NextGen Healthcare

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NextGen Healthcare
S&P 600 component
Russell 2000 Index component
IndustryHealth IT (Health Informatics)
FounderSheldon Razin
Pat Cline
Bryan Rosenberger
Irvine, California
Area served
Key people
  • Rusty Frantz (CEO and President)
Productselectronic health records, revenue cycle management, medical billing, patient engagement and population health management
Number of employees
2,900 (September 2018)[1]
1,500 (July 2011)

NextGen Healthcare, Inc. is an American software and services company headquartered in Irvine, California, US. The company develops and sells electronic health record (EHR) software and practice management systems to the healthcare industry. NextGen Healthcare also provides population health, financial management, and clinical solutions for medical and dental practices. On September 7, 2018, Quality Systems Inc. changed its name to Nextgen Healthcare, Inc. and on September 10, their stock ticker symbol changed to NASDAQ: NXGN.


Quality Systems, Inc. (QSI) was formed by Sheldon Razin in 1974 in Irvine, California, as a dental software company. In 1994, Clinitec was formed by Pat Cline and Bryan Rosenberger to sell software for converting paper medical records into electronic medical records. Clinitec was purchased by QSI in 1996.

In 1997, QSI merged with Micromed, which provided front- and back office practice management software. In 2001, QSI combined Clinitec and Micromed to create NextGen Healthcare Information Systems.

In 2008, NextGen Healthcare then acquired HSI of St. Louis, Missouri, and Practice Management Partners of Hunt Valley, Maryland, to expand its billing services and revenue cycle consulting division.

In 2009, NextGen Healthcare updated the name of its electronic medical record system from NextGen EMR to NextGen EHR.

In February 2010, QSI entered into an agreement to acquire Opus Healthcare Solutions, Inc. and announced it would be integrated with the assets of Sphere Health Systems, Inc., which were acquired by QSI in August 2009. Both software and services companies for the inpatient market would become part of NextGen Healthcare.

In October 2010, NextGen Ambulatory EHR v.5.6.SP1 earned certification for Stage 1 Meaningful Use to support eligible providers in receiving funding under the American Recovery and Reinvestment Act (ARRA). NextGen Inpatient Clinicals v.2.4 earned Stage 1 Meaningful Use certification to support hospitals in December 2010. Version 5.6 certified reporting makes extensive use of included add-on Crystal Reports which mine data from the EHR database.

Pat Cline retired from NextGen in 2011, and started up a new health informatics venture: Lightbeam Health Solutions.[2]

In 2013, NextGen acquired Mirth Corporation, creators of Mirth Connect, a popular open-source interfacing application used by thousands of healthcare entities.

In 2013, NextGen was ranked as one of the Top 20 Most Popular EHR Software Solutions on the market by Capterra.[3]

In 2014, NextGen earned KLAS Top Performance Honors for Ambulatory RCM Services.[4]

On October 30, 2015, Quality Systems, Inc. announced an agreement to acquire HealthFusion Holdings, Inc. (HealthFusion) for $165 million-plus potential additional contingent consideration of up to $25 million. Based in San Diego, California, HealthFusion is a privately held developer of web-based, cloud computing software for physicians, hospitals and medical billing services.[5]

In 2017, Quality Systems, Inc. announced an agreement to acquire Entrada, EagleDream Health and Inforth Technologies. It changed its name to NextGen.

In 2018, NextGen Healthcare signed an agreement with Amazon and began migrating their hosted clients to an Amazon Web Services hosted solution[6]

In October 2019, NextGen Healthcare acquired Topaz Information Solutions.[7]

In November 2019, NextGen Healthcare announced acquisition of Medfusion and completed the acquisition in Dec 2019.[8]

In December 2019, NextGen Healthcare announces agreement to acquire OTTO Health[9]

Products and services[edit]

NextGen Healthcare's products include:

  • NextGen Ambulatory EHR (Electronic Health Record). The NextGen EHR is primarily a single, all-encompassing database that combines user management, EHR and EPM. This database can run under MS SQL Server 2005, 2008 or Oracle.
  • NextGen Practice Management. Shares the same database backend as the core EHR product.
  • NextGen Patient Portal
  • NextGen Health Information Exchange (HIE)
  • NextGen Health Quality Measures
  • NextGen Advanced Auditing
  • NextGen Mobile
  • NextGen Rosetta interface platform Rosetta leverages the Orion Health Symphonia toolkit.[10]
  • NextGen Connect, formerly Mirth Connect acquired September 2013 [11]

NextGen Healthcare's services include:

  • Revenue Cycle Management (RCM)
  • NextGen EDI Services
  • NextGuard Data Protection

Former products[edit]

  • NextGen Inpatient Clinicals acquired by Quadramed in 2015 [12]
  • NextGen Inpatient Financials acquired by Quadramed in 2015


  1. "Who We Are, A Healthcare Solutions Provider". NextGen Healthcare.
  2. "HIStalk Interviews Pat Cline, CEO, Lightbeam Health Solutions HIStalk". Retrieved 2016-02-11.
  3. "Best Electronic Medical Records (EMR) Software - 2019 Reviews of the Most Popular Systems".
  4. "NextGen Media Release on KLAS".
  5. "Quality Systems, Inc. Announces Agreement to Acquire HealthFusion Holdings, Inc".
  6. "NextGen Healthcare Case Study". Amazon Web Services, Inc.
  7. "Nextgen's acquisition of Topaz".
  8. "Nextgen's acquisition of Medfusion".
  9. "Nextgen's acquisition of OTTO health".
  10. "NextGen's aquisation of Mirth - Mirth Community".
  11. Chilmarkadmin (17 September 2013). "Can Mirth Revive NextGen?".
  12. "Quality Systems sells off NextGen inpatient unit". Healthcare IT News. 23 October 2015.