Vet PIMS comparison: pick by clinic profile

Cornerstone, ezyVet, AVImark, Provet Cloud. 4 questions, no demo gauntlet.

1. Clinic size?
2. Primary lab partner?
3. Cloud or server?
4. Practice type?

Fit matrix

ProfileBest fitWhy
Multi-location, cloud-firstezyVet (Covetrus)Cloud-native, multi-location dashboard, modern UX
IDEXX-loyal SA practiceCornerstoneNative IDEXX lab + imaging integration; 30-year track record
Legacy server, price-consciousAVImarkCheap, server-based, comfortable for tenured staff
Equine / mobile / modern cloudProvet CloudMobile-first ergonomics, equine workflows, EU-strong

FAQ

Switching cost?
2-4 months. Plan a parallel month with both PIMS active. Data migration is the bottleneck, not training.
Cornerstone vs ezyVet?
Cornerstone wins for IDEXX-only SA shops. ezyVet wins everywhere else for new builds.
What about Vetspire / Shepherd / Digitail?
Newer entrants worth a look at the low end. Smaller markets, lighter integrations.

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