X0303 4/A 2009-08-10 2009-08-12 0 0000718130 INTEGRAL SYSTEMS INC /MD/ ISYS 0001201285 CASNER PAUL G JR 5 SYLVAN WAY PARSIPPANY NJ 07054 1 1 0 0 Interim CEO and President Options to Purchase Common Stock 7.31 2009-08-10 4 A 0 100000 0 A 2012-08-10 Integral Systems Common Stock 100000 100000 D This amendment is being filed solely to amend the footnote that provides vesting information for the option grant made on August 10,2009, and to correct the number of derivative securities beneficially owned following the reported transaction. One-third of the options granted vested on August 10,2009, and the remaining options vest in equal installments on the first and second anniversaries of the grant date. /s/ Paul G. Casner 2009-08-31