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Healthcare · head to head

NextGen Healthcare vs Onward Vet

NextGen Healthcare logo

NextGen Healthcare

Healthcare

Integrated EHR and practice management solutions

From
$150/month
Rated
-
Full reviewWebsite
Onward Vet logo

Onward Vet

Veterinary

Small-vendor cloud practice management sold on flat subscription with unlimited users

From
On request
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: NextGen Healthcare no pricing published on website; Onward Vet the vendor is small, so support depth, release pace and the ability to absorb a serious outage are all limited compared with IDEXX, Covetrus or the larger cloud vendors.
  • They diverge on capability: NextGen Healthcare covers Electronic Health Records, Onward Vet covers Flat practice subscription.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which NextGen Healthcare and Onward Vet actually diverge.

Attributes where NextGen Healthcare and Onward Vet differ
AttributeNextGen HealthcareOnward Vet
Starting price$150/monthOn request
Pricing modelsubscriptionquote
CategoryHealthcareVeterinary
Founded1997Unknown

Identical on both: free tier (No), platforms (Web, iOS, Android), 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 NextGen Healthcare

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

Only in Onward Vet

  • Flat practice subscription
  • Cloud hosted
  • Medical records and SOAP
  • Estimates and treatment plans
  • Client communication
  • Laboratory integration

What people use each for

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

NextGen Healthcare

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

Onward Vet

  • A clinic with a large rota of part-time technicians and receptionists where per-seat pricing is disproportionatenot NextGen Healthcare
  • A single-site practice leaving an ageing on-premise system that no longer wants to maintain a servernot NextGen Healthcare
  • A new practice that needs a working record system quickly without a long configuration projectnot NextGen Healthcare
  • A cost-sensitive clinic that wants cloud practice management without paying for integration breadth it will not usenot NextGen Healthcare

Where each one falls short

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

NextGen Healthcare

  • No pricing published on website

Onward Vet

  • The vendor is small, so support depth, release pace and the ability to absorb a serious outage are all limited compared with IDEXX, Covetrus or the larger cloud vendors.
  • The integration catalogue is short, so specialist imaging, communication or wellness plan tools that connect to ezyVet or Provet Cloud may need manual handling here.
  • Reporting is basic, so a practice that wants production analysis by veterinary surgeon, detailed inventory valuation or multi-site consolidation will be exporting data to a spreadsheet.
  • There is no on-premise option, so a clinic with an unreliable internet connection has no fallback when the link goes down and the appointment book becomes unreachable.
  • Concentration risk is real with a supplier of this size: acquisition, a change of direction or a funding problem would put your record system into other hands, so test the data export before committing.

Pricing, plan by plan

NextGen Healthcare

$150/month

No published plan breakdown. See the NextGen Healthcare review.

Onward Vet

On request
  • Onward Vet$undefined/year
    • Quoted as a flat monthly practice subscription
    • Unlimited user accounts
    • Cloud hosting, backup and updates included

Which should you pick?

Choose NextGen Healthcare if

  • You need electronic health records.
  • You work on Web, iOS, Android.
  • You also want practice management.
NextGen Healthcare review

Choose Onward Vet if

  • You need flat practice subscription.
  • You work on Web, iOS, Android.
  • You also want cloud hosted.
Onward Vet review

Questions people ask

Is NextGen Healthcare or Onward Vet better?
Neither clearly leads. NextGen Healthcare starts at $150/month and Onward Vet at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, NextGen Healthcare or Onward Vet?
NextGen Healthcare starts at $150/month and Onward Vet at On request.
Does NextGen Healthcare or Onward Vet run on more platforms?
Both run on Web, iOS, Android, so platform support will not decide this one for you.
What is NextGen Healthcare best used for?
NextGen Healthcare is most often used for cloud-based ehr and practice management for ambulatory and specialty practices, ai-assisted clinical documentation to reduce after-hours charting time. Of those, cloud-based ehr and practice management for ambulatory and specialty practices and ai-assisted clinical documentation to reduce after-hours charting time are not what Onward Vet is typically brought in for.
What can NextGen Healthcare do that Onward Vet cannot?
NextGen Healthcare covers Electronic Health Records, Practice Management, Revenue Cycle Management, Telehealth. Onward Vet covers Flat practice subscription, Cloud hosted, Medical records and SOAP, Estimates and treatment plans.

Answered from the vendors’ own pages

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
Onward Vet: How is it priced?

As a flat practice subscription with unlimited users, quoted rather than published, which is why it suits clinics with many part-time staff.

Onward Vet: Is it suitable for a multi-site group?

Not really. It is built for single-site independent clinics; consolidated reporting and cross-site inventory are not its strength.

Onward Vet: What happens if the internet goes down?

You lose access to the appointment book and records. There is no on-premise fallback, so a secondary connection is a sensible precaution.

Onward Vet: Can I get my data out?

Ask for a full export during evaluation and check what format it comes in. With a small vendor this is a question to answer before you sign, not afterwards.

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