NextGen Healthcare
NextGen Healthcare is one of those names that sounds like marketing until you trace the lineage and realize it is infrastructure with a memory. Founded in 1974 by Sheldon “Shelly” Razin with $2,000 and a garage desk, the company grew without venture backing into a public market force before rebranding from Quality Systems, Inc. in 2018. That origin matters because it shows up in the product. This is not theory built in a pitch deck. It is decades of pressure from real clinics, real billing cycles, and real patient flow, now expressed through a deeply embedded SaaS platform designed to simplify the business of ambulatory care.
Ambulatory care is where healthcare either moves or stalls. It is where schedules collide with reimbursement, where documentation competes with attention, where fragmented systems quietly tax every decision. NextGen Healthcare built directly into that friction. Its platform spans electronic health records, practice management, revenue cycle, interoperability, behavioral health, AI-powered ambient documentation, and analytics. The scale is not cosmetic. More than 10,000 medical groups, 75,000 locations, and 31 million patient records run through the system across 40+ specialties, with 300+ FQHCs and CHCs in the mix. In SaaS, scale is not just distribution. It is proof that the product holds under repetition.
Leadership is where the story tightens. Srinivas “Sri” Velamoor stepped into the role of President and Chief Executive Officer on October 1, 2025, completing a planned transition that signaled continuity, not correction. James Hammerschmidt oversees capital as Chief Financial Officer. Mitch Waters drives revenue. Katie Chaffee owns the client experience. Jacob “Jake” Sims leads technology. Robert Murry brings clinical authority. Garo Doudian secures the system. Donna Greene shapes the workforce. Jeffrey Linton governs the legal edge. David Sides, former Chief Executive Officer, remains in the frame as Board Director and investor. This is a team built for execution inside a scaled SaaS environment, not experimentation at the margins.
The differentiation sits in focus and infrastructure. NextGen Healthcare is not chasing the entire healthcare stack. It is anchored in ambulatory care with precision. Mirth Connect powers one-third of public health information exchanges in the United States, which is less a feature and more a backbone. The Behavioral Health Suite carries top KLAS recognition. Ambient Assist moves documentation closer to conversation, compressing the time between care delivered and care recorded. In a crowded SaaS market, that kind of alignment between product depth and market specificity is where durability starts to show.
Ownership sharpens the forward motion. Thoma Bravo took NextGen Healthcare private in November 2023. Madison Dearborn Partners stepped in with a significant stake in June 2025, with both firms backing a material increase in R&D over the next three years. That is not passive capital. It is targeted acceleration aimed at product velocity and platform cohesion. The hiring signal is live at, and it reads like a call for builders who understand that healthcare is not waiting for cleaner systems. It is demanding them. The next chapter is already in motion, and the operators paying attention know exactly where to look.