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zHealthEHR vs Vozo EHR vs NextGen Healthcare EHR vs Athenahealth EHR Comparison

Last updated:

zHealthEHR

Starting at $116 /month

  • Large Enterprises
  • Medium Business

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 cus…

Vozo EHR

Starting at $89.08 per month

  • Large Enterprises
  • Small Business

Revolutionize the way you manage your practice with Vozo EHR - the ultimate solution for streamlined practice workflow. Say farewell to the burdens of traditional paper filing systems and the endless hunt for misplaced d…

NextGen Healthcare EHR

Starting at Contact for pricing

  • Large Enterprises
  • Medium Business

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 o…

Athenahealth EHR

3.3(26 reviews)

Starting at Contact for pricing

  • Large Enterprises
  • Medium Business

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 q…

zHealthEHR vs Vozo EHR vs NextGen Healthcare EHR vs Athenahealth EHR — at a glance

FeaturezHealthEHRVozo EHRNextGen Healthcare EHRAthenahealth EHR
Rating3.3 / 5
Reviews26
Starting price$116 /month$89.08 per monthContact for pricingContact for pricing
Free trial No No No No
Free version No No No No
Best forLarge Enterprises, Medium Business, Small BusinessLarge Enterprises, Small Business, Freelancers / ConsultantsLarge Enterprises, Medium Business, Small BusinessLarge Enterprises, Medium Business, Small Business
CategoryEHR SoftwareEHR SoftwareEHR SoftwareEHR Software
Integrations1+ apps
PlatformsSaaS/Web/Cloud, Mobile - Android, Mobile - iOSBrowser Based (Cloud)SaaS/Web/CloudSaaS/Web/Cloud
APIAvailable
Support modes24/7 (Live rep), OnlineOnlineOnlineOnline
CertificationsSOC 2, HIPAA, GDPRSOC 2SOC 2, HIPAASOC 2, HIPAA, GDPR
Data residencyUSUSGlobalUS

Key differences between zHealthEHR and Vozo EHR

  • Pricing: zHealthEHR starts at $116 /month, while Vozo EHR starts at $89.08 per month.
  • Deployment: zHealthEHR supports SaaS/Web/Cloud, Mobile - Android, Mobile - iOS; Vozo EHR supports Browser Based (Cloud).

Compare zHealthEHR vs Vozo EHR vs NextGen Healthcare EHR vs Athenahealth EHR — and walk away knowing which one fits.

01

Which tool fits your team best

02

Which is actually cheaper for your team size

03

Where each product wins, per real buyers

Most EHR Software tools look identical on paper. This comparison cuts to the differences that matter — pricing structure, team fit, and what real buyers found after signing up.

zHealth - Chiropractic Software
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Vozo EHR
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Talk to an expert

Biggest differences

Start here before you go deeper into features.

zHealthEHR

Best for chiropractic clinics needing customizable AI-powered SOAP notes and billing.

Choose if
  • You require fully customizable SOAP notes tailored to your clinic’s workflow.
  • You want automated billing and appointment scheduling with multilingual patient intake.
  • Your practice values responsive customer service and a user-friendly interface.
Consider alternatives if
  • You need extensive onboarding support and out-of-the-box training materials.
  • Integrated email communication within the platform is critical for your workflow.

Vozo EHR

Best for

Large Enterprises, Small Business, Freelancers / Consultants

NextGen Healthcare EHR

Best for

Large Enterprises, Medium Business, Small Business

Athenahealth EHR

Best for

Large Enterprises, Medium Business, Small Business

zHealthEHR typically suits Large Enterprises and Medium Business. Vozo EHR tends to fit Large Enterprises and Small Business better. The right choice depends on your team size, workflow, and whether a free trial matters.

Description

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 ... Read More about zHealthEHR

Revolutionize the way you manage your practice with Vozo EHR - the ultimate solution for streamlined practice workflow. Say farewell to the burdens of traditional paper filing systems and ... Read More about Vozo 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 ... Read More about NextGen Healthcare 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 ... Read More about Athenahealth EHR

Entry Level Pricing

  • Starts from $116 , monthly
  • Starts from $89.08 , Billed Yearly
  • Not Available
  • Not Available

Free Trial Availability

  • No free trial
  • No free trial
  • No free trial
  • No free trial

Spotsaas Score

What's this? ↗

8.8/10

Not Available

Not Available

Not Available

User Ratings

Based on verified Spotsaas reviews

3.3

(26)

Best Company Size

1-100 employeesSmall to medium businesses
2 to 300+ Employees
50 – 1,000+ Employees
5–50 Employees
Get pricing help
Get pricing help

Where each option fits best

See where each product is strongest, which teams it fits, and what causes buyers to keep looking — before you commit.

Based on buyer reviews and verified product data collected by Spotsaas.

Strengths

Key strengths

zHealthEHR

  • All-in-One Platform for Wellness Clinics: zHealth provides a comprehensive suite of features including appointment scheduling, billing, SOAP notes, online payments, EHR, and patient portals—streamlining administrative, clinical, and operational workflows within a single interface.
  • Customization and Ease of Use: The platform allows for customized SOAP templates, intuitive navigation, and flexible configurations, helping clinics adapt the software to their specific workflows without complexity.
  • Improved Patient Engagement: With automated text/email reminders, patient portals, and mobile access, zHealth enhances the overall patient experience and reduces no-show rates.

Vozo EHR

  • Intuitive, Cloud-Based Platform with Practice-Wide Efficiency: Vozo simplifies scheduling, telehealth, billing, e-prescribing, and reporting in one cohesive system—significantly reducing administrative overhead and boosting team productivity
  • Strong Security with Compliant, Multi-Layered Protection: Patient data is secured via 256-bit encryption, role-based access, and 2FA, while maintaining HIPAA compliance—essential for safeguarding sensitive records
  • Flexible Customization & Specialty Coverage: Offers drag-and-drop form builders, customizable dashboards, specialty-specific templates (e.g., behavioral health), and integrated telehealth—enabling tailored workflows across diverse practice types

NextGen Healthcare EHR

  • Comprehensive feature-rich platform: Includes patient portal, specialty-specific workflows, practice management, e‑prescribing, and revenue cycle management—all under one cloud-based system.
  • Customizable and scalable: Highly adaptable templates, smart phrases, and specialty modules make it a solid fit for diverse healthcare settings from outpatient to hospitals.
  • Integrated patient engagement & mobility: Secure messaging, appointment management, mobile access, and population health tools improve patient experience and provider efficiency.

Athenahealth EHR

  • Integrated billing and scheduling: Athenahealth provides seamless integration between billing, scheduling, and clinical documentation, streamlining administrative tasks and reducing errors.
  • Cloud-based accessibility: Being a cloud-based platform, Athenahealth allows healthcare providers to access patient records and manage workflows remotely, enhancing flexibility and continuity of care.
  • Regulatory compliance support: The system is designed to help practices comply with healthcare regulations, including HIPAA, by incorporating necessary features such as secure messaging and audit trails.
Best fit

Best fit

zHealthEHR

  • 1 to 100 employees
  • Chiropractic, Physical Therapy, Acupuncture, Massage Therapy, Wellness Clinics, Holistic Health
  • Chiropractors, Practice Managers, Office Administrators, Billing Coordinators, Front Desk Staff, Physical Therapists, Massage Therapists

Vozo EHR

  • 2 to 300+ Employees
  • Family Medicine, Behavioral Health (Therapy, Psychiatry), Urgent Care, Specialty Clinics (Dermatology, Cardiology), Ambulatory Surgery Centers, Community Health
  • Physicians, Therapists, Clinical Directors, Practice Managers, Medical Billers, Front-Desk Coordinators, Telehealth Coordinators

NextGen Healthcare EHR

  • 50 – 1,000+ Employees
  • Healthcare, Ambulatory Care, Specialty Clinics, Community Hospitals, Group Practices
  • Physicians, Nurse Practitioners, Practice Managers, Medical Billers, Health IT Staff, Care Coordinators

Athenahealth EHR

  • 5–50 Employees
  • General Medical Practices, Family Medicine, Internal Medicine, Pediatrics, Multispecialty Clinics
  • Physicians, Medical Assistants, Practice Managers, Billing Specialists, IT Support Staff
Watchouts

Reasons buyers look elsewhere

zHealthEHR

  • Compared to more open platforms, zHealth has relatively fewer out-of-the-box integrations with external tools like advanced CRMs, marketing platforms, or analytics software.
  • While ideal for small to mid-sized practices, larger multi-location enterprises may require more robust enterprise features, analytics, or integrations not currently offered.
  • Some users find the built-in reporting features basic and may prefer software with deeper analytics and KPI dashboards for advanced decision-making.

Vozo EHR

  • Some users have reported limitations in appointment booking customization and intake form integration into charts—features critical for practices like med-spas or boutique clinics
  • Although Vozo offers built-in payment tools, a few clinics mentioned early signs of instability in these modules. Practices favoring mature billing/payment platforms might lean toward specialized solutions
  • Modern users eyeing AI-powered note-generation, dictation, and dynamic workflow automation may find Vozo still developing in those advanced capabilities .

NextGen Healthcare EHR

  • The interface requires significant time to master, especially for users transitioning from more intuitive platforms.
  • Tasks like rescheduling appointments often involve multiple steps, increasing administrative burden.
  • Users report delays and system sluggishness—sometimes exacerbated by server load or internet bandwidth issues.

Athenahealth EHR

  • While Athenahealth offers some degree of customization, many users find it insufficient for tailoring workflows and templates to specific practice needs. This limitation can hinder efficiency and adaptability.
  • Users have reported instances of system lag and slow loading times, which can disrupt clinical workflows and reduce productivity.
  • The platform's complexity necessitates comprehensive training for staff, which can be time-consuming and may temporarily disrupt practice operations.

Software Demo

Demo

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How do zHealthEHR, Vozo EHR, NextGen Healthcare EHR and Athenahealth EHR Compare on Features?

Total Features

18 Features

11 Features

9 Features

7 Features

Unique Features

No unique features

No unique features

No unique features

No unique features

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Get Quote

Compare zHealthEHR, Vozo EHR, NextGen Healthcare EHR and Athenahealth EHR on pricing

Review starting price, plan structure, and free-trial access side by side so you can see which option fits your budget and buying process.

Pricing Option

          Starting From

          • $116 , monthly
          • $89.08 , Billed Yearly
          • Not Available
          • Not Available

          Pricing Plans

          • Essentials

            $129

            /month

            • Custom SOAP Notes

            • Self-Service SOAP Notes

            • Insurance Billing

            Show more +

          • Standard

            $349

            /month

            • Same features as Essentials; Plus:

            • Online Reviews

            • Automated Recall of Dropped Off Patients

            Show more +

          • Professional

            $549

            /month

            • Same features as Standard; Plus:

            • Practice Analytics

            • AI Scribe

            Show more +

          • Starter

            • $0 Per Provider

            • Provider Limit - 1

            • Scheduling

            Show more +

          • Basic

            $114.00

            per month

            • $99 per Provider

            • $15 For Telehealth

            • Provider Limit - 1

            Show more +

          • Standard

            $149.00

            per month

            • $149 Per Provider

            • Telehealth Included

            • $59 Per Additional Providers

            Show more +

          • Browse all pricing plans
          • Not Available
          • Not Available

          Pricing Page

          zHealthEHR pricing
          Vozo EHR pricing
          NextGen Healthcare EHR pricing

          Pricing information not available

          Other Details

          Organization Types supported

          • Medium Business
          • Small Business
          • Large Enterprises
          • Individuals
          • Freelancers
          • Medium Business
          • Small Business
          • Large Enterprises
          • Individuals
          • Freelancers
          • Medium Business
          • Small Business
          • Large Enterprises
          • Individuals
          • Freelancers
          • Medium Business
          • Small Business
          • Large Enterprises
          • Individuals
          • Freelancers

          Platforms Supported

          • Browser Based (Cloud)
          • Mobile - iOS
          • Mobile - Android
          • Installed - Windows
          • Installed - Mac
          • Browser Based (Cloud)
          • Browser Based (Cloud)
          • Mobile - iOS
          • Mobile - Android
          • Installed - Windows
          • Installed - Mac
          • Browser Based (Cloud)
          • Browser Based (Cloud)
          • Mobile - iOS
          • Mobile - Android
          • Installed - Windows
          • Installed - Mac
          • Browser Based (Cloud)
          • Browser Based (Cloud)
          • Mobile - iOS
          • Mobile - Android
          • Installed - Windows
          • Installed - Mac
          • Browser Based (Cloud)

          Modes of support

          • 24/7 (Live rep)
          • Business Hours
          • Online
          • 24/7 (Live rep)
          • Business Hours
          • Online
          • 24/7 (Live rep)
          • Business Hours
          • Online
          • 24/7 (Live rep)
          • Business Hours
          • Online

          API Support

          • Not Available
          • Available
          • Not Available
          • Not Available
          Get help choosing
          Get help choosing

          Security & Compliance

          Certifications, data handling, and security controls for IT and compliance evaluators.

          SOC 2

          ✓ Yes
          ✓ Yes

          HIPAA

          ✓ Yes
          ✗ No

          GDPR

          ✓ Yes

          Single Sign-On (SSO)

          ✓ Yes

          Multi-Factor Auth (MFA)

          ✓ Yes

          Data Encryption

          ✓ Yes

          Audit Logs

          ✓ Yes

          Data Residency

          🇺🇸 US
          🇺🇸 US

          zHealthEHR vs Vozo EHR vs NextGen Healthcare EHR User Reviews & Rating Comparison

          User Ratings

          No reviews available for the product

          No reviews available for the product

          No reviews available for the product

          Rating Distribution

          25

          8

          1

          0

          1

          No reviews available for this product

          64

          62

          22

          9

          9

          5

          11

          6

          0

          8

          Spotsaas Editor’s POV generated by AI

          Buyer sentiment

          Overall positive sentiment highlighting ease of use, customization, and customer support, tempered by concerns around onboarding and email integration.

          What buyers like

          • Ease of use
          • Customizable templates
          • Customer service

          Common complaints

          • Learning curve for customization
          • Email functionality limitations

          What buyers like

          • **Intuitive, Cloud-Based Platform with Practice-Wide Efficiency:** Vozo simplifies scheduling, telehealth, billing, e-prescribing, and reporting in one cohesive system—significantly reducing administrative overhead and boosting team productivity
          • **Strong Security with Compliant, Multi-Layered Protection:** Patient data is secured via 256-bit encryption, role-based access, and 2FA, while maintaining HIPAA compliance—essential for safeguarding sensitive records
          • **Flexible Customization & Specialty Coverage:** Offers drag-and-drop form builders, customizable dashboards, specialty-specific templates (e.g., behavioral health), and integrated telehealth—enabling tailored workflows across diverse practice types

          Common complaints

          • Some users have reported limitations in appointment booking customization and intake form integration into charts—features critical for practices like med-spas or boutique clinics
          • Although Vozo offers built-in payment tools, a few clinics mentioned early signs of instability in these modules. Practices favoring mature billing/payment platforms might lean toward specialized solutions
          • Modern users eyeing AI-powered note-generation, dictation, and dynamic workflow automation may find Vozo still developing in those advanced capabilities .

          What buyers like

          • Easy to navigate and customize templates for individual needs, with support from the user community.
          • The system is user-friendly, quick to navigate, and has good training resources available.
          • Combines EHR and Practice Management into one system, providing a seamless experience.

          Common complaints

          • The interface design may feel outdated and lacks modern features, affecting user experience.
          • Some functions require multiple clicks to access, slowing down workflow efficiency.
          • Reports and customization options can be complex and challenging to set up, especially for large-scale systems.

          Buyer sentiment

          Buyer sentiment is mixed across 30 reviews, so it is worth reviewing the tradeoffs closely.

          What buyers like

          • Convenient and easy to share and update electronic records.
          • Intuitive scheduling system, helpful for both office staff and patients.
          • User-friendly interface, especially for daily patient record tracking.

          Common complaints

          • Disappointing implementation experience with setup complexities and lack of pre-formatted tools.
          • Limited training and support resources, making navigation difficult for new users.
          • Some users find the system non-intuitive in workflows.

          Pros and Cons

          • Streamlined electronic records and billing saving time and enhancing efficiency

          • Customizable SOAP note templates tailored to clinic workflows

          • User-friendly interface with responsive and helpful customer service

          • Steep learning curve for customization without sufficient support

          • Limited initial guidance on feature set and templates

          • **Intuitive, Cloud-Based Platform with Practice-Wide Efficiency:** Vozo simplifies scheduling, telehealth, billing, e-prescribing, and reporting in one cohesive system—significantly reducing administrative overhead and boosting team productivity

          • **Strong Security with Compliant, Multi-Layered Protection:** Patient data is secured via 256-bit encryption, role-based access, and 2FA, while maintaining HIPAA compliance—essential for safeguarding sensitive records

          • **Flexible Customization & Specialty Coverage:** Offers drag-and-drop form builders, customizable dashboards, specialty-specific templates (e.g., behavioral health), and integrated telehealth—enabling tailored workflows across diverse practice types

          • Some users have reported limitations in appointment booking customization and intake form integration into charts—features critical for practices like med-spas or boutique clinics

          • Although Vozo offers built-in payment tools, a few clinics mentioned early signs of instability in these modules. Practices favoring mature billing/payment platforms might lean toward specialized solutions

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

          • The system is user-friendly, quick to navigate, and has good training resources available.

          • Combines EHR and Practice Management into one system, providing a seamless experience.

          • The interface design may feel outdated and lacks modern features, affecting user experience.

          • Some functions require multiple clicks to access, slowing down workflow efficiency.

          • Convenient and easy to share and update electronic records.

          • Intuitive scheduling system, helpful for both office staff and patients.

          • User-friendly interface, especially for daily patient record tracking.

          • Disappointing implementation experience with setup complexities and lack of pre-formatted tools.

          • Limited training and support resources, making navigation difficult for new users.

          Positive Reviews

          No reviews available for the product

          No reviews available for the product

          No reviews available for the product

          No reviews available for the product

          Negative Reviews

          No reviews available for the product

          No reviews available for the product

          No reviews available for the product

          No reviews available for the product

          Integrations

          Integration with other apps

          No Integration information available.

          No Integration information available.

          No Integration information available.

          List of Customers

          Customers

          Austin Chiropractic Associates

          Austin Chiropractic Associates

          Infinite Life Chiropractic

          Infinite Life Chiropractic

          Vaughn Chiropractic

          Vaughn Chiropractic

          No Customers information available.

          Vision Care

          Vision Care

          KATZEN EYE GROUP

          KATZEN EYE GROUP

          Otis R. Bowen Center for Human Services

          Otis R. Bowen Center for Human Services

          No Customers information available.

          Media and Screenshots

          Screenshots

          zhealth - Appointment Management & Automated Reminders

          7 Screenshots

          No screenshots available.

          Videos

          video-0

          2 Videos

          video-0

          1 Videos

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

          Frequently asked questions

          Which is better, zHealthEHR or Vozo EHR?
          zHealthEHR and Vozo EHR are closely matched with equal user ratings of -1.0. The right choice depends on your team size, budget, and specific EHR Software needs.
          Do zHealthEHR and Vozo EHR offer a free trial?
          Neither zHealthEHR nor Vozo EHR currently lists a free trial.
          What is the starting price of zHealthEHR vs Vozo EHR?
          zHealthEHR starts at $116 /month. Vozo EHR starts at $89.08 per month.
          What are the top alternatives to zHealthEHR?
          Top alternatives to zHealthEHR include NextGen Healthcare EHR, Athenahealth EHR, PayDC Chiropractic Software, ChiroSpring, RAPID.
          What are the top alternatives to Vozo EHR?
          Top alternatives to Vozo EHR include NextGen Healthcare EHR, Athenahealth EHR, Alembico EMR, SigmaCare, zHealthEHR.

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