FORM 4 Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940

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(Print or Type Responses)

1. Name and Address of Reporting Person * CLINE PATRICK   2. Issuer Name and Ticker or Trading Symbol QUALITY SYSTEMS INC [QSII] 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) __X__ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) President, NextGen Division (Last) (First) (Middle) C/O QUALITY SYSTEM INC, 18111 VON KARMAN AVE STE. 600 3. Date of Earliest Transaction (Month/Day/Year) 08/13/2008 (Street) IRVINE, CA 92612 4. If Amendment, Date Original Filed(Month/Day/Year) 6. Individual or Joint/Group Filing(Check Applicable Line) _X_ Form filed by One Reporting Person ___ Form filed by More than One Reporting Person (City) (State) (Zip) Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1.Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4) Code V Amount (A) or (D) Price Common stock 08/13/2008   S   38,036 D $ 39.5 0 D   Common stock 08/13/2008   S   78 D $ 39.5001 0 D   Common stock 08/13/2008   S   8,622 D $ 39.55 0 D   Common stock 08/13/2008   S   4,764 D $ 39.76 0 D   Common stock 08/13/2008   M   9,000 A $ 3.865 0 D   Common stock 08/13/2008   M   40,000 A $ 11.6675 0 D   Common stock 08/13/2008   M   42,500 A $ 19.3375 0 D   Common stock 08/13/2008   S   8,740 D $ 39.76 0 D   Common stock 08/13/2008   S   100 D $ 39.7601 0 D   Common stock 08/13/2008   S   93 D $ 39.8 0 D   Common stock 08/13/2008   S   67 D $ 39.85 0 D   Common stock 08/13/2008   S   10,000 D $ 39.65 0 D   Common stock 08/13/2008   S   14,700 D $ 39.6 0 D   Common stock 08/13/2008   S   20,000 D $ 39.55 0 D   Common stock 08/13/2008   S   34,095 D $ 39.5 0 D   Common stock 08/13/2008   S   3,705 D $ 39.51 0 D

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative Security (Instr. 3)

2. Conversion or Exercise Price of Derivative Security

3. Transaction Date (Month/Day/Year)

3A. Deemed Execution Date, if any (Month/Day/Year)

4. Transaction Code (Instr. 8)

5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5)

6. Date Exercisable and Expiration Date (Month/Day/Year)

7. Title and Amount of Underlying Securities (Instr. 3 and 4)

8. Price of Derivative Security (Instr. 5)

9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)

10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)

11. Nature of Indirect Beneficial Ownership (Instr. 4)

Code

V

(A)

(D)

Date Exercisable

Expiration Date

Title

Amount or Number of Shares

Employee stock option (right to buy)

$ 3.865

08/13/2008

M

9,000

10/29/2004(1)

10/29/2008

Common stock

9,000

$ 0

0

D

Employee stock option (right to buy)

$ 11.6675

08/13/2008

M

40,000

06/10/2005(2)

06/10/2009

Common stock

40,000

$ 0

0

D

Employee stock option (right to buy)

$ 19.3375

08/13/2008

M

42,500

02/11/2006(3)

02/11/2012

Common stock

42,500

$ 0

42,500

D

Reporting Owners

Reporting Owner Name / Address	Relationships
	Director	10% Owner	Officer	Other
CLINE PATRICK C/O QUALITY SYSTEM INC 18111 VON KARMAN AVE STE. 600 IRVINE, CA 92612	X		President, NextGen Division

Signatures

/s/ Patrick Cline		08/15/2008
**Signature of Reporting Person		Date

Explanation of Responses:

*	If the form is filed by more than one reporting person, see Instruction 4(b)(v).
**	Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
(1)	Original grant of 36,000 options dated October 29, 2003 vests in four equal annual installments beginning October 29, 2004.
(2)	Original grant of 80,000 options dated June 10, 2004 vests in four equal annual installments beginning June 10, 2005.
(3)	Original grant of 170,000 options dated February 11, 2005 vests in four equal annual installments beginning February 11, 2006.

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