X0306 4 2019-12-26 0 0000708818 NEXTGEN HEALTHCARE, INC. NXGN 0001306988 Arnold James Robert Jr. 18111 VON KARMAN AVENUE SUITE 800 IRVINE CA 92612 0 1 0 0 Chief Financial Officer Common Stock 2019-12-26 4 A 0 65360 0.00 A 323766 D Performance Stock Units 2019-12-26 4 A 0 51503 0.00 A Common Stock 51503 95203 D The shares of restricted stock vest over three years from the date of grant in semi-annual increments as follows: 16.66% vest at 6 months; 16.66% vest at 12 months, 16.66% vest at 18 months, 16.66% vest at 24 months, 16.66% vest at 30 months, and 16.7% vest at 36 months, subject to continued service through each vesting date. The performance stock unit awards vest only in the event certain performance goals are achieved and there is continuous service through the date the goals are certified. Approximately 80% of the performance stock units are tied to the Company's fiscal year 2021 revenue goal and 20% are tied to the Company's fiscal year 2022 revenue goal. Performance stock unit awards funded for fiscal year 2021 and fiscal year 2022 revenue performance will be modified for cumulative 3-year total shareholder return ("TSR") on the three-year grant anniversary, which is also the cliff vest date. The number of shares to be issued may vary between 50% and 150% of the number of performance stock units depending on performance, and no such shares will be issued if threshold performance is not achieved. James W. Sytsma, Attorney-in-Fact for James R. Arnold 2019-12-30