Item 5.02 Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers.

Compensatory Arrangement of Paul G. Casner, Jr.

On August 14, 2009, Integral Systems, Inc. (the "Company") filed a Current Report on Form 8-K/A with the Securities and Exchange Commission (the "SEC") reporting on the compensation arrangement approved on August 10, 2009, by the Compensation Committee of the Board of Directors for Paul G. Casner, Jr., who was appointed interim Chief Executive Officer of the Company effective August 5, 2009. This Current Report on Form 8-K/A amends the prior Form 8-K/A in certain respects.

The stock options granted to Mr. Casner to purchase one hundred thousand (100,000) shares of the Company's common stock under the Company's 2008 Stock Incentive Plan vest in three equal annual installments on the grant date and the first two anniversaries of the grant date, instead of on the first three anniversaries of the grant date. Moreover, any incentive compensation for fiscal year 2010 paid to Mr. Casner will be determined by the Compensation Committee of the Board in its discretion.

---