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                             Quality Systems Inc.

                             Investor Presentation

                                August 19, 2008
 
 

 
 


SAFE HARBOR PROVISIONS FOR FORWARD-LOOKING STATEMENTS:

Statements made during this presentation, the proxy statements filed with the
Securities and Exchange Commission ("Commission"), communications to
shareholders, press releases and oral statements made by our representatives
that are not historical in nature, or that state our or management's
intentions, hopes, beliefs, expectations or predictions of the future, may
constitute "forward-looking statements" within the meaning of Section 21E of
the Securities and Exchange Act of 1934, as amended. Forward-looking statements
can often be identified by the use of forward-looking terminology, such as
"could," "should," "will," "will be," "will lead," "will assist," "intended,"
"continue," "believe," "may," "expect," "hope," "anticipate," "goal,"
"forecast," "plan," or "estimate" or variations thereof or similar expressions.
Forward-looking statements are not guarantees of future performance.

Forward-looking statements involve risks, uncertainties and assumptions. It is
important to note that any such performance and actual results, financial
condition or business, could differ materially from those expressed in such
forward-looking statements. Factors that could cause or contribute to such
differences include, but are not limited to, the risk factors discussed under
"Risk Factors" in our Annual Report on Form 10-K for fiscal year ended March
31, 2008, as well as factors discussed elsewhere in other reports and documents
we file with the Commission. Other unforeseen factors not identified herein
could also have such an effect. We undertake no obligation to update or revise
forward-looking statements to reflect changed assumptions, the occurrence of
unanticipated events or changes in future operating results, financial
condition or business over time unless required by law. Interested persons are
urged to review the risks described under "Risk Factors" and in "Management's
Discussion and Analysis of Financial Condition and Results of Operations" in
our Annual Report on Form 10-K for fiscal year ended March 31, 2008, as well as
in our other public disclosures and filings with the Commission.

 
 

 
 



Quality Systems: Company Snapshot

o    Through our NextGen and QSI divisions, we develop and provide
     computer-based practice management, medical records, and e- business
     applications for U.S. medical and dental group practices

o    The company derives most of its revenue and growth from physician group
     business and its high functionality practice management suites

o    Quality Systems is managed with an eye toward pursuing organic growth,
     while concurrently maintaining a strategy of aggressive reinvestment in
     new product and service development initiatives

o    Quality Systems has an industry-leading track record of strong financial
     and shareholder returns, and a dedication to the highest corporate
     governance standards

                                                                              1
 
 

 
 


A Track Record of Success


o    The growth strategy developed by the continuing Quality Systems Board
     nominees and management team has delivered results:

o    We believe the company has been growing at a faster rate than the industry
     average and taking market share from our competitors

o    Our revenue stream is diversified, with two-thirds of sales to mid- sized
     and large customers and the rest to smaller customers

o    The company has successfully leveraged its strength in the practice
     management business into the emerging medical records market

     o    Currently 75% of our customers buy products in both categories

o    By investing in new products and services, we can anticipate customers'
     unique needs and provide the solutions they demand

                                                                              2

 
 

 
 


A Track Record of Success


o    Evident in our ongoing financial performance and track record of
     delivering shareholder value:

     o    Nearly 400% stock price increase the past five years

     o    Financial results rank Quality Systems among the most profitable
          companies and strongest cash flow generators in its sector during the
          same period

     o    Solid first-quarter FY'09 earnings included a 31% jump in net
          revenues and 40% increase in net income

     o    Corporate governance record predicated on pro-shareholder policies

                                                                              3

 
 

 
 


Our Strategy Is Working


                                    Revenue



                               Earnings Per Share

                                                                              4
 
 

 
 


Our Strategy is Working

                                                                              5
 
 

 
 


Ongoing Strong Financial Performance


                              Maintenance Revenues


                                  System Sales

                                                                              6
 
 

 
 


We Are Generating Meaningful Results for Shareholders


                               Cumulative Returns

QSI                              William Blair Healthcare Information Technology Index
NASDAQ Composite Index           NASDAQ Computer and Data Processing Index

                                                                              7
 
 

 
 


Well-Positioned for Continued Success


o    The company has a proven strategy to expand the business and build on its
     recent momentum:

     o    Our Board nominees and current management team - including Chairman
          Sheldon Razin and Steven Plochocki, our new CEO - share common goals
          for our company's future and have the skills and knowledge to enable
          us to prosper in this growing industry

o    Under the leadership of this group, Quality Systems will continue to
     capitalize on the industry's expected growth by:

     o    Developing and enhancing our leading software solutions
     o    Expanding into new markets where we can capture meaningful market
          share
     o    Making prudent, disciplined investments to improve our products
     o    Growing our existing customer relationships while pursuing new ones
     o    Prioritizing organic growth, but also continuing to pursue
          opportunistic acquisitions such as HSI that complement our existing
          products or expand our customer base

                                                                              8

 
 

 
 



Our CEO: Significant Experience


o    Steven Plochocki is a seasoned industry executive with significant
     experience and a strong track record of building value

     o    As Chairman and CEO of Omniflight Helicopters, the country's
          second-largest air medical services provider, achieved 20% EBITDA
          margins, among the sector's best

     o    As CEO of Trinity Hospice, helped restore the company to
          profitability and achieved 20% compound annual growth rate in
          revenues

     o    As CEO of InSight Health Services Corp., the nation's largest
          integrated provider of diagnostic imaging services, company doubled
          in sized and share price increased by more than 250%

o    Significant knowledge of Quality Systems

o    Strong leadership and continuity of the company's successful strategy

o    Has provided an independent perspective since joining the Board in 2004

                                                                              9
 
 

 
 


Experienced Management Team
                                                                           Years of Industry
Title                                                                           Experience
--------------------------------------------------------------------------------------------
Steven Plochocki                                                                    36
Chief Executive Officer, Quality Systems, Inc.
--------------------------------------------------------------------------------------------
Patrick Cline                                                                       27
President, NextGen Healthcare and EVP, Quality Systems, Inc.
--------------------------------------------------------------------------------------------
Paul Holt                                                                           13
Chief Financial Officer, Quality Systems, Inc.
--------------------------------------------------------------------------------------------
Donn Neufeld                                                                        28
Executive Vice President, Quality Systems, Inc.
--------------------------------------------------------------------------------------------
Fred Neufeld                                                                        30
Executive Vice President and General Manager, NextGen Healthcare
--------------------------------------------------------------------------------------------
Scott Decker                                                                        12
Senior Vice President, NextGen Healthcare
--------------------------------------------------------------------------------------------
Tim Eggena                                                                          15
Executive Vice President, NextGen Practice Solutions, NextGen Healthcare
--------------------------------------------------------------------------------------------

                                                                             10
 
 

 
 


Knowledgeable, Experienced Nominees

                                                                             Years of
Director &                                                                   Relevant
Current Occupation                                      Expertise            Experience
---------------------------------------------------------------------------------------
George Bristol                                          Financial Services   26
Managing Director - Corporate Finance,
Crowell Weedon &Co.
---------------------------------------------------------------------------------------
Patrick Cline                                           Healthcare IT        27
President, NextGen
---------------------------------------------------------------------------------------
Philip Kaplan                                           Technology           13
CEO, Deer Valley Ventures, LLC
---------------------------------------------------------------------------------------
Vincent Love                                            Financial Services   41
Managing Partner, Kramer, Love & Cutter, LLP
---------------------------------------------------------------------------------------
Russell Pflueger                                        Medical Devices      7
Founder, Chairman & CEO, Quiescence Medical, Inc.
---------------------------------------------------------------------------------------
Steven Plochocki                                        Healthcare           36
CEO, Quality Systems, Inc.
---------------------------------------------------------------------------------------
Sheldon Razin                                           Healthcare IT        34
Founder and Chairman, Quality Systems, Inc.
---------------------------------------------------------------------------------------
Robert Smith                                            Financial Services / 33
Senior Advisor to Aquiline Capital Partners, LLC        Marketing
---------------------------------------------------------------------------------------

                                                                             11
 
 

 
 


The Right Board to Build Value Going Forward


o    Nominees drawn from financial services, healthcare, medical devices and
     information technology fields -- providing the relevant knowledge and
     diversity of experience the Board needs

o    Director nominees collectively have nearly 50 years of Quality Systems
     Board experience

o    The Board and its Chairman continue to provide leadership and critical
     understanding of the company, its history and how the industry's
     competitive landscape has evolved

                                                                             12
 
 

 
 


Continually Recognized by Leading Business Publications


o    #5: Forbes 200 Best Small Companies in America (7 consecutive years)

     "Quality Systems should have no end of new business, given how much time
     practices have to devote to nonmedical activities--and the approach of an
     election year in which every presidential candidate has to have a plan to
     broaden health care coverage."

o    #19: BusinessWeek 100 Hot Growth Companies (4 consecutive years)

     "If you've filled out forms at the doctor's office lately, you'll
     understand why Quality Systems Inc.'s stock has been on a tear. Doctors
     and nurses are drowning in a sea of paperwork, and Quality Systems
     software can digitize it, from patient data to appointment records to
     treatment outcomes."

o    #52: Fortune America's 100 Fastest Growing Small Public Companies (4
     consecutive years)

     "Physicians and dentists rely on Quality Systems' software to transition
     patient records from paper to electronic systems. Last year the company
     introduced applications and services that help practices collect funds
     from insurance companies and Medicare."

                                                                             13
 
 

 
 


Highly Regarded by Wall Street


o    Nine of our 15 sell-side analysts currently rate the stock a BUY or
     equivalent

o    Median analyst 12-month target price was $41 on 8/6/08, the day before Q1
     '09 earnings were announced, a 23.5% increase over the closing price of
     $33.20 at the time

     o    Donald H. Hooker, UBS: "We like that Plochocki has served as a
          Director on QSII's Board since 2004, and has been a member of the
          audit, compensation, and independent directors' compensation
          committees -- all of which, we believe, will give him a deep
          knowledge of QSII and allow him to hit the ground running. We think
          Plochocki's broader healthcare services background (mainly outside of
          tech) may prove to be complementary to industry veterans Pat Cline
          (President of NextGen) and Donn Neufeld (President of QSI)."
          (8/12/08)

     o    Sean W. Wieland, Piper Jaffray: "Strong performance is attributed to
          favorable market conditions, strong pipeline and quality sales force.
          Building on noticeable attrition in sales force prior quarter, QSII
          seemed to have built a strong sales team that is delivering." (August
          8, 2008)

     o    Todd Weller, Stifel Nicolaus: "Overall, we continue to view the
          physician HIT market as an attractive growth opportunity over the
          next few years. We also believe that Quality remains well positioned
          to capture its fair share of the market [�] Quality remains well
          positioned as one of the top players in the physician HIT market."
          (June 11, 2008)

                                                                             14
 
 

 
 


Strong Corporate Governance Record


     o    Governance practices are strongly pro-shareholder

     o    Our governance structure includes:

          x    An annually elected Board
          x    Cumulative voting rights
          x    Shareholders may call meetings and act by written consent
          x    No "poison pill"

     o    Our corporate governance provisions, including the definition of
          "independent director," meet or exceed NASDAQ requirements

          -    Six of our eight Board nominees are independent under these
               criteria

                                                                             15
 
 

 
 


We Believe Giving Control to the Hussein Nominees Presents a Real Threat

o    Mr. Hussein has never articulated a strategic plan

     o    Has not participated meaningfully or supported the Board's successful
          plan the past several years
     o    Criticized management's decision to acquire Clinitec and Micromed,
          which now account for more than 90% of Quality Systems' revenues

o    Mr. Hussein seeks control, not just representation

     o    Cumulative voting will permit him to keep Board seat
     o    Owns less than 17% of shares, yet wants Board control
     o    A backdoor raid on Quality Systems

o    Mr. Hussein's actions to date have been counterproductive

     o    Unwilling to set aside personal grievances
     o    Has boycotted several critical Board meetings
     o    Disruptive demeanor and unfounded accusations distract our Board from
          critical business matters

                                                                             16
 
 

 
 


Hussein has a History of Destroying Shareholder Value

o    SIMO, a profitable Egyptian paper company, foundered under his leadership

     o    Company was profitable prior to Mr. Hussein's ascension as Chairman
     o    During Mr. Hussein's term as Chairman, the company's financial
          position greatly deteriorated and losses mounted, to the extent that
          employees were not being paid wages during certain periods in 1998
     o    Ultimately, the entire Board was suspended by the Companies Authority
     o    Following Mr. Hussein's removal by Egyptian government, company's
          financial position improved

o    Censured and fined by American Stock Exchange for mismanagement of an
     investment account under his control

     o    ASE found that Mr. Hussein engaged in a course of fraudulent conduct
          by "excessively trading and churning" a customer account, and
          providing the customer with "materially false and misleading
          information about the status of his account"
     o    Suspended for three months from servicing any new discretionary
          accounts
     o    Hussein's employer settled the related lawsuit for $2.5 million

o    These are just two examples. For others please go to our Web site at:
     www.qsi2008proxy.com


-------------------------------------------------------------------------------
       We believe Mr. Hussein's history shows that he is ill-equipped to
                       control and lead Quality Systems
-------------------------------------------------------------------------------

                                                                             17
 
 

 
 


Mr. Hussein's Independent Director Proposal Should be Defeated


o    Our definition was adopted in 2004 as part of a general review of the
     bylaws undertaken at the urging of the Board's independent directors to
     ensure compliance with California law and NASDAQ regulatory standards

o    We believe the proposal is primarily motivated by Mr. Hussein's desire to
     increase his influence on the Board and certain committees

o    This proposal is simply a power grab intended to minimize the influence of
     Chairman and independent Board member Sheldon Razin

                                                                             18
 
 

 
 


The Company's Management Team
Supports Our Board Nominees


o    The company's top 10 executives recently sent a letter to shareholders
     expressing their strong support for the Quality Systems nominees, noting:

     o    Mr. Hussein "does not appear to understand or to care about our
          business and strategy"
     o    His attacks "have threatened the ability of our management and
          employees to carry out our growth strategy in the face of
          increasingly intense competition"
     o    "The prospect of Mr. Hussein increasing his influence is deeply
          disturbing to us, as we believe it should be to all shareholders"

                                                                             19