X0303 4/A 2009-08-21 2009-08-25 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 Option to Purchase Common Stock 12.155 2007-12-18 2011-12-18 Integral Systems Common Stock 10000 10000 D Option to Purchase Common Stock 11.63 2009-09-14 2012-09-14 Integral Systems Common Stock 30000 30000 D Option to Purchase Common Stock 23.03 2011-07-29 2018-07-29 Integral Systems Common Stock 3333 3333 D This amendment is being filed to report that the transactions in Table II reported on the original Form 4, filed on August 25, 2009, were not new awards and should have been reported as holdings of options previously granted to the Reporting Person. The information reported on the amended Form 4 filed on August 28, 2009, was incorrect due to a clerical error. /s/ Paul G. Casner 2009-08-31