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List of the Best EHR Software in 2026

Rajat Gupta
Researched and Edited by Rajat Gupta
Rajat Gupta

Researched and Edited by Rajat Gupta

Last updated: June 19, 2026 · How we review

EHR Software overview

Spotsaas tracks 92 products in EHR Software, ranked by SpotScore — a blend of feature coverage, verified review ratings, and value. 9 let you start on a free trial, and 2 keep a free plan you can stay on. Most buyers here are Practice managers at chiropractic and physical therapy clinics seeking customizable SOAP note templates.

92
products listed
9
offer a free trial
2
have a free plan
17
priced per subscription
63
quote on request

Editor's Summary · EHR Software

Epic draws 893 reviews at 4.24/5 — the highest-rated product with the largest review volume among the top contenders, confirming its position as the dominant EHR in large health systems. SimplePractice earns a 3.8/5 from 987 reviews, the most-reviewed product here, and runs on a simple subscription model that makes it the standard pick for solo mental health therapists and small group practices. Azalea Health holds a 4.1/5 from 480 users on a subscription model, covering both EHR and revenue cycle management for independent physician practices.

EHR software manages patient medical records, clinical documentation, lab orders, and billing workflows in ambulatory and inpatient settings. Healthcare IT managers and clinic administrators at hospitals, multi-provider practices, and specialty clinics are the core buyers.

Quick picks for EHR Software

  • Best overall — Epic
  • Best for private practices — SimplePractice
  • Best for independent physician groups — Azalea Health

Who gets the most from EHR Software

  • 1Practice managers at chiropractic and physical therapy clinics seeking customizable SOAP note templates
  • 2Medical office administrators managing EHR and billing workflows in specialty medical practices
  • 3Billing specialists and office managers handling secure messaging and referral tracking in healthcare provider offices
How to choose EHR Software

If you need specialized workflows like chiropractic or hospice care, filter by use cases such as 'Chiropractic clinics' or 'Hospice Care'. For enterprise-scale needs, filter by 'Supports large enterprises' and sort by user rating to find highly rated scalable solutions. When pricing transparency is critical, filter for products offering public pricing or free trials.

Showing 1-20 out of 92

RXNT EHR - New SaaS Software

RXNT Clinical EHR

Best of the Breed

Integrated Cloud-Based EHR for Modern Healthcare Practices

Best for: SMB teams · Mid-market · Enterprise

Add to compare

watch-demo

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What is RXNT Clinical EHR?

RXNT offers a fully integrated, cloud-based Electronic Health Record (EHR) and EMR software solution designed to streamline clinical workflows and optimize the patient care experience for practices of all sizes and specialties—from solo providers to multi-specialty clinics with many locations. ...

Read more about RXNT Clinical EHR

Starts from $126/user/month when Billed Monthly

NextGen Healthcare EHR - EHR Software

NextGen Healthcare EHR

Recommended

AI-Powered EHR for Modern, Specialty-Based Practice Management

Best for: SMB teams · Mid-market · Enterprise

Add to compare

watch-demo

Watch Demo

What is NextGen Healthcare EHR?

NextGen Healthcare EHR is a robust, cloud-based electronic health record platform designed to streamline clinical, operational, and revenue workflows in ambulatory care settings. Tailored for practices of all sizes, it offers specialty-specific templates, AI-powered documentation, integrated ...

Read more about NextGen Healthcare EHR

NextGen Healthcare EHR offers custom pricing plan

Athenahealth EHR - EHR Software

Athenahealth EHR

Recommended

Efficient care, ahead of the curve.

Best for: SMB teams · Mid-market · Enterprise

Add to compare

What is Athenahealth EHR?

Athenahealth EHR is designed to make it easy for medical professionals to stay ahead of industry changes and maintain exceptional care. This software provides accurate documentation enabling users to excel in providing quality care. athenaClinicals offers an easy-to-use interface, empowering ...

Read more about Athenahealth EHR

Athenahealth EHR offers custom pricing plan

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9.5

SpotScore

Jane - Chiropractic Software

Jane

Streamline healthcare management with ease.

Best for: SMB teams · Mid-market · Enterprise

HIPAA
See Plans & Pricing

Add to compare

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What is Jane?

Jane is an all-in-one practice management software designed to help healthcare providers streamline clinic operations while improving patient experiences. Built for clinics of all sizes, including physiotherapists, massage therapists, chiropractors, counselors, and other allied health ...

Read more about Jane

Starts from $54/month when monthly

9.3

SpotScore

Practice Fusion

Practice Fusion

Revolutionary telemedicine for better healthcare.

Best for: SMB teams · Mid-market · Enterprise

HIPAA
Get Pricing Details

4.0

Add to compare

What is Practice Fusion?

Practice Fusion's telemedicine solutions give physicians the ability to share medical records, securely consult with patients and colleagues, and increase overall revenue. Its cloud-based platform connects a community of doctors, clinicians, and patients to provide real time access to all ...

Read more about Practice Fusion

Practice Fusion offers custom pricing plan

Spotsaas Buyer Intelligence

See the companies researching EHR software right now — while they're still comparing options.

In-market EHR buyersCompany-level namesNo pixel to install

8.8

SpotScore

zHealth - Chiropractic Software

zHealthEHR

zHealth Empowers Chiropractic Practices and Optimizes their Finances

Best for: SMB teams · Mid-market · Enterprise

HIPAA
See Plans & Pricing

Add to compare

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Watch Demo

What is zHealthEHR?

Starting at $129/mo, zHealth is an all-in-one chiropractic software with 100% customizable SOAP Notes, automated billing & powerful AI features. Automate appointments & intake: Patients book online & complete fully customizable intake forms from their phone. Support multiple languages ...

Read more about zHealthEHR

Starts from $119/month when Billed Monthly

What buyers evaluate in EHR Software
Specialty-specific workflow customization such as SOAP note templates or hospice care management
Compliance with healthcare regulations including HIPAA-secure messaging and data security
Scalability and support for different healthcare business sizes from small clinics to large hospitals

8.2

SpotScore

Carepatron

Carepatron

Connect with patients anytime, anywhere.

Best for: SMB teams · Mid-market

GDPRHIPAA
Try for Free

Add to compare

What is Carepatron?

CarePatron is a telemedicine software for care providers and medical staff to connect with patients. This health information technology (HIT) enables clinicians to remotely share progress notes, photos and supporting documents with referring providers and others. It permits medical staff to ...

Read more about Carepatron
ABAdesk - Logo

ABAdesk

Supporting Behavioral Health with Easy, Automated Workflows

Best for: SMB teams · Mid-market

HIPAA
Start Free Trial

Add to compare

watch-demo

Watch Demo

What is ABAdesk?

ABAdesk is a HIPAA-compliant ABA therapy and behavioral health platform designed to simplify data collection and treatment planning while helping providers focus more on client progress. Built for ABA clinics, behavioral health providers, and therapy practices, it offers tools for skill ...

Read more about ABAdesk
Free TrialTry Free →·

Starts from $10client/month when monthly

SigmaCare - Logo

SigmaCare

Comprehensive EHR Software for Long-Term and Post-Acute Care Providers

Best for: SMB teams · Mid-market · Enterprise

HIPAA
Get Pricing Details

Add to compare

watch-demo

Watch Demo

What is SigmaCare?

SigmaCare is a trusted electronic health record (EHR) platform designed to support long-term and post-acute care providers in delivering safe, efficient, and high-quality patient care. Built for skilled nursing facilities, senior living communities, hospice providers, and home health ...

Read more about SigmaCare

SigmaCare offers custom pricing plan

Opus - Logo

Opus

Comprehensive Behavioral Health Software for EHR, CRM, and RCM in One Unified Platform

Best for: SMB teams · Mid-market · Enterprise

HIPAA
Get Pricing Details

Add to compare

watch-demo

Watch Demo

What is Opus?

Opus is an all-in-one behavioral health software platform designed to support addiction treatment centers, SUD programs, and behavioral health clinics with a unified solution for managing clinical, operational, and financial workflows. Built specifically for healthcare providers and ...

Read more about Opus

Opus offers custom pricing plan

CarePaths EHR - Logo

CarePaths EHR

Behavioral Health EHR with AI Notes, Teletherapy, and Outcomes Tracking

HIPAA
Start Free Trial

Add to compare

What is CarePaths EHR?

CarePaths EHR is a user-friendly, cloud-based platform built for behavioral health professionals, solo therapists, and group practices. It combines essential clinical and administrative tools into a single interface, allowing providers to manage scheduling, documentation, teletherapy, outcomes ...

Read more about CarePaths EHR
Free TrialTry Free →·

Starts from $10/month when monthly

Owl Practice - Logo

Owl Practice

Mental Health EHR & Practice Management Software for Therapists and Clinics

Best for: SMB teams · Enterprise

HIPAA
See Plans & Pricing

Add to compare

What is Owl Practice?

Owl Practice is an all-in-one EHR and practice management platform purpose-built for mental health professionals, including solo practitioners, group practices, and higher education counseling centers. Designed to simplify the administrative side of therapy, it offers secure video sessions, ...

Read more about Owl Practice

Starts from $13/month when monthly

Remedly - Logo

Remedly

All-in-One EHR and Practice Management Software for Clinics, Med Spas, and Specialty Practices

Best for: SMB teams · Mid-market · Enterprise

Get Pricing Details

Add to compare

What is Remedly?

Remedly is a comprehensive EHR and practice management platform designed to help medical clinics, med spas, mental health centers, and plastic surgery practices operate more efficiently and profitably. The platform unifies clinical, financial, and administrative workflows with modules for ...

Read more about Remedly

Remedly offers custom pricing plan

Tebra - Logo

Tebra

All-in-One EHR and Practice Management Software for Independent Healthcare Providers

Best for: SMB teams · Mid-market

Get Pricing Details

Add to compare

What is Tebra?

Tebra is an integrated EHR and practice management platform designed to help independent medical practices streamline clinical workflows, automate billing, enhance patient engagement, and improve practice visibility—all from one centralized system. Built for private care providers, including ...

Read more about Tebra

Tebra offers custom pricing plan

Alleva - Logo

Alleva

Behavioral health EHR with built-in AI tools and end-to-end care coordination

Best for: SMB teams · Mid-market · Enterprise

Get Pricing Details

Add to compare

watch-demo

Watch Demo

What is Alleva?

Alleva is a cloud-based Electronic Health Record (EHR) and practice management platform purpose-built for behavioral health providers, including outpatient centers, residential facilities, detox programs, and partial hospitalization programs. Designed to support therapists, clinicians, ...

Read more about Alleva

Alleva offers custom pricing plan

OptiMantra - Logo

OptiMantra

Integrated EMR and practice management software for solo and multi-practitioner wellness clinics

Best for: SMB teams · Mid-market

HIPAA
Start Free Trial

Add to compare

What is OptiMantra?

OptiMantra is an all-in-one EMR and practice management platform designed for integrative, functional, and wellness-based practices, including primary care, behavioral health, medspas, chiropractic, and acupuncture providers. Built for solo practitioners and multi-provider clinics alike, it ...

Read more about OptiMantra
Free TrialTry Free →·

Starts from $99/month when monthly

TriMed Complete - Logo

TriMed Complete

Cloud-based EHR and practice management for pediatric and specialty care.

Best for: SMB teams · Mid-market · Enterprise

HIPAA
Get Pricing Details

Add to compare

What is TriMed Complete?

TriMed Complete Medical is a comprehensive cloud-based EHR and practice management platform built to support pediatricians and specialty care providers in streamlining clinical and administrative workflows. Designed for medical practices of all sizes, the platform offers integrated features ...

Read more about TriMed Complete

TriMed Complete offers custom pricing plan

HARMONY Medical - Logo

HARMONY Medical

Simple, Specialty-Focused EHR & Medical Billing Software for Healthcare Practices

Best for: SMB teams · Mid-market · Enterprise

HIPAA
Get Pricing Details

Add to compare

What is HARMONY Medical?

Harmony Medical is a user-friendly EHR and medical billing platform designed to simplify the operational complexities of healthcare practices. Built for physicians, administrators, and clinical staff across specialties like dermatology, mental health, trauma, and general surgery, it combines ...

Read more about HARMONY Medical

HARMONY Medical offers custom pricing plan

Ensora Mental Health (formerly TheraNest) - Logo

Ensora Mental Health (formerly TheraNest)

Purpose-Built EHR for Therapists and Behavioral Health Practices

Best for: Mid-market · Enterprise

HIPAA
Start Free Trial

Add to compare

watch-demo

Watch Demo

What is Ensora Mental Health (formerly TheraNest)?

Ensora Mental Health is a dedicated, cloud-based EHR and practice management solution tailored specifically for behavioral health providers. Designed to simplify scheduling, documentation, billing, and telehealth, it helps therapists reclaim hours lost to administrative tasks. With features ...

Read more about Ensora Mental Health (formerly TheraNest)
Free TrialTry Free →·

Starts from $26.58 therapist/month when yearly

Alembico EMR

Alembico EMR

Revolutionize healthcare management with streamlined EMR.

Best for: SMB teams · Mid-market · Enterprise

HIPAA
Get Pricing Details

Add to compare

What is Alembico EMR?

Alembico EMR is a cloud-based electronic medical records system with two-factor authentication and multi-device access, allowing healthcare providers to securely access patient data from anywhere. It automates appointment reminders, patient messaging, and medical billing workflows, reducing ...

Read more about Alembico EMR

Alembico EMR offers custom pricing plan

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Learn More About EHR Software

A buyer's guide to ehr — how the top tools rank, what they cost, the features and types to compare, and the questions to ask before you buy.

80Ehr products tracked
$39/moLowest entry plan
$70/moAvg entry plan
2 of top 10Free trial

EHR Software exists to pull ehr out of scattered tools and into one place, where the whole team works from the same up-to-date records.

Companies adopt ehr to remove busywork and standardize how things get done. From focused tools to all-in-one suites, Jane, Practice Fusion, and zHealthEHR sit at the top on Spotsaas.

Spotsaas tracks 80 ehr products. Across the top 10 ranked here, entry plans start as low as $39/month and every one offers a free trial.

Before you shortlist ehr, get clear on scale, must-have integrations, real pricing, and support — the factors that actually decide fit. The questions below are where to start.

  • What's the core job you need ehr to do, and which tool fits that best?
  • How many users will be on the ehr tool now — and what does pricing look like at twice that?
  • Which tools in your stack must it integrate with (e.g. Laboratory Information Management System (LIMS))?
  • What onboarding, training, and support does the ehr vendor provide?
  • Is the free trial long enough to test the ehr tool with real data?

What is ehr?

EHR Software is software that centralizes ehr — the records, tasks, and history that would otherwise be scattered — into one place every stakeholder can access.

Data flows into ehr from across the business and gets structured so the team can act on it. The tool then handles the routine work automatically, which is where most of the time savings come from.

The result is a single, real-time view of your ehr. Jane, Practice Fusion, and zHealthEHR take different approaches — some focus on simplicity, others on breadth — which is exactly what the comparison below is built to clarify.

Spotsaas tracks 80 ehr products — one of the more populated categories on the platform. [1]

The 10 top-ranked tools alone carry 2,964 verified user reviews. [1]

Top ehr, ranked by Spotscore

The highest-ranked ehr on Spotsaas. Jane and Practice Fusion lead the field, with the rest close behind on a mix of features, value, and user reviews.

Spotscore is a 0–10 composite of features, reviews, and value; the star rating reflects user reviews only. A tool can rank high on Spotscore while carrying a slightly lower star average, so it's worth reading both columns.

#ProductSpotScoreRatingReviewsStarting price
1
JaneTop rated
9.5—20$54
29.3★★★★★4.00——
38.8—35$116
48.2★★★★★3.254—Free trial
5—★★★★★3.801,642$39Free trial
6—★★★★★4.24893—
7——166—
8—★★★★★3.10149—
9—★★★★★3.3030—
10——25—

Order reflects Spotscore first, then how many reviews back it. Prices shown are the published starting plan.

  1. 1Jane

    Easy to read and use with a well-organized interface that requires little technical knowledge.

  2. 2Practice Fusion4.00/5

    Cloud-based platform

  3. 3zHealthEHR

    simplify electronic records and billing, saving time and enhancing efficiency.

  4. 4Carepatron3.25/5 · 4 reviews

    Remote patient monitoring

  5. 5SimplePractice3.80/5 · 1,642 reviews

    Comprehensive EHR features

  6. 6Epic4.24/5 · 893 reviews

    Enhanced patient experience

  7. 7NextGen Healthcare EHR

    Easy to navigate and customize templates for individual needs, with support from the user community.

  8. 8NextGen Enterprise3.10/5 · 149 reviews

    Integrated solution

  9. 9Athenahealth EHR3.30/5 · 30 reviews

    Convenient and easy to share and update electronic records.

  10. 10Welligent

    simplify EHR processes

What reviewers say

Spotsaas has aggregated 2,964 verified user reviews across these tools. The ratings below are real review averages — a useful gut-check on any ehr shortlist.

SimplePractice3.80 (1,642)
Epic4.24 (893)
Carepatron3.25 (4)

Ehr pricing and cost considerations

Pricing for ehr is usually per user per month, billed monthly or annually, and scales across tiers. Where you land depends on team size and how much ehr capability you need bundled in.

Look past the sticker price at the total cost of owning ehr: onboarding and data migration, paid add-ons and integrations, admin time, and per-seat increases as you grow. Model the all-in cost at your projected 12-month headcount before committing to a ehr contract.

See the full Best Hospital Management Software in 2026: HMS Systems for Healthcare.

Types of ehr

  • All-in-one platformsBroad suites that cover the full ehr workflow in one place. Jane is an example, suited to teams that want everything integrated rather than stitched together.
  • Specialist / best-of-breed toolsFocused tools that do one part of ehr exceptionally well; Practice Fusion fits teams that prefer depth in the area that matters most over breadth.
  • SMB-friendly toolsLower-cost, quick-to-deploy options built for small teams — SimplePractice starts at $39/month and gets a team running fast.
  • Enterprise-grade platformsHighly configurable systems built for scale, governance, and complex workflows, like SimplePractice — the most-reviewed option here.
  • Cloud-based deliveryMost ehr today is delivered via the cloud, cutting IT overhead and enabling secure remote access — the default for fast-growing teams.

What to compare in ehr

No single tool is best for everyone — fit depends on the capabilities your team uses daily. These are the features that most separate ehr tools, and the ones worth testing in a trial.

  • Core functionalityDepth of the primary ehr capabilities — the reason you're buying. Compare how Jane and Practice Fusion handle your must-have workflows.
  • Ease of useHow quickly a team gets productive in the ehr tool day to day; even the most capable ehr delivers nothing if people won't adopt it.
  • Integrations & APINative connectors plus an open API to wire your ehr into the rest of the stack, including Laboratory Information Management System (LIMS).
  • Reporting & analyticsDashboards that turn ehr activity into decisions leaders can act on in real time, not month-end.
  • AutomationAutomating the repetitive parts of ehr cuts manual effort and error — usually the single biggest time saver here.
  • Security & complianceAccess controls, data protection, and the certifications that ehr buyers in regulated industries can't skip.
  • Support & onboardingDocumentation, training, and responsive support — for ehr, this largely decides how fast you see value.

What ehr is used for

Reviews surface a consistent set of jobs teams hire ehr to do — most of them about making sure nothing falls through the cracks.

  • Standardizing the workflowTeams use ehr to standardize how work gets done so quality doesn't depend on who's handling it; Jane is a common choice for putting that structure in place.
  • Centralizing records & dataKeeping ehr records in one place so every team pulls from accurate, current information instead of duplicated spreadsheets.
  • Automating routine workAutomating the repetitive parts of ehr to cut manual effort and free time for higher-value work — tools like Practice Fusion lean heavily on this.
  • Reporting & oversightGiving leaders real-time visibility into ehr to catch issues early and plan ahead with confidence.

Who uses EHR Software

Ehr tools are used across an organization — from frontline staff and team leads to operations, admins, and executives who rely on the reporting. Adoption spans industries including software and technology, professional services, healthcare, financial services, and agencies.

Common ehr integrations

Ehr is most valuable wired into the rest of your stack. Across reviews, these are the categories teams most often connect to it — each closing a gap between the record and the work happening around it.

Best EHR Software for your team

Top overall ehr pick

The highest-ranked ehr on Spotsaas.

  • Jane — Easy to read and use with a well-organized interface that requires little technical knowledge.

Best value

The most capability per dollar in ehr.

Most reviewed

The most battle-tested ehr by real users.

  • SimplePractice — The largest verified review base in this list (1,642 reviews).

Best for large orgs

Ehr built for scale and governance.

  • Practice Fusion — A strong fit for bigger teams that need configurable ehr.

Frequently asked questions

Most Popular FAQs

What is ehr?

EHR Software centralizes ehr so a team works from one shared, current system instead of scattered spreadsheets and tools — adding automation and reporting on top.

Best Hospital Management Software in 2026: HMS Systems for Healthcare

How much does ehr cost?

Entry plans across the top picks here start at $39/month and average about $70/month. Watch for per-seat increases and paid add-ons when comparing ehr plans.

SimplePractice pricing

Which ehr is best?

Jane, Practice Fusion, and zHealthEHR rank highest on Spotsaas. The best fit still depends on your team size, budget, and required integrations.

Jane · Practice Fusion · zHealthEHR

Do these tools offer a free trial?

Yes — 2 of the top 10 ranked tools offer a free trial or freemium plan, so you can test with real data first.

Small Business FAQs

What is the most affordable ehr?

SimplePractice is the lowest-priced of the top picks at $39/month, a good starting point for small teams that still want core capability.

SimplePractice · SimplePractice pricing

What is the best ehr for small teams?

Small teams usually want low cost and fast setup; SimplePractice and Practice Fusion are practical starting points without heavy admin overhead.

SimplePractice · Practice Fusion

Enterprise FAQs

What is the best ehr for large organizations?

SimplePractice carries the largest review base here and is built for scale and governance; Jane is also a common enterprise choice for configurability.

SimplePractice · Jane

Which ehr has the best AI capabilities?

AI features are expanding fast across the category; the higher-ranked platforms like Jane and Practice Fusion tend to lead on built-in automation and intelligence.

Jane · Practice Fusion

Ranking basis: Spotscore (0–10 composite), then verified review volume.

Sources: Spotsaas product database (Spotscore, ratings, review counts, pricing) — live as of generation. Spotsaas editorial guides (WP-verified, published).

Frequently Asked Questions About EHR Software

Stuck on something? We're here to help with all the questions and answers in one place.

The most important EHR Software features to evaluate are Accounts Receivable, Billing and Invoicing, Self Service Portal, Payroll Management, Invoice, Multi-Location. Most buyers prioritize ease of use, reporting, and integration capabilities when choosing a solution. Look for tools that cover your core workflow before comparing advanced features.

EHR Software pricing varies widely — from free plans to enterprise contracts. 7 products on Spotsaas offer a free plan or trial, including CarePaths EHR, OptiMantra, SimplePractice. Paid plans typically start around $10–$50/month per user. Check individual product pages for current pricing.

The top rated EHR Software based on verified user reviews and SpotScore are Sunwave, Medsender, Nimbo. These tools consistently score highest on ease of use, feature depth, and customer support quality. Ratings are updated monthly based on real buyer feedback.

To choose the right EHR Software, start by listing your must-have features — commonly Accounts Receivable, Billing and Invoicing, Self Service Portal, Payroll Management, Invoice, Multi-Location. Then filter by team size, budget, and integrations you already use. Compare at least 3 options and use free trials to test before committing. Spotsaas lets you compare side-by-side in minutes.

Yes — 7 EHR Software on Spotsaas offer a free plan or free trial. Popular free options include CarePaths EHR, OptiMantra, SimplePractice. Free plans typically cover core features for small teams; paid upgrades unlock advanced reporting, integrations, and support.

The best EHR Software for small businesses are affordable, quick to set up, and scale without complexity. Top picks for small teams are zHealthEHR, SigmaCare, Opus. Look for tools with per-user pricing, no long-term contracts, and strong onboarding support to minimize ramp-up time.

Disclaimer: This research has been collated from a variety of authoritative sources. We welcome your feedback at [email protected].