Choosing between veterinary practice management systems? You've probably heard of the major players: legacy systems like Cornerstone, established cloud solutions like eVetPractice, and modern platforms like VetSyCare. Each has strengths and weaknesses depending on your practice's needs.
This comparison provides an honest look at how these systems stack up in 2026.
Disclosure: We're VetSyCare, so we obviously believe in our product. But we've tried to present this comparison fairly. We encourage you to trial all options before deciding.
Quick Overview
| Feature | VetSyCare | eVetPractice | Cornerstone |
|---|---|---|---|
| Deployment | Cloud | Cloud | Server-based |
| Pricing Model | Flat monthly | Per-provider | License + support |
| AI Features | Built-in | Limited | None |
| Client Portal | Included | Add-on cost | Third-party |
| Best For | Modern, growing practices | Established clinics | Large hospitals |
Deployment and Access
VetSyCare: 100% Cloud
- Access from any device with internet
- No server hardware to buy or maintain
- Automatic updates and backups
- Works on Mac, PC, tablets
eVetPractice: Cloud-Based
- Also fully cloud-based
- Similar accessibility benefits
- Established since 2012
Cornerstone: Server-Based
- Requires on-premise server
- Higher upfront hardware costs
- IT support needed for maintenance
- Remote access requires additional setup
Pricing Comparison
| System | Starting Price | Pricing Model | Hidden Costs |
|---|---|---|---|
| VetSyCare | $199/month | Flat rate, unlimited users | Minimal |
| eVetPractice | ~$150/provider/month | Per-provider | Add-ons for portal, reminders |
| Cornerstone | $10,000+ upfront | License + ~$300/month support | Server, IT, integrations |
Cost Example - 3-Vet Practice:
• VetSyCare: ~$199-299/month (flat)
• eVetPractice: ~$450/month (3 × $150)
• Cornerstone: ~$10,000 upfront + $300+/month
• VetSyCare: ~$199-299/month (flat)
• eVetPractice: ~$450/month (3 × $150)
• Cornerstone: ~$10,000 upfront + $300+/month
Feature Comparison
Electronic Medical Records
- VetSyCare: AI-assisted SOAP notes, customizable templates, voice dictation
- eVetPractice: Solid templates, standard documentation
- Cornerstone: Comprehensive but dated interface
Scheduling
- VetSyCare: Visual calendar, online booking, automated reminders included
- eVetPractice: Good scheduling, reminders may be extra
- Cornerstone: Functional but requires manual processes
Client Communication
- VetSyCare: Built-in SMS, email, client portal, two-way messaging
- eVetPractice: Available as add-on modules
- Cornerstone: Requires third-party integrations
AI and Automation
- VetSyCare: AI SOAP notes, diagnostic assistance, smart reminders
- eVetPractice: Limited AI features
- Cornerstone: No native AI capabilities
Pros and Cons
VetSyCare
Pros:
- Modern, intuitive interface
- AI features that save real time
- Unlimited users = predictable costs
- Full client portal included
- Responsive customer support
Cons:
- Newer to market (less "proven" to some)
- Still building some advanced integrations
eVetPractice
Pros:
- Established, stable platform
- Good core features
- Cloud-based flexibility
Cons:
- Per-provider pricing adds up
- Many features require add-on purchases
- Interface feels dated
Cornerstone
Pros:
- Very comprehensive feature set
- Trusted by large hospitals
- Deep reporting capabilities
Cons:
- High upfront investment
- Server maintenance burden
- Steep learning curve
- No modern AI features
Who Should Choose What?
| Practice Type | Recommended | Why |
|---|---|---|
| New/startup clinic | VetSyCare | Low cost, fast setup, modern tools |
| Small practice (1-3 vets) | VetSyCare | Best value, unlimited users |
| Mid-size practice (4-8 vets) | VetSyCare or eVetPractice | Depends on feature needs |
| Large hospital (10+ vets) | Cornerstone or VetSyCare | Need enterprise features |
| Tech-forward practice | VetSyCare | AI features, modern UX |
Making Your Decision
- List your must-have features—what can't you live without?
- Calculate total cost—including per-user fees, add-ons, hardware
- Request demos—see each system in action
- Try before you buy—use free trials extensively
- Check references—talk to practices your size using each system
See Why Practices Are Switching to VetSyCare
Modern interface. AI-powered tools. Transparent pricing. Start your free trial and experience the difference.
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