for some time with what I'll call "Board-induced" press release parameters.� I can tell you that those are starting to loosen up in a meaningful way, and I'm looking forward to being able to run with that — with that clearance, if you will, in ensuing quarters.�

ANDREW SHAPIRO:� OK.�

Another question here � this is regarding dental, where we've known of some new products, and also if you could update us on the medical side, I guess, some of these new products.� But in dental, you've had the clinical dental product, and what is the status of either streamlining that product to have it more acceptable to your existing installed base?� Or what is the milestones and the adoption rate, now, in the existing installed base of what you've got?�

GREG FLYNN:� A couple of questions there, obviously.� Let me tackle, really, the streamlining, first.�

We are currently in the process, right now, of looking at what I call lower-cost hardware architecture.� As we've said before, the product in terms of the architecture, the way it runs is pretty hardware intensive.� We need to look at that.� We're also looking at our price points, and consequently, our selling propositions.

In terms of our market penetration within our base, it remains unchanged from our last call.� We did not have any sales in the last quarter. We do — we are involved in some exciting opportunities — can't insure that those will develop.� They are large; they're more on a statewide type of basis with various organizations.� We are still aggressively pursuing marketing the product.� We are excited about the functionality of it.� Again, we need to look at the architecture; we are looking at the architecture.� Consequently, that will generate, some look at our price points, and should have a better return on investment for buyers, consequently, as well.�

ANDREW SHAPIRO:� And on the medical side?�

UNKNOWN MALE #6:� Pat, you want to take that?�

PATRICK CLINE:� I'm sorry; would you repeat the question?�

ANDREW SHAPIRO:� Oh, that would be to discuss or give us a little bit more color and detail with, I guess, the new product offerings that have been fairly recently introduced.� And I guess, the milestones or the adoption take by the customer base regarding them; that would either be on the Web, wireless, or your various other initiatives, here?�

PATRICK CLINE:� OK, we haven't, other than the ones that we've talked about, Andy, announced, for example, our wireless or PDA solutions. As I mentioned, we look forward to doing that over the next — well, in the coming months, let's say.�

The NextMD consumer Internet portal � again, we have successfully deployed that, now, where not only are we offering the six or seven thousand pages of content on the net, but we're now starting to connect physicians and their patients in live settings.� And we're adding features to that; features where patients not only can communicate securely to their physicians, but also request appointments and confirm appointments and see lab results and see their bills online and pay their bills online, and a whole host of other things, and we're moving through and deploying that.

But again, we're just starting that deployment at this point, so when we talk about penetration or adoption, I think it's a little bit too early.�

ANDREW SHAPIRO:� OK and have you opened the online pharmacy on there yet, or have you had some activity with drugstore.com, or something, I think was previously once announced?�

PATRICK CLINE:� Yes.� We have not seen yet revenues from the drugstore.com relationship.� That relationship, if you'll remember, allows — or provides for our system sending prescriptions directly from the physician's exam rooms to drugstore.com, via the Internet, and saving the patient from needing to go down to the pharmacy. The prescription can be delivered.� The patient can pick it up if they'd like to, but eliminates a lot of steps for the physician and for the patient and provides some revenue to us, in between. Again, as we've stated, we're looking at revenues in the future from that; nothing meaningful at this point.�

With respect to the online drugstore, it's something that we're committed to.� We have seen — you may have seen some of the online pharmacy companies and their recent difficulties, let me say.� They've been beaten up pretty well.�

We've had some difficulty with the third-party vendor — or the third party that we contracted with to bring that portion of our site up and handle the fulfillment.� And we're working with them and we're also exploring a couple of other potential partnerships in that area.� We're still committed to bringing it up, again, as a convenience for the folks that are hitting that portal, mainly the patients of our customers.�

Again, we're not trying to become a � you know, a consumer portal for all consumers, but to offer a much further advanced service that's connected to our systems in the physician's offices.� So, the online pharmacy portion of the site has been delayed somewhat; we're still committed to it.�

ANDREW SHAPIRO:� How many of your practices have moved onto this site, and they interact with their patients?� Only a few?�

PATRICK CLINE:� Yes.� Yes, I mentioned, I think, in the last call that we had not yet deployed it in a live setting and that we were testing it.� We've moved from the in-house testing to deploying it live, and we've completed � and I'll say successfully completed some of that testing, and now we're continuing the roll-out.

ANDREW SHAPIRO:� OK, great.� And the last thing � if I might ask, and back off, because there may be other questions here � is in analysts' reports following other companies, often what is cited is the number of doctors, physicians, et cetera, that use — that are on the system.� I know you, with your practice management in particular, you have a lot of administrators or other individuals as such.

And � but can you from the dental side as well as on the medical side, give us a little bit of guidance here, as at least the number of physicians you feel are on here, the number, I guess, of incremental non-physician administrator type, and now, as you're adding consumers, or shall we say, patients, the number of patients?�

GREG FLYNN:� I'll take the first part, Pat, on the dental.�

We have approximately 5,000 dentists on our system.� A very round number you can use as somewhat � the dentists are supported by between two and three staff members, users, approximately.�

ANDREW SHAPIRO:� So, another 10 to 15,000 staffers?�

GREG FLYNN:� And that's a round swag number.�

PATRICK CLINE:� On the MicroMed side, Andy, we don't track the actual number of users on our system.� We license the systems, both practice management and medical records, by healthcare provider.� And you generally will have one healthcare provider � let's say that's a physician � and three or four other folks, nurses and office people, that will utilize the systems.� I would say, probably the average is about four workstations or four users per provider. I can give you what might be a reasonable guess of around 8,000 users on our systems � maybe 10,000 users on our systems.�

But let me say this when comparing to what you're seeing with analysts' reports and competition's numbers:� There's a big difference between paying customers, and customers that shell out dollars and pay for ongoing support, and an ongoing relationship with the company, and the number of fee downloads that are done.� Where � when we report our numbers and we talk about our products and solutions, we're talking about substance and not the hype.�

ANDREW SHAPIRO:� OK, and so, when you said 8,000 to 10,000 users, that's because you're in approximately 2,000 to 2,500 practices — or providers, excuse me?�

PATRICK CLINE:� Yes, I think that's a reasonable guess.�

ANDREW SHAPIRO:� Thank you.� We'll back off, let others ask questions.

OPERATOR: We have another question coming from Neal Bradsher.�

Sir, please pose your question.�

NEAL BRADSHER:� I wanted to follow up on Kikis's question earlier on guidance.�

You had indicated, Lou, that you're not going to provide guidance; the company hasn't provided guidance in the past.� You'd also said some things about your optimism for the months ahead.�

But with respect to the issue of guidance, under Regulation FD, because companies are precluded from commenting on the outlook privately, many companies that did not formerly provide guidance on their calls, have now begun to do so.� I recognize that at this point, it's too late for this call, but I would like to ask you to reconsider that policy for the future.� If you can simply provide some general outlines, I do think that would be helpful to investors.� And again, that is becoming standard practice.�

LOU SILVERMAN:� I certainly appreciate the comment, and absolutely will consider it on a go-forward basis.�

NEAL BRADSHER:� Great, thank you.� And I realize that the Board probably has been reluctant on these sorts of issues, but again, I hope that they will adapt to the changing regulatory environment. Thank you.�

LOU SILVERMAN:� Thanks.�

OPERATOR: We have another question coming from Andrew Shapiro.�

Sir, please pose your question.�

ANDREW SHAPIRO:� Yes, hi.� Actually, with respect to guidance, there is something that you could probably provide us, Lou.� I don't know if you could on this call.�

I know one of your hesitations is the fact that the unfortunate hockey-stick nature of the industry, all at the last week of the quarter kind of thing, as well as what is hardware and software is unpredictable.� But your deferred service revenue is probably a revenue stream which is pretty much calculable, and predictable, that one could say:� Well, we know we have X, you know, we have this kind of backlog, or bookings, for the coming four quarters, combined with whatever else people want to estimate for, you know, a generalized sales level.�

So there should be some predictability of revenues one could count on, because of the deferred service revenue, as well as you know that half of your revenue stream is pretty much recurring.� And then, just let all of us know that they remainder of it is, you know, unknown, that we have to see each quarter and we can't give you guidance on it.�

LOU SILVERMAN:� Again, I say, a real fair request.� Let me think on that for a bit, and we'll see where we end up on the next call. But it's not an unfair request at all.�

ANDREW SHAPIRO:� Also, can I clarify, last quarter was the first quarter we saw you had transcripts of the conference call up on the Web site.� It was initially over on the MicroMed Web site, and then ported over to QSI.� What is the status of � and when will you be having, I guess, a more gutsy QSI investor relations kind of page?� And I'm assuming this quarter and future and future quarter calls' transcripts will be on the ...�

LOU SILVERMAN:� Let me take you questions in the reverse order.� The answer to whether the transcripts will be available � the answer is yes, on the QSI site.� And then on when we're going to have a more updated site, corporate site, we are working on that literally as we speak.� It is one of he two top priorities for our corporate marketing department.� I would say you can look for something on that by year-end, or at the very — or the very first part of 2001.�

ANDREW SHAPIRO:� OK, great.� Thanks.�

LOU SILVERMAN:� Thank you.�

OPERATOR: Gentlemen, there appear to be no further questions at this time.

GREG FLYNN:� Andy, this is Greg.� In terms of your EDI questions that I need to get more detail on, I will have David Raisin (ph) get that detail.� He runs that area for us.�

LOU SILVERMAN:� I'd like to close by thanking everyone for their participation and interest in today's call.�

Our new management team is coming together.� As a company, with positive earnings, positive cash flow, great products and great positioning in our industry, we feel like we have a lot of good things going on.� We look forward to sharing those with you in future calls.

Thanks again for joining us.�

OPERATOR: Thank you for your participation.�

That does conclude this afternoon's teleconference.� You may disconnect your lines at this time.�

And have a great day.� Thank you.