EHR Comparisons & Buyer's Guides (2026)

Head-to-head vendor comparisons and specialty-specific buyer's guides to help you find the right EHR for your organization. Updated for 2026.

Head-to-Head Comparisons

Hospital / Enterprise

Epic vs Oracle Health (Cerner)

The two dominant hospital EHR platforms compared on cost, interoperability, and innovation.

 Ambulatory / Cloud

athenahealth vs eClinicalWorks

The two largest cloud ambulatory EHRs compared on RCM, pricing, and user satisfaction.

 Mid-Market

NextGen vs AdvancedMD

Specialty-focused vs independent-practice EHRs for mid-size ambulatory practices.

 Behavioral Health

TherapyNotes vs SimplePractice

The two most popular therapist EHRs compared on documentation, billing, and client experience.

 Behavioral Health

Valant vs TherapyNotes

Psychiatry-focused vs therapist-focused BH EHRs compared on prescribing, notes, and pricing.

 Behavioral Health

Netsmart vs AZZLY Rize

Enterprise legacy vs modern focused platform for behavioral health and SUD treatment.

 Behavioral Health / SUD

Ease vs Kipu Health

AI-native behavioral health platform vs addiction-treatment incumbent with broad installed base.

 Behavioral Health / SUD

Ease vs Sunwave

Modern AI-native operating platform vs established SUD all-in-one suite.

 Behavioral Health / SUD

Ease vs AZZLY Rize

AI-native scale platform vs SUD-first workflows built for fast deployment.

 Behavioral Health

Ease vs PIMSY

Integrated operating system vs flexible BH platform for mid-size agencies.

 Behavioral Health / SUD

PIMSY vs AZZLY Rize

Configurable agency-focused BH EHR vs all-in-one BH/SUD execution platform.

 Behavioral Health

Valant vs SimplePractice

Psychiatry-depth workflow platform vs therapist-first simplicity and client UX.

Behavioral Health EHR Comparison

Our comprehensive comparison of all major behavioral health EHR vendors — from enterprise platforms like Netsmart to focused solutions like AZZLY Rize, TherapyNotes, and SimplePractice.

View Full BH Comparison

Best EHR For...

Specialty-specific buyer's guides with our top vendor recommendations.

Best EHR for Large Provider Groups

Enterprise multi-site groups, governance, and scale

Best EHR for Mental Health

Therapists, psychiatrists, SUD treatment, community MH

Best EHR for Small Practices

1-10 provider ambulatory practices

Best EHR for Psychiatry

E-prescribing, EPCS, PDMP, medication management

Best EHR for Addiction Treatment

SUD programs, ASAM, 42 CFR Part 2, MAT

Best EHR for Therapy Practices

Therapists, counselors, group practices

Enterprise Buyer Track

For large provider groups, selection risk is usually governance and execution risk, not feature gaps. Use this enterprise path to validate interoperability, contract protections, and operating-model fit before final vendor choice.

Best EHR for Large Provider Groups

Enterprise shortlist framework

FHIR API Procurement Checklist

Interoperability diligence at scale

Data Exit Contract Clauses

Lock-in risk controls before signing

Need a Structured Evaluation?

Our EHR selection framework walks you through requirements gathering, vendor shortlisting, structured demos, and contract negotiation.

Read the Selection Guide

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