# Cornerstone Software Reviews 2026. Verified Reviews, Pros & Cons | Capterra > Is Cornerstone Software the right Veterinary solution for you? Explore 183 verified user reviews from people in industries like yours to make a confident choice. Source: https://www.capterra.com/p/99976/Cornerstone-Practice-Management/reviews --- Cornerstone Software 4 (183) [View alternatives](https://www.capterra.com/p/99976/Cornerstone-Practice-Management/alternatives/) Provider data verified by our Software Research team, and reviews moderated by our Reviews Verification team. [Learn more](https://www.capterra.com/our-story/) * * * Last updated March 13th, 2026 # Reviews of Cornerstone Software Ease of use 3.8 Customer Service 4.3 ## Pros and Cons in Reviews Responsive and knowledgeable assistance 93% positive reviews out of 42 Most reviewers describe customer support as prompt, accessible, and effective at resolving both technical and operational concerns. Frequent technical disruptions 83% negative reviews out of 46 Most reviewers find bugs and issues cause crashes, slowdowns, inconsistent performance, and time-consuming troubleshooting. Brittanie C. Licensed Veterinary Technician, 11 - 50 employees. "Sometimes there are glitches and software will freeze." Intuitive and user-friendly design 82% positive reviews out of 34 Most users report ease of use, quick learning curve, and accessible features for all team members. Comprehensive practice integrations 87% positive reviews out of 31 Most reviewers indicate integrations with lab equipment, digital imaging, and third-party tools streamline workflows and improve efficiency. Suzette K. Hospital Administrator, 201 - 500 employees. "With the addition of a digital treatment sheet or integration it would be my program of choice." ## Showing most helpful reviews Showing 1-25 of 183 Reviews Sort by: Most Helpful Rating Company Size Reviewer's Role Length of Use Frequency of Use Ashley T. Office Manager Veterinary Used the software for: 2+ years ### "I enjoyed Cornerstone " January 19, 2026 4.0 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 EP Elizabeth P. Practice Manager Veterinary Used the software for: 2+ years ### "An old friend" February 13, 2026 4.0 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/) Reason for choosing Cornerstone Software Customer support. Theirs is better than any other software on the market. Review Source Ell M. LVT Veterinary Used the software for: 6-12 months ### "Would Not Recommend: Very Outdated" May 26, 2025 1.0 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 GC Gabriella C. Lead vet assistant Veterinary Used the software for: 1-2 years ### "Cornerstone Review " February 25, 2026 5.0 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 SK Suzette K. Hospital Administrator Veterinary Used the software for: 1-2 years ### "Solid Practice Management Software, but could use some upgrades" November 27, 2025 4.0 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 MW Melissa W. Hospital Administrator Veterinary Used the software for: 2+ years ### "Skip Cornerstone" July 26, 2025 2.0 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/) Reason for choosing Cornerstone Software Seemed to be the superior product and was easier to use Review Source Lauren H. Practice Manager Veterinary Used the software for: Less than 6 months ### "Cornerstone " September 25, 2025 3.0 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/) Reason for choosing Cornerstone Software I did not choose it we changed from not having a software. Review Source BL Bethany L. Receptionist Hospital & Health Care Used the software for: 2+ years ### "Cornerstone is a great software to start with!" March 31, 2025 5.0 The overall experience with Cornerstone is positive. While not perfect, it is very user friendly and was easy for newly hired employees to learn the software. Pros I enjoyed using Cornerstone because it is very “user friendly”. In a veterinary setting, it is very useful because it can be integrated with other software for bloodwork or x-rays. The scheduling software is very simple and allows for ease of use and efficiency in managing your time, since it is not complicated. Cons Cornerstone could use a few updates, to make the software more “smart”. For instance, creating reports was quite difficult when it could be fixed with a few tech-savvy updates. I did not like how the integration with other products, such as IDEXX, would sometimes not work for some patients. Some patient’s bloodwork and x-rays would not be shown on their account, while other patients information was available on their account. Review Source KH Kyra H. Practice Manager Veterinary Used the software for: 2+ years ### "Cornerstone " March 11, 2025 4.0 Overall it was a positive experience. If it had not been for it being a server based system, we likely would still be using it to date. Pros While using cornerstone it was very easy to locate something on a medical record. I also favored the appointment scheduler and the ability to copy and paste appointments which is not something that is available with our current practice management system. Cons The version of cornerstone that we had was not cloud based and instead was server based, which caused significant issues when our server was experiencing malfunction despite our internet being perfectly stable. Review Source KH Kari H. LVT Veterinary Used the software for: 2+ years ### "Customization is key" May 25, 2025 4.0 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 AS Abby S. Veterinary Assistant Veterinary Used the software for: 2+ years ### "Cornerstone Review" March 17, 2025 4.0 Overall a pleasant experience. Customer Support was always very helpful Pros Easy to use- usually able to teach a new employee about the software with a day or two Cons Unable to keep up with a growing practice. Review Source KF Kristine F. Lead Veterinary Assistant Veterinary Used the software for: 2+ years ### "Cornerstone Review" November 22, 2024 3.0 Once you get the hang of cornerstone, it is easy. It is a outdated slower software program. Pros I loved that it directly integrates with IDEXX diagnostic tools and lab services, streamlining lab test submissions and results retrieval. Cons Slow performance, especially during peak usage hours. Less user friendly. Review Source KH Katherine H. Practice Manager Veterinary Used the software for: 1-2 years ### "Visually appealing, great reports" September 22, 2024 3.0 Worked as interim HM at clinic that had cornerstone, took awhile to learn even basic thinga within system. Hard to schedule training Pros Visually appealing, robust reporting system makes figuring out doctor production easier Cons Doesnt allow corporate to access reports, have to physically send of month reports which adds time to month end Review Source ND Nancy D. General manager Veterinary Used the software for: 2+ years ### "The best practice management for business oriented practices out there" February 9, 2017 5.0 I am a power user of Cornerstone and am currently running it in five practices. Without a doubt, it was a great choice for us when we changed practice management software several years ago. The ability to integrate our lab and digital imaging is outstanding-no missed charges, all information immediately available in the correct patient chart, improved work flow and efficiency, and the ability for doctors to choose the format that they prefer for viewing results. I also really appreciate the customer support-I am the general manager as well as the network administrator, and being able to have any staff member call in to get a problem solved rather than waiting for me is very helpful. Support is respectful and very helpful to our team. We are also making great use of the learning center and the more advanced Cornerstone training programs. The reports and the Performance Tracker feature are extremely useful in managing the business side of the practice-you can really decide what level of information you want and go find it. The reports also provide a great deal of data about our clients and patients which helps us provide the care and services they want and value. The integration of Pet Health Network Pro for client communication is great-we really like the reporting features and communication options there as well. For me, the ability to have all of this technology easily integrated with one point of contact and one point of accountability has also been much more efficient than trying to deal with multiple providers as I have in the past. The only real negative with Cornerstone is all those features can also make it feel very complicated. It does require a commitment to training and to learning about the program to make it work well in your practice-but when you think of that database as the goodwill value of your practice, taking the time to manage it effectively is absolutely crucial for the long term success of your business. Some folks may find they don't need the integration or firepower, and Cornerstone may not be the best option for them as it is more expensive than some of the other options. However, I don't think it can be beat for the integration and reporting capabilities. Pros The strongest features are the ability to integrate lab, digital imaging, and client communication within one program. The report features are very good as well. Tech support has been great, and long hours of operation are very helpful as we operate extended hours. Cons Set up can be complicated and it requires a commitment to ongoing education about the program. Staff training is very important. Review Source LS Lindsay S. Customer Service Manager Veterinary Used the software for: 2+ years ### "Easy to use, updates needed" August 5, 2021 4.0 We often have IT problems, and Cornerstone support is very quick to blame issues on security settings on the server and router. Pros There are numerous different ways to do things in Cornerstone which makes it user friendly. Cornerstone appears to be one of the more popular programs available. Using Cornerstone PDF to save records, etc. is much easier than using Adobe. Cons Cornerstone seems to be one of the slower practice management programs to offer newer features. The updates do not seem to ever go smoothly, but the new features and updates are exciting when they do come out. Reports are cumbersome. I wish there was a spot to make notes about clients that aren't specific to each patient. Call backs could be updated so that the communication shows in the patient chart. Review Source Response from IDEXX August 16, 2021 Hello Lindsay, thank you for your feedback on Cornerstone. Always good to know where we are hitting the mark and where there is room for improvement. LS Lauren S. Veterinary technician Veterinary Used the software for: 2+ years ### "LOVE IDEXX!!!!" December 4, 2020 5.0 I wish the clinic I was at now could afford Cornerstone, I miss using it everyday. It made my life so much easier and more efficient Pros Cornerstone can look intimidating, especially those new to VetMed. But it’s actually a lot easier than it looks. There are so many useful features to the program. One thing that I love is the Patient Visit List and how only ONE person can access it at a time. If someone else tries it says that it’s being accessed. I love the ability to “finalize” a note, which means no one else can go in an change something. Believe it or not but people can twist your words around, and with that feature they can’t. You can always go in later and add additional information to the bottom of the note, but it says it’s an add on, when it was added and who added it. LOVE. Scheduling appointments is also a lot easier than it looks, and while scheduling the appointment you can see what the patient is due for. The color coding on things that are due, coming up due, and current is a life saver. I also love the convenience of how easy it is to access IDEXX labs from the software. Cons Honestly nothing, I haven’t found a feature that I find unhelpful. There are so many of them, which can seem overbearing, but helpful. Switched from [Covetrus Pulse](https://www.capterra.com/p/130107/Covetrus-Pulse/) Changed clinics Review Source Response from IDEXX December 15, 2020 Hi Lauren, Cornerstone and IDEXX love you too! Thanks for the feedback and willingness to recommend Cornerstone to your colleagues! Hope we can work again together in the not-too-distant future. AK Ashley K. Veterinary Technician Veterinary Used the software for: 2+ years ### "Cornersrone use in ER Vet Specialty Setting" May 11, 2024 4.0 Overall cornerstone is basically all I've ever known so I give it at 7 and a half out of 10 Pros Cornerstone manager's patient files quite well it's easy to find as long as you learn the KEY strokes the program Needs you to learn in order to make the use of it easier Cons Having to attach records from another hospital and how they're presented and how you have to access them is kind of difficult but it's manageable once you get used to the program Review Source JG Jessica G. Practice Manager Veterinary Used the software for: 2+ years ### "Customizable operating software with AMAZING customer support" January 15, 2020 5.0 I use it heavily for inventory tracking, ordering, scheduling, medical record keeping, financial tracking, employee time clock, and customizing client education that you don't have to remember to print - it can be set to automatically print on their invoice, on their prescription label, etc. Pros I like that you can easily costumize the software with automatic options to help staff with their workflow, everything connects back to something else for easy access to information. Their customer support is fantastic. They are available by phone, cornerstone chat, and you can allow them remote access into the system to resolve issues and do quick visual training. Cons It can be a little daunting to get started, but their customer service is fantastic, so there is always support to get through it. Reason for choosing Cornerstone Software The continuity between IDEXX labs, IDEXX equipment, cornerstone, Pet Health Network Pro, and the customer support. Everything associated with the above programs connect and speak to each other. The price is fair for the level of customer service and support. Review Source Response from IDEXX January 16, 2020 Hi Jessica, thanks very much for your feedback! Great to hear about all the ways you've customized Cornerstone so your team can work more effectively. We're proud of our support team, and we'll share your compliments with them. By the way, we've got lots of free Cornerstone training resources available at cornerstonehelp.com and on the IDEXX Learning Center, pleas check them out! SM Sarah M. Associate Veterinarian Veterinary Used the software for: 2+ years ### "Cornerstone" November 6, 2018 4.0 Overall, my experience is positive. We were able to go paperless with Cornerstone, and I was one of the veterinarians that helped facilitate that. My current practice had paper charts when I started with them, and only used Cornerstone for billing and surgical notes, but I had worked at other practices with computerized medical notes, and understood the benefits. Pros I like how it was easy to learn to use. I'm not especially computer savvy, but I didn't have a problem learning the essentials I needed for daily use. I especially like the medical notes, and if I remember correctly, our practice was able to customize them. Internal communication within the system with messages that are time-stamped and linked to the medical notes are helpful. Cons In the specialized exams (dermatology and ophthalmology specifically), I've had problems with the screen freezing during medical note input, after I try to save any drawings made on the diagrams themselves. I've lost my entire medical note (everything input prior to trying to save the markings on the medical diagrams). We've contacted the company about it, but last I knew, we were unable to correct the problem. I've leaned to work around it by typing in my entire medical note and SAVING it first. Then filling out the medical diagram. When I go to save the diagram, it always freezes the screen, and I have to exit out and do the diagram again, but at least I don't lose my entire medical note prior if I save it all first. Review Source Response from IDEXX February 10, 2019 Hello Dr. Wise, good to hear you find Cornerstone easy to use and customize! Sorry that you're experiencing that freezing issue. If you haven't already, please call Customer and Technical Support and ask them to remote in to your computer while you perform this task to see if they can isolate the issue. Yay you for spearheading your practice's transition to going paperless. We can't get enough of customer success stories like yours! TT Theresa T. Practice Manager Veterinary Used the software for: 2+ years ### "Cornerstone is one of the best!" September 8, 2022 5.0 Pretty good, but I don't think the switch from Avimark was worth the money and hassle. Pros Cornerstone is very user friendly and easy for new employees onboarding. Cons Inventory was not the solution to the problem we had with Avimark, but there is no perfect solution to a human problem! Also the reporting portion is lacking compared to Avimark. You can not mark inventory items "canine" or "feline" to ensure the correct item is being sold to the correct species. Reason for choosing Cornerstone Software n/a Switched from [Covetrus Avimark](https://www.capterra.com/p/92887/AVImark/) Better inventory control. Review Source KM Keala M. Office Manager Veterinary Used the software for: 2+ years ### "Overall A Great Program" June 11, 2020 5.0 This is a great program that we've utilized for 20 years. Would love to see some improvements, but overall happy with it! Pros The program is user friendly and our new staff have little to no trouble navigating things. We enjoy how many third party companies we are starting to use are also integrated with Cornerstone. Cons One of the main downfalls of Cornerstone is that there is not a file or tab for client paperwork such as registration forms, etc. Currently the only way to do this would be to create an additional pet file within the client account and store attachments there. The pet file will show up on third party apps though, such as PetDesk and it confuses our clients. Review Source Response from IDEXX June 16, 2020 Hi Keala, thank you very much for the compliments and your willingness to recommend Cornerstone to colleagues! Glad to hear that your team is able to get up and running quickly on Cornerstone. Giving you the flexibility to extend Cornerstone's capabilities by integrating with leading apps and services is a top priority of ours! As is improving Cornerstone itself. Version 9.2 is coming out summer of 2020, please let us know which of the enhancements and updates you and your team find more valuable! BR Brittany R. Vet tech Veterinary Used the software for: 2+ years ### "Cornerstone review" September 2, 2021 5.0 Easy to store and find client and patient information and alerts. Helps keep track of reminders. Pros Ease of finding clients or patients by many routes: name, number, microchip, breed etc. The ease of storing, and locating bloodwork. Cons The ability to email records directly from software would help. Its difficult to store and search for images( xrays, ultrasound) Review Source Response from IDEXX September 8, 2021 Hi Brittany, thank you so much for recommending Cornerstone to other practices who are shopping for new software! Great to hear that you and your team like how easy it is to store and access patient and client information--we will pass your compliments on to the Cornerstone product team. JM Jessica M. Office Manager Veterinary Used the software for: 2+ years ### "An Acceptable Option" October 23, 2023 3.0 Pros I do truly enjoy how appointments are scheduled within the system.Patient records are well laid out. Cons I do not like manually organizing everything, and would rather scheduled items be easier to implement.I do not like how client communications were difficult to sort through.I do not like how client accounts are difficult to organize. Review Source EF Evie F. Practice owner Veterinary Used the software for: 2+ years ### "Cornerstone review" July 16, 2021 4.0 Pros I like most all features of CStone. I think the medical record keeping is very detailed. Cons The Boarding Module is outdated and disjointed. It does not fully integrate into CStone, in my opinion. It is not intuitive and could be SO much easier if CStone would put some time into revamping. I have tried to learn and implement Whiteboard but this too seems more complicated than it needs to be and is not very intuitive. Review Source Response from IDEXX July 23, 2021 Hi Evie, thanks for your feedback on Cornerstone: we definitely need to know where we are hitting the mark, and where there is room for improvement. Regarding the white board, check out some of the free training videos that are available on the IDEXX Learning Center. Hope these help! VR Verified Reviewer Veterinary Assistant Veterinary Used the software for: 2+ years ### "Cornerstone Feedback " December 4, 2018 5.0 We are solving issues in communication between clients and staff. Pros I really like how well everything integrates between other servers and allows a flow of information to be so smooth. Cons Some features are not user mistake friendly, it is often difficult to correct redo problems as they arrive. Review Source Response from IDEXX February 10, 2019 Hello reviewer: your identity is may be a mystery but we know and appreciate a Cornerstone fan when we see one. We put tons of work into Cornerstone's superior integration, and it makes our day to hear how that's helping your team. Ditto for how it's improving communication between your clients and staff. Thanks for the feedback! Similar Products Featured