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Veterinary · head to head

ImproMed vs TheraNest

I

ImproMed

Veterinary

On-premise Windows practice management with deep inventory and financial reporting, now inside 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: 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.; 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: ImproMed covers Multi-location inventory, TheraNest covers Progress notes and treatment plans.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which ImproMed and TheraNest actually diverge.

Attributes where ImproMed and TheraNest differ
AttributeImproMedTheraNest
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 ImproMed

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

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.

ImproMed

  • A multi-doctor hospital carrying significant inventory value that needs reorder points and vendor price comparisonnot TheraNest
  • A practice manager who has to analyse production by veterinary surgeon and reconcile it against the general ledgernot TheraNest
  • A hospital in an area with unreliable internet that will not put the appointment book and records on a cloud connectionnot TheraNest
  • A small group running wellness plans that need recurring billing and compliance tracking against patientsnot 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 ImproMed
  • A group practice of six to twenty clinicians that wants per clinician productivity and payroll reporting without buying a separate practice management layernot ImproMed
  • A practice moving off paper or a general purpose calendar that needs a client portal for intake forms and consent signaturesnot ImproMed
  • 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 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.

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

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

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 ImproMed if

  • You need multi-location inventory.
  • You work on Windows.
  • You also want production reporting.
ImproMed 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 ImproMed or TheraNest better?
Neither clearly leads. ImproMed 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, ImproMed or TheraNest?
ImproMed starts at On request and TheraNest at $29/month.
Does ImproMed or TheraNest run on more platforms?
ImproMed runs on Windows. TheraNest 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 TheraNest is typically brought in for.
What can ImproMed do that TheraNest cannot?
ImproMed covers Multi-location inventory, Production reporting, Wellness plans, Laboratory and imaging integration. TheraNest covers Progress notes and treatment plans, Insurance claims, Client portal, Telehealth.

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.

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.

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.

TheraNest: Can I bill insurance on the cheapest plan?

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

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.

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.

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.

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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