1
                    SECURITIES AND EXCHANGE COMMISSION
                          Washington D.C.  20549

                                Form 8-K

                             CURRENT REPORT
                 PURSUANT TO SECTION 13 OR 15 (D) OF THE
                     SECURITIES EXCHANGE ACT OF 1934



Date of report (Date of earliest event reported)         July 13, 1999
                                                      --------------------




                           QUALITY SYSTEMS, INC
- --------------------------------------------------------------------------
           (Exact name of registrant as specified in its charter)




    California                   0-13801                    95-2888568
- -------------------         ------------------         -------------------
 (State or other         (Commission File Number)       (I.R.S. Employer
   jurisdiction                                        Identification No.)
 of incorporation)



17822 East 17th Street, Suite 210, Tustin, California        92780
- --------------------------------------------------------------------------
      (Address of principal executive offices)             (Zip Code)

Registrant's telephone number, including area code     (714) 731-7171
                                                    ----------------------



                              Not Applicable
- --------------------------------------------------------------------------
       (Former name or former address, if changed since last report.)

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Item 6.  Resignation of Registrant's Director.

On July 13, 1999, Donald A. Cook resigned as a Director of the Company and
delivered a letter describing his disagreements with the Company's
Directors and management as to certain policies and practices.  He
subsequently requested that the matter be disclosed.  A copy of Mr. Cook's
letter is filed as Exhibit 17.1 to this Report.

In summary, Mr. Cook says he disagrees with the Board's treatment of a
purported "offer" to buy the Company; with the selection of counsel to
represent the Directors in a derivative lawsuit; with adoption of an
amendment of the Bylaws; with rejection of Lawndale Capital's proposals;
and with a purported "mandate" that the Directors refrain from speaking
with shareholders.  A full description of Mr. Cook's disagreements is set
forth in his letter.

Management's Comments on Mr. Cook's Letter.

On July 15, 1999, two days after delivery of Mr. Cook's resignation letter
and one day after his request that it be disclosed, Mr. Cook became a
nominee for election as a Director of the Company as one of the persons
proposed by Lawndale Capital Management, LLC.  Accordingly, Mr. Cook's
letter appears to be part of Lawndale's campaign to solicit proxies in
opposition to the Company's management.

Management believes that the descriptions provided by Mr. Cook in his
letter and in subsequent public statements to the press are incorrect,
incomplete and misleading.  While management does not intend to respond in
this Report to every allegation contained in Mr. Cook's letter, it will
address some of the more important matters.

First, the Company believes that the proposal made to the Company in
December 1998, which Mr. Cook incorrectly characterizes as an "offer," was
wholly inadequate and lacking in substance, and that the directors acted
properly and consistently with their fiduciary duties in deciding to
reject the proposal.  Second, with regard to the pending derivative
lawsuit, the Company does not believe that counsel representing the
directors has any conflict of interest that precludes it from representing
the directors in the proceeding.

Mr. Cook also takes exception to the recent Bylaw amendment which was
approved by the board, requiring that the Company indemnify its directors
and officers to the fullest extent permitted by California law and the
Company's Articles of Incorporation and Bylaws.  A copy of the Bylaw
amendment is filed herewith as Exhibit 3.1 to this Report.

It appears that Mr. Cook fails to understand the purpose and effect of the
Bylaw amendment of which he complains.  The amendment simply says that the
Company shall (rather than "may") indemnify directors, officers and
employees, subject to the processes and safeguards already contained in
the Bylaws and in California law, and that this protection cannot be
retroactively terminated.  The Bylaw amendment confers no benefit
whatsoever on any of the Directors except Mr. Cook himself and Mr. Patrick
Cline.  The five other Directors are parties to indemnity agreements
entered into and fully disclosed some years ago, which provide them with
protection at least as complete as the amended Bylaws.  The Company
believes, however, that non-director officers and employees of the Company
might be reassured by the amendment.

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Mr. Cook is closely aligned with Lawndale, as evidenced by his recent
inclusion on Lawndale's proposed slate of director nominees, and he
accordingly expresses support for Lawndale's proposals.  The Company
believes that many of Lawndale's proposals further Lawndale's own agenda
with respect to the Company and are not in the best interests of the
shareholders of the Company as a whole.

Finally, the Company believes that Mr. Cook's resignation and his
opposition to many of the Board's recent actions relate at least in part
to the Company's rejection of Mr. Cook's request to pay him a $48,000
consulting fee (plus out-of-pocket expenses) after he joined the Board of
Directors.


Item 7.  Financial Statements and Exhibits.

    (a)  Financial statements of businesses acquired.
         None.

    (b)  Pro forma financial information.
         None.

    (c)  Exhibits.
         The Exhibits listed on the accompanying Index to Exhibits on Page
         5 are filed as part of this report.

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SIGNATURES

     Pursuant to the requirements of the Securities Exchange Act of 1934,
the registrant has duly caused this report to be signed on its behalf by
the undersigned hereunto duly authorized.

                                        QUALITY SYSTEMS, INC.




July 20, 1999                           By:  /s/  Robert G. McGraw
                                           -------------------------------
                                           Robert G. McGraw
                                           Chief Financial Officer

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                             INDEX TO EXHIBITS


                                                                Sequential
                                                                      Page
Exhibit                                                                No.
- -------                                                         ----------

   3.1    Text of Section 11 of Article VI of the Company's          6
            Bylaws regarding mandatory indemnification of
            directors, officers, employees and agents of
            the corporation.


  17.1    Text of resignation letter of Donald A. Cook               8
            dated July 13, 1999.


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                             EXHIBIT  3.1

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                                                               EXHIBIT 3.1


Section 11. INDEMNIFICATION MANDATORY.

The corporation shall indemnify each director, officer, employee or agent
of the corporation to the fullest extent that the corporation has power to
indemnify such persons under applicable provisions of California law and
the Articles of Incorporation of the corporation with respect to any
matter which might be the subject of indemnification under this Article
VI. Any repeal or modification of the provisions of this Article VI shall
not adversely affect any rights or protections of any director, officer,
employee or agent of the corporation existing at the time of such repeal
or modification.


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                             EXHIBIT  17.1


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                                                              EXHIBIT 17.1


                             Donald A. Cook
                          19235 Northfleet Way
                            Tarzana, CA 91356


July 13, 1999


Mr. Sheldon Razin
President and Chairman
Quality Systems, Inc.
Tustin, California


                              VIA FACSIMILE


Dear Shelly:

I joined the board of QSII at your request in September of 1998. At that
time, you and I both believed I could add considerable value to QSII
because of my expertise in marketing and management, particularly in the
physician practice management sector. I brought experience in both public
and private companies from start up to over $500 million in annual sales.
I understood the relationships that any public company has with its
customers, shareholders and competitors. I looked forward to making a
positive contribution and attempted to learn as much as I could about the
Company and its stakeholders.

We both acknowledged going in that there were some challenges. Over time,
I made a number of suggestions regarding the integration of the subsidiary
companies, the process for business and marketing planning, marketing
strategy and developing relationships with investment analysts. While
these ideas were not rejected outright, follow-up was not forthcoming and
I am disappointed in the progress the Company has made. It is in this
context and with some difficulty that I feel it is necessary and in the
best interests of all shareholders that I write this letter.

After considerable thought regarding the actions I have observed as a
Director of QSII, I have concluded that I fundamentally disagree with a
number of key decisions made by you and approved by the board in recent
months. I believe that these actions are indicative of both a lack of
support for good corporate governance practices as well as a general
disregard for the interests of QSII shareholders. I specifically refer to
following actions:

     Having received an offer in December of 1998 to buy the company at a
     substantial premium to the market value, you failed to notify the
     board or to organize a transaction committee to review the offer. I
     heard about the offer for the first time in March of 1999 even though
     a board meeting was conducted in February of 1999 where a discussion
     of the proposed acquisition could have occurred.

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     After learning of the derivative lawsuit filed on behalf of the
     Company against you and certain board members, you sought a
     resolution by the board specifically approving all of your actions
     regarding the rejection of the acquisition proposal, presumably to
     distance yourself as much as possible from the actions.

     O'Melveny and Myers was retained to represent the board in its
     response to the lawsuit brought on behalf of QSII. This same firm is
     representing QSII in at least one other lawsuit involving
     shareholders. This seeming conflict of interest was dismissed as
     inconsequential upon questioning.

     During the board conference call of July 6th, you read to the board
     and, without prior review, called for a vote on a proposed amendment
     to the bylaws of the corporation to ensure that all directors and
     officers of the Company would be fully indemnified against any
     liabilities arising out of the derivative suit, even if the existing
     director's and officer's liability insurance did not cover the
     liability. The amendment also assured that this indemnification could
     not be revoked for any reason by any power in the future. You told us
     that "the lawyers" recommended it. I voted against this amendment and
     believe it to be self-serving. Even though other directors are named
     in the suit, you alone acted on behalf of the board in your response
     to the acquisition proposal. If all of those actions are deemed to be
     within acceptable business judgement standards, there isn't any
     reason why the existing D&O insurance wouldn't cover you. I have yet
     to see the text to the amendment.

     Upon receipt of the shareholder proposal from Lawndale Capital, the
     attitudes and actions have been combative. I counseled very early on
     that many of the proposal elements were sound corporate governance
     and that the Company could avoid costly and counterproductive
     diversions by simply adopting most or all of the proposal
     immediately. Instead, the Company retained legal counsel to research
     and prepare a lengthy response requesting the SEC to drop the
     shareholder proposal. After all of this effort and expense was
     directed toward fighting the proposal, your statement regarding
     QSII's agreeableness to including the proposal and that you, "only
     wanted to see if it was okay with the SEC" is at best misleading to
     shareholders who may be following the Company's actions.

     Particularly troubling to me is your mandate that the board refrain
     from speaking with any shareholders of the Company. I feel it is my
     duty and obligation to understand the views of my primary constituent
     group as I am formulating opinion regarding direction and management
     for the company.

     Finally, I believe the Company's posture with respect to the
     shareholder proposal and, separately, to Ahmed Hussein's position
     will result in a very costly proxy contest that will ultimately
     directly impact shareholder value. You and the board should have
     approached these constituents both separately and together, if need
     be, with an openly conciliatory mindset and a goal of mutual
     agreement.

The delayed integration of the subsidiary divisions and the poor
performance of the Company with respect to plan are truly management

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issues and are the concern of the board only from an oversight and
advisory capacity. The management team should be held accountable to the
board for the results. Given the results of the company over the past
year, asking for and receiving additional compensation and stock options
is inappropriate. This board needs to better evaluate the actual
performance of the Company and of the management and act accordingly.

Given these actions, I find it impossible for me to fulfill my fiduciary
duties to the Company and its shareholders. As a result, effective today,
July 13, 1999, I am hereby resigning as a director of QSII.


Sincerely,


/s/Donald A. Cook
- --------------------
Donald A. Cook




Copy to QSII Board of Directors