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Veterinary · head to head

AVImark vs eClinicalWorks

AVImark logo

AVImark

Veterinary

Long-running Windows practice management software for veterinary clinics, now part of Covetrus

From
On request
Rated
-
Full reviewWebsite
eClinicalWorks logo

eClinicalWorks

Healthcare

Comprehensive EHR and practice management platform

From
On request
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: AVImark the owner markets a different cloud platform as its strategic product, so AVImark development is maintenance paced and buyers should expect a migration conversation rather than a long roadmap.; eClinicalWorks pricing details not disclosed on website; requires sales consultation or demo
  • They diverge on capability: AVImark covers Medical records, eClinicalWorks covers Electronic Health Records.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which AVImark and eClinicalWorks actually diverge.

Attributes where AVImark and eClinicalWorks differ
AttributeAVImarkeClinicalWorks
Pricing modelquoteUnknown
PlatformsWindowsWeb, Cloud-based
CategoryVeterinaryHealthcare
FoundedUnknown1999

Identical on both: starting price (On request), free tier (No), user rating (Not yet rated).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in AVImark

  • Medical records
  • Appointment scheduling
  • Invoicing and estimates
  • Inventory and controlled drugs
  • Reminders
  • Add-on modules

Only in eClinicalWorks

  • Electronic Health Records
  • Practice Management
  • Revenue Cycle
  • Patient Portal
  • ePrescribing
  • Telehealth
  • HL7
  • FHIR

What people use each for

The jobs each tool is most often brought in to do.

AVImark

  • A single site clinic that wants the lowest ongoing software cost and already has a server and an IT providernot eClinicalWorks
  • A practice whose staff are fast in AVImark and where retraining cost outweighs the benefits of movingnot eClinicalWorks
  • A rural clinic with poor connectivity that cannot depend on a browser based systemnot eClinicalWorks
  • A practice buying Covetrus pharmacy and supplies that wants prescription workflow in the same systemnot eClinicalWorks

eClinicalWorks

  • EHR and practice management for multi-specialty medical practicesnot AVImark
  • Patient engagement through telehealth (healow) and secure messagingnot AVImark
  • Revenue cycle management with 98%+ first-pass acceptance ratenot AVImark
  • AI-powered clinical documentation with Sunoh.ai medical scribenot AVImark

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

AVImark

  • The owner markets a different cloud platform as its strategic product, so AVImark development is maintenance paced and buyers should expect a migration conversation rather than a long roadmap.
  • Meaningful capabilities including imaging, client communication and wellness plans are separately priced modules, so the quoted base licence understates what a working configuration costs.
  • It is Windows and server based, which pushes hardware, backup and IT support costs onto the practice and rules out browser or tablet use in the examination room.
  • The interface is keyboard driven and dated, which suits long-serving staff but slows new hires and makes onboarding relief staff harder.
  • Data lives in a local database with limited export tooling, so extracting a clean history when moving to another system is a paid conversion project rather than a download.

eClinicalWorks

  • Pricing details not disclosed on website; requires sales consultation or demo
  • No published technical system requirements specified
  • Cloud-based solution requires reliable internet connectivity for clinics

Pricing, plan by plan

AVImark

On request
  • AVImark$undefined/year
    • Licence plus annual maintenance and support agreement
    • Add-on modules priced individually
    • Server, backup and workstation costs borne by the practice

eClinicalWorks

On request

No published plan breakdown. See the eClinicalWorks review.

Which should you pick?

Choose AVImark if

  • You need medical records.
  • You work on Windows.
  • You also want appointment scheduling.
AVImark review

Choose eClinicalWorks if

  • You need electronic health records.
  • You work on Web, Cloud-based.
  • You also want practice management.
eClinicalWorks review

Questions people ask

Is AVImark or eClinicalWorks better?
Neither clearly leads. AVImark starts at On request and eClinicalWorks at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, AVImark or eClinicalWorks?
AVImark starts at On request and eClinicalWorks at On request.
Does AVImark or eClinicalWorks run on more platforms?
AVImark runs on Windows. eClinicalWorks runs on Web, Cloud-based.
What is AVImark best used for?
AVImark is most often used for a single site clinic that wants the lowest ongoing software cost and already has a server and an it provider, a practice whose staff are fast in avimark and where retraining cost outweighs the benefits of moving, a rural clinic with poor connectivity that cannot depend on a browser based system, a practice buying covetrus pharmacy and supplies that wants prescription workflow in the same system. Of those, a single site clinic that wants the lowest ongoing software cost and already has a server and an it provider and a practice whose staff are fast in avimark and where retraining cost outweighs the benefits of moving are not what eClinicalWorks is typically brought in for.
What can AVImark do that eClinicalWorks cannot?
AVImark covers Medical records, Appointment scheduling, Invoicing and estimates, Inventory and controlled drugs. eClinicalWorks covers Electronic Health Records, Practice Management, Revenue Cycle, Patient Portal.

Answered from the vendors’ own pages

AVImark: Who owns AVImark now?

Covetrus, following its spin-out from Henry Schein in 2019 and its move to private ownership in 2022. It was originally a McAllister Software Systems product.

eClinicalWorks: What does eClinicalWorks EHR cost per provider?

eClinicalWorks EHR costs $449/month per provider with no startup costs. This includes the electronic medical record system, mobile access, patient portal, messaging, document management, prescribing, reporting, and 24/7 support with cloud hosting.

Source
AVImark: Is AVImark being discontinued?

No announcement of that, but Covetrus positions Pulse as its cloud platform. Ask for written roadmap commitments before signing a multi-year agreement.

eClinicalWorks: What is the cost of eClinicalWorks with Practice Management?

eClinicalWorks EHR with Practice Management costs $599/month per provider with no startup costs. This adds practice management functionality and billing implementation services.

Source
AVImark: Can AVImark be run in the cloud?

Only by hosting it on a remote Windows server. It is not a browser application.

eClinicalWorks: What is eClinicalWorks' Revenue Cycle Management pricing?

eClinicalWorks RCM as a Service costs 2.9% of practice collections with no startup costs. It covers claim processing, denial management, appeals, and accounts receivable visibility.

Source
AVImark: Is it cheaper than cloud practice management systems?

On licence cost yes, but add server, backup, IT support and paid modules before making the comparison.

eClinicalWorks: Is there a cost for data migration to eClinicalWorks?

No, eClinicalWorks offers free data migration for practices switching from other EHR systems.

Source
eClinicalWorks: Are training costs included with eClinicalWorks?

Initial training is included for practices with 1-9 providers. Additional fees apply for larger practices.

Source
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