Sign in

NXGN on NASDAQ

NextGen Healthcare Information Systems

Logo: NextGen Healthcare Inc's creative team, CC BY-SA 4.0, via Wikimedia Commons4

American software and services company

NextGen Healthcare, Inc. is an American software and services company headquartered in Irvine, California. The company develops and sells electronic health record (EHR) software and practice management systems to the healthcare industry, as part of a range of software, services and analytics 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.3 It employed 2,900 people in 2018.1 Wikipedia text CC BY-SA 4.0

Price unavailable

Last updated Oct 21, 2026.

Overview

$653.2MRevenue, fiscal 20235
-$2.7MNet income, fiscal 20235
1976Founded1

Compare with Ribbon Communications, ECARX Holdings Inc. or NetScout Systems, or pick any stock.

  • TickerNXGN on NASDAQ1
  • Industryhealth information technology1
  • HeadquartersIrvine1
  • Founded inIrvine1
  • Websitewww.nextgen.com
  • Legal formpublic company1
  • Incorporated inDE6
  • Business address18111 Von Karman Avenue, Suite 600, Irvine, Ca 926126
  • Filer categoryLarge accelerated filer6

See how the biggest companies compare on our leaderboards

NextGen Healthcare, Inc. is an American software and services company headquartered in Irvine, California. The company develops and sells electronic health record (EHR) software and practice management systems to the healthcare industry, as part of a range of software, services and analytics 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.3

Financials

From the company’s reports to the SEC. Every number links to the filing it came from.

Key numbers, fiscal 2023

47.6%Gross margin5
-0.6%Operating margin5
-0.4%Net margin5
9.5%Revenue growth, 20235
-0.7%Return on equity5
$41.4MFree cash flow5

Where the money goes

Where each dollar of revenue went, fiscal 2023

  • Cost of revenue52¢$342.0M
  • Research and development12¢$82.3M
  • Selling, general and admin34¢$223.4M
  • Interest1¢$6.3M
  • Income tax1¢$7.0M

Out of $653.2M in revenue.5 The company lost money this year.

Where each dollar of operating cash went, fiscal 2023

  • Capital spending4¢$2.3M
  • Share buybacks96¢$49.9M

Out of $43.7M of cash from operations. Spending exceeded cash from operations; the rest came from savings or borrowing.5

Financial statements

Revenue891011125$653.2M in 2023+33% since 2016
0$200.0M$400.0M$600.0M$800.0M2016: $492.5M$492.5M20162017: $509.6M$509.6M2017+3%2018: $531.0M$531.0M2018+4%2019: $529.2M$529.2M2019−0%2020: $540.2M$540.2M2020+2%2021: $556.8M$556.8M2021+3%2022: $596.4M$596.4M2022+7%2023: $653.2M$653.2M2023+10%
Gross profit891011125$311.2M in 2023+17% since 2016
0$100.0M$200.0M$300.0M$400.0M2016: $266.9M$266.9M20162017: $286.5M$286.5M2017+7%2018: $289.5M$289.5M2018+1%2019: $282.5M$282.5M2019−2%2020: $272.8M$272.8M2020−3%2021: $281.4M$281.4M2021+3%2022: $300.9M$300.9M2022+7%2023: $311.2M$311.2M2023+3%
Operating income891011125-$3.9M in 2023
-$10.0M0$10.0M$20.0M$30.0M$40.0M2016: $7.4M$7.4M20162017: $27.0M$27.0M2017+267%2018: $2.8M$2.8M2018−90%2019: $31.6M$31.6M2019+1021%2020: $5.1M$5.1M2020−84%2021: $12.8M$12.8M2021+151%2022: $6.7M$6.7M2022−48%2023: -$3.9M-$3.9M2023
Net income891011125-$2.7M in 2023
-$10.0M0$10.0M$20.0M$30.0M2016: $5.7M$5.7M20162017: $18.2M$18.2M2017+222%2018: $2.4M$2.4M2018−87%2019: $24.5M$24.5M2019+912%2020: $7.5M$7.5M2020−69%2021: $9.5M$9.5M2021+27%2022: $1.6M$1.6M2022−83%2023: -$2.7M-$2.7M2023
Fiscal year20162017201820192020202120222023
Revenue$492.5M8$509.6M9$531.0M10$529.2M11$540.2M12$556.8M5$596.4M5$653.2M5
Cost of revenue$225.6M8$223.1M9$241.5M10$246.7M11$267.4M12$275.4M5$295.4M5$342.0M5
Gross profit$266.9M8$286.5M9$289.5M10$282.5M11$272.8M12$281.4M5$300.9M5$311.2M5
Research and development$65.7M8$78.3M9$81.3M10$81.0M11$83.3M12$75.5M5$76.7M5$82.3M5
Selling, general and admin$156.2M8$163.6M9$193.2M10$164.9M11$165.2M12$180.5M5$209.7M5$223.4M5
Operating expenses$294.3M5$315.0M5
Operating income$7.4M8$27.0M9$2.8M10$31.6M11$5.1M12$12.8M5$6.7M5-$3.9M5
Interest$1.3M8$3.2M9$3.3M10$2.8M11$2.0M12$3.5M5$1.5M5$6.3M5
Income before tax$5.2M5$4.3M5
Income tax$663.0K8$5.4M9-$2.8M10$4.8M11-$3.2M12-$240.0K5$3.6M5$7.0M5
Net income$5.7M8$18.2M9$2.4M10$24.5M11$7.5M12$9.5M5$1.6M5-$2.7M5
Earnings per share$0.098$0.309$0.0410$0.3811$0.1112$0.145$0.025-$0.045
Earnings per share (diluted)$0.098$0.299$0.0410$0.3811$0.1112$0.145$0.025-$0.045
Shares (weighted, basic)67.4M shares567.0M shares5
Shares (weighted, diluted)67.8M shares567.0M shares5

Compare NextGen Healthcare Information Systems with another company

Corporate structure

NextGen Healthcare Information Systems sits at the top of its group. 1 entity, 1 country on record. Switch between the flow chart and the network, and select any entity to see its details.

Major holders of NextGen Healthcare Information Systems

  • VANGUARD GROUP INC Filed SC 13G/A on NextGen Healthcare Information Systems, latest Oct 10, 2023 (3 filings since Feb 10, 2022)
  • Three Prong Investments, LLC Filed SC 13G on NextGen Healthcare Information Systems, latest Jun 16, 2023
  • BlackRock Filed SC 13G/A on NextGen Healthcare Information Systems, latest Jan 27, 2023 (4 filings since Jan 25, 2022)
  • BROWN CAPITAL MANAGEMENT LLC Filed SC 13G/A on NextGen Healthcare Information Systems, latest Jan 10, 2022 (2 filings since Nov 10, 2021)
  • Sheldon Razin Filed SC 13D/A on NextGen Healthcare Information Systems, latest Oct 14, 2021
  • NextGen Healthcare Information Systems Irvine

Built from major holders from Schedules 13D and 13G. Each entity in the chart links to its source.

What it owns

What NextGen Healthcare Information Systems reports owning in its annual reports to the SEC: buildings, land and equipment, real estate and locations, investments, intangible assets and inventory, at the end of its latest fiscal year and a year before.

Property and equipment

ItemLatestA year beforeChange
Computer equipment and software$131.8M5 Mar 31, 2023$110.2M5 Mar 31, 2022+19.6%
Property and equipment, before depreciation$67.0M5 Mar 31, 2023$78.1M5 Mar 31, 2022−14.2%
Accumulated depreciation$60.6M5 Mar 31, 2023$69.0M5 Mar 31, 2022−12.1%
Property and equipment, net$6.4M5 Mar 31, 2023$9.1M5 Mar 31, 2022−29.6%
Operating-lease assets (leased space)$3.3M5 Mar 31, 2023$11.3M5 Mar 31, 2022−70.5%

Investments

ItemLatestA year beforeChange
Cash and cash equivalents$98.7M5 Mar 31, 2023$59.8M5 Mar 31, 2022+65.0%
Debt securities available for sale$139.6M5 Mar 31, 2023

Intangibles and goodwill

ItemLatestA year beforeChange
Goodwill$321.8M5 Mar 31, 2023$267.2M5 Mar 31, 2022+20.4%
Intangible assets, net (excluding goodwill)$29.0M5 Mar 31, 2023$24.3M5 Mar 31, 2022+19.2%

The story

Quality Systems, Inc. (QSI) was formed by Sheldon Razin in 1973 in Corona, California, as a dental software company. Sheldon started QSI in his home study with $2,000. It went on to become incorporated in April 1974.

In December 1982, QSI went public through NASDAQ under the symbol QSII.

In 1994, Clinitec was formed by Pat Cline and Bryan Rosenberger to sell software for converting paper medical records into electronic medical records. After acquiring a smaller interest in 1995, QSI purchased the remaining equity of Clinitec in 1996.

In May 1997, QSI purchased Micromed, which provided front- and back office practice management software. In April 1999, QSI combined Clinitec and MicroMed into one operating division to create the MicroMed division, which was later renamed NextGen Healthcare Information Systems division in 2001.

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, Quality Systems 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.

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

Read the full text

In 2013, Quality Systems acquired Mirth Corporation, developers of Mirth Connect, a popular open-source integration engine 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.

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

On October 30, 2015, Quality Systems announced an agreement to acquire HealthFusion for $165 million-plus potential additional contingent consideration of up to $25 million. Based in San Diego, Calif., HealthFusion was a privately held developer of web-based software for physicians, hospitals and medical billing services.

In September 2018, Quality Systems changed its corporate name to NextGen Healthcare, Inc., and its Nasdaq ticker changed from QSII to NXGN.

In October 2019, NextGen Healthcare acquired Topaz Information Solutions.

In November 2019, NextGen Healthcare announced the acquisition of Medfusion and completed the acquisition in December 2019.

In December 2019, NextGen Healthcare announced an agreement to acquire OTTO Health

In September 2023, Thoma Bravo announced it would take NextGen Healthcare private for a total enterprise value of $1.8 billion, which was finalized couple of months later.

From Wikipedia’s article on NextGen Healthcare, shared under CC BY-SA 4.0.7

Leadership

Who has led NextGen Healthcare Information Systems, and when. Pick a name to see everywhere that person has worked.

Chief executive

  1. Lou Silverman2007–2008
  2. Steven T. Plochocki2008–2015
  3. John R. Frantz2015–2021
  4. David William Sides2021–2023

President

  1. Patrick Cline2006–2011
  2. Steven T. Plochocki2008–2015
  3. Scott D. Decker2009–2012
  4. John R. Frantz2015–2021
  5. David William Sides2021–2023

Chief financial officer

  1. Paul Holt2006–2014
  2. John K. Stumpf2015
  3. James Robert Arnold Jr.2016–2023

Chief operating officer

  1. Daniel Morefield2012–2017
  2. Scott E. Bostick2017–2018
19801990200020102020
Board members and other officers (43)

Products and brands

  • Population Health Management
  • electronic health record
  • health information exchange
  • medical billing
  • patient portal
  • revenue cycle management

Listed on Wikidata.1

NextGen Healthcare's products include:

NextGen Enterprise 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 Office

Read the full text

NextGen Patient Portal

NextGen Health Data Hub

NextGen Health Quality Measures

NextGen Advanced Auditing

NextGen Mobile

NextGen Rosetta interface platform

Mirth Connect acquired September 2013

NextGen Healthcare's services include:

Revenue Cycle Management (RCM)

NextGen EDI Services

NextGuard Data Protection

Former products

NextGen Inpatient Clinicals acquired by Quadramed in 2015

NextGen Inpatient Financials acquired by Quadramed in 2015

From Wikipedia’s article on NextGen Healthcare, shared under CC BY-SA 4.0.7

Employees over time

  • 20182,9001

Former names

  • QUALITY SYSTEMS, INCAug 9, 2010 to Aug 16, 20186
  • QUALITY SYSTEMS INCAug 10, 1995 to Aug 3, 20106

Timeline

  1. Nov 9, 20238-K Entered a material agreement; Ended a material agreement; Completed an acquisition or sale70
  2. Nov 7, 20238-K Shareholder vote71
  3. Nov 1, 20238-K Other events72
  4. Oct 24, 20238-K Results of operations73
  5. Oct 20, 20238-K Other events74
  6. Sep 6, 20238-K Entered a material agreement; Regulation FD disclosure75
  7. Aug 23, 20238-K Executive or director change; Shareholder vote76
  8. Jul 24, 20238-K Results of operations77
  9. Jul 14, 20238-K Other events78
  10. May 16, 20238-K Results of operations79
  11. Feb 7, 20238-K Executive or director change80
  12. Jan 24, 20238-K Results of operations81
  13. Sep 24, 2021New chief executive David William Sides becomes CEO18
  14. 2018Went public Listed on NASDAQ1
  15. Jul 2, 2015New chief executive John R. Frantz becomes CEO19
  16. Aug 19, 2008New chief executive Steven T. Plochocki becomes CEO20
  17. Jun 13, 2007New chief executive Lou Silverman becomes CEO21
  18. 1976Founded Founded in Irvine1

Calendar

When it reported results

  1. Oct 24, 2023Reported quarterly or annual results73
  2. Jul 24, 2023Reported quarterly or annual results77
  3. May 16, 2023Reported quarterly or annual results79
  4. Jan 24, 2023Reported quarterly or annual results81
  5. Oct 25, 2022Reported quarterly or annual results82
  6. Jul 26, 2022Reported quarterly or annual results83
  7. May 17, 2022Reported quarterly or annual results84
  8. May 2, 2022Reported quarterly or annual results85

Upcoming dates from Nasdaq's calendar; past results from the company's 8-K filings (Item 2.02). The full markets calendar

Filings

223 filings to the SEC since October 2021: 2 annual reports, 7 quarterly reports, 23 major events, 143 insider forms, 11 large holders, 37 other. The latest 20:

  1. Nov 20, 202315-12G EDGAR
  2. Nov 13, 20234 EDGAR
  3. Nov 13, 20234 EDGAR
  4. Nov 13, 20234 EDGAR
  5. Nov 13, 20234 EDGAR
  6. Nov 13, 20234 EDGAR
  7. Nov 13, 20234 EDGAR
  8. Nov 13, 20234 EDGAR
  9. Nov 13, 20234 EDGAR
  10. Nov 13, 20234 EDGAR
  11. Nov 13, 20234 EDGAR
  12. Nov 13, 20234 EDGAR
  13. Nov 13, 20234 EDGAR
  14. Nov 13, 20234 EDGAR
  15. Nov 13, 20234 EDGAR
  16. Nov 13, 20234 EDGAR
  17. Nov 13, 20234 EDGAR
  18. Nov 13, 20234 EDGAR
  19. Nov 9, 202325-NSE EDGAR
  20. Nov 9, 2023S-8 POS EDGAR

The 223 filings since October 2021 can be filtered by form type and year here when JavaScript is on.

Every filing from the last five years, summarized. The full record is on SEC EDGAR.

Insider trades

21 open-market trades by officers, directors and large owners since October 2021: 3 buys and 18 sales. Grants, option exercises and gifts are left out.

DateWhoTradeSharesPriceValueFiling
Dec 1, 2022Metcalfe David AChief Technology OfficerSale32,372$20.58$666.2KForm 4
Nov 8, 2022Waters MitchellEVP, Commercial GrowthSale9,783$20.50$200.6KForm 4
Nov 1, 2022Metcalfe David AChief Technology OfficerSale32,372$20.00$647.4KForm 4
Oct 26, 2022Metcalfe David AChief Technology OfficerSale32,372$20.21$654.2KForm 4
Oct 26, 2022Waters MitchellEVP, Commercial GrowthSale3,889$20.00$77.8KForm 4
Sep 1, 2022Barbarosh Craig A.DirectorSale3,500$17.27$60.4KForm 4
Aug 1, 2022Barbarosh Craig A.DirectorSale3,500$17.35$60.7KForm 4
Jul 1, 2022Barbarosh Craig A.DirectorSale3,500$17.39$60.9KForm 4
Jun 1, 2022Barbarosh Craig A.DirectorSale3,500$18.17$63.6KForm 4
May 3, 2022Metcalfe David AChief Technology OfficerSale33,838$20.00$676.8KForm 4
May 2, 2022Barbarosh Craig A.DirectorSale3,500$19.01$66.5KForm 4
Apr 25, 2022Metcalfe David AChief Technology OfficerSale33,838$20.11$680.5KForm 4
Apr 1, 2022Barbarosh Craig A.DirectorSale3,500$21.27$74.4KForm 4
Mar 15, 2022Ahmadzai DavidChief Accounting OfficerSale6,250$19.55$122.2KForm 4
Mar 3, 2022Greene Donna CullenEVP, Human ResourcesSale63,625$20.05$1.3MForm 4
Feb 2, 2022Waters MitchellEVP, Commercial GrowthSale2,521$19.11$48.2KForm 4
Dec 10, 2021Velamoor Srinivas SSee RemarksBuy3,000$16.23$48.7KForm 4
Nov 30, 2021Sides David WilliamPresident and CEOBuy6,500$15.62$101.5KForm 4
Nov 30, 2021Arnold James Robert Jr.Chief Financial OfficerBuy5,000$15.47$77.3KForm 4
Nov 3, 2021Waters MitchellEVP, Commercial GrowthSale3,349$17.00$56.9KForm 4

All 21 trades can be filtered by person here when JavaScript is on.

From Forms 4 filed with the SEC.

Major holders

Investors who own more than 5% of the shares must tell the SEC: a 13D if they may seek to influence the company, a 13G if they hold passively.

SEC filer profile

How NextGen Healthcare Information Systems is registered with the Securities and Exchange Commission, from its EDGAR record and the cover page of its latest annual report.

  • Name on EDGARNEXTGEN HEALTHCARE, INC.2
  • CIK0000708818
  • Employer ID (EIN)95-28885682
  • Filer statusLarge accelerated filer2
  • Incorporated inDelaware2
  • Fiscal year endsMarch 312
  • Industry code (SIC)7373 Services-Computer Integrated Systems Design2
  • Business address18111 Von Karman Avenue, Suite 600, Irvine, CA 926122
  • Phone949-255-26002
  • Shares outstanding67,096,894 as of Oct 20, 202314
  • Public float$975.4M as of Sep 30, 20225
  • On EDGAR sinceJul 24, 19952
  • Filings1,488 in all: 4 (633), 8-K (250), 10-Q (80), DEFA14A (73), SC 13G/A (56), 3 (47), DFAN14A (35), SC 13D/A (35)2
    All 54 form types

    8-K/A (30), UPLOAD (29), 10-K (27), DEF 14A (26), SC 13G (22), CORRESP (17), S-8 POS (15), SC 13D (13), PREC14A (11), S-8 (9), 4/A (8), DEFC14A (8), PRRN14A (8), PRER14A (7), 10-K/A (5), 10QSB (5), 10-Q/A (3), ARS (3), 3/A (2), D (2), DEFR14A (2), PRE 14A (2), S-3ASR (2), 10-C (1), 10KSB (1), 10QSB/A (1), 144 (1), 15-12G (1), 25-NSE (1), 424B3 (1), 424B4 (1), 424B7 (1), 5 (1), 8-A12B/A (1), 8-A12G (1), CT ORDER (1), DEFM14A (1), DEFN14A (1), EFFECT (1), NT 10-Q (1), PREM14A (1), PREN14A (1), REGDEX (1), S-1 (1), S-1/A (1), S-3 (1)

  • Latest filingsAnnual report (10-K) May 23, 2023
    Quarterly report (10-Q) Oct 24, 2023
    Proxy statement (DEF 14A) Jul 27, 2023
    Latest 8-K (8-K) Nov 9, 2023

Sources

The numbers on this page point here. Each one links to the record it came from.

  1. 1
  2. 2
  3. 3
  4. 4
  5. 5
  6. 6
  7. 7
  8. 8
  9. 9
  10. 10
  11. 11
  12. 12
  13. 13
  14. 14
  15. 15
  16. 16
  17. 17
  18. 18
  19. 19
  20. 20
  21. 21
  22. 22
  23. 23
  24. 24
  25. 25
  26. 26
  27. 27
  28. 28
  29. 29
  30. 30
  31. 31
  32. 32
  33. 33
  34. 34
  35. 35
  36. 36
  37. 37
  38. 38
  39. 39
  40. 40
  41. 41
  42. 42
  43. 43
  44. 44
  45. 45
  46. 46
  47. 47
  48. 48
  49. 49
  50. 50
  51. 51
  52. 52
  53. 53
  54. 54
  55. 55
  56. 56
  57. 57
  58. 58
  59. 59
  60. 60
  61. 61
  62. 62
  63. 63
  64. 64
  65. 65
  66. 66
  67. 67
  68. 68
  69. 69
  70. 70
  71. 71
  72. 72
    SEC EDGAROther events
  73. 73
  74. 74
    SEC EDGAROther events
  75. 75
  76. 76
  77. 77
  78. 78
    SEC EDGAROther events
  79. 79
  80. 80
  81. 81
  82. 82
  83. 83
  84. 84
  85. 85
  86. 86
  87. 87
  88. 88
  89. 89
  90. 90