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12 Epic Alternatives for Windows, Ranked (2026)

Explore 12 alternatives to Epic — vetted by our editors with real user reviews, pricing, and feature comparisons.

The 12 best Epic alternatives at a glance

Quick answer

Our pick of ehr software alternatives to Epic: ChiroSpring, RXNT Clinical EHR and NextGen Healthcare EHR. ChiroSpring leads the pack with a SpotScore of 8.2 and a 4.9★ rating. Compare all 12 on score, rating, and pricing below.

When Epic no longer matches how your team works, the right swap makes a big difference. These 12 ehr software alternatives are the strongest candidates, ranked by SpotScore (real-user satisfaction plus market presence), ratings, and pricing. Each is editor-vetted. Use the table to compare at a glance, then read the breakdowns.

ProductSpotScoreRatingPricingBest for
ChiroSpringTransforming chiropractic care, one practice at a time.8.2★★★★★ 4.9(5)FreeFree Trial · Subscriptionteams of all sizes
RXNT Clinical EHRIntegrated Cloud-Based EHR for Modern Healthcare Practices—★★★★☆ 4.1(25)Subscriptionteams of all sizes
NextGen Healthcare EHRAI-Powered EHR for Modern, Specialty-Based Practice Management—Not yet ratedQuotation Basedteams of all sizes
Athenahealth EHREfficient care, ahead of the curve.—★★★☆☆ 3.3(30)Quotation Basedteams of all sizes
JaneStreamline healthcare management with ease.9.5Not yet ratedSubscriptionteams of all sizes
Practice FusionRevolutionary telemedicine for better healthcare.9.3★★★★☆ 4Quotation Basedteams of all sizes
zHealthEHRzHealth Empowers Chiropractic Practices and Optimizes their Finances8.8Not yet ratedSubscription · Quotation Basedteams of all sizes
CarepatronConnect with patients anytime, anywhere.8.2★★★☆☆ 3.25(4)FreeFreemium · Subscriptionsmall & mid-size businesses
ABAdeskSupporting Behavioral Health with Easy, Automated Workflows—Not yet ratedFreeFree Trialsmall & mid-size businesses
SigmaCareComprehensive EHR Software for Long-Term and Post-Acute Care Providers—Not yet ratedQuotation Basedteams of all sizes
OpusComprehensive Behavioral Health Software for EHR, CRM, and RCM in One Unified Platform—Not yet ratedQuotation Basedteams of all sizes
CarePaths EHRBehavioral Health EHR with AI Notes, Teletherapy, and Outcomes Tracking—Not yet ratedFreeFree Trial · Subscription—

8.2

SpotScore

ChiroSpring - Chiropractic Software

ChiroSpring

Transforming chiropractic care, one practice at a time.

Best for: SMB teams · Mid-market · Enterprise

Start Free Trial

4.9

5 verified reviews

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What is ChiroSpring?

ChiroSpring is a chiropractic practice management system that features a full set of high-powered chiropractic software solutions. ChiroSpring offers a user-friendly interface that makes it easy to take care of practice operations, including billing, scheduling, email marketing, patient intake ...

Read more about ChiroSpring
Free Trial
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

4.1

25 verified reviews

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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

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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

3.3

30 verified reviews

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

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

watch-demo

Watch Demo

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

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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

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

watch-demo

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 $116/month when monthly

8.2

SpotScore

Carepatron

Carepatron

Connect with patients anytime, anywhere.

Best for: SMB teams · Mid-market

GDPRHIPAA
Try for Free

3.3

4 verified reviews

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

What sets each pick apart

ChiroSpring8.2Best for teams of all sizes

User-friendly interface

Watch for: Limited advanced features

RXNT Clinical EHRBest for teams of all sizes

RXNT offers a complete healthcare IT solution, integrating EHR, e-prescribing, billing, and practice management within a single platform—reducing the need for multiple vendors.

Watch for: While RXNT covers core functions well, its integration capabilities with external tools and platforms may not be as robust as enterprise-level EHR systems.

NextGen Healthcare EHRBest for teams of all sizes

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

Watch for: The interface design may feel outdated and lacks modern features, affecting user experience.

Athenahealth EHRBest for teams of all sizes

Convenient and easy to share and update electronic records.

Watch for: Disappointing implementation experience with setup complexities and lack of pre-formatted tools.

Jane9.5Best for teams of all sizes

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

Watch for: Newcomers may find the richness of features overwhelming without proper guidance or support.

Practice Fusion9.3Best for teams of all sizes

Cloud-based platform

Watch for: Limited features for specialists

zHealthEHR8.8Best for teams of all sizes

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

Watch for: Steep learning curve for customization without adequate support.

Carepatron8.2Best for small & mid-size businesses

Remote patient monitoring

Watch for: Limited to telemedicine

ABAdeskBest for small & mid-size businesses

ABAdesk allows clinicians to create tailored treatment plans with flexible phases and program elements, ensuring therapy aligns with each client’s unique needs.

Watch for: While it performs well independently, ABAdesk offers fewer direct integrations with external practice management or billing systems compared to some competitors.

SigmaCareBest for teams of all sizes

SigmaCare provides strong tools for medication administration, including automated workflows, eMAR, eTAR, and proactive DUR alerts, significantly reducing the chances of errors and ensuring patient safety.

Watch for: Due to its wide range of features, SigmaCare may require significant training and onboarding time for staff to fully utilize its capabilities.

OpusBest for teams of all sizes

Opus offers a seamlessly integrated environment where clinical documentation, customer relationship management, and billing processes are housed in a single platform. This reduces fragmentation across systems and helps behavioral health organizations maintain a consistent, efficient workflow from intake to discharge.

Watch for: While the platform is functionally rich, the lack of clearly advertised integrations with major platforms like Google Calendar, Zoom, or e-prescription networks may limit interoperability for users who rely on external tools for daily operations.

CarePaths EHR

CarePaths EHR allows mental health professionals to conduct teletherapy sessions directly within the platform while managing appointments and schedules from the same interface, reducing the need for external tools.

Watch for: Some users may find the forms and templates less customizable compared to other EHR systems tailored for larger practices or specialized fields.

Why teams look for a Epic alternative

Most people weighing a Epic alternative are reacting to the same handful of pain points:

  • Complex setup for clinics
  • Higher costs for small practices
  • Limited customization options

Choosing a Epic alternative

A quick data read across all 12 ehr software alternatives: 4 offer a free tier; and ChiroSpring is the highest rated at 4.9★ across 5 reviews.

Our methodology.

Frequently Asked Questions (FAQs)

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

The top-rated alternatives to Epic are ChiroSpring (4.9★), RXNT Clinical EHR (4.1★), Practice Fusion (4.0★). Compare all 12 alternatives side-by-side above.

When evaluating alternatives to Epic, prioritize: Benchmarking, Peer-to-Peer, Analytics, Appointment Scheduling, Self Service Portal, transparent pricing, free trial availability, and integrations with your existing tools. Use the filters above to compare by feature, budget, and team size.

Migration difficulty depends on how deeply Epic is integrated into your workflows. Most alternatives offer data export/import tools and dedicated onboarding support. We recommend shortlisting 2–3 options, running a free trial, and checking each vendor's migration guides before committing.

How to pick the best Epic alternative

  • On a budget / just exploring: start with a free tier — ChiroSpring, Carepatron and ABAdesk let you evaluate without paying upfront.
  • If real-user ratings matter most: ChiroSpring has the strongest star rating (4.9★) among the options with verified reviews.
  • Want the safest pick: ChiroSpring has the highest Spotsaas Score (8.2) in this list — a strong default if you're unsure.

How to migrate from Epic

To switch off Epic without disruption, handle your data first: export it and test that the new tool imports it cleanly. Verify your key workflows still function, pilot the move on a free plan or trial, and keep Epic active until the cutover is complete.

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