--- title: "Cornerstone Software Reviews 2026. Verified Reviews, Pros & Cons | Capterra" description: "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_url: "https://www.capterra.com/p/99976/Cornerstone-Practice-Management/reviews/" page_type: "reviews" language: "en" --- 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 September 30th, 2026 # Reviews of Cornerstone Software Ease of use 3.8 Customer Service 4.3 ## Pros and Cons in Reviews Ashley T Office ManagerVeterinary, 51 - 200 employeesUsed the software for: More than 2 years. “Reliable workflows, intuitive charts, strong reporting, and dependable support that keeps clinics go“ January 19, 2026 MM Megan M CVTVeterinary, 201 - 500 employeesUsed the software for: More than 2 years. “Very confusing keystroke functions, very specific methods needed to input labwork, can only open 4 patient clipboards at a time, must manually transfer (via copy/paste) patients between department schedules.“ February 9, 2025 SK Suzette K Hospital AdministratorVeterinary, 201 - 500 employeesUsed the software for: 1-2 years. “With the addition of a digital treatment sheet or integration it would be my program of choice.“ November 27, 2025 Ashley T Office ManagerVeterinary, 51 - 200 employeesUsed the software for: More than 2 years. “Occasional lag, limited customization, slow updates, and workflow disruptions that reduce efficiency during busy days“ January 19, 2026 Lauren H Practice ManagerVeterinary, 11 - 50 employeesUsed the software for: Less than 6 months. “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.“ September 25, 2025 JE Jeremiah E RVTVeterinary, 51 - 200 employeesUsed the software for: More than 2 years. “It does not communicate with our lab machines, it does not communicate with our ICU treatment software, I waste literal hours staring at it waiting for it to load just so I can enter charges.“ January 4, 2025 KH Kari H LVTVeterinary, 2 - 10 employeesUsed the software for: More than 2 years. “The ability to create custom forms is a huge bonus.“ May 25, 2025 SK Suzette K Hospital AdministratorVeterinary, 201 - 500 employeesUsed the software for: 1-2 years. “I worry that Cornerstone is becoming outdated with the new all in one Practice Management software and digital treatment sheets. “ November 27, 2025 ## 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 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 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 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 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 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 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 CC Cynthia C. Practice Manager Veterinary Used the software for: 1-2 years ### "Cornerstone " June 5, 2025 4.0 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 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 BW Brook W. Practice Manager Veterinary Used the software for: 2+ years ### "CornerStone " November 25, 2024 1.0 Awful from the price to the product. I wouldn't recommend this product for anyone. Pros Nothing. I find this software archaic and out of date. I do not find any features useful with this product Cons The reports. There is no way to specify the dates you would like to run reports for. This is a huge problem when it comes time for accounting to be done. 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. RH Regina H. Owner Veterinary Used the software for: 2+ years ### "The Thrill is gone!" April 14, 2021 4.0 Hardware support is now $250 for the first 15mins and 50 per minute. I have loved this system for over a decade but now I am jaded. I am looking for a more economical system for my practice. Pros Initially the product was intimidating but once you learn to right click and tab, its easy. If have many reports and data that can be created for comparative analysis. It is moderately simple to use but it is a definite learning curve to master. I do not use have of the features that are available. It is fully functional for a CPA. Anything they want, Cornerstone can create it for you! Cons What I do not like is the constant nickel-n-diming of all features and any software/hardware support that is needed. The used to be really reasonable but now, if you cannot be charged they do not help you. Software support for a server is now over $700.00 a month. That does not include hardware support. The system is good but if you are not a corporation practice, You can certainly find something cheaper. Reason for choosing Cornerstone Software Back in the 2000's it was an up and coming software system which was focused on the privately-owned small animal practice. Since they have become successful, they are geared toward larger corporate type practices. So now I am in the market for a company that is focused on the privately owned practice. Review Source Response from IDEXX April 26, 2021 Hi Dr. Hyde-Nance, thank you for taking the time to share your feedback on Cornerstone, always good to know where we are hitting the mark and where there is room for improvement. One of our software experts is going to be in touch with you to discuss your options and current needs! JL Jannie L. Receptionist/Marketing Veterinary Used the software for: 2+ years ### "Solid product " August 23, 2021 3.0 Cornerstone support is amazing. Easy to use and they will work with you to figure out what is going wrong. They are open to ideas for updates or changes. Pros You can have multiple levels of administrative rights and pick and choose who can have access to certain reports. Adding pets and charges are easy. Multiple people can be in the same account at the same time but only one can be putting on charges. Cons It is great in simplicity of the design but It is easy to overwrite a line and miss charges. Have to click yes 3 times to print an invoice but you can delete something easily without warning. If one computer crashes in the middle of putting on charges you can't access it from another computer, you need to wait until that computer is back up and running. Review Source Response from IDEXX September 8, 2021 Hi Jannie, thanks for sharing your feedback on Cornerstone. Really appreciate the high ratings for support and value for money, and glad to hear that the ability to set admin rights by role and reporting work well for you and your team! DJ Denise J. Office Manager Veterinary Used the software for: 2+ years ### "Former User" November 30, 2023 3.0 The learning curve was a little steep. It is not intuitive. The redundancy of invoicing and entering treatments/meds in the medical records is outdated and inefficient. Pros Screens were easy to read, not crowded with information. Cons The medical records need to be updated. It is inefficient and cumbersome to use. This increased the time after hours to complete records. Review Source SC Susan C. Practice Manager Veterinary Used the software for: 2+ years ### "Love CORNERSTONE" July 15, 2021 5.0 Accountability is what I love most about Cornerstone Pros We have been using Cornerstone since 2014. Implementation was not easy and our client base did not merge very well. But all in all, I love Cornerstone support is great I love that everything is accountable and your security for staff access is great Cons Ease of locating a client. Notice of duplicates. Reason for choosing Cornerstone Software HIstory with IDEXX and their reputation Review Source Response from IDEXX July 23, 2021 Hello Susan, we love hearing that the security and accountability made possible by Cornerstone is so helpful for you and your staff! We will pass on your compliments to the Cornerstone Customer and Technical Support team. Thank you for your business! KT Kathy T. Office Manager Veterinary Used the software for: 2+ years ### "Great Diagnostic tool/great support options" September 30, 2024 5.0 Used daily and for many different reasons, great diagnostic tool with fast reporting Pros Integrates seamlessly with PIMS, great support system, many different labwork options Cons System seems to go down occasionally and needs to be reset 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! KS Kristin S. Associate veterinarian Veterinary Used the software for: 2+ years ### "OK to use, could be better" November 1, 2018 3.0 Pros Integrated diagnostics, the way the daily schedule is presented Cons This may be the way our practice has it set up, but as a paperless practice for the last 3 years, I find the charting in this system very cumbersome and feel it could be streamlined. There are too many different reports to open and close and a lot of repeat info to enter. This does not feel efficient, and after 3 years, I still sorely miss the simple paper charts we used to have. Now there is more information stored for every patient, and sure, that would be great if needed in a lawsuit, but data entry takes longer and I feel I see fewer patients and am more stressed in the process. Again, not sure if it is the software or the way my practice chooses to use it. Review Source Response from IDEXX February 6, 2019 Hi Kristin, thanks for your feedback. Good to hear that Cornerstone's diagnostic integration and the daily scheduler are helping your team. Sorry to hear you're having some difficulties with charting. We have a large number of practices that are successfully working in a paperless environment. Check out some of the free Cornerstone resources on the IDEXX Learning Center. Also let us know if you'd like to talk to another Cornerstone user who is having success in this area. Similar Products Featured