Companies that use NextGen

Source: Analysis of job postings that mention NextGen (using the Bloomberry Jobs API)

I noticed that NextGen buyers are concentrated in healthcare IT leadership, with Directors of Information Technology representing 10% of roles, followed by Product Management at 7% and Clinical Operations at 4%. These leaders are tasked with modernizing legacy systems and driving digital transformation across multi-site healthcare operations. One posting explicitly seeks someone to oversee NextGen Enterprise and NextGen Office implementations, while another mentions managing Baker Hill NextGen for loan origination. The strategic priorities consistently emphasize ERP modernization, system governance, and preparing organizations for next-generation platforms.

The day-to-day users span a remarkably diverse spectrum. Medical assistants and patient care coordinators use NextGen for scheduling and clinical documentation. Revenue cycle teams rely on it for billing workflows and claim submissions. Physical therapists document patient encounters through the system. IT specialists provide training and troubleshooting support. One posting describes how staff must be proficient in NextGen EPM for demographic entry and appointment scheduling, while another mentions NextGen system administration for healthcare finance operations.

The pain points center on legacy system replacement and operational efficiency. Organizations are seeking to "establish standards, best practices, and scalable processes to support ongoing ERP modernization efforts, including the evaluation and phased implementation of the next ERP generation." Another posting emphasizes the need to "optimize billing workflows, streamline claim submissions, and manage clean claim rates" while a third focuses on "ensuring the right information in a timely manner" to support decision-making. These companies want integrated, scalable platforms that reduce administrative burden across clinical and financial operations.

Source: Analysis of Linkedin bios of 328 companies that use NextGen

I noticed that NextGen's typical customers are healthcare providers delivering direct patient care, primarily ambulatory practices, community health centers, and specialty medical groups. These aren't hospitals or insurance companies. They're the practices where patients actually receive treatment: family medicine clinics, orthopedic groups, eye care centers, federally qualified health centers serving underserved populations, and specialty practices in cardiology, dermatology, and gastroenterology.

These are established, mature organizations, not startups. The employee counts range from 50 to 500+ staff members, with many practices operating multiple locations. Several mention decades of service: "since 1972," "for more than 40 years," "over 2 decades." They're past the scrappy startup phase and into the complexity of managing multiple sites, large patient volumes, and diverse service lines. Most show no recent funding rounds, suggesting they're operationally stable rather than venture-backed growth companies.

Source: Analysis of tech stacks from 328 companies that use NextGen

I noticed that NextGen users are predominantly healthcare providers, particularly medical practices and clinics. The presence of Solutionreach (patient engagement), AdvancedMD (practice management), and Compliatric (healthcare compliance) makes it clear these are healthcare organizations managing patient care, appointments, and regulatory requirements. NextGen itself is an electronic health records platform, so this clustering makes perfect sense.

The pairing of NextGen with Solutionreach is particularly telling. These companies need robust patient communication tools for appointment reminders, recall campaigns, and patient satisfaction surveys. When I see AdvancedMD appearing alongside NextGen, it suggests these practices are looking for integrated billing and scheduling capabilities to streamline their revenue cycle. The extremely high correlation with Compliatric indicates these organizations take HIPAA compliance and data security seriously, which is essential in healthcare. Paylocity's presence points to mid-sized practices with enough staff that they need dedicated HR and talent management systems.

The full stack reveals traditional, operations-focused healthcare businesses. These aren't product-led or marketing-led companies. They're service delivery organizations that need reliable systems to manage patient care, stay compliant with regulations, and handle the administrative complexity of medical billing. The presence of BugHerd suggests they maintain custom web properties (likely patient portals), while LocalIQ indicates some investment in local search marketing to attract new patients. These are likely established practices in growth or maintenance mode rather than early-stage startups.