Item 7.01. Regulation FD Disclosure.

On October 19, 2009, Integral Systems, Inc. (the "Company") issued a press release announcing that the Company reaffirms fiscal year 2009 (FY 2009) guidance of approximately $0.15 per diluted share and provides initial earnings guidance for fiscal year 2010 (FY 2010). FY 2010 results are anticipated to be significantly improved over FY 2009. For the FY 2010, the Company provides the following guidance:

• Revenue: $170.0M - $174.0M

• Gross Margin: 35% - 37%

• Earnings Per Share (diluted): $0.35 - $0.40

• EBITDA: $20M - $25M

Earnings per share (EPS) of $0.35 - $0.40 versus the $0.15 of fiscal year 2009 reflect an increase in revenue due to higher gross margin product sales, and lower selling, general, and administrative (SG&A) costs as a percent of sales. Annual revenue is estimated to increase between 5 and 7 percent above FY 2009 levels. Earnings will benefit from ongoing efforts to trim operating expenses and an elimination of a number of non-recurring and one-time expenses recorded in 2009.

The information in this Form 8-K and the Exhibit attached to this Form 8-K shall not be deemed "filed" for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, except if the Company expressly states that such information is to be considered "filed" under the Exchange Act or incorporates it by specific reference in such filing.

Item 9.01. Financial Statements and Exhibits.

(d) Exhibits

Exhibit Description
99.1 Press Release dated October 19, 2009.

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