Who NextGen Healthcare is best for
NextGen Healthcare makes EHR and practice management software for outpatient practices and owns Mirth Connect, an HL7 integration engine. The company was taken private by Thoma Bravo in a $1.8 billion deal completed in November 2023. It says it supports more than 10,000 medical groups across 40+ specialty markets and serves 300+ FQHCs and community health centers.
Best for
- Independent practices under 10 providers that want cloud EHR, PM and billing (NextGen Office)
- Multi-specialty and specialty groups of 10+ providers that need configurable templates (NextGen Enterprise)
- FQHCs and community health centers with population health and quality reporting needs
Not ideal for
- Buyers who want published, self-serve pricing
- Very small practices that only need a lightweight charting tool
- Hospitals looking for an inpatient EHR
NextGen Healthcare pros and cons
Pros
- Two editions sized for under-10-provider practices and for mid-size to enterprise groups
- Integrated EHR, practice management, clearinghouse, billing and patient portal
- Ambient AI documentation (Ambient Assist) that drafts structured notes in the EHR
- Mirth Connect and NextGen Share for interoperability; NextGen says it serves one third of public HIEs
- Published security attestations: HITRUST CSF, SOC 2 Type II, ISO 27001, AWS hosting
Cons
- No public pricing for either edition
- Lab, registry and other external interfaces carry separate license, implementation and maintenance fees
- NextGen Office's ONC certification on file dates from 2018 (version 5.0), while Enterprise 8 was certified in 2025
NextGen Healthcare pricing
NextGen does not publish prices for Office or Enterprise as of October 2026. Its required ONC cost disclosures describe the fee structure:
- NextGen Office: a per-provider fee that includes Surescripts e-prescribing and the YourHealthFile.com patient portal; lab and immunization registry interfaces have license, implementation and monthly maintenance fees, and data migration may cost extra.
- NextGen Enterprise: the FHIR and patient access APIs, NextGen Share, Rosetta Interface Messenger and Surescripts are included; the First Databank drug database has an annual per-provider fee, the Medfusion portal has a setup fee plus a per-provider monthly subscription, and lab, immunization and other registry interfaces carry license, implementation and annual support fees.
Key features
- NextGen Office: cloud EHR, practice management and billing with an embedded patient portal, e-prescribing, lab connections, eligibility, clearinghouse, MIPS reporting, online scheduling, payments and virtual visits
- NextGen Enterprise: EHR and practice management for 10+ providers with 2,000+ clinical templates and specialty content
- Ambient Assist (Clinical AI): turns visit conversations into structured notes; NextGen says it can save providers up to 2.5 hours a day
- NextGen Mobile: mobile EHR access with documentation flowing into the chart
- Mirth Connect and Mirth Cloud Connect: HL7 and FHIR integration engine, self-run or fully managed
HIPAA, security and integrations
NextGen's trust page says it meets or exceeds HIPAA requirements, uses the HITRUST CSF (letter available on request), completes annual SOC 2 Type II audits (SOC 3 available), and has ISO 27001 certification with ISO 27017 and 27018 controls. Hosted solutions run on AWS, and Enterprise EHR, PM and Population Health hold TX-RAMP Level 2. NextGen Enterprise 8 is ONC certified (June 2025). NextGen is also an accredited DirectTrust HISP for NextGen Share and NextGen Connect. The trust page does not mention a BAA; ask for it during contracting.
NextGen Healthcare alternatives
- athenahealth (athenaOne) — single cloud EHR, practice management and RCM platform for ambulatory practices, with billing services built in.
- eClinicalWorks — ambulatory EHR and PM with healow patient tools, common in primary care and FQHCs.
- AdvancedMD — cloud EHR, PM and billing for independent practices with published price ranges.
- ModMed — specialty-specific EHR and PM for dermatology, orthopedics, ophthalmology and similar practices.
- Epic — for groups affiliated with health systems that need inpatient and outpatient on one record.
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