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Rusty Frantz
President and Chief Executive Officer

Rusty Frantz was appointed President and Chief Executive Officer at Quality Systems, effective July 1, 2015 and was named a member of the Company's Board of Directors in August 2015.

Most recently, Frantz spent eight years serving in varying roles with increasing responsibility at CareFusion Corp., a San Diego-based global medical technology corporation serving the healthcare industry, providing products and services that assist hospitals in improving the safety and quality of care. From 2011 until March 2015, when CareFusion was acquired by Becton, Dickinson and Company (BD), Frantz served as senior vice president and general manager, global dispensing division. During this time, he spearheaded a transformational medication management strategy across three global brands - Pyxis, Rowa and CareFusion Smartworks - which comprised $1 billion in global revenue. This was a key strategic driver in the acquisition of CareFusion by BD.

Prior to heading the global dispensing division, Frantz was vice president of research and development of the Pyxis business unit, where he led the process to bring the highly successful Pyxis ES medication dispensing solution to market. He also served as general manager of Pyxis Perioperative Solutions, a leader in hospital and health system supply management solutions.

Earlier, Frantz held the role of chief technology officer and co-founder of OutPurchase, a provider of cloud-based procurement solutions and services. He began his career as one of the first employees at Omnicell, a leading supplier of comprehensive automation and business analytics software for patient-centric medication and supply management across the healthcare continuum.

Frantz holds a Bachelor of Science degree in engineering from the Maine Maritime Academy and a Master's of Engineering from Stanford University.

David A. Metcalfe
Executive Vice President and Chief Technology Officer

David A. Metcalfe was appointed Executive Vice President and Chief Technology Officer, effective February 1, 2016. He brings 30 years of experience, including leadership of large, global, cross-functional teams and the development, delivery and support of enterprise software solutions, having spent the past 11 years working in the healthcare IT industry.

Most recently, from March 2015 to January 2016, Metcalfe, served as vice president of research and development at Becton, Dickinson & Company (BD), a leading worldwide medical technology company. Prior, he was vice president of product development at CareFusion Corp., a global medical technology company that aids healthcare institutions in improving the safety and quality of care, from September 2012 to March 2015, at which time CareFusion was acquired by BD. From 2008 to 2012, Metcalfe was vice president of development at Allscripts, a provider of healthcare information technology (HIT) solutions. Previously, from 2004 to 2008, he was director of software engineering at Hill-Rom IT Solutions, a leading worldwide manufacturer and provider of medical technologies and related services for the healthcare industry. Earlier in his career, Metcalfe held senior-level research and development positions with increasing responsibility at various global technology companies.

Metcalfe earned a Bachelor of Science degree (with honors) in Instrumentation and Control Engineering from Teesside University in England.

James R. Arnold, Jr.
Chief Financial Officer

James R. "Jamie" Arnold, Jr. was appointed to the post of chief financial officer for Quality Systems and its NextGen Healthcare subsidiary, effective March 1, 2016, bringing more than three decades of finance and software technology experience to the Company. He oversees all financial-related functions of the Company and its NextGen subsidiary.


Most recently, from June 2010 to May 2015, Arnold served as chief financial officer and executive board member at Kofax Ltd., an Irvine, Calif. based software company, where he was responsible for finance, accounting, IT, real estate, treasury, audit, tax and investor relations. Arnold was instrumental in the completion and integration of six acquisitions, disposition of the hardware distribution business and oversaw the company's U.S. initial public offering and the company's transition from a listing on the London Stock Exchange. As a key member of management, Arnold participated in and facilitated the strategic process that resulted in the sale of its enterprise software division, focused on integration and transition matters.


From 2004 to 2009, Arnold was senior vice president at Nuance Communications, Inc., a Burlington, Mass.-based publicly traded software company. He also was chief financial officer from 2004 to 2008 during which time Nuance acquired 17 companies and completed several debt and secondary stock offerings. From 2008 to 2009, Arnold aided with the integration of an acquisition.


Earlier, Arnold held executive positions at Cadence Design Systems, Inc., Informix Software, Inc. and, Centura Software Corporation. Arnold served as a board member and chair of the Audit Committee at Selectica, Inc. from 2003 to 2010. In 2010, he served as co-chairman of the board. He began his career at PriceWaterhouse LLP.


Arnold holds a Bachelor of Business Administration in Finance from Delta State University in Cleveland, Miss. and a Master's degree in Business Administration from Loyola University in New Orleans, La.

John S. Beck
Executive Vice President and Chief Solutions Officer


John S. Beck was appointed Executive Vice President and Chief Solutions Officer, effective August 1, 2016. He brings 28 years of progressive experience in the design, development, and deployment of complex applications in healthcare organizations.

Prior to joining Nextgen Healthcare, John was the Chief Product Officer for Connexa Health, a healthcare technology services and solutions company that connected and extended clinical and financial systems to empower healthcare transformation. Prior to Connexa Health, John served as the Vice President of Revenue Cycle Solutions at Allscripts, where he was responsible for strategy, product conception, innovation, and product management for core revenue cycle solutions in both the ambulatory and acute market segments. During his 23-year tenure at Allscripts, John held a variety of senior leadership, technical, and operational positions with top-to-bottom involvement across a broad portfolio, including clinical, financial, analytical, and patient engagement assets deployed both in the US and internationally. Notably, John led the design and development teams that built Allscripts Practice Management and the Allscripts Integration Engine which is now deployed at more than 5,000 healthcare organizations.

John graduated from St. Lawrence University in Canton, NY in 1984 with a degree in Economics. John has served on a variety of community and charity boards and is actively involved with charities and programs supporting children and youth with emotional, behavioral, or mental disorders. Most recently, John served as Chairman of the Board of the Mental Health Center of Greater Manchester and Chairman of MMH Ventures.


Dr. Betty Rabinowitz
Chief Medical Officer

Betty was appointed as our chief medical officer on April 19, 2018. She brings to this position more than 25 years of extensive clinical experience and expansive knowledge of population health and value-based practice transformation. In her role, Betty is tasked with helping NextGen Healthcare promote and improve our solutions in support of our clients’ provider performance, clinical outcomes, patient satisfaction, and financial efficiency.

Betty joined the NextGen Healthcare family in August 2017 as one of the founders and the former chief executive officer of EagleDream Health, the cloud-based analytics and population health management solutions we now know as NextGen® Population Health, which drives meaningful insights across clinical, financial, and administrative data to optimize ambulatory practice performance.

Born in Johannesburg, South Africa, Dr. Rabinowitz graduated from Ben-Gurion University Medical School in Israel, where she also completed a residency in Internal Medicine. She came to the United States in 1990 for a fellowship in Medicine and Psychiatry at the University of Rochester School of Medicine, where she became a professor of clinical medicine. In addition, Dr. Rabinowitz served as a medical director at the University of Rochester Center for Primary Care, overseeing clinical operations and population health management for a network of 28 practices and 130 primary care physicians.

Donna Greene
Executive Vice President, Human Resources

Donna Greene brings 20 years of human resources experience to her role as senior vice president of human resources.  Greene joined Quality Systems in November 2011.  Under her direction, the Company transitioned to a shared services platform, whereby all employees nationwide leverage and benefit from the resources built at the corporate office by Greene and her team.

Prior to joining Quality Systems, Greene was corporate director of human resources for Alliance Healthcare Services where she focused on employee services for physicians and healthcare workers in the oncology and diagnostic imaging space. 

Before engaging in an HR-focused career, Greene worked in retail operations, which led to her first HR role.  Greene began employment with Target as an HR Manager, working her way up to regional HR professional, focused on employee relations. Later, Greene became director of HR for Cendant as well as Chief People Officer for a small human capital consulting firm.

Greene’s work spans a broad array of industries as she has worked with companies of all sizes, and secured a proven track record for her design and implementation of HR programs and execution of HR strategies that align with organizational guidelines for the success of the given company.

Jeffrey D. Linton
Executive Vice President, General Counsel and Secretary

Jeffrey D. Linton became our executive vice president, general counsel and secretary in December 2017. Prior to joining the company, Linton served from November 2016 to November 2017 as General Counsel and Secretary of Applied Proteomics, Inc., a company that develops noninvasive, blood-based tests for monitoring and early detection of disease, where he was responsible for all legal, intellectual property, compliance, and human resources activities. Previously, Linton was Senior Vice President, General Counsel and Secretary of Sequenom, Inc., a life sciences company, from September 2014 to October 2016. Before joining Sequenom, Linton served as Senior Vice President and General Counsel at Beckman Coulter, Inc., a biomedical testing products company, from July 2011 to September 2014. He previously served in various roles with Serologicals Corporation, a company that developed, manufactured and sold life science research products and technologies, diagnostic kits and drug discovery services. His prior experience also includes various other positions in law, government and public affairs and human resources. Linton earned a Bachelor of Arts, magna cum laude, from Butler University and a Juris Doctorate, cum laude, from the University of Notre Dame Law School.

He is a member of the Board of Directors of the Notre Dame Law Association.
Allen Plunk
Executive Vice President, Operations

Allen Plunk joined NextGen Healthcare as senior vice president, managed services in March 2017 and was promoted to his current role in January 2021. He is responsible for driving the growth strategy and business transformation of NextGen Healthcare Managed Financial Services, Client Services, Clearinghouse Solutions/EDI and NextGen Office, our small practice SaaS solution.

Allen is a certified public accountant with more than 25 years of experience delivering global technology and technology-enabled services. Prior to joining NextGen Healthcare, he was the chief operating officer for Optum360® for six years, helping Optum build its revenue cycle management (RCM) practice after the company acquired CareMedic Systems in 2009. Allen previously served as CareMedic’s chief financial officer and chief operating officer.

Allen began his career with Coopers & Lybrand, followed by various finance and operations leadership roles in start-up and venture-backed technology companies.

Mitchell (Mitch) L. Waters
Executive Vice President, Commercial Growth

Mitch Waters is Executive Vice President of Commercial Growth, responsible for Sales and Marketing. With more than three decades of experience in healthcare technology, Mitch has served in a wide variety of leadership roles. From 2017 to 2021, he has led the Sales organization to record heights while also serving as a member of the Executive Leadership Team.

Prior to NextGen Healthcare, Mitch spent 28 years at McKesson Corporation in leadership roles within the technology, automation and pharmaceutical business units. During his 25 years in Sales at McKesson, Mitch’s teams earned an unprecedented track record of achieving company objectives every year.

While employed full-time at McKesson, Mitch earned a Master of Business Administration from Auburn University. Mitch earned his B.S. in Industrial Management from Georgia Institute of Technology, Atlanta, Georgia.

Mitch is based in Atlanta, Georgia. He has been married to his college sweetheart, Lisa, for 32 years and they raised three children together (now grown): Zach, Caroline and Drew.