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Veterinary · head to head

IDEXX Cornerstone vs Zanda Health

IDEXX Cornerstone logo

IDEXX Cornerstone

Veterinary

On-premise veterinary practice management software tied to the IDEXX diagnostics ecosystem

From
On request
Rated
-
Full reviewWebsite
Zanda Health logo

Zanda Health

Healthcare

Practice management and clinical notes for allied health clinics, formerly Power Diary

From
$19/month
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: IDEXX Cornerstone the system runs on a server in the building, so the practice pays for hardware, backups and an IT provider, costs that never appear in a comparison against browser based competitors.; Zanda Health the 2024 rename from Power Diary means most third party reviews, integration guides and community answers still sit under the old name, so buyers researching Zanda Health find a thin trail and may wrongly conclude it is a new and unproven product.
  • They diverge on capability: IDEXX Cornerstone covers Medical records, Zanda Health covers Unlimited admin users.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which IDEXX Cornerstone and Zanda Health actually diverge.

Attributes where IDEXX Cornerstone and Zanda Health differ
AttributeIDEXX CornerstoneZanda Health
Starting priceOn request$19/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 IDEXX Cornerstone

  • Medical records
  • Diagnostics integration
  • Estimates and invoicing
  • Inventory control
  • Boarding and grooming
  • Wellness plans

Only in Zanda Health

  • Unlimited admin users
  • Australian funder billing
  • Clinical note templates
  • Two way SMS
  • Telehealth Pro
  • Practitioner rostering
  • Client portal
  • BizzyAI Scribe

What people use each for

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

IDEXX Cornerstone

  • A multi-doctor general practice already running IDEXX in-house analysers that wants results in the record automaticallynot Zanda Health
  • A clinic with unreliable internet where an on-site server keeps the practice working during an outagenot Zanda Health
  • A practice that boards and grooms as well as treating, and wants those bookings on the same invoicenot Zanda Health
  • A group needing consolidated reporting across a small number of owned locationsnot Zanda Health

Zanda Health

  • A five physiotherapist clinic in Melbourne that bulk bills Medicare and wants claiming inside the diary rather than a separate portalnot IDEXX Cornerstone
  • A psychology group practice with more reception staff than clinicians, where per seat pricing elsewhere would double the billnot IDEXX Cornerstone
  • A UK osteopathy practice moving off paper diaries that needs online booking and card payment without an implementation projectnot IDEXX Cornerstone
  • A multi site podiatry business that needs room and equipment allocation alongside practitioner availabilitynot IDEXX Cornerstone

Where each one falls short

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

IDEXX Cornerstone

  • The system runs on a server in the building, so the practice pays for hardware, backups and an IT provider, costs that never appear in a comparison against browser based competitors.
  • It is Windows only with no meaningful mobile access, which rules it out for house call and ambulatory work and leaves staff tied to workstations.
  • The interface is dense and dated, so training a new receptionist or technician takes materially longer than on newer systems.
  • Commercial gravity runs towards IDEXX diagnostics, and a practice that later moves its laboratory work to a competitor loses the automation that justified the software.
  • IDEXX is directing new customers towards its cloud products, so investment in Cornerstone is maintenance oriented and buyers should assume a migration conversation within the life of the purchase.

Zanda Health

  • The 2024 rename from Power Diary means most third party reviews, integration guides and community answers still sit under the old name, so buyers researching Zanda Health find a thin trail and may wrongly conclude it is a new and unproven product.
  • North American billing is not properly served: there is no claims clearinghouse and superbill handling is basic, so a United States practice will need a separate revenue cycle tool and will pay for two systems.
  • Pricing is quoted in United States dollars while the company, support hours and product depth are Australian, so buyers outside those two time zones get support with an overnight lag on urgent clinical scheduling problems.
  • SMS is billed per message beyond the plan allowance and a dedicated number is required in the United States and Canada, so a busy clinic sending reminders and follow ups accumulates a variable monthly cost that is not visible in the headline plan price.
  • Reporting is adequate for a single clinic but weak for a group: cross site financial consolidation and practitioner productivity comparison generally end up exported to a spreadsheet, which becomes a monthly manual job as soon as you pass a handful of locations.

Pricing, plan by plan

IDEXX Cornerstone

On request
  • Cornerstone$undefined/year
    • Licence priced by number of workstations and modules
    • Annual support and maintenance charged separately
    • Server hardware and IT support are the responsibility of the practice

Zanda Health

$19/month
  • Starter$19/month
    • One practitioner
    • One administrative user
    • 1,000 appointments per year
  • Growth$49/month
    • Base fee plus 19 USD per additional practitioner per month
    • Unlimited free administrative users
    • Unlimited appointments
  • Telehealth Pro add-on$9/month
    • Per practitioner
    • Unlimited video consultations
    • Recording and waiting room

Which should you pick?

Choose IDEXX Cornerstone if

  • You need medical records.
  • You work on Windows.
  • You also want diagnostics integration.
IDEXX Cornerstone review

Choose Zanda Health if

  • You need unlimited admin users.
  • You work on Web, iOS, Android.
  • You also want australian funder billing.
Zanda Health review

Questions people ask

Is IDEXX Cornerstone or Zanda Health better?
Neither clearly leads. IDEXX Cornerstone starts at On request and Zanda Health at $19/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, IDEXX Cornerstone or Zanda Health?
IDEXX Cornerstone starts at On request and Zanda Health at $19/month.
Does IDEXX Cornerstone or Zanda Health run on more platforms?
IDEXX Cornerstone runs on Windows. Zanda Health runs on Web, iOS, Android.
What is IDEXX Cornerstone best used for?
IDEXX Cornerstone is most often used for a multi-doctor general practice already running idexx in-house analysers that wants results in the record automatically, a clinic with unreliable internet where an on-site server keeps the practice working during an outage, a practice that boards and grooms as well as treating, and wants those bookings on the same invoice, a group needing consolidated reporting across a small number of owned locations. Of those, a multi-doctor general practice already running idexx in-house analysers that wants results in the record automatically and a clinic with unreliable internet where an on-site server keeps the practice working during an outage are not what Zanda Health is typically brought in for.
What can IDEXX Cornerstone do that Zanda Health cannot?
IDEXX Cornerstone covers Medical records, Diagnostics integration, Estimates and invoicing, Inventory control. Zanda Health covers Unlimited admin users, Australian funder billing, Clinical note templates, Two way SMS.

Answered from the vendors’ own pages

IDEXX Cornerstone: Is Cornerstone cloud based?

No. It is installed on a server at the practice. IDEXX sells separate browser based products for clinics that want cloud.

Zanda Health: Is Zanda Health the same as Power Diary?

Yes. Power Diary rebranded to Zanda Health in 2024. Same company, same product line, same data.

IDEXX Cornerstone: Does it work with laboratories other than IDEXX?

Results can be handled, but the automatic requisition and result return that make Cornerstone worth its price are built around IDEXX.

Zanda Health: Do receptionists count as paid users?

No. On the Growth plan administrative users are unlimited and free. Only practitioners are charged.

IDEXX Cornerstone: What is the real total cost?

The licence and annual support are only part of it. Add the server, backup, workstation refreshes and an IT contract before comparing with cloud systems.

Zanda Health: Does it handle Medicare bulk billing?

Yes, Medicare Online, DVA and bulk billing claims are submitted from within the platform for Australian practices.

IDEXX Cornerstone: Can it be accessed from home?

Only through remote desktop or similar, set up and secured by the practice IT provider.

Zanda Health: Is it suitable for a United States practice?

Only partly. Charting, scheduling and telehealth work, but there is no claims clearinghouse, so US insurance billing needs a separate system.

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