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Healthcare · head to head

eClinicalWorks vs Shepherd

eClinicalWorks logo

eClinicalWorks

Healthcare

Comprehensive EHR and practice management platform

From
On request
Rated
-
Full reviewWebsite
Shepherd logo

Shepherd

Veterinary

Cloud veterinary practice management built by a practising vet

From
On request
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: eClinicalWorks pricing details not disclosed on website; requires sales consultation or demo; Shepherd quote-only pricing with no published rates
  • They diverge on capability: eClinicalWorks covers Electronic Health Records, Shepherd covers Consultation-first records.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which eClinicalWorks and Shepherd actually diverge.

Attributes where eClinicalWorks and Shepherd differ
AttributeeClinicalWorksShepherd
Pricing modelUnknownquote
PlatformsWeb, Cloud-basedWeb, Cloud
CategoryHealthcareVeterinary
Founded1999Unknown

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 eClinicalWorks

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

Only in Shepherd

  • Consultation-first records
  • Charges from treatment
  • Inventory
  • Cloud-based

What people use each for

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

eClinicalWorks

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

Shepherd

  • Practices losing revenue to treatment delivered but never billednot eClinicalWorks
  • Clinics replacing on-premise legacy systemsnot eClinicalWorks
  • Independent practices wanting something designed around clinical work rather than administrationnot eClinicalWorks

Where each one falls short

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

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

Shepherd

  • Quote-only pricing with no published rates
  • A smaller vendor than the established systems, with a correspondingly shorter track record
  • Cloud-only, so consultations depend on clinic connectivity

Pricing, plan by plan

eClinicalWorks

On request

No published plan breakdown. See the eClinicalWorks review.

Shepherd

On request

No published plan breakdown. See the Shepherd review.

Which should you pick?

Choose eClinicalWorks if

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

Choose Shepherd if

  • You need consultation-first records.
  • You work on Web, Cloud.
  • You also want charges from treatment.
Shepherd review

Questions people ask

Is eClinicalWorks or Shepherd better?
Neither clearly leads. eClinicalWorks starts at On request and Shepherd at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, eClinicalWorks or Shepherd?
eClinicalWorks starts at On request and Shepherd at On request.
Does eClinicalWorks or Shepherd run on more platforms?
eClinicalWorks runs on Web, Cloud-based. Shepherd runs on Web, Cloud.
What is eClinicalWorks best used for?
eClinicalWorks is most often used for ehr and practice management for multi-specialty medical practices, patient engagement through telehealth (healow) and secure messaging, revenue cycle management with 98%+ first-pass acceptance rate, ai-powered clinical documentation with sunoh.ai medical scribe. Of those, ehr and practice management for multi-specialty medical practices and patient engagement through telehealth (healow) and secure messaging are not what Shepherd is typically brought in for.
What can eClinicalWorks do that Shepherd cannot?
eClinicalWorks covers Electronic Health Records, Practice Management, Revenue Cycle, Patient Portal. Shepherd covers Consultation-first records, Charges from treatment, Inventory, Cloud-based.

Answered from the vendors’ own pages

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
Shepherd: What does Shepherd cost?

Pricing is quoted per practice and not published.

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
Shepherd: What makes it different from other veterinary systems?

It was designed by a practising vet around the consultation workflow, so charges accrue from recorded treatment rather than being entered as a separate billing step.

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
Shepherd: Is it cloud-only?

Yes, which removes server maintenance and makes connectivity a dependency.

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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