NextGen Healthcare
NextGen Healthcare is a United States healthcare technology company providing electronic health records, practice management, interoperability, analytics, and related services for medical and dental organizations.
Last updated August 31, 2026
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Overview
NextGen Healthcare is an American healthcare software and services company headquartered in Irvine, California. Its products and services are aimed primarily at ambulatory medical and dental practices, physician groups, specialty organizations, and other healthcare providers. The company’s portfolio combines electronic health records, practice-management software, revenue-cycle services, patient engagement tools, data integration, quality measurement, analytics, mobile access, and information-security services. The business traces its origins to Quality Systems, Inc., a company founded by Sheldon Razin in 1973 in Corona, California. Razin initially operated the business from his home with $2,000, and the company was incorporated in April 1974. Quality Systems began as a dental-software provider before expanding into broader healthcare information systems. It became a public company on NASDAQ in December 1982 under the ticker QSII. During the 1990s and 2000s, Quality Systems broadened its capabilities through acquisitions and internal restructuring. Clinitec, founded in 1994 by Pat Cline and Bryan Rosenberger to develop software for converting paper records into electronic medical records, became part of Quality Systems after the company acquired an initial interest in 1995 and the remaining equity in 1996. Quality Systems later acquired Micromed, a provider of front- and back-office practice-management software, in 1997. Clinitec and Micromed were combined in 1999, creating the MicroMed division, which was renamed the NextGen Healthcare Information Systems division in 2001. The company continued to add services and technology through acquisitions. Its 2008 purchases of HSI and Practice Management Partners expanded billing, revenue-cycle, and consulting capabilities. In 2009, the company changed the name of its electronic medical record product from NextGen EMR to NextGen EHR. The acquisition of Sphere Health Systems in 2009 and the agreement to acquire Opus Healthcare Solutions in 2010 extended its reach into inpatient software and services, although the inpatient products were later divested. In 2013, Quality Systems acquired Mirth Corporation, bringing the Mirth Connect healthcare integration engine into its portfolio. Quality Systems also expanded its cloud and connectivity capabilities. It agreed in 2015 to acquire HealthFusion, a San Diego-based developer of web-based healthcare software, for $165 million plus potential contingent consideration of up to $25 million. Later acquisitions included Topaz Information Solutions in 2019, Medfusion in 2019, and OTTO Health, for which an acquisition agreement was announced in December 2019. These transactions strengthened the company’s patient-engagement, communication, connectivity, and ambulatory-platform offerings. On September 7, 2018, Quality Systems changed its corporate name to NextGen Healthcare, Inc., aligning the legal corporate identity with its principal operating brand. Its NASDAQ ticker changed from QSII to NXGN on September 10, 2018. In September 2023, private-equity firm Thoma Bravo announced an agreement to acquire the company and take it private at a total enterprise value of approximately $1.8 billion. The transaction was completed later in 2023, ending NextGen Healthcare’s period as a publicly traded company. The company continues to operate as a healthcare technology and services provider under private ownership.
History
NextGen Healthcare developed from Quality Systems, Inc., a company established by Sheldon Razin in 1973 in Corona, California. The business began as a dental-software company. Razin reportedly started the operation from his home study with $2,000, and Quality Systems was incorporated in April 1974. The company entered the public markets in December 1982, when it began trading on NASDAQ under the symbol QSII. The company’s expansion from dental software into wider ambulatory healthcare technology accelerated in the 1990s. Clinitec was founded in 1994 by Pat Cline and Bryan Rosenberger to develop software that helped healthcare organizations convert paper records into electronic medical records. Quality Systems acquired an initial interest in Clinitec in 1995 and purchased the remaining equity in 1996. In May 1997, Quality Systems acquired Micromed, whose software covered front-office and back-office practice-management functions. In April 1999, Clinitec and Micromed were combined into a single operating division called MicroMed. That division was renamed the NextGen Healthcare Information Systems division in 2001. Quality Systems expanded beyond core software into billing and consulting. In 2008, it acquired HSI of St. Louis, Missouri, and Practice Management Partners of Hunt Valley, Maryland. These acquisitions supported the company’s billing-services and revenue-cycle consulting activities. The company renamed its electronic medical record product from NextGen EMR to NextGen EHR in 2009, reflecting the industry’s broader adoption of electronic health record terminology. The company also pursued inpatient and interoperability capabilities. Quality Systems acquired Sphere Health Systems in August 2009 and entered an agreement in February 2010 to acquire Opus Healthcare Solutions. The related software and services were intended to support the inpatient market through the NextGen Healthcare organization. In 2013, Quality Systems acquired Mirth Corporation, developer of Mirth Connect, an open-source healthcare integration engine used by healthcare entities to exchange and connect data. Quality Systems continued to build its ambulatory and cloud-oriented portfolio through acquisitions. In October 2015, it announced an agreement to acquire HealthFusion for $165 million, with potential additional contingent consideration of up to $25 million. HealthFusion was based in San Diego and developed web-based software for physicians, hospitals, and medical billing services. In 2019, NextGen Healthcare acquired Topaz Information Solutions and completed its acquisition of Medfusion, which had been announced in November. It also announced an agreement to acquire OTTO Health in December of that year. The corporate brand was formalized in 2018. On September 7, Quality Systems changed its name to NextGen Healthcare, Inc., and on September 10 its NASDAQ ticker changed from QSII to NXGN. This change connected the corporate identity more directly with the NextGen product and service portfolio. In September 2023, Thoma Bravo announced an agreement to acquire NextGen Healthcare and take it private at a total enterprise value of approximately $1.8 billion. The transaction was completed later in 2023, ending the company’s public-market listing. NextGen Healthcare remains focused on software and services for medical and dental practices, including electronic records, practice administration, patient engagement, interoperability, quality measurement, revenue-cycle operations, analytics, and data protection.
- 2023
Thoma Bravo takes NextGen Healthcare private
[1]Thoma Bravo completes its acquisition of NextGen Healthcare at an enterprise value of approximately $1.8 billion.
- 2019
Expansion through Topaz, Medfusion, and OTTO Health
[1]NextGen Healthcare acquires Topaz Information Solutions, completes the Medfusion acquisition, and announces an agreement to acquire OTTO Health.
- 2018
Corporate rebranding and ticker change
[1]Quality Systems becomes NextGen Healthcare, Inc.; its NASDAQ ticker changes from QSII to NXGN.
- 2015
HealthFusion acquisition agreement
[1]Quality Systems announces an agreement to acquire HealthFusion for $165 million plus potential contingent consideration.
- 2013
Mirth Corporation acquisition
[1]Quality Systems acquires Mirth Corporation, bringing the Mirth Connect healthcare integration engine into the portfolio.
- 2008
Billing and consulting expansion
[1]Acquisitions of HSI and Practice Management Partners broaden billing services and revenue-cycle consulting.
- 2001
NextGen Healthcare Information Systems division is named
[1]The former MicroMed division is renamed the NextGen Healthcare Information Systems division.
- 1997
Micromed acquisition
[1]Quality Systems acquires Micromed, adding front-office and back-office practice-management software.
- 1994
Clinitec is formed
[1]Pat Cline and Bryan Rosenberger establish Clinitec to develop electronic medical-record conversion software.
- 1982
Public-market debut
[1]Quality Systems begins trading on NASDAQ under the symbol QSII.
Products and positioning
An integrated ambulatory healthcare technology and services provider combining clinical records, practice administration, interoperability, patient engagement, analytics, and revenue-cycle capabilities in a connected platform.
Electronic health record
NextGen Enterprise Ambulatory EHR
An enterprise-oriented ambulatory electronic health record platform combining clinical documentation and related practice workflows. The system is designed for medical practices and healthcare organizations that require a shared data environment for clinical records, user management, and administrative operations.
Practice management
NextGen Practice Management
Practice-management software supporting operational and administrative activities such as registration, scheduling, billing, and related front-office and back-office workflows. It shares a database foundation with the company’s core ambulatory EHR offering.
Cloud healthcare software
NextGen Office
A healthcare software offering intended to provide practice-management and clinical capabilities through a web-based or cloud-oriented environment for provider organizations.
Patient engagement
NextGen Patient Portal
A patient-facing portal supporting digital interaction between patients and healthcare practices, including access to selected health information and communication workflows.
Healthcare data management
NextGen Health Data Hub
A data-oriented platform intended to consolidate and organize healthcare information for use across clinical, operational, reporting, and analytical workflows.
Healthcare quality measurement
NextGen Health Quality Measures
Tools supporting the capture, calculation, and reporting of healthcare quality measures, helping provider organizations monitor performance and meet applicable reporting requirements.
Mobile healthcare application
NextGen Mobile
A mobile extension of the NextGen environment intended to give authorized healthcare users access to selected clinical and practice workflows away from a desktop setting.
Healthcare interoperability
NextGen Rosetta
An interface and interoperability platform designed to connect healthcare systems and support the movement of information between applications, organizations, and data environments.
Healthcare integration engine · 2013
Mirth Connect
An open-source healthcare integration engine acquired through Mirth Corporation in 2013. It is used to connect healthcare applications and facilitate the exchange and transformation of clinical and administrative data.
Healthcare services
Revenue Cycle Management
Services supporting the financial and administrative lifecycle of healthcare claims and payments, including billing-related processes, collections workflows, and revenue-cycle operations for provider organizations.
Electronic data interchange
NextGen EDI Services
Electronic data interchange services intended to support the structured exchange of transactions and information between healthcare practices, payers, clearinghouses, and other participants.
Healthcare data security
NextGuard Data Protection
A data-protection service within the NextGen portfolio focused on safeguarding healthcare information and supporting the security needs of provider organizations.
Inpatient healthcare software
NextGen Inpatient Clinicals
An inpatient clinical software product that was formerly associated with NextGen Healthcare. The product was acquired by QuadraMed in 2015 and is therefore no longer part of the company’s current product portfolio.
Inpatient financial software
NextGen Inpatient Financials
An inpatient financial software product formerly associated with NextGen Healthcare. It was acquired by QuadraMed in 2015 and is no longer identified as a current NextGen offering.
Brand decisions
2023
Take the company privateM&ABackground
NextGen Healthcare had operated as a publicly traded healthcare technology company on NASDAQ.
Action taken
Thoma Bravo agreed to acquire NextGen Healthcare and completed the transaction later in 2023.
Aftermath
NextGen Healthcare became privately held under Thoma Bravo ownership, ending its public listing.
Total enterprise value. $1.8 billion (2023 acquisition)
2019
Expand patient-engagement and connectivity capabilitiesM&ABackground
NextGen Healthcare sought to broaden its ambulatory technology platform beyond core records and practice-management software.
Action taken
The company acquired Topaz Information Solutions, completed the acquisition of Medfusion, and announced an agreement to acquire OTTO Health.
Aftermath
The transactions expanded the portfolio in patient communication, engagement, and connected healthcare workflows.
2018
Adopt the NextGen Healthcare corporate identityStrategyBackground
Quality Systems had developed the NextGen brand as a major operating identity for its healthcare information systems business.
Action taken
The company changed its legal corporate name to NextGen Healthcare, Inc. and changed its NASDAQ ticker from QSII to NXGN.
Aftermath
The rebranding aligned the public company’s name and market identity with its principal healthcare software brand.
Recent events
- Unconfirmed
NextGen Healthcare partners with Doctible[2]
NextGen Healthcare partnered with Doctible, which will integrate with NextGen Office, NextGen Healthcare's cloud-based electronic health record and practice management system.
Sources2 sources
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