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Veterinary · head to head

ImproMed vs Kareo Clinical

I

ImproMed

Veterinary

On-premise Windows practice management with deep inventory and financial reporting, now inside Covetrus

From
On request
Rated
-
Full reviewWebsite
Kareo Clinical logo

Kareo Clinical

Healthcare

Specialized EHR and practice management for independent and small practices

From
$89/month
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: ImproMed it is a server-based Windows product, so the practice owns the hardware, the SQL database, the patching and the backup regime, and those costs never appear in the software quotation.; Kareo Clinical kareo is now part of Tebra and sold under the Tebra brand rather than as a standalone product
  • They diverge on capability: ImproMed covers Multi-location inventory, Kareo Clinical covers Electronic Health Records.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which ImproMed and Kareo Clinical actually diverge.

Attributes where ImproMed and Kareo Clinical differ
AttributeImproMedKareo Clinical
Starting priceOn request$89/month
Pricing modelquotesubscription
PlatformsWindowsWeb, Mobile
CategoryVeterinaryHealthcare
FoundedUnknown2010

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 ImproMed

  • Multi-location inventory
  • Production reporting
  • Wellness plans
  • Laboratory and imaging integration
  • On-premise deployment
  • Covetrus prescription management

Only in Kareo Clinical

  • Electronic Health Records
  • Scheduling
  • Patient Portal
  • Medical Billing
  • ePrescribing
  • Analytics
  • Labs
  • Pharmacies

What people use each for

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

ImproMed

  • A multi-doctor hospital carrying significant inventory value that needs reorder points and vendor price comparisonnot Kareo Clinical
  • A practice manager who has to analyse production by veterinary surgeon and reconcile it against the general ledgernot Kareo Clinical
  • A hospital in an area with unreliable internet that will not put the appointment book and records on a cloud connectionnot Kareo Clinical
  • A small group running wellness plans that need recurring billing and compliance tracking against patientsnot Kareo Clinical

Kareo Clinical

  • Practice management, scheduling and billing for independent medical practicesnot ImproMed
  • Electronic health records and e-prescribing for small clinicsnot ImproMed
  • Insurance claim submission and patient payment collectionnot ImproMed

Where each one falls short

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

ImproMed

  • It is a server-based Windows product, so the practice owns the hardware, the SQL database, the patching and the backup regime, and those costs never appear in the software quotation.
  • Covetrus markets Pulse as its strategic cloud platform while holding three legacy practice management systems, so ask directly what development ImproMed still receives and get the support commitment and end-of-life notice period in writing.
  • Remote and mobile access is weak compared with cloud systems, which matters for on-call work, home record review and multi-site groups sharing patients.
  • The interface is dense and dated, and training a new receptionist or technician on it takes materially longer than on a modern cloud system.
  • If Covetrus does steer customers to Pulse, the migration is a full data conversion with retraining, so the cost of the eventual move should be priced into the decision now rather than later.

Kareo Clinical

  • Kareo is now part of Tebra and sold under the Tebra brand rather than as a standalone product
  • Tebra publishes no rate: pricing varies with provider count, features and implementation requirements and is quoted during a demo
  • Billing counts clinical providers such as MDs, DOs, NPs and PAs, so adding a prescriber raises the bill even though non clinical staff are free
  • Electronic prescribing of controlled substances setup costs about $75 per provider as a one time fee
  • PDMP integration costs $500 one time per facility plus about $50 per user per year

Pricing, plan by plan

ImproMed

On request
  • ImproMed Infinity$undefined/year
    • Quoted per practice with a licence and an annual support agreement
    • Server hardware and database licensing are the responsibility of the practice
    • Data conversion and training charged separately

Kareo Clinical

$89/month
  • Clinical Starter$89/month
    • EHR
    • Scheduling
    • Patient Portal
  • Clinical Plus$189/month
    • Everything in Starter
    • Billing
    • Analytics

Which should you pick?

Choose ImproMed if

  • You need multi-location inventory.
  • You work on Windows.
  • You also want production reporting.
ImproMed review

Choose Kareo Clinical if

  • You need electronic health records.
  • You work on Web, Mobile.
  • You also want scheduling.
Kareo Clinical review

Questions people ask

Is ImproMed or Kareo Clinical better?
Neither clearly leads. ImproMed starts at On request and Kareo Clinical at $89/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, ImproMed or Kareo Clinical?
ImproMed starts at On request and Kareo Clinical at $89/month.
Does ImproMed or Kareo Clinical run on more platforms?
ImproMed runs on Windows. Kareo Clinical runs on Web, Mobile.
What is ImproMed best used for?
ImproMed is most often used for a multi-doctor hospital carrying significant inventory value that needs reorder points and vendor price comparison, a practice manager who has to analyse production by veterinary surgeon and reconcile it against the general ledger, a hospital in an area with unreliable internet that will not put the appointment book and records on a cloud connection, a small group running wellness plans that need recurring billing and compliance tracking against patients. Of those, a multi-doctor hospital carrying significant inventory value that needs reorder points and vendor price comparison and a practice manager who has to analyse production by veterinary surgeon and reconcile it against the general ledger are not what Kareo Clinical is typically brought in for.
What can ImproMed do that Kareo Clinical cannot?
ImproMed covers Multi-location inventory, Production reporting, Wellness plans, Laboratory and imaging integration. Kareo Clinical covers Electronic Health Records, Scheduling, Patient Portal, Medical Billing.

Answered from the vendors’ own pages

ImproMed: Is ImproMed still being developed?

Ask Covetrus for a release history and a written support commitment. Pulse is the stated strategic cloud product, and ImproMed, AVImark and RxWorks are all legacy systems in the same portfolio.

Kareo Clinical: How much does Kareo Clinical (now Tebra) cost?

Kareo Clinical pricing is not published publicly. Pricing is based on the number of clinical providers in your practice, not seat licenses. Setup includes optional EPCS at $75/provider and PDMP Integration at $500 one-time per facility plus $50/user/year.

Source
ImproMed: Can it run in the cloud?

It is designed for an on-premise server. Hosting it on a remote desktop service is possible but it is not a native cloud application and does not behave like one.

Kareo Clinical: Does Tebra charge for front desk staff and medical assistants?

No. Tebra provides unlimited non-clinical staff access at no extra cost. Front desk staff, medical assistants, billers, and office admins can all access scheduling, charting, and claims modules without increasing billing.

Source
ImproMed: What is it better at than cloud alternatives?

Inventory control and financial and production reporting. Practices with high stock value and several veterinary surgeons are the ones that notice the difference.

Kareo Clinical: Are there reduced rates for low-volume practices on Tebra?

Yes. Practices with providers billing under 100 claims monthly receive lower-tier pricing for those low-volume providers.

Source
ImproMed: What happens to my data if we move to Pulse?

A conversion project. Establish before signing what Covetrus will convert, what it will not, and who pays for it.

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