{"_meta":{"schema":"top11-list-v1","self":"https://topelevens.com/api/lists/electronic-health-records","human_page":"https://topelevens.com/electronic-health-records","markdown":"https://topelevens.com/api/lists/electronic-health-records/md","csv":"https://topelevens.com/api/lists/electronic-health-records/csv","recommend":"https://topelevens.com/api/lists/electronic-health-records/recommend?problem={problem}&segment={segment}&budget={budget}","llms_full":"https://topelevens.com/llms-full.txt","openapi":"https://topelevens.com/openapi.json","mcp":"https://topelevens.com/mcp","license":"https://creativecommons.org/licenses/by/4.0/","generated_at":"2026-06-17T12:54:12.367Z"},"slug":"electronic-health-records","title":"The 11 Best EHR Software for Medical Practices","subtitle":"An analysis of the top electronic health record systems ranked by clinical workflow efficiency, interoperability, and total cost of ownership for ambulatory practices.","vertical":"Healthcare · EHR/EMR","audience":"Physicians and practice managers choosing an electronic health records system","editor":{"name":"Top 11 Editorial","credential":"Autonomous AI ranking engine — methodology v1.0 weights public","url":"https://topelevens.com/methodology","conflict_disclosure":"None. The editor of Top 11 is not a candidate on this list."},"published":"2026-06-15","last_verified":"2026-06-15","next_review":"2026-09-13","methodology_version":"v1.0","independence":{"paid_placement":false,"affiliate_links":false,"sponsored_entries":false,"statement":"Top 11 takes no payment from any provider on this list. Scores are computed from a public weighted rubric; methodology weights were locked before entry research began."},"editor_disclosure":null,"freshness":{"cadence":"quarterly","statement":"Re-scored every 90 days."},"category":"Healthcare Technology","subsector":"Practice Management Software","changelog":[{"date":"2026-06-15","text":"Initial publication. Methodology v1.0 weights Clinical Workflow (30%), Interoperability (20%), Compliance & Security (20%), Patient Engagement (15%), and Pricing Transparency (15%)."}],"answer_capsule":"The best EHR software for most medical practices is athenahealth for its cloud-based network intelligence, followed by Epic for large integrated health systems and eClinicalWorks for small-to-midsize ambulatory clinics.","methodology":{"version":"v1.0","updated":"2026-06-15","candidate_pool":25,"review_cadence":"quarterly","score_cap":9.4,"criteria":[{"name":"Clinical Workflow Efficiency","weight":30,"description":"Effectiveness of charting, e-prescribing, lab ordering, and clinical decision support. Assesses speed and intuitiveness for daily physician tasks."},{"name":"Interoperability & Integrations","weight":20,"description":"Ability to exchange data with other systems (labs, hospitals, pharmacies, HIEs) and integrate with third-party practice management or billing software."},{"name":"Compliance & Security","weight":20,"description":"Strength of HIPAA-compliant features, data encryption, audit trails, and ONC Health IT Certification status."},{"name":"Patient Engagement Tools","weight":15,"description":"Quality of the patient portal, automated reminders, telehealth capabilities, and tools for patient communication."},{"name":"Pricing & Total Cost of Ownership","weight":15,"description":"Transparency of pricing, initial setup fees, ongoing support costs, and data migration fees. Favors clear, predictable pricing models."}]},"segment_tags":["Ambulatory Care","Inpatient Care","Specialty Practice","Primary Care","Cloud-based EHR","On-premise EHR"],"problem_tags":["Medical Charting","E-prescribing","Medical Billing","Patient Scheduling","HIPAA Compliance","Revenue Cycle Management"],"query_intents":["best ehr for small practice","epic vs cerner","athenahealth pricing","onc certified ehr list","cloud based emr systems"],"match_index":{"1":{"solves":["Revenue Cycle Management","Clinical Documentation"],"personas":["Mid-size Practice Manager","Group Practice Physician"]},"2":{"solves":["Data Interoperability","Population Health Management"],"personas":["Hospital CIO","Health System Administrator"]},"3":{"solves":["Inpatient Workflow","Clinical Decision Support"],"personas":["Hospital Department Head","Chief Medical Information Officer"]},"11":{"solves":["Physician Burnout","Efficient Charting"],"personas":["Direct Primary Care Physician","Solo Practitioner"]}},"stats":{"candidate_pool":25,"ranked":11,"average_score":8.23,"spread_top_to_bottom":2.1},"guide":[{"q":"What is the primary function of an EHR?","a":"An EHR's primary function is to create a real-time, patient-centered digital record of a person's health history. This includes demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data, and radiology reports. It automates and streamlines the clinician's workflow, providing a broader view of a patient's care that can be shared across different healthcare settings."},{"q":"How do you evaluate an EHR's workflow efficiency?","a":"Evaluate workflow efficiency by measuring the number of clicks required to perform common tasks like writing a prescription, ordering a lab test, or completing a patient note. A good EHR minimizes clicks and presents relevant clinical information contextually. Request a live demo with a scenario specific to your practice, and ask to speak with current users in your specialty to understand their day-to-day experience."},{"q":"Why is ONC Certification important?","a":"ONC (Office of the National Coordinator for Health Information Technology) Certification ensures an EHR system meets specific government-recognized standards for functionality, interoperability, and security. Using a certified EHR is a requirement for participation in certain federal incentive programs, like MIPS. It provides assurance that the software can securely exchange health information and perform required clinical tasks."}],"how_to_choose":["Define Your Practice Needs: Determine if you need a system tailored for a specific specialty (e.g., cardiology, orthopedics) or a generalist platform. List your top 5 must-have features before starting your search.","Prioritize Cloud vs. On-Premise: Cloud-based EHRs offer lower upfront costs and remote access, but have recurring subscription fees. On-premise systems require a significant initial investment in servers and IT staff but give you more control over your data.","Verify Interoperability: Confirm the EHR can connect seamlessly with your local hospitals, labs (like Quest and LabCorp), and health information exchanges (HIEs). Lack of interoperability creates data silos and inefficient workarounds.","Request a Custom Demo and References: Do not rely on canned sales demos. Provide the vendor with 2-3 common patient scenarios from your practice and have them walk through the entire workflow. Always ask for and call at least two references from practices of a similar size and specialty."],"faqs":[{"q":"What is the difference between an EHR and an EMR?","a":"An EMR (Electronic Medical Record) is a digital version of a patient's paper chart from a single practice, whereas an EHR (Electronic Health Record) is a more inclusive record of a patient's overall health designed to be shared across different healthcare providers. EHRs offer greater interoperability, allowing a specialist, a hospital, and a primary care physician to all see the same patient data."},{"q":"How much does EHR software cost?","a":"EHR software costs vary widely, from $200 per provider per month for basic cloud systems to over $1,500 per provider per month for more advanced platforms. The total cost of ownership should also account for one-time implementation fees ($2,000 - $30,000), data migration, staff training, and ongoing support costs."},{"q":"How long does it take to implement a new EHR system?","a":"Implementation time ranges from 4 weeks for simple cloud-based systems in small practices to over 12 months for large, on-premise installations in hospital systems. A typical ambulatory practice should plan for a 60-to-120-day process that includes workflow analysis, data migration, setup, and staff training."},{"q":"Can I switch EHR vendors?","a":"Yes, you can switch EHR vendors, but it is a complex process that requires careful planning. The biggest challenge is data migration, which involves extracting patient data from your old system and importing it into the new one in a compatible format (often using the CCDA standard). Expect to pay data extraction fees to your old vendor and data import fees to your new one."}],"honest_disclosures":["Most vendors on this list are primarily focused on the US healthcare market, and their compliance features are built around HIPAA and US federal programs. International practices will need to perform extra diligence.","EHR pricing is notoriously opaque. Many vendors use quote-based pricing that varies by practice size, specialty, and selected features. The listed price bands are estimates; expect significant variation."],"glossary":{"term":"EHR (Electronic Health Record)","definition":"A digital record of a patient's health information that is created and managed by authorized providers. It is designed to be shared among all providers involved in a patient's care.","synonyms":["EMR (Electronic Medical Record)","Digital Health Record","Patient Chart"],"faq":[]},"entries":[{"rank":1,"name":"athenahealth","url":"https://www.athenahealth.com","founded":1997,"hq":"Watertown, MA, USA","team_size_band":"5001-10000","best_for":"Mid-to-large sized ambulatory practices seeking a cloud-based platform with strong revenue cycle management and data-driven insights from a national network.","best_for_short":"Networked, cloud-based practices","pricing_band":"$$$$ ($500 to $900/mo/provider)","score_out_of_94":9.3,"score_breakdown":{"Clinical Workflow Efficiency":9.2,"Interoperability & Integrations":9.5,"Compliance & Security":9.4,"Patient Engagement Tools":9.3,"Pricing & Total Cost of Ownership":8.9},"verdict":"athenahealth is the best EHR for most ambulatory practices because its cloud platform leverages data from over 150,000 providers on its network to deliver clinical and financial insights directly within the workflow.","verdict_short":"Best for network intelligence and cloud-based revenue cycle management in ambulatory settings.","praise":"Its athenaOne suite, which combines the EHR with practice management and patient engagement, is particularly effective at automating billing rules, resulting in a reported 94% first-pass claims resolution rate.","praise_short":"Excellent RCM automation with high first-pass claim rates.","criticism":"The pricing model, often a percentage of collections (typically 3-7%), can be more expensive for high-revenue practices compared to a fixed per-provider subscription.","criticism_short":"Percentage-of-collections pricing can be costly for high-revenue clinics.","sources_pending":["athenahealth vendor documentation","KLAS Research Reports","G2 User Reviews"],"risk_signals":{"level":"none","checked":"2026-06-15","summary":"No material public risk signals as of 2026-06-15.","signals":[]},"price_min":500,"price_max":900,"currency":"USD","free_tier":false,"setup_fee":null,"integrations":["Surescripts","Quest Diagnostics","LabCorp","CoverMyMeds","Phreesia"],"compliance":["HIPAA","ONC-ATCB Certified"],"regions":["USA"],"onboarding_days":60,"min_team_size":3,"max_team_size":null,"problems_solved":["Revenue Cycle Management","Clinical Documentation"],"personas":["Mid-size Practice Manager","Group Practice Physician"],"_entry_api":"https://topelevens.com/api/lists/electronic-health-records/1","_entry_md":"https://topelevens.com/api/lists/electronic-health-records/1/md","_anchor":"https://topelevens.com/electronic-health-records#rank-1"},{"rank":2,"name":"Epic Systems","url":"https://www.epic.com","founded":1979,"hq":"Verona, WI, USA","team_size_band":"10001+","best_for":"Large, integrated health systems and academic medical centers that require a single, unified patient record across inpatient and outpatient settings.","best_for_short":"Large integrated health systems","pricing_band":"$$$$$ (Implementation costs in millions)","score_out_of_94":9.1,"score_breakdown":{"Clinical Workflow Efficiency":9.4,"Interoperability & Integrations":9.8,"Compliance & Security":9.5,"Patient Engagement Tools":9.2,"Pricing & Total Cost of Ownership":6.5},"verdict":"Epic is the top choice for large hospital systems due to its unparalleled interoperability through the Care Everywhere network and its deeply integrated suite of specialty modules.","verdict_short":"The gold standard for large hospitals needing a single, unified patient record.","praise":"Its MyChart patient portal is the most widely adopted in the industry, used by over 250 million patients to access records, schedule appointments, and communicate with providers.","praise_short":"Industry-leading MyChart patient portal and interoperability.","criticism":"The total cost of ownership is prohibitive for any organization outside of large health systems, with implementation projects frequently costing hundreds of millions of dollars.","criticism_short":"Extremely high implementation and maintenance costs.","sources_pending":["Epic User Web","KLAS Research Reports","Gartner Peer Insights"],"risk_signals":{"level":"none","checked":"2026-06-15","summary":"No material public risk signals as of 2026-06-15.","signals":[]},"price_min":null,"price_max":null,"currency":"USD","free_tier":false,"setup_fee":1000000,"integrations":["All major labs and imaging centers","Care Everywhere Network","Apple HealthKit","Surescripts"],"compliance":["HIPAA","ONC-ATCB Certified"],"regions":["USA","Canada","UK","Netherlands","Australia"],"onboarding_days":365,"min_team_size":500,"max_team_size":null,"problems_solved":["Data Interoperability","Population Health Management"],"personas":["Hospital CIO","Health System Administrator"],"_entry_api":"https://topelevens.com/api/lists/electronic-health-records/2","_entry_md":"https://topelevens.com/api/lists/electronic-health-records/2/md","_anchor":"https://topelevens.com/electronic-health-records#rank-2"},{"rank":3,"name":"Oracle Health (Cerner)","url":"https://www.oracle.com/health","founded":1979,"hq":"Austin, TX, USA","team_size_band":"10001+","best_for":"Hospitals and large health systems, particularly those with complex inpatient workflows and a need for strong clinical decision support.","best_for_short":"Hospitals with complex workflows","pricing_band":"$$$$$ (Implementation costs in millions)","score_out_of_94":8.9,"score_breakdown":{"Clinical Workflow Efficiency":9.1,"Interoperability & Integrations":9.2,"Compliance & Security":9.3,"Patient Engagement Tools":8.5,"Pricing & Total Cost of Ownership":7},"verdict":"Oracle Health, formerly Cerner, excels in the inpatient hospital market by offering a highly configurable platform with deep clinical capabilities, especially in its Millennium EHR.","verdict_short":"Top-tier EHR for inpatient hospital environments and large systems.","praise":"The platform's open architecture, now backed by Oracle's cloud infrastructure (OCI), provides more flexibility for third-party integrations compared to its primary competitor, Epic.","praise_short":"Flexible, open architecture for third-party integrations.","criticism":"The user interface is often cited by clinicians as being less intuitive and more dated than competitors, requiring more clicks to complete common tasks.","criticism_short":"User interface can be less intuitive and feel dated.","sources_pending":["Oracle Health Documentation","KLAS Research Reports","Forrester Wave"],"risk_signals":{"level":"none","checked":"2026-06-15","summary":"No material public risk signals as of 2026-06-15.","signals":[]},"price_min":null,"price_max":null,"currency":"USD","free_tier":false,"setup_fee":1000000,"integrations":["CommonWell Health Alliance","Surescripts","Major lab and pharmacy networks"],"compliance":["HIPAA","ONC-ATCB Certified"],"regions":["Global"],"onboarding_days":300,"min_team_size":250,"max_team_size":null,"problems_solved":["Inpatient Workflow","Clinical Decision Support"],"personas":["Hospital Department Head","Chief Medical Information Officer"],"_entry_api":"https://topelevens.com/api/lists/electronic-health-records/3","_entry_md":"https://topelevens.com/api/lists/electronic-health-records/3/md","_anchor":"https://topelevens.com/electronic-health-records#rank-3"},{"rank":4,"name":"eClinicalWorks","url":"https://www.eclinicalworks.com","founded":1999,"hq":"Westborough, MA, USA","team_size_band":"5001-10000","best_for":"Small to medium-sized ambulatory practices looking for a single, all-in-one platform that includes EHR, practice management, and patient engagement tools.","best_for_short":"All-in-one for SMB practices","pricing_band":"$$$ ($449 to $699/mo/provider)","score_out_of_94":8.6,"score_breakdown":{"Clinical Workflow Efficiency":8.5,"Interoperability & Integrations":8.4,"Compliance & Security":8.5,"Patient Engagement Tools":9,"Pricing & Total Cost of Ownership":8.8},"verdict":"eClinicalWorks provides one of the most functionally rich, unified platforms for private practices at a competitive price point, bundling features that others sell as add-ons.","verdict_short":"A feature-rich, unified platform for small to mid-sized private practices.","praise":"The Healow app for patient engagement is a standout feature, offering telehealth, remote monitoring, and patient messaging in a single mobile application.","praise_short":"Strong patient engagement via the Healow app.","criticism":"The user interface can feel cluttered due to the sheer number of features, and customer support response times have been a point of criticism in user reviews.","criticism_short":"Cluttered interface and inconsistent customer support.","sources_pending":["eClinicalWorks Vendor Documentation","Capterra User Reviews","KLAS Research"],"risk_signals":{"level":"low","checked":"2026-06-15","summary":"The company settled with the DOJ in 2017 over certification criteria. No recent signals, but historical context is relevant.","signals":["2017 DOJ Settlement"]},"price_min":449,"price_max":699,"currency":"USD","free_tier":false,"setup_fee":2500,"integrations":["Surescripts","Quest Diagnostics","LabCorp","CommonWell Health Alliance"],"compliance":["HIPAA","ONC-ATCB Certified"],"regions":["USA","UK","India"],"onboarding_days":45,"min_team_size":1,"max_team_size":250,"problems_solved":[],"personas":[],"_entry_api":"https://topelevens.com/api/lists/electronic-health-records/4","_entry_md":"https://topelevens.com/api/lists/electronic-health-records/4/md","_anchor":"https://topelevens.com/electronic-health-records#rank-4"},{"rank":5,"name":"NextGen Healthcare","url":"https://www.nextgen.com","founded":1974,"hq":"Atlanta, GA, USA","team_size_band":"1001-5000","best_for":"Specialty practices (like orthopedics, cardiology, and ophthalmology) that need highly customizable templates and workflows.","best_for_short":"Specialty practices needing customization","pricing_band":"$$$ ($379 to $649/mo/provider)","score_out_of_94":8.4,"score_breakdown":{"Clinical Workflow Efficiency":8.8,"Interoperability & Integrations":8.5,"Compliance & Security":8.6,"Patient Engagement Tools":8,"Pricing & Total Cost of Ownership":8.1},"verdict":"NextGen Healthcare stands out for its deep customization options and specialty-specific content, allowing practices to build an EHR that precisely matches their unique clinical workflows.","verdict_short":"Best for specialty practices that require highly customizable clinical templates.","praise":"The NextGen Enterprise platform offers robust templates for over 25 different medical specialties, which reduces the initial setup time and improves clinical documentation quality.","praise_short":"Strong library of specialty-specific templates.","criticism":"The high degree of customizability can also lead to a complex and lengthy implementation process, and some users report the interface feels dated.","criticism_short":"Customization can create a complex, lengthy setup.","sources_pending":["NextGen Vendor Documentation","G2 User Reviews","KLAS Research"],"risk_signals":{"level":"none","checked":"2026-06-15","summary":"No material public risk signals as of 2026-06-15.","signals":[]},"price_min":379,"price_max":649,"currency":"USD","free_tier":false,"setup_fee":5000,"integrations":["Surescripts","LabCorp","Quest Diagnostics","CoverMyMeds"],"compliance":["HIPAA","ONC-ATCB Certified"],"regions":["USA"],"onboarding_days":90,"min_team_size":3,"max_team_size":500,"problems_solved":[],"personas":[],"_entry_api":"https://topelevens.com/api/lists/electronic-health-records/5","_entry_md":"https://topelevens.com/api/lists/electronic-health-records/5/md","_anchor":"https://topelevens.com/electronic-health-records#rank-5"},{"rank":6,"name":"Veradigm (formerly Allscripts)","url":"https://veradigm.com","founded":1986,"hq":"Chicago, IL, USA","team_size_band":"5001-10000","best_for":"Practices of all sizes, from solo practitioners to large health systems, needing a choice of platforms tailored to their specific scale and needs.","best_for_short":"Flexible options for all practice sizes","pricing_band":"$$$ ($300 to $700/mo/provider)","score_out_of_94":8.2,"score_breakdown":{"Clinical Workflow Efficiency":8.1,"Interoperability & Integrations":8.5,"Compliance & Security":8.4,"Patient Engagement Tools":8,"Pricing & Total Cost of Ownership":8},"verdict":"Veradigm offers a uniquely broad portfolio of EHR solutions, including TouchWorks for large practices and Professional EHR for smaller ones, allowing buyers to select a best-fit platform.","verdict_short":"Offers a wide portfolio of EHRs tailored to different practice sizes.","praise":"The company's open platform philosophy and extensive API library facilitate strong third-party application integration, giving practices flexibility to build a custom tech stack.","praise_short":"Open platform with a strong API for integrations.","criticism":"Managing a portfolio of distinct EHR products has led to an inconsistent user experience across their offerings, and support quality can vary depending on the platform.","criticism_short":"Inconsistent user experience across different product lines.","sources_pending":["Veradigm Vendor Documentation","KLAS Research Reports","Gartner Peer Insights"],"risk_signals":{"level":"none","checked":"2026-06-15","summary":"No material public risk signals as of 2026-06-15.","signals":[]},"price_min":300,"price_max":700,"currency":"USD","free_tier":false,"setup_fee":null,"integrations":["Surescripts","Change Healthcare","LabCorp","Quest Diagnostics"],"compliance":["HIPAA","ONC-ATCB Certified"],"regions":["USA","Canada","UK"],"onboarding_days":75,"min_team_size":1,"max_team_size":null,"problems_solved":[],"personas":[],"_entry_api":"https://topelevens.com/api/lists/electronic-health-records/6","_entry_md":"https://topelevens.com/api/lists/electronic-health-records/6/md","_anchor":"https://topelevens.com/electronic-health-records#rank-6"},{"rank":7,"name":"Tebra (formerly Kareo)","url":"https://www.tebra.com","founded":2004,"hq":"Newport Beach, CA, USA","team_size_band":"1001-5000","best_for":"Small, independent practices that want an all-in-one, easy-to-use platform for clinical documentation, billing, and patient marketing.","best_for_short":"Independent practices","pricing_band":"$$ ($199 to $499/mo/provider)","score_out_of_94":8,"score_breakdown":{"Clinical Workflow Efficiency":8,"Interoperability & Integrations":7.5,"Compliance & Security":8.2,"Patient Engagement Tools":8.5,"Pricing & Total Cost of Ownership":8.3},"verdict":"Tebra, the result of Kareo and PatientPop's merger, is ideal for independent practices because it combines a straightforward EHR with tools for patient acquisition and reputation management.","verdict_short":"Best all-in-one clinical and marketing platform for independent practices.","praise":"The platform's user interface is clean and intuitive, making it one of the easiest EHRs for new users and small teams to adopt with minimal training.","praise_short":"Clean, intuitive user interface simplifies adoption.","criticism":"Its clinical features are less robust than those of competitors focused on complex specialties, and it lacks the deep interoperability needed for larger health systems.","criticism_short":"Lacks deep clinical features for complex specialties.","sources_pending":["Tebra Vendor Documentation","Capterra User Reviews","Software Advice"],"risk_signals":{"level":"none","checked":"2026-06-15","summary":"No material public risk signals as of 2026-06-15.","signals":[]},"price_min":199,"price_max":499,"currency":"USD","free_tier":false,"setup_fee":500,"integrations":["Surescripts","Quest Diagnostics","LabCorp","Mailchimp"],"compliance":["HIPAA","ONC-ATCB Certified"],"regions":["USA"],"onboarding_days":30,"min_team_size":1,"max_team_size":50,"problems_solved":[],"personas":[],"_entry_api":"https://topelevens.com/api/lists/electronic-health-records/7","_entry_md":"https://topelevens.com/api/lists/electronic-health-records/7/md","_anchor":"https://topelevens.com/electronic-health-records#rank-7"},{"rank":8,"name":"AdvancedMD","url":"https://www.advancedmd.com","founded":1999,"hq":"South Jordan, UT, USA","team_size_band":"1001-5000","best_for":"Independent physician practices and medical billing companies that prioritize strong revenue cycle management (RCM) features.","best_for_short":"Practices focused on billing/RCM","pricing_band":"$$$$ ($429 to $729/mo/provider)","score_out_of_94":7.8,"score_breakdown":{"Clinical Workflow Efficiency":7.5,"Interoperability & Integrations":7.6,"Compliance & Security":8,"Patient Engagement Tools":7.8,"Pricing & Total Cost of Ownership":8.2},"verdict":"AdvancedMD is the best choice for practices focused on financial performance, as its fully integrated suite offers some of the most powerful medical billing and RCM tools on the market.","verdict_short":"Top choice for practices prioritizing integrated medical billing and RCM.","praise":"The platform's claims management tools, including a central clearinghouse and detailed denial analysis reporting, help practices maximize their collections, often improving revenue by 5-10%.","praise_short":"Powerful claims management and denial analysis tools.","criticism":"The pricing model is highly modular, which can be confusing and lead to unexpected costs as practices add necessary features like telemedicine or e-prescribing.","criticism_short":"Confusing, modular pricing can lead to unexpected fees.","sources_pending":["AdvancedMD Vendor Documentation","G2 User Reviews","KLAS Research"],"risk_signals":{"level":"none","checked":"2026-06-15","summary":"No material public risk signals as of 2026-06-15.","signals":[]},"price_min":429,"price_max":729,"currency":"USD","free_tier":false,"setup_fee":3000,"integrations":["Surescripts","LabCorp","Quest Diagnostics","Dragon Medical"],"compliance":["HIPAA","ONC-ATCB Certified"],"regions":["USA"],"onboarding_days":60,"min_team_size":1,"max_team_size":100,"problems_solved":[],"personas":[],"_entry_api":"https://topelevens.com/api/lists/electronic-health-records/8","_entry_md":"https://topelevens.com/api/lists/electronic-health-records/8/md","_anchor":"https://topelevens.com/electronic-health-records#rank-8"},{"rank":9,"name":"Greenway Health","url":"https://www.greenwayhealth.com","founded":1979,"hq":"Tampa, FL, USA","team_size_band":"1001-5000","best_for":"Ambulatory practices that need a stable, reliable EHR and are willing to choose between different platforms to find the right fit.","best_for_short":"Ambulatory practices needing reliability","pricing_band":"$$$ ($350 to $700/mo/provider)","score_out_of_94":7.6,"score_breakdown":{"Clinical Workflow Efficiency":7.8,"Interoperability & Integrations":7.5,"Compliance & Security":7.9,"Patient Engagement Tools":7.2,"Pricing & Total Cost of Ownership":7.5},"verdict":"Greenway Health provides dependable EHR solutions like Intergy and Prime Suite, making it a solid choice for ambulatory practices that value stability and a long-standing market presence.","verdict_short":"A stable and reliable EHR choice for established ambulatory practices.","praise":"Their Intergy platform is well-regarded for its user-friendly interface and efficient handling of core practice management tasks like scheduling and billing for primary care.","praise_short":"Intergy platform is user-friendly for practice management.","criticism":"Innovation and the rollout of new features, particularly in patient engagement and telehealth, have been slower compared to more agile, cloud-native competitors.","criticism_short":"Slower to release new features than competitors.","sources_pending":["Greenway Health Vendor Documentation","KLAS Research Reports","Capterra User Reviews"],"risk_signals":{"level":"none","checked":"2026-06-15","summary":"No material public risk signals as of 2026-06-15.","signals":[]},"price_min":350,"price_max":700,"currency":"USD","free_tier":false,"setup_fee":null,"integrations":["Surescripts","Quest Diagnostics","LabCorp","RelayHealth"],"compliance":["HIPAA","ONC-ATCB Certified"],"regions":["USA"],"onboarding_days":90,"min_team_size":3,"max_team_size":100,"problems_solved":[],"personas":[],"_entry_api":"https://topelevens.com/api/lists/electronic-health-records/9","_entry_md":"https://topelevens.com/api/lists/electronic-health-records/9/md","_anchor":"https://topelevens.com/electronic-health-records#rank-9"},{"rank":10,"name":"DrChrono (by EverHealth)","url":"https://www.drchrono.com","founded":2009,"hq":"Sunnyvale, CA, USA","team_size_band":"201-500","best_for":"Small, mobile-first practices (especially specialties like chiropractic and physical therapy) that want a native iPad and iPhone experience.","best_for_short":"Mobile-first practices on Apple devices","pricing_band":"$$ ($250 to $500/mo/provider)","score_out_of_94":7.4,"score_breakdown":{"Clinical Workflow Efficiency":7.9,"Interoperability & Integrations":7,"Compliance & Security":7.5,"Patient Engagement Tools":7.6,"Pricing & Total Cost of Ownership":7.2},"verdict":"DrChrono delivers the best mobile EHR experience, allowing physicians to manage their entire practice from an iPad, which is ideal for modern, tech-savvy small clinics.","verdict_short":"The best EHR for practices that run primarily on iPad and iPhone.","praise":"The ability to customize medical forms and use the iPad's camera to upload photos directly into patient charts is a significant workflow accelerator for many specialties.","praise_short":"Excellent iPad-native charting and form customization.","criticism":"The platform's focus on the Apple ecosystem can be a limitation for practices that use Windows or Android devices, and its billing module is less powerful than dedicated RCM platforms.","criticism_short":"Limited to the Apple ecosystem; weaker billing module.","sources_pending":["DrChrono Vendor Documentation","G2 User Reviews","Apple App Store Reviews"],"risk_signals":{"level":"none","checked":"2026-06-15","summary":"No material public risk signals as of 2026-06-15.","signals":[]},"price_min":250,"price_max":500,"currency":"USD","free_tier":false,"setup_fee":1000,"integrations":["Surescripts","Quest Diagnostics","LabCorp","Square"],"compliance":["HIPAA","ONC-ATCB Certified"],"regions":["USA"],"onboarding_days":30,"min_team_size":1,"max_team_size":25,"problems_solved":[],"personas":[],"_entry_api":"https://topelevens.com/api/lists/electronic-health-records/10","_entry_md":"https://topelevens.com/api/lists/electronic-health-records/10/md","_anchor":"https://topelevens.com/electronic-health-records#rank-10"},{"rank":11,"is_wildcard":true,"name":"Elation Health","url":"https://www.elationhealth.com","founded":2010,"hq":"San Francisco, CA, USA","team_size_band":"201-500","best_for":"Direct Primary Care (DPC) and other small, independent primary care practices that prioritize clinical efficiency and a clean user experience over extensive features.","best_for_short":"Direct Primary Care (DPC) practices","pricing_band":"$$$ ($349 to $499/mo/provider)","score_out_of_94":7.2,"score_breakdown":{"Clinical Workflow Efficiency":9,"Interoperability & Integrations":7,"Compliance & Security":7.5,"Patient Engagement Tools":6.5,"Pricing & Total Cost of Ownership":7.8},"verdict":"Elation Health is a contrarian pick focused entirely on a 'Clinical First' design that streamlines charting to combat physician burnout, making it a favorite among DPC practices.","verdict_short":"A clinician-focused EHR that prioritizes speed and usability to reduce burnout.","praise":"Its three-pane clinical view, which simultaneously displays the chart, a problem list, and a new note, is highly praised by physicians for dramatically speeding up documentation time.","praise_short":"Fast, efficient three-pane view for charting.","criticism":"The platform intentionally omits integrated practice management and billing features found in all-in-one suites, requiring practices to integrate with third-party software for those functions.","criticism_short":"Lacks integrated billing, requiring third-party tools.","sources_pending":["Elation Health Vendor Documentation","DPC Alliance Forum Reviews","G2 User Reviews"],"risk_signals":{"level":"none","checked":"2026-06-15","summary":"No material public risk signals as of 2026-06-15.","signals":[]},"price_min":349,"price_max":499,"currency":"USD","free_tier":false,"setup_fee":500,"integrations":["Surescripts","Quest Diagnostics","LabCorp","Hint Health","Spruce"],"compliance":["HIPAA","ONC-ATCB Certified"],"regions":["USA"],"onboarding_days":21,"min_team_size":1,"max_team_size":50,"problems_solved":["Physician Burnout","Efficient Charting"],"personas":["Direct Primary Care Physician","Solo Practitioner"],"_entry_api":"https://topelevens.com/api/lists/electronic-health-records/11","_entry_md":"https://topelevens.com/api/lists/electronic-health-records/11/md","_anchor":"https://topelevens.com/electronic-health-records#rank-11"}]}