<HTML>
<HEAD>
<TITLE></TITLE>
</HEAD>
<BODY>








<!-- MARKER FORMAT-SHEET="Head Minor Center" FSL="Default" -->
<P ALIGN=CENTER><FONT FACE="Times New Roman, Times, Serif" SIZE=2><B>UNITED STATES
<BR>SECURITIES AND EXCHANGE
COMMISSION
<BR>
WASHINGTON, D.C. 20549</B> </FONT></P>

<!-- MARKER FORMAT-SHEET="Center Rule" FSL="Default" -->
     <P ALIGN=CENTER><B>_________________</B> </P>

<!-- MARKER FORMAT-SHEET="Head Minor Center" FSL="Default" -->
<P ALIGN=CENTER><FONT FACE="Times New Roman, Times, Serif" SIZE=3><B>FORM 8-K</B> </FONT></P>

<!-- MARKER FORMAT-SHEET="Head Minor Center" FSL="Default" -->
<P ALIGN=CENTER><FONT FACE="Times New Roman, Times, Serif" SIZE=2><B>CURRENT REPORT

<BR>
Pursuant
to Section 13 or 15(d) of the Securities Exchange Act of 1934</B> </FONT></P>

<!-- MARKER FORMAT-SHEET="Para Large Indent"  -->
<P ALIGN="Center"><FONT FACE="Times New Roman, Times, Serif" SIZE=2><B>Date
of Report (Date of earliest event reported): &nbsp;&nbsp;November 16, 2004</B> </FONT></P>

<BR><P ALIGN="Center"><B>IDX SYSTEMS CORPORATION</B></P>

<!-- MARKER FORMAT-SHEET="Center Rule" FSL="Default" -->
     <P ALIGN=CENTER><B>_________________</B> </P>

<!-- MARKER FORMAT-SHEET="Head Minor Center" FSL="Default" -->
<P ALIGN=CENTER><FONT FACE="Times New Roman, Times, Serif" SIZE=2><B>(Exact Name of
Registrant as Specified in Charter)</B> </FONT></P>



<!-- MARKER FORMAT-SHEET="8K 3 col" FSL="Workstation" -->
<TABLE WIDTH=100%>
  <TR ALIGN="center" VALIGN=top>
    <TD WIDTH=30%><FONT SIZE=2>Vermont<br>
      </FONT>
      <hr noshade size="1">
      <FONT SIZE=2>(State or other juris- <br>
      diction of incorporation </FONT></TD>
    <TD WIDTH=30%><FONT SIZE=2>0-26816 <br>
      </FONT>
      <hr noshade size="1">
      <FONT SIZE=2>(Commission <br>
      File Number) &nbsp;</FONT></TD>
    <TD WIDTH=30%><FONT SIZE=2>03-0222230<br>
      </FONT>
      <hr noshade size="1">
      <FONT SIZE=2>(IRS Employer <br>
      Identification No.) &nbsp;</FONT></TD>
  </TR>
</TABLE>


<br>
<!-- MARKER FORMAT-SHEET="8K 3 col" FSL="Workstation" --> <!-- MARKER FORMAT-SHEET="8K 3 col" FSL="Workstation" -->
<TABLE WIDTH=100%>
  <TR ALIGN="center" VALIGN=top>
    <TD WIDTH=30%><FONT SIZE=2>40 IDX Drive, South Burlington, VT <BR>
      </FONT>
      <hr noshade size="1">
      <FONT SIZE=2>(Address of principal executive offices) </FONT></TD>
    <TD WIDTH=30%><FONT SIZE=2>&nbsp;05403 <br>
      </FONT>
      <hr noshade size="1">
      <FONT SIZE=2>(Zip Code) </FONT></TD>
  </TR>
</TABLE>


<!-- MARKER FORMAT-SHEET="Para Large Indent" FSL="Default" -->

<P ALIGN="Center"><FONT FACE="Times New Roman, Times, Serif" SIZE=2><B>Registrant&#146;s
telephone number, including area code: 802-862-1022</B> </FONT></P>



<!-- MARKER FORMAT-SHEET="Page Rule Single" FSL="Default" -->
     <HR ALIGN=LEFT WIDTH=100% SIZE=1 NOSHADE>

<P ALIGN="Center"><FONT FACE="Times New Roman, Times, Serif" SIZE=2><B>(Former Name or Former Address, if Changed Since Last Report)</B></FONT></P>


<!-- MARKER FORMAT-SHEET="Para Indent" FSL="Default" -->
<P><FONT FACE="Times New Roman, Times, Serif" SIZE=2>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Check
the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the
filing obligation of the registrant under any of the following provisions (<I>see</I>
General Instruction A.2. below): </FONT></P>

<P><FONT FACE="Times New Roman, Times, Serif" SIZE=2>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
|_|      Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)</FONT></P>
<P><FONT FACE="Times New Roman, Times, Serif" SIZE=2>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
|_|      Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)</FONT></P>
<P><FONT FACE="Times New Roman, Times, Serif" SIZE=2>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
|_|      Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))</FONT></P>
<P><FONT FACE="Times New Roman, Times, Serif" SIZE=2>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
|_|      Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))</FONT></P>


<!-- MARKER PAGE="sheet: 1; page: 1" -->
<HR SIZE=5 COLOR=GRAY NOSHADE>




<!-- MARKER FORMAT-SHEET="Head Major Left Bold" FSL="Default" -->
<H1 ALIGN=LEFT><FONT FACE="Times New Roman, Times, Serif" SIZE=3>Item 1.01. Entry into a
Material Definitive Agreement </FONT></H1>

<!-- MARKER FORMAT-SHEET="Para Flush" FSL="Default" -->
<P><FONT FACE="Times New Roman, Times, Serif" SIZE=2>On November 16, 2004, IDX Systems
Corporation entered into a second amendment (the &#147;Second Amendment&#148;) to its
Distribution and Development Agreement with Stentor, Inc., dated November 15, 2000. The
Distribution and Development Agreement, which was previously amended effective January 1,
2004, addresses the terms pursuant to which IDX and Stentor engage in development to
facilitate the integration of certain Stentor products for archiving and viewing medical
images and certain IDX products for automating the management of work flow in radiology
practices and departments. IDX currently owns 562,069 shares of the Series D Convertible
Preferred Stock of Stentor, which is approximately 3.4% of all of the shares of the
capital stock of Stentor on a fully-diluted basis. The Second Amendment extends the
expiration date of the term of the Distribution and Development Agreement from November
15, 2005 to November 15, 2015. In the Second Amendment, Stentor agrees to provide certain
functionality, technical improvements, and architectural features in its image processing
software. In addition, IDX and Stentor agree to expand the scope of their cross licenses
and adjust the rates of compensation in respect of their jointly-developed picture
archiving and communications system to permit distribution and vendor relationships with a
wider range of parties and customers. The full text of the press release issued in
connection with the announcement of the Second Amendment is attached hereto as Exhibit
99.1. A copy of the Second Amendment is attached hereto as Exhibit 99.2 and is
incorporated by reference herein. </FONT></P>

<!-- MARKER FORMAT-SHEET="Head Major Left Bold" FSL="Default" -->
<H1 ALIGN=LEFT><FONT FACE="Times New Roman, Times, Serif" SIZE=3>Item 9.01. Financial
Statements and Exhibits </FONT></H1>

<!-- MARKER FORMAT-SHEET="Head Sub 2 Left" FSL="Default" -->
<P ALIGN=LEFT><FONT FACE="Times New Roman, Times, Serif" SIZE=2>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(c)&nbsp;&nbsp;&nbsp;
Exhibits </FONT></P>

<!-- MARKER FORMAT-SHEET="Head Sub 2 Left" FSL="Default" -->
<P ALIGN=LEFT><FONT FACE="Times New Roman, Times, Serif" SIZE=2>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;See Exhibit
Index attached hereto. </FONT></P>


<!-- MARKER PAGE="sheet: 2; page: 2" -->
<HR SIZE=5 COLOR=GRAY NOSHADE>


<!-- MARKER FORMAT-SHEET="Head Minor Center" FSL="Default" -->
<P ALIGN=CENTER><FONT FACE="Times New Roman, Times, Serif" SIZE=2>SIGNATURE </FONT></P>

<!-- MARKER FORMAT-SHEET="Para Indent" FSL="Default" -->
<P><FONT FACE="Times New Roman, Times, Serif" SIZE=2>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Pursuant
to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused
this report to be signed on its behalf by the undersigned hereunto duly authorized. </FONT></P>


<!-- MARKER FORMAT-SHEET="Para Hang 20" FSL="Workstation" -->
<TABLE WIDTH=100% CELLPADDING=0 CELLSPACING=0>
  <TR VALIGN=TOP>
    <TD WIDTH=34%><FONT FACE="Times New Roman, Times, Serif" SIZE=2>&nbsp; Date:
      &nbsp;&nbsp;November 18, 2004 </FONT></TD>
    <TD WIDTH=21%>&nbsp;</TD>
    <TD colspan="2"><FONT FACE="Times New Roman, Times, Serif" SIZE=2> </FONT><FONT FACE="Times New Roman, Times, Serif" SIZE=2>
      IDX SYSTEMS CORPORATION<br>
      </FONT></TD>
  </TR>
  <TR VALIGN=TOP>
    <TD WIDTH=34%>&nbsp;</TD>
    <TD WIDTH=21%>&nbsp;</TD>
    <TD width="4%"><font face="Times New Roman, Times, Serif" size=2>By:</font></TD>
    <TD WIDTH=41%><font face="Times New Roman, Times, Serif" size=2> /s/ JAMES H. CROOK, JR.<br>
      </font>
      <hr noshade size="1">
      <font face="Times New Roman, Times, Serif" size=2>James H. Crook, Jr.<br>
      Chief Executive Officer </font></TD>
  </TR>
</TABLE>




<!-- MARKER PAGE="sheet: 3; page: 3" -->
<HR SIZE=5 COLOR=GRAY NOSHADE>



<!-- MARKER FORMAT-SHEET="Head Minor Center" FSL="Default" -->
<P ALIGN=CENTER><FONT FACE="Times New Roman, Times, Serif" SIZE=2>EXHIBIT INDEX </FONT></P>


<TABLE WIDTH="100%" CELLPADDING="0" CELLSPACING="0">
<TR VALIGN="BOTTOM">
     <TH ALIGN="Left"><FONT FACE="Times New Roman" SIZE="2"><U>Exhibit No.</U>
</FONT></TH>
     <TH ALIGN="Left"><FONT FACE="Times New Roman" SIZE="2"><U>Description</U>
</FONT></TH></TR>
<TR VALIGN="TOP">
     <TD WIDTH="30%"><FONT FACE="Times New Roman" SIZE="2"><BR>99.1
</FONT></TD>
     <TD WIDTH="70%"><FONT FACE="Times New Roman" SIZE="2"><BR>Press release entitled "IDX Systems Corporation
and Stentor, Inc. Renew Technology Partnership for Medical Image and Information Management System"
<BR> issued by the Company on November 17, 2004.
</FONT></TD></TR>
<TR VALIGN="TOP">
     <TD WIDTH="30%"><FONT FACE="Times New Roman" SIZE="2"><BR>99.2+
</FONT></TD>
     <TD WIDTH="70%"><FONT FACE="Times New Roman" SIZE="2"><BR>
Second Amendment to Distribution and Development Agreement by and
                                                between Stentor, Inc. and IDX Systems Corporation dated as of
                                                November 16, 2004.

</FONT></TD></TR>


</TABLE>







<!-- MARKER FORMAT-SHEET="Cutoff Rule" FSL="Default" -->
<P>_________________ </P>

<!-- MARKER FORMAT-SHEET="Para Hang" FSL="Default" -->
<TABLE WIDTH=100% CELLPADDING=0 CELLSPACING=0>
<TR VALIGN=TOP>
<TD WIDTH=5%><FONT FACE="Times New Roman, Times, Serif" SIZE=2>+ </FONT></TD>
<TD><FONT FACE="Times New Roman, Times, Serif" SIZE=2>&nbsp; </FONT></TD>
<TD WIDTH=95%><FONT FACE="Times New Roman, Times, Serif" SIZE=2>
Confidential treatment requested as to certain portions, which portions have been
separately filed with the Securities and Exchange Commission. </FONT></TD>
</TR>
</TABLE>
<BR>



</BODY>
</HTML>
[{"type": "8-K", "sequence": "1", "filename": "idxform8k1104.htm", "description": "FORM 8-K-11/16/04", "secsgml_size_bytes": 10387}]
{"company-data": {"conformed-name": "IDX SYSTEMS CORP", "cik": "0001001185", "assigned-sic": "7373", "irs-number": "030222230", "state-of-incorporation": "VT", "fiscal-year-end": "1231"}, "filing-values": {"form-type": "8-K", "act": "34", "file-number": "000-26816", "film-number": "041154346"}, "business-address": {"street1": "1400 SHELBURNE RD", "street2": "PO BOX 1070", "city": "SOUTH BURLINGTON", "state": "VT", "zip": "05403", "phone": "8028621022"}, "mail-address": {"street1": "1400 SHELBURNE RD", "street2": "PO BOX 1070", "city": "SOUTH BURLINGTON", "state": "VT", "zip": "05403"}}
UNITED STATES
SECURITIES AND EXCHANGE
COMMISSION
WASHINGTON, D.C. 20549
_________________
FORM 8-K
CURRENT REPORT
Pursuant
to Section 13 or 15(d) of the Securities Exchange Act of 1934
Date
of Report (Date of earliest event reported):   November 16, 2004
IDX SYSTEMS CORPORATION
_________________
(Exact Name of
Registrant as Specified in Charter)
Vermont
(State or other juris-
diction of incorporation
0-26816
(Commission
File Number)
03-0222230
(IRS Employer
Identification No.)
40 IDX Drive, South Burlington, VT
(Address of principal executive offices)
05403
(Zip Code)
Registrant's
telephone number, including area code: 802-862-1022
(Former Name or Former Address, if Changed Since Last Report)
Check
the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the
filing obligation of the registrant under any of the following provisions (
see
General Instruction A.2. below):
|_|      Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
|_|      Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
|_|      Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
|_|      Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Item 1.01. Entry into a
Material Definitive Agreement
On November 16, 2004, IDX Systems
Corporation entered into a second amendment (the "Second Amendment") to its
Distribution and Development Agreement with Stentor, Inc., dated November 15, 2000. The
Distribution and Development Agreement, which was previously amended effective January 1,
2004, addresses the terms pursuant to which IDX and Stentor engage in development to
facilitate the integration of certain Stentor products for archiving and viewing medical
images and certain IDX products for automating the management of work flow in radiology
practices and departments. IDX currently owns 562,069 shares of the Series D Convertible
Preferred Stock of Stentor, which is approximately 3.4% of all of the shares of the
capital stock of Stentor on a fully-diluted basis. The Second Amendment extends the
expiration date of the term of the Distribution and Development Agreement from November
15, 2005 to November 15, 2015. In the Second Amendment, Stentor agrees to provide certain
functionality, technical improvements, and architectural features in its image processing
software. In addition, IDX and Stentor agree to expand the scope of their cross licenses
and adjust the rates of compensation in respect of their jointly-developed picture
archiving and communications system to permit distribution and vendor relationships with a
wider range of parties and customers. The full text of the press release issued in
connection with the announcement of the Second Amendment is attached hereto as Exhibit
99.1. A copy of the Second Amendment is attached hereto as Exhibit 99.2 and is
incorporated by reference herein.
Item 9.01. Financial
Statements and Exhibits
(c)   
Exhibits
See Exhibit
Index attached hereto.
SIGNATURE
Pursuant
to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused
this report to be signed on its behalf by the undersigned hereunto duly authorized.
Date:
        November 18, 2004
IDX SYSTEMS CORPORATION
By:
/s/ JAMES H. CROOK, JR.
James H. Crook, Jr.
Chief Executive Officer
EXHIBIT INDEX
Exhibit No.
Description
99.1
Press release entitled "IDX Systems Corporation
and Stentor, Inc. Renew Technology Partnership for Medical Image and Information Management System"
issued by the Company on November 17, 2004.
99.2+
Second Amendment to Distribution and Development Agreement by and
                                                between Stentor, Inc. and IDX Systems Corporation dated as of
                                                November 16, 2004.
_________________
+
Confidential treatment requested as to certain portions, which portions have been
separately filed with the Securities and Exchange Commission.