Shepherd vs IDEXX Cornerstone

Side-by-side from the Top 11 ranking of The 11 Best Veterinary Practice Management Software (2026). Last verified June 29, 2026.

The short answer

Shepherd ranks higher on Top 11 (#2 vs #8) for Veterinary clinic owners and practice managers managing appointments, records, and billing. The most intuitive PIMS, designed to simplify charting and automate billing.

At a glance

ShepherdIDEXX Cornerstone
Top 11 rank#2 / The 11 Best Veterinary Practice Management Software (2026)#8 / The 11 Best Veterinary Practice Management Software (2026)
Score (out of 9.4)97.7
Best forWorkflow and ease-of-usePowerful on-premise legacy PIMS
Pricing$$$ ($399 to $999/mo)$$$ ($400 to $1200/mo)
HQMesa, AZ, USAWestbrook, ME, USA
Founded20161992

Shepherd

The most intuitive PIMS, designed to simplify charting and automate billing.

www.shepherd.vet/

See full entry in The 11 Best Veterinary Practice Management Software (2026)

IDEXX Cornerstone

A feature-rich on-premise system with a dated interface and high learning curve.

www.idexx.com/en/veterinary/software-services/cornerstone-software/

See full entry in The 11 Best Veterinary Practice Management Software (2026)

Methodology and scoring weights live at /methodology. No vendor pays for placement — see about.