0001169232-09-000670 Sample Contracts

AGREEMENT AND PLAN OF MERGER BY AND AMONG QUALITY SYSTEMS, INC. NEXTGEN HEALTHCARE INFORMATION SYSTEMS, INC. RUTH MERGER SUB, INC. AND PRACTICE MANAGEMENT PARTNERS, INC. PERRY SNYDER AND DONALD GOOD October 15, 2008
Agreement and Plan of Merger • February 6th, 2009 • Quality Systems Inc • Services-computer integrated systems design • Maryland

This Agreement and Plan of Merger (this “Agreement”) is entered into as of October 15, 2008 by and among (i) QUALITY SYSTEMS, INC., a California corporation (the “Parent”), (ii) NEXTGEN HEALTHCARE INFORMATION SYSTEMS, INC., a California corporation and a wholly-owned subsidiary of the Parent (“NextGen”) (iii) RUTH MERGER SUB, INC., a Maryland corporation and a wholly-owned subsidiary of NextGen (the “Merger Sub”), (iv) PRACTICE MANAGEMENT PARTNERS, INC., a Maryland corporation (the “Company”), and (v) PERRY SNYDER and DONALD GOOD (each an “Indemnifying Stockholder” and collectively, the “Indemnifying Stockholders”).

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THIRD AMENDMENT TO LEASE AGREEMENT
Lease Agreement • February 6th, 2009 • Quality Systems Inc • Services-computer integrated systems design • Virginia

THIS THIRD AMENDMENT made and entered the 30th day of APRIL 2007, by and between Pinecrest L.L.C. and Practice Management Partners, Inc. which was amended in a second lease amendment on July 13, 2004 and was amended in a first lease amendment on September 6, 2002 Practice Management Partners to the Lease made and entered into this 7th day of September, 1999, by and between PINECREST L.L.C., a Virginia limited liability company (the “Landlord”), and Ascendia Healthcare Management, Inc. and assigned to Practice Made Perfect Inc. which was merged into Practice Management Partners Inc., a Maryland Corporation (the “Tenant”) on July 31, 2001. Practice Management Partners federal tax I.D. number is 541914433. Ascendia Health Care Management federal tax id no. 56-1928380 and Practice Made Perfect, Inc. federal tax id no. 54-19114433 all have rights and responsibilities under this lease amendment.

FIRST AMENDMENT TO LEASE
Lease • February 6th, 2009 • Quality Systems Inc • Services-computer integrated systems design • Maryland

THIS FIRST AMENDMENT TO LEASE (this “Amendment”) is made as of this 15th day of January, 2008, by and between HILL MANAGEMENT SERVICES, INC., a Maryland corporation, agent for the owner (“Landlord”), and PRACTICE MANAGEMENT PARTNERS, INC., a Maryland corporation (“Tenant”).

FIRST AMENDMENT TO SUBLEASE AGREEMENT
Sublease Agreement • February 6th, 2009 • Quality Systems Inc • Services-computer integrated systems design • Maryland

In addition, Sublessor shall be entitled to utilize 60 telephone lines located in the Subleased Premises, at Sublessor’s cost, until July 15, 2007. Sublessee hereby agrees to provide Sublessor with reasonable access to such computer equipment at all times prior to

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