0000950123-10-054373 Sample Contracts

FOURTH AMENDMENT TO OFFICE LEASE
Office Lease • June 1st, 2010 • Quality Systems Inc • Services-computer integrated systems design • Pennsylvania

This Fourth Amendment to Office Lease (this “Amendment”) is executed as of March 17, 2010, but is effective as of March 1, 2010 (the “Effective Date”), between HUB PROPERTIES LLC, a Massachusetts limited liability company having an address c/o Reit Management & Research LLC, 400 Centre Street, Newton, Massachusetts 02458 (“Landlord”), and QUALITY SYSTEMS, INC., a California corporation having an address at 18111 Von Karman Avenue, #600, Irvine, California 92612, Attention: VP Procurement (“Tenant”).

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MODIFICATION OF LEASE # 1
Modification of Lease • June 1st, 2010 • Quality Systems Inc • Services-computer integrated systems design

This Modification of Lease #1 dated for reference purposes only, October 13, 2009 is pursuant to that certain Lease by and between OLEN COMMERCIAL REALTY CORP., A NEVADA CORPORATION, as “Lessor”, and NXG ACUTE CARE LLC, A CALIFORNIA LIMITED LIABILITY COMPANY AND WHOLLY-OWNED SUBSIDIARY OF NEXTGEN HEALTHCARE INFORMATION SYSTEMS, INC., A CALIFORNIA CORPORATION AND WHOLLY-OWNED SUBSIDIARY OF QUALITY SYSTEMS INC., A CALIFORNIA CORPORATION, as “Lessee”, dated October 1, 2009 for property located at: 22912 Mill Creek Drive, Suite A, Laguna Hills, CA 92653. The undersigned Parties hereby understand and agree that the above mentioned Lease shall be amended and modified as follows:

AMENDED AND RESTATED THIRD AMENDMENT TO OFFICE LEASE
Office Lease • June 1st, 2010 • Quality Systems Inc • Services-computer integrated systems design • Pennsylvania

This Amended and Restated Third Amendment to Office Lease (this “Amendment”) is executed as of January 11, 2010, between HUB PROPERTIES LLC, a Massachusetts limited liability company having an address c/o Reit Management & Research LLC, 400 Centre Street, Newton, Massachusetts 02458 (“Landlord”), and QUALITY SYSTEMS, INC., a California corporation having an address at 18191 Von Karman Avenue, #420, Irvine, California 92612, Attention: Chief Financial Office (“Tenant”).

SUBLEASE AGREEMENT
Sublease Agreement • June 1st, 2010 • Quality Systems Inc • Services-computer integrated systems design

mechanical adjustments or minor details of construction (“Punch List Items”), on or before July 1, 2005 (the “Intended Completion Date”), subject to Tenant Delay (as defined in Section 4 hereof) and Force Majeure.

AGREEMENT AND PLAN OF MERGER
Agreement and Plan of Merger • June 1st, 2010 • Quality Systems Inc • Services-computer integrated systems design • California

THIS AGREEMENT AND PLAN OF MERGER (this “Agreement”) is entered into as of February 10, 2010 by and among Quality Systems, Inc., a California corporation (“Parent”), OHS Merger Sub, Inc., a Texas corporation and wholly-owned subsidiary of Parent (“Merger Sub”), Opus Healthcare Solutions, Inc., a Texas corporation (the “Company”), and the shareholders (each a “Shareholder” and collectively, the “Shareholders”) of the Company. Capitalized terms shall have the meanings ascribed to them in Article IX.

THIRD AMENDMENT TO SERVICE CENTER LEASE
Service Center Lease • June 1st, 2010 • Quality Systems Inc • Services-computer integrated systems design

This Third Amendment to Service Center Lease (“Amendment”) is made and entered into this ___ day of March, 2010, by and between TM Properties, L.L.C., a Missouri limited liability company, successor to The Lincoln National Life Insurance Company (“Landlord”), and Quality Systems, Inc., a California corporation, successor Lackland Acquisition II, LLC as (“Tenant”).

SIXTH AMENDMENT TO LEASE
Lease • June 1st, 2010 • Quality Systems Inc • Services-computer integrated systems design

THIS SIXTH AMENDMENT TO LEASE (this “Amendment”) is made as of the Amendment Date (as hereinafter defined) by and between TOWER PLACE, L.P., a Georgia limited partnership (“Landlord”) and QUALITY SYSTEMS, INC., a California corporation (“Tenant”).

STANDARD INDUSTRIAL/COMMERCIAL MULTI-TENANT LEASE — NET AMERICAN INDUSTRIAL REAL ESTATE ASSOCIATION
Quality Systems Inc • June 1st, 2010 • Services-computer integrated systems design
SECOND AMENDMENT TO LEASE
Lease • June 1st, 2010 • Quality Systems Inc • Services-computer integrated systems design

THIS SECOND AMENDMENT TO LEASE (this “Amendment”) is made as of this 1st day of November, 2009, by and between HILL MANAGEMENT SERVICES, INC., a Maryland corporation, agent for the owner (“Landlord”), and PRACTICE MANAGEMENT PARTNERS, INC., a Maryland corporation (“Tenant”).

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