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Veterinary · head to head

ImproMed vs NextGen Healthcare

I

ImproMed

Veterinary

On-premise Windows practice management with deep inventory and financial reporting, now inside 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: 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.; NextGen Healthcare no pricing published on website
  • They diverge on capability: ImproMed covers Multi-location inventory, NextGen Healthcare 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 NextGen Healthcare actually diverge.

Attributes where ImproMed and NextGen Healthcare differ
AttributeImproMedNextGen 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 ImproMed

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

Only in NextGen Healthcare

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

Both cover

  • On-premise deployment

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 NextGen Healthcare
  • A practice manager who has to analyse production by veterinary surgeon and reconcile it against the general ledgernot NextGen Healthcare
  • A hospital in an area with unreliable internet that will not put the appointment book and records on a cloud connectionnot NextGen Healthcare
  • A small group running wellness plans that need recurring billing and compliance tracking against patientsnot NextGen Healthcare

NextGen Healthcare

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

NextGen Healthcare

  • No pricing published on website

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

NextGen Healthcare

$150/month

No published plan breakdown. See the NextGen Healthcare review.

Which should you pick?

Choose ImproMed if

  • You need multi-location inventory.
  • You work on Windows.
  • You also want production reporting.
ImproMed 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 ImproMed or NextGen Healthcare better?
Neither clearly leads. ImproMed 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, ImproMed or NextGen Healthcare?
ImproMed starts at On request and NextGen Healthcare at $150/month.
Does ImproMed or NextGen Healthcare run on more platforms?
ImproMed runs on Windows. NextGen Healthcare runs on Web, iOS, Android.
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 NextGen Healthcare is typically brought in for.
What can ImproMed do that NextGen Healthcare cannot?
ImproMed covers Multi-location inventory, Production reporting, Wellness plans, Laboratory and imaging integration. NextGen Healthcare covers Electronic Health Records, Practice Management, Revenue Cycle Management, Telehealth. Both handle On-premise deployment.

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.

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
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.

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.

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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