MODIFICATION OF LEASE# 1
  Article 1.4. Early Possession:
 Article 3.2. Early Possession:
 Addendum A. Item G. Suite Refurbishment/Tenant Improvements:
  AGREED AND ACCEPTED:
    
    
    
    AGREED AND ACCEPTED:LESSOR:
    
    
    
    LESSEE:OLEN COMMERCIAL REALTY CORP.
A NEVADA CORPORATION
    
    
    
    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 CorporationBy:
    
    
    
    
    
    By:
    
    /s/ Stephen K. PuckettJayne Taylor
Vice President/CFO
    
    
    
    
    
    Stephen K. Puckett 
Vice PresidentDate:
    
    
    
    
    
    Date:
    
    October 13, 2009




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ADDENDUM A
 TO LEASE DATED:
    
    October 1, 2009BY AND BETWEEN:
    
    OLEN COMMERCIAL REALTY CORP., A NEVADA CORPORATIONAS 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 CorporationAS LESSEE
 A.
    
    SIGN CRITERIAThese regulations are established in order to ensure that all signs comply with County of
Orange sign ordinances, and in order to maintain a continuity in appearance throughout the
Lake Forest Corporate Park. Conformance with the following sign regulations will be strictly
enforced:
 1.
    
    GENERAL REQUIREMENTS
 (a)
    
    Each tenant shall be allowed one Identity sign.(b)
    
    The sign shall be constructed and installed at Lessees expense.(c)
    
    No electrical or audible signs shall be permitted.(d)
    
    Except as provided herein, no advertising piacards, banners,
pennants, names, insignias,
trademarks, or other descriptive material shall be affixed or maintained upon
the glass panes
or exterior walls of the building.(e)
    
    Placement of the sign shall be in the specific location and
installation shall be by the method designated by Lessor.(f)
    
    Lessee shall submit a sketch of Lessees proposed sign (including
color selection and proposed location) to Lessor for approval prior to
construction and installation. Lessee shall be responsible for obtaining all
necessary sign permits and approvals from the County of Orange. Lessee
acknowledges Lessees sign is also subject to the review and approval of the
Lake Forest Corporate Park Management Association Architectural Review
Committee.
 2.
    
    TENANT IDENTIFICATION SIGNS: SINGLE-TENANT BUILDINGS
 (a)
    
    Each unit shall be entitled to one identification sign on the building.
 (b)
    
    The dimensions of the sign shall not exceed 1 in height, or 3 in length,
including logo.(c)
    
    Individual letters shall not exceed 4 in height. Letter style
shall be white upper case Optima
Regular. Lessee may include a logo as part of the three (3) square foot sign
area, but the logo
shall not exceed one square foot.(e)
    
    Lessee shall obtain Lessors approval of the exact placement of the
sign on the building prior to
installation.
 3.
    
    TENANT IDENTIFICATION SIGNS: MULTI-TENANT BUILDINGS
 (a)
    
    Each suite shall be entitled to one Identification sign.(b)
    
    Signs shall be vinyl press-on letters.(c)
    
    The dimensions of the sign area, including logo, shall not exceed 1 x 2.
Individual letters shall not exceed 4 in height.
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    -s- IllegibleLessors Initials
    
    Lessees Initials




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ADDENDUM A
PAGE 2
 (e)
    
    Letter color shall be white. Lettering style, logo and logo colors shall be
at Lessees option.(f)
    
    Placement of the sign shall be on the glass front door, or on the glass pane immediately to the left of the front door.
 B
    
    EXTERIOR STORAGETenant shall neither store, nor permit to be stored any goods, machinery, merchandise,
equipment, or any other items whatsoever in the parking lot or any other common area
adjacent to or in the Building. Tenant may only place or store items wholly within its
leased Premises.C.
    
    DECLARATION OF COVENANTS, CONDITIONS, AND RESTRICTIONSLessee acknowledges that his leasehold estate is part of a Planned Development subject to a
Declaration of Covenants, Conditions, and Restrictions. Lessee agrees to accept its leasehold
estate subject to the aforementioned Declaration and to make adequate provisions to permit
entry and other actions by Lessor for the purpose of performing and complying with these
restrictions.D.
    
    MANAGEMENTSubject to Paragraph 7.1 of this Lease, Lessee agrees to pay Common Area Operating Expenses
as set forth hereinbelow, and as adjusted pursuant to Paragraph 4.2 herein. In no event
shall Lessor be required to insure plate glass or insure against malicious mischief or
vandalism.The Common Area Operating Expense Budget is as follows:
 TOTAL COMMON AREA OPERATING EXPENSE MONTHLY BUDGET FOR:
LAKE FOREST CORPORATE PARK
 Total Project Square Footage:
    
    
    58,010Tenants Square Footage:
    
    
    2,526Tenants Percentage:
    
    
    4.35
    %Total Common Area
    
    $
    9,862.00Property Taxes
    
    $
    6,913.00Insurance
    
    $
    773.00TOTAL EXPENSES PER MONTH
    
    $
    17,548.00Lessees monthly prorata share is 4.35% of the above expenses as follows:Common Area
    
    $
    429.00Property Taxes
    
    $
    300.72Insurance
    
    $
    33.63TOTAL MONTHLY COMMON AREA OPERATING EXPENSE BUDGET
    
    $
    763.35
  -s- Illegible
    
    -s- IllegibleLessors Initials
    
    Lessees Initials