A city skyline at night

Company History

See how we have evolved and know the best is yet to come.


  • Forbes Best Mid-size Employers for third consecutive year
  • Named to Newsweek America’s Most Trustworthy Companies list for third year in a row
  • Ranked No. 1 EHR/PM by Black Book Research for Seventh Consecutive Year
  • NextGen® Behavioral Health Suite ranked #1 Behavioral Health solution in the 2024 Best in KLAS report


  • NextGen Healthcare acquired by Thoma Bravo and becomes a private company
  • Forbes Best Mid-size Employers for second consecutive year
  • Newsweek America's Most Trustworthy Companies for second year in a row
  • Mirth Connect receives ONC Health IT Certification
  • Ranked No. 1 EHR/PM by Black Book Research for Sixth Consecutive Year


  • Acquires TSI Healthcare, a privately held value-added reseller
  • Named to Newsweek America’s Most Trustworthy Companies list
  • Recognized as Forbes America’s Best Midsize Employers
  • First complete EHR to receive ONC Health IT certification
  • Earns top spot in small practice PM/EMR segment in 2022 Best in KLAS report (10 or fewer physicians)
  • Ranks #1 Practice Management solution in 2022 Best in KLAS report (11-75 physicians) for fourth consecutive year


  • Receives 2021 Surescripts White Coat Award for Structured & Codified Sig Champion
  • David Sides joins NextGen Healthcare as president and CEO
  • Takes top spot for Ambulatory EMR in 2021 Best in KLAS report (11–75 providers)
  • Ranks #1 Practice Management solution in 2021 Best in KLAS report (11–75 providers) for third year in a row
  • Ranks #6 on Top 100 Healthcare Technology Companies by The Healthcare Technology Report


  • Recognized as Top Practice Management solution in 2020 Best in KLAS report (11–75 providers)  
  • Named #1 in Client Satisfaction for Ambulatory EHR by Black Book Research


  • Named Top Practice Management solution in Best in KLAS 2019 report (11+ physicians), bypassing long-seated competitors  
  • Wins North American Enabling Technology Leadership Award for Ambulatory Revenue Cycle Management Services from Frost & Sullivan
  • Receives the highest score for Overall Satisfaction and Product Functionality in the KLAS 2019 Small Practice Ambulatory EHR/PM report (10 or fewer physicians) for NextGen® Office
  • NextGen® Share celebrates its fifth anniversary as the free interoperability solution that allows clinical care teams to view and exchange data with more than 1.5 million provider recipients
  • Acquires Topaz Information Solutions, a behavioral health platform leader
  • Acquires Medfusion, Inc., a patient experience platform leader
  • Acquires OTTO Health, a telehealth platform leader


  • Named #1 Ambulatory EHR in OB/GYN, General Practice, Multispecialty by Black Book Research
  • Receives the 2018 White Coat Award for highest accuracy in the delivery of prescriptions
  • Company aligns under a single brand and visual identity as NextGen Healthcare; launches a new corporate logo and brand identity (QSI remains in dental market)
  • Named Most Improved Physician Practice in 2018 Best in KLAS report
  • Orthopedics and rehab therapy practices are added to the client pool with the acquisition of Inforth Technologies, best known for specialty-focused clinical content


  • Named Most Improved Physician Practice in 2017 Best in KLAS report for NextGen Practice Management solution – an increase of 12 percent year-over-year in the 75+ provider segment
  • Adds population health analytics with the acquisition of EagleDream Health
  • Entrada’s mobile platform for clinical documentation and collaboration is added to the NextGen Healthcare family of products


  • Acquires HealthFusion Holidings, Inc. (MediTouch), a cloud-based EHR/PM, in the small-practice ambulatory market


  • Acquires Gennius, Inc., a leading provider of healthcare data analytics


  • Receives top performance honors for Ambulatory Care RCM Services in KLAS report
  • Celebrates 40th anniversary by ringing the NASDAQ Stock Market closing bell


  • True interoperability becomes a reality for NextGen Healthcare clients with the acquisition and integration of global HIT leader Mirth. 


  • Matrix Management Solutions is acquired to expand our RCM offering
  • Ranked among the Top 20 Most Popular EMR Solutions by Capterra, Inc.


  • ViaTrack becomes part of NextGen Healthcare and brings technology to enhance EDI offerings


  • Enters the revenue cycle management (RCM) market through acquisition of Healthcare Strategic Initiatives and Practice Management Partners to help doctors manage billing and payments


  • Flagship EMR and PM applications are born when QSI combines Clinitec and Micromed to create NextGen Healthcare Information Systems


  • Micromed joins the QSI family, adding front-and back-office practice management software to the line-up


  • QSI enters the ambulatory healthcare market with the acquisition of Clinitec, a software provider that converts paper medical records into Electronic Medical Records (EMR)


  • On December 10, QSI goes public on the New York Stock Exchange (NYSE) under the symbol QSII


  • QSI incorporates in Irvine, California, as a computer consulting business and becomes the first turn-key customizable practice management solution for dental practices


  • QSI adds managed-care features into its systems in anticipation of capitalized health plans


  • Quality Systems, Inc. (QSI) is founded by Sheldon Razin