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Veterinary · head to head

AVImark vs TheraNest

AVImark logo

AVImark

Veterinary

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

From
On request
Rated
-
Full reviewWebsite
TheraNest logo

TheraNest

Healthcare

Mental health EHR and practice management priced per therapist

From
$29/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.; TheraNest the Essentials plan includes no insurance claims at all, so any practice that bills a payer is effectively on the 59 USD tier or above and the advertised 29 USD entry price does not apply to it.
  • They diverge on capability: AVImark covers Medical records, TheraNest covers Progress notes and treatment plans.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which AVImark and TheraNest actually diverge.

Attributes where AVImark and TheraNest differ
AttributeAVImarkTheraNest
Starting priceOn request$29/month
Pricing modelquotePer user per month
PlatformsWindowsWeb, iOS, Android
CategoryVeterinaryHealthcare

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 TheraNest

  • Progress notes and treatment plans
  • Insurance claims
  • Client portal
  • Telehealth
  • Group and family sessions
  • Payroll and staff reporting

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

TheraNest

  • A solo therapist who needs a HIPAA aligned note and scheduling system and does not bill insurance, where the 29 USD entry tier is genuinely sufficientnot AVImark
  • A group practice of six to twenty clinicians that wants per clinician productivity and payroll reporting without buying a separate practice management layernot AVImark
  • A practice moving off paper or a general purpose calendar that needs a client portal for intake forms and consent signaturesnot AVImark
  • A behavioural health organisation that bills a steady volume of insurance claims each month and can size the Advanced allowance against its actual claim countnot 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.

TheraNest

  • The Essentials plan includes no insurance claims at all, so any practice that bills a payer is effectively on the 59 USD tier or above and the advertised 29 USD entry price does not apply to it.
  • Telehealth is only in the Premier plan, so a practice that wants video sessions pays 89 USD per therapist per month even if it needs nothing else from that tier.
  • An annual AMA CPT licence fee is billed separately each December on top of subscription cost, which surprises practices that budgeted only the monthly figure.
  • Additional administrative users are chargeable, so a practice with front desk and billing staff who never see clients still pays 19 to 29 USD per head for people who generate no revenue.
  • The product sits inside a consolidated portfolio that has already renamed the parent company from Therapy Brands to Ensora Health, and product investment in a portfolio is directed by the owner rather than by this product line, so roadmap commitments are worth less than they would be from a single product vendor.

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

TheraNest

$29/month
  • Essentials$29/month
    • Per therapist
    • Scheduling and client portal
    • HIPAA aligned notes and documentation
  • Advanced$59/month
    • Per therapist
    • 30 insurance claims per month included
    • Custom forms
  • Premier$89/month
    • Per therapist
    • Unlimited insurance claims
    • Billing automation

Which should you pick?

Choose AVImark if

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

Choose TheraNest if

  • You need progress notes and treatment plans.
  • You work on Web, iOS, Android.
  • You also want insurance claims.
TheraNest review

Questions people ask

Is AVImark or TheraNest better?
Neither clearly leads. AVImark starts at On request and TheraNest at $29/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, AVImark or TheraNest?
AVImark starts at On request and TheraNest at $29/month.
Does AVImark or TheraNest run on more platforms?
AVImark runs on Windows. TheraNest 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 TheraNest is typically brought in for.
What can AVImark do that TheraNest cannot?
AVImark covers Medical records, Appointment scheduling, Invoicing and estimates, Inventory and controlled drugs. TheraNest covers Progress notes and treatment plans, Insurance claims, Client portal, 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.

TheraNest: Is TheraNest still sold under that name?

Yes. The company rebranded from Therapy Brands to Ensora Health and the product is now marketed as TheraNest by Ensora Health, but you still buy TheraNest.

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.

TheraNest: Can I bill insurance on the cheapest plan?

No. Essentials includes no claims. Advanced includes 30 claims a month and Premier is unlimited.

AVImark: Can AVImark be run in the cloud?

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

TheraNest: Are there hidden costs?

Two. Additional admin users are charged per head, and an AMA CPT licence fee is billed annually in December per therapist.

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.

TheraNest: Does it support group practices?

Yes, with per clinician reporting and payroll figures, though every clinician and every admin is a paid seat.

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