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Veterinary · head to head

AVImark vs NextGen Healthcare

AVImark logo

AVImark

Veterinary

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

From
On request
Rated
-
Full reviewWebsite
NextGen Healthcare logo

NextGen Healthcare

Healthcare

Integrated EHR and practice management solutions

From
$150/month
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.; NextGen Healthcare no pricing published on website
  • They diverge on capability: AVImark covers Medical records, NextGen Healthcare 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 NextGen Healthcare actually diverge.

Attributes where AVImark and NextGen Healthcare differ
AttributeAVImarkNextGen Healthcare
Starting priceOn request$150/month
Pricing modelquotesubscription
PlatformsWindowsWeb, iOS, Android
CategoryVeterinaryHealthcare
FoundedUnknown1997

Identical on both: 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 NextGen Healthcare

  • Electronic Health Records
  • Practice Management
  • Revenue Cycle Management
  • Telehealth
  • Analytics
  • Labs
  • Pharmacies
  • Clearinghouses

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 NextGen Healthcare
  • A practice whose staff are fast in AVImark and where retraining cost outweighs the benefits of movingnot NextGen Healthcare
  • A rural clinic with poor connectivity that cannot depend on a browser based systemnot NextGen Healthcare
  • A practice buying Covetrus pharmacy and supplies that wants prescription workflow in the same systemnot NextGen Healthcare

NextGen Healthcare

  • Cloud-based EHR and practice management for ambulatory and specialty practicesnot AVImark
  • AI-assisted clinical documentation to reduce after-hours charting timenot 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.

NextGen Healthcare

  • No pricing published on website

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

NextGen Healthcare

$150/month

No published plan breakdown. See the NextGen Healthcare review.

Which should you pick?

Choose AVImark if

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

Choose NextGen Healthcare if

  • You need electronic health records.
  • You work on Web, iOS, Android.
  • You also want practice management.
NextGen Healthcare review

Questions people ask

Is AVImark or NextGen Healthcare better?
Neither clearly leads. AVImark starts at On request and NextGen Healthcare at $150/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, AVImark or NextGen Healthcare?
AVImark starts at On request and NextGen Healthcare at $150/month.
Does AVImark or NextGen Healthcare run on more platforms?
AVImark runs on Windows. NextGen Healthcare runs on Web, iOS, Android.
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 NextGen Healthcare is typically brought in for.
What can AVImark do that NextGen Healthcare cannot?
AVImark covers Medical records, Appointment scheduling, Invoicing and estimates, Inventory and controlled drugs. NextGen Healthcare covers Electronic Health Records, Practice Management, Revenue Cycle Management, Telehealth.

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.

NextGen Healthcare: How much does NextGen Healthcare cost?

NextGen Healthcare does not publish pricing on its website. The company directs customers to schedule a meeting, request a demo, or chat with sales to receive custom pricing.

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.

AVImark: Can AVImark be run in the cloud?

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

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.

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