# Cornerstone Software Pricing, Alternatives & More 2026 | Capterra

> With the help of Capterra, learn about Cornerstone Software - reviews, pricing plans, popular comparisons to other Veterinary products and more.

Source: https://www.capterra.com/p/99976/Cornerstone-Practice-Management/pricing

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# 

 Cornerstone Software Review 2026: Features, Integrations, Pros & Cons

Last updated on March 13, 2026

Provider data verified by our Software Research team, and reviews moderated by our Reviews Verification team.

[Description](#description)[Use cases](#use-cases)[Alternatives](#alternatives)[Pros and Cons](#pros-cons)[Features](#features)[Pricing](#pricing)[Support](#support)[Reviews](#reviews)

Cornerstone Software

## What is Cornerstone Software?

Cornerstone from IDEXX is versatile, feature-rich practice management software that can be customized to meet your every need. Cornerstone is used by over 125,000 professionals at the leading veterinary hospitals, specialty referral hospitals, and corporate groups. It is backed by in-depth training (virtual or onsite) and expert support. Simple subscription pricing and flexible programs make Cornerstone affordable for your growing practice.

## What is Cornerstone Software used for?

[Veterinary](https://www.capterra.com/veterinary-software/)

Top alternative

Featured

Overall rating

Based on 183 user reviews

Reviews sentiment

Positive

77%

Neutral

14%

Negative

9%

Pros & cons

Responsive and knowledgeable support team

Intuitive and easy-to-learn platform

Frequent glitches and crashes

Starting price

$549

Per Month

Free trial  
not available

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## Compare with a popular alternative

Capterra selects software alternatives based on relevant features, verified user reviews and user interactions. Placement may be influenced by client status.

### Cornerstone Software

4.0 (183)

VS.

[4.6 (278)](https://www.capterra.com/p/133166/DaySmart-Vet/reviews/)

Starting Price

$549

Per Month

Starting Price

$116

Flat Rate, Per Month

Free Trial

Free Version

Pricing Options

Free Trial

Free Version

Ease Of Use

3.8 (183)

Ease Of Use

4.6 (278)

Value For Money

3.7 (139)

Value For Money

4.6 (264)

Customer Service

4.3 (161)

Customer Service

4.7 (276)

## Cornerstone Software alternatives

Highest Rated

[4.9 (234)](https://www.capterra.com/p/234498/Instinct-EMR/reviews/)

Starting price

Contact vendor for pricing

[4.7 (87)](https://www.capterra.com/p/172485/Shepherd-App/reviews/)

Starting price

$299.00

Per User, Per Month

[4.6 (276)](https://www.capterra.com/p/99977/ezyVet-Cloud-Vet-Software/reviews/)

Starting price

$260.50

Per User, Per Month

[4.7 (78)](https://www.capterra.com/p/167764/Digitail/reviews/)

Starting price

Contact vendor for pricing

[View all alternatives](https://www.capterra.com/p/99976/Cornerstone-Practice-Management/alternatives/)

## Pros and Cons

Responsive and knowledgeable support team

93% positive reviews out of 41

Most reviewers describe customer support as fast, accessible, and effective in resolving software and hardware issues.

Frequent glitches and crashes

84% negative reviews out of 45

Most reviewers indicate bugs and issues cause system freezes, crashes, and inefficiencies, disrupting daily operations.

Brittanie C

Licensed Veterinary Technician, 11 - 50 employees.

"Sometimes there are glitches and software will freeze."

Intuitive and easy-to-learn platform

82% positive reviews out of 34

Most reviewers report ease of use, highlighting intuitive navigation and quick learning for all team members.

Comprehensive practice integrations

87% positive reviews out of 30

Most reviewers find integrations streamline workflows, connecting lab equipment, radiology, and third-party services efficiently.

## Features

Features with the highest number of reviews are displayed first. Those that have no reviews appear next, sorted alphabetically.

Patient Records Management

4.4 (38)

76.32% of 38 reviewers that rated this feature as important or highly important

Managing different types of patient records, including paper documents, digital files, billing information, and scheduling details

Appointment Scheduling

4.3 (37)

72.97% of 37 reviewers that rated this feature as important or highly important

Schedule appointments via a calendar

Prescription Processing

4.1 (32)

68.75% of 32 reviewers that rated this feature as important or highly important

Enables pharmacists to process single or multiple prescriptions simultaneously

Billing & Invoicing

4.0 (31)

77.42% of 31 reviewers that rated this feature as important or highly important

Create, manage, and send invoices or bills to customers

Payment Processing

3.9 (28)

60.71% of 28 reviewers that rated this feature as important or highly important

Accept, record, and reconcile financial transactions

Imaging and X-rays

4.2 (22)

63.64% of 22 reviewers that rated this feature as important or highly important

Visual representations or pictures of objects, structures, or internal body parts, often for diagnostic or analytical purposes

Cornerstone Software 27 features

Built-in accounting to manage ledger, accounts payable/receivable, financial reports, etc.

Alerts or notifications of various types such as pop-up messages, sounds, banners, or badges

Schedule appointments via a calendar

Create, manage, and send invoices or bills to customers

Manage patient documentation describing all clinical interactions, diagnoses, procedures, medications, etc.

Manage and track all internal and external communication conducted via calls, email, text, or chat

Automated reminders and confirmations for booked appointments and events via text or email

Import and export data to and from software applications

Electronically collect payments for goods or services

Digitally sign online documents

Reminders sent via email

Visual representations or pictures of objects, structures, or internal body parts, often for diagnostic or analytical purposes

Track and manage inventory levels to maintain proper supply

Captures invoice data and maintains comprehensive records for auditing and reporting purposes

Managing different types of patient records, including paper documents, digital files, billing information, and scheduling details

Accept, record, and reconcile financial transactions

Enables pharmacists to process single or multiple prescriptions simultaneously

Timed notification for any upcoming task, deadline, appointment, or activity

Collection, analysis, and representation of numerical data and generation of reports to understand various patterns

Send messages via SMS

Method of writing out notes in patient's charts (subjective, objective, assessment, and plan)

Track the status over time for a request, process, asset, or transaction

Meet with patients remotely

Create, save, and re-purpose templates for emails, forms, etc.

Set up connections to third-party platforms to improve business processes

Create treatment plans that document interventions and outcomes to track patient progress

Create, design and manage workflows for repetitive tasks

Features

4.0 (174)

4.0

Based on 174 reviews

## Pricing

Value for money

3.7 (139)

Basic

$549.00

Per Month

Value for money

3.7 (139)

3.7

Based on 139 reviews

## Support, customer service and training options

Customer Service

4.3 (161)

Support

-   Email/Help Desk
-   FAQs/Forum
-   Knowledge Base
-   Phone Support
-   24/7 (Live rep)
-   Chat

Training

-   In Person
-   Live Online
-   Webinars
-   Documentation
-   Videos

Deployment

-   Web
-   Android
-   iPhone/iPad

Typical users

-   Freelancers
-   Small businesses
-   Mid size businesses
-   Enterprises

Customer Service

4.3 (161)

4.3

Based on 161 reviews

## User reviews

Overall rating

4.0

Based on 183 reviews

Filter by rating

5(74)

4(67)

3(26)

2(7)

1(9)

Mentioned topic

Sorted by most recent

GC

Gabriella C.

Lead vet assistant

Veterinary

### "Cornerstone Review "

5.0

Overall Rating

5.0

5.0

Ease of Use

5.0

5.0

Features

5.0

5.0

Customer Service

5.0

5.0

Likelihood to Recommend

8/10

February 25, 2026

My overall experience with Cornerstone was good. I used it for over 3 years and never had an issue with it. Other than wanting new features and enhancements.

Pros

Cornerstone is an easy and simple platform to use and train others on. It’s easy patient management and navigation. However, there are multiple ways to complete a single task.

Cons

The think I liked least about the Cornerstone software is they do not make an updates or improvements within the game platform.

Review source

Incentivized review: software users are invited to submit an honest review and offered a nominal incentive for their time and effort. All incentivized reviews are subject to our verification process prior to publication.

EP

Elizabeth P.

Practice Manager

Veterinary

### "An old friend"

4.0

Overall Rating

4.0

4.0

Ease of Use

4.0

4.0

Features

4.0

4.0

Customer Service

5.0

5.0

Likelihood to Recommend

8/10

February 13, 2026

I used Cornerstone for 15 years before switching. I have fond memories of cornerstone. It served me well in those 15 years. But sadly there are better options out now if you want advanced software.

Pros

For the price it did what it was supposed to. The customer service support was excellent and truly couldn't have been better. The system was glitchy, but support always would remote in and update or fix anything that needed to be fixed. Loved that you could run a good number of reports and you could custom create a report if you wanted to. Easy for staff to learn.

Cons

It was a little "clunky" at times and counterintuitive on how to find some information. But it does the job. If you don't need a lot of bells and whistles. Support is excellent

Alternatives considered

[Shepherd](https://www.capterra.com/p/172485/Shepherd-App/)

Reasons for choosing Cornerstone Software

Customer support. Theirs is better than any other software on the market.

Review source

Incentivized review: software users are invited to submit an honest review and offered a nominal incentive for their time and effort. All incentivized reviews are subject to our verification process prior to publication.

Ashley T.

Office Manager

Veterinary

### "I enjoyed Cornerstone "

4.0

Overall Rating

4.0

4.0

Ease of Use

5.0

5.0

Features

5.0

5.0

Customer Service

4.0

4.0

Likelihood to Recommend

9/10

January 19, 2026

Overall, Cornerstone has been a reliable and comprehensive practice management system, but efficiency can be impacted by speed and flexibility limitations.

Pros

Reliable workflows, intuitive charts, strong reporting, and dependable support that keeps clinics go

Cons

Occasional lag, limited customization, slow updates, and workflow disruptions that reduce efficiency during busy days

Switched from

[IntraVet](https://www.capterra.com/p/92882/IntraVet/)

We had grown larger and needed a bigger software, we moved to cornerstone then. This was probably around 2013

Review source

Incentivized review: software users are invited to submit an honest review and offered a nominal incentive for their time and effort. All incentivized reviews are subject to our verification process prior to publication.

SK

Suzette K.

Hospital Administrator

Veterinary

### "Solid Practice Management Software, but could use some upgrades"

4.0

Overall Rating

4.0

4.0

Ease of Use

4.0

4.0

Features

4.0

4.0

Customer Service

4.0

4.0

Likelihood to Recommend

7/10

November 27, 2025

I would say overall the experience is positive. It is very easy for appointment scheduling and tracking, analytics and reporting on the back end are very easy to access and customize. With the addition of a digital treatment sheet or integration it would be my program of choice.

Pros

Cornerstone is an all around decent program. It is simple to use and integrates well will all Idexx blood analyzers, which is nice. The customer support and initial staff training are extensive.

Cons

I worry that Cornerstone is becoming outdated with the new all in one Practice Management software and digital treatment sheets. We were using a two different programs in Cornerstone and then a digital treatment sheet which produces a lot of back and forth for the team. I am sure it is coming but Cornerstone integrating or producing its own treatment sheet program would be great.

Review source

Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication.

Lauren H.

Practice Manager

Veterinary

### "Cornerstone "

3.0

Overall Rating

3.0

3.0

Ease of Use

4.0

4.0

Features

5.0

5.0

Customer Service

4.0

4.0

Likelihood to Recommend

4/10

September 25, 2025

My experience was overall a good one - honestly, if there was a way to get all of the software for a smaller cost, we would not have switched.

Pros

Patient Management, Reporting, Security, Customer Support, Appointment Scheduling, Staff Training, and that is it

Cons

The price was the major con of Cornerstone. As a small business, it was not realistic for the price, even if it is a good program

Alternatives considered

[Shepherd](https://www.capterra.com/p/172485/Shepherd-App/)

Reasons for choosing Cornerstone Software

I did not choose it we changed from not having a software.

Review source

Incentivized review: software users are invited to submit an honest review and offered a nominal incentive for their time and effort. All incentivized reviews are subject to our verification process prior to publication.

MW

Melissa W.

Hospital Administrator

Veterinary

### "Skip Cornerstone"

2.0

Overall Rating

2.0

2.0

Ease of Use

3.0

3.0

Features

1.0

1.0

Customer Service

2.0

2.0

Likelihood to Recommend

0/10

July 26, 2025

Pros

Easy enough to use; looked a look like an Xcel spreadsheet & the patient charting was simple. Linked to our labs with Zoetis.

Cons

Inventory never worked, couldn’t delete items if you ever had them on a pick list or an invoice. Inventory didn’t track well and was never correct. Slow speed and would crash frequently.

Alternatives considered

[Covetrus Avimark](https://www.capterra.com/p/92887/AVImark/)

Reasons for choosing Cornerstone Software

Seemed to be the superior product and was easier to use

Review source

Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication.

AH

Audrey H.

Veterinary Technician

Veterinary

### "Cornerstone cloud just ok"

3.0

Overall Rating

3.0

3.0

Ease of Use

3.0

3.0

Features

4.0

4.0

Customer Service

5.0

5.0

Likelihood to Recommend

3/10

July 23, 2025

I did like the level of detail and able to see the alerts as pop ups on each patient when you pulled up the chart.

Pros

Able to view multiple details of patient in one window. Good reports with lots of details and search options to narrow down my report.

Cons

how slow the cloud version was. Also didn't like that it looks very old school. Very old display. Would like body maps.

Review source

Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication.

CC

Cynthia C.

Practice Manager

Veterinary

### "Cornerstone "

4.0

Overall Rating

4.0

4.0

Ease of Use

4.0

4.0

Features

4.0

4.0

Customer Service

5.0

5.0

Likelihood to Recommend

7/10

June 5, 2025

We had cornerstone cloud which became obsolete. We then had to switch to another web based software

Pros

I liked the flexibility of scheduling and attaching documents. It made it simple and linked to patient file you were currently on.

Cons

Inventory. Inventory turned into a nightmare. I am unsure if this was from our data being converted from another software program.

Review source

Incentivized review: software users are invited to submit an honest review and offered a nominal incentive for their time and effort. All incentivized reviews are subject to our verification process prior to publication.

Ell M.

LVT

Veterinary

### "Would Not Recommend: Very Outdated"

1.0

Overall Rating

1.0

1.0

Ease of Use

1.0

1.0

Features

1.0

1.0

Customer Service

1.0

1.0

Likelihood to Recommend

0/10

May 26, 2025

It was the biggest struggle for me to learn when I entered this hospital. I've been a part of many types of veterinary software and this is by far the worst. We would reach out for help with it and no real help was every provided. Not sure why it's kept running.

Pros

It contains all of the patient's data that we need for appointments (scheduling, history, attachments, etc)

Cons

Horrible to navigate. Very outdated. Constantly freezes. Not great at syncing with other data (ex: Idexx lab results). Need a physical server in hospital that is very large and crashes sometimes. Cannot access from home.

Review source

Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication.

KH

Kari H.

LVT

Veterinary

### "Customization is key"

4.0

Overall Rating

4.0

4.0

Ease of Use

5.0

5.0

Features

5.0

5.0

Customer Service

0.0

0.0

Likelihood to Recommend

8/10

May 25, 2025

I used Cornerstone for the first 10 years of my career and found it to be fairly intuitive and user friendly. I was able to customize my experience for the patients/clients we were seeing which streamlined my job.

Pros

I appreciate the amount of customization that can be done to meet a clinic's specific needs. The ability to create custom forms is a huge bonus.

Cons

The fact that Cornerstone is tied to a server and can't be a cloud based software. If the server crashes it causes a lot of headaches.

Review source

Incentivized review: software users are invited to submit an honest review and offered a nominal incentive for their time and effort. All incentivized reviews are subject to our verification process prior to publication.

[View all Reviews](https://www.capterra.com/p/99976/Cornerstone-Practice-Management/reviews/)

Popular comparisons

[DaySmart Vet vs Cornerstone Software](https://www.capterra.com/compare/99976-133166/Cornerstone-Practice-Management-vs-DaySmart-Vet)[Instinct Science vs Cornerstone Software](https://www.capterra.com/compare/99976-234498/Cornerstone-Practice-Management-vs-Instinct-EMR)[Covetrus Pulse vs Cornerstone Software](https://www.capterra.com/compare/99976-130107/Cornerstone-Practice-Management-vs-Covetrus-Pulse)[Shepherd vs Cornerstone Software](https://www.capterra.com/compare/99976-172485/Cornerstone-Practice-Management-vs-Shepherd-App)[ezyVet vs Cornerstone Software](https://www.capterra.com/compare/99976-99977/Cornerstone-Practice-Management-vs-ezyVet-Cloud-Vet-Software)[Covetrus vRxPro vs Cornerstone Software](https://www.capterra.com/compare/99976-204324/Cornerstone-Practice-Management-vs-Covetrus-Prescription-Management)

[Covetrus Avimark vs Cornerstone Software](https://www.capterra.com/compare/92887-99976/AVImark-vs-Cornerstone-Practice-Management)[Covetrus Impromed vs Cornerstone Software](https://www.capterra.com/compare/95888-99976/ImproMed-vs-Cornerstone-Practice-Management)[PetDesk vs Cornerstone Software](https://www.capterra.com/compare/99976-166086/Cornerstone-Practice-Management-vs-PetDesk)[Digitail vs Cornerstone Software](https://www.capterra.com/compare/99976-167764/Cornerstone-Practice-Management-vs-Digitail)[IDEXX Neo vs Cornerstone Software](https://www.capterra.com/compare/99976-145988/Cornerstone-Practice-Management-vs-IDEXX-Neo)[Hippo Manager vs Cornerstone Software](https://www.capterra.com/compare/99976-134667/Cornerstone-Practice-Management-vs-Hippo-Manager) 

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