X0306 4 2022-10-28 0 0000708818 NEXTGEN HEALTHCARE, INC. NXGN 0001813060 Ahmadzai David 18111 VON KARMAN AVENUE SUITE 600 IRVINE CA 92612 0 1 0 0 Chief Accounting Officer Common Stock 2022-10-28 4 A 0 10225 0.00 A 52031 D Performance Stock Units 2022-10-28 4 A 0 10225 0.00 A Common Stock 10225 10225 D The shares of restricted stock vest in annual increments as follows: 1/3 vest on November 1, 2023, 1/3 vest on November 1, 2024, and 1/3 vest on November 1, 2025, subject to continued service through each vesting date. On October 28, 2022, the reporting person was granted certain performance stock units that are subject to both performance and time based vesting requirements. The number of PSUs reported represents the target number of PSUs. The number of PSUs that vest, if any, may vary from 0% to 210% of the target number reported. /s/ Jeffrey D. Linton, Attorney-in-Fact for David Ahmadzai 2022-11-01