# 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 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 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 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 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 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 “I worry that Cornerstone is becoming outdated with the new all in one Practice Management software and digital treatment sheets.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 CC Cynthia C Practice ManagerVeterinary, 2 - 10 employeesUsed the software for: 1-2 years. “I liked the flexibility of scheduling and attaching documents. “ June 5, 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 ## 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 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 BC Brittanie C. Licensed Veterinary Technician Veterinary Used the software for: 2+ years ### "Cornerstone is a must have" October 2, 2024 5.0 My overall experience with Cornerstone has been nothing but exceptional, from customer service to technical support and everything in between! Pros Cornerstone is very easy to work with compared to other veterinary software databases. Cons Sometimes there are glitches and software will freeze. Review Source LD Lisa D. Practice Manager Veterinary Used the software for: 2+ years ### "Great program, need better customer service" September 5, 2024 5.0 We have been a CS client since 1999 and while we love it, we have hated it at times. The system itself is great, customer service can be lacking. It has so many wonderful features but until recently they were like easter eggs and you had to find them and teach yourself how to use them. It is a great program with lots of functionality to improve daily workflow. Pros Very robust system that can really help work flow if you use all of its features. Cons While it is a robust system, Idexx doesn't do a great job at showing you all of their features and training how to use them. Especially for existing clients. Review Source MP Mark P. Veterinarian/Practice Owner Veterinary Used the software for: 2+ years ### "There are no good options" January 15, 2019 2.0 Communicating with clients is next to impossible. The physical exam form/function has been abandoned by Cornerstone. There simply is no physical exam form/function in the "practice management" software. There are "Breed Information sheets" available for clients but no useful forms to run the hospital. Those I am expected to generate myself -which I have tried doing and dedicate several hours every Monday to this task. With multiple calls to Cornerstone Help to design these templates for Physical exam, Surgery forms, Inpatient/Hospitalized patient SOAPS, etc, I have successfully created zero documents. I spent my entire NAVC conference a few years ago focusing on Idexx software/paperless practice sessions, I have solicited Idexx's (Carla, I believe is the "paperless/paper lite" person) help at TNAVC (now VMX) every other year when I attend; 4 years in, after upgrading our computer system, converting everything over to Idexx Labs to facilitate integration with PM software, attending multiple Cornerstone User workshops etc, I am more convinced than ever that Cornerstone Cannot be used PROPERLY in a paperless practice. I have visited several "paperless" practices in the area, and it can be done only if I simply give all patients the same cut-and-paste physical exam notes. Paperless? Yes. Accurate and efficient? Hardly. There is simply no place in the "record" where I can simply look back and see what went on with the last exam(s). Very disappointed on many fronts Pros Familiarity - have been using Cornerstone since 2000 (Y2K scare regarding the old PSI system). Used PSI for 6 years prior to that Cons It is not designed for paperless practice. There are no easy ways to perform simple tasks. Every routine task (physical exam, writing/sending a prescription, you know those odd things that medical practices seldom have need to do) requires a "work around" which only a few select people on the Cornerstone help line can figure. Most calls are met with, "well that just can't be done with this system" or "no-one has asked that before, I will refer it to our developers and maybe it can be included on the next update". Review Source Response from IDEXX January 23, 2019 Hi Mark, really sorry to hear about your experience and thank you for the detailed feedback. We've had a lot of practices use Cornerstone to go paperless and we'd like you to be successful there too. Just after you wrote this review you had a live training session with a Cornerstone Field Service Representative. Sounds like that went well, hope a solution is in the works! GB Gail B. Practice Manager Veterinary Used the software for: 1-2 years ### "Cornerstone vs. DVM Manager" October 19, 2018 3.0 I really miss my old detailed reports. What used to take just couple of clicks has now turned into a long process to get the same information. The amount of time saved during close out is completely lost at the end of the month with printing individual invoices for collection accounts and my monthly in house use invoices. It's really strange that this report isn't one that would be an option for reports. Pros Closing out can be done while the program is being used and reports printed at any time. Our previous program would not allow any input of information during the close out procedures which limits the close out times to after hours or keeping everyone off the program while it was closing. Reports had to be printed at that time and you could only print them once which was also difficult if there was a problem with the printer. Cornerstone allows us to check in on reports throughout the day without closing out as well. Cons Printing out a detailed (itemized) monthly report of all items used in house is time consuming and tedious. We can get a list of all the invoices for the month but not a detailed one. Each individual invoice is then printed to gain this information. This results in multiple pages each with a few items on each. Our previous program you only had to select the account, reports, transactions and it would print an itemized report with all charges to the account. When asked the reps that taught us the program as well as calling the company on the phone, this was the only way to find out all the itemized charges on any account. This also makes closing out an account for collection difficult as each individual invoice needs to be printed out to itemize the account. Very long and tedious as well as a huge amount of paper used to get what used to be one simple report. Review Source Response from IDEXX February 10, 2019 Hi Gail, thanks for the analysis of Cornerstone vs DVM Manager, nice to see how we stack up. We hear you on the value of a detailed report on monthly items, and there actually is one called the Treatment Report. It's under Equine but can be used for other patients. This would let you run the report by client ID and would give you all invoices and details. Hope this saves you some time! sD steve D. veterinarian Veterinary Used the software for: 1-2 years ### "Prior Avimark User now using Cornerstone" April 7, 2017 4.0 Cornerstone is a powerful program that does many things almost everything needed for a veterinary practice. We were prior Avimark user for about 15 years since the start of windows version. Avimark is the most user friendly program I have ever used but it is limited as of a year or so ago to support true paperless use and our database out grew their ability to handle. They also had a whiteboard that was not practical or user friendly so we switched to Cornerstone. This program does handle large databases and does support paperless practice and works very well with integration of all their lab equipment, radiology and telemedicine. Because it is robust it is more complicated to master and there are so many things the program does it is difficult even for trainers and support staff to understand how do all the things paperless fully integrated practices need. It is not as user friendly and many things that are needed by paperless practices are not doable in the program. A simple need is in diagnosis listing - there is no way to describe anything about the diagnosis for example - Diagnosis of Limping - there is no way to go in and add a descriptor like left front or right rear - only Limping. Or if you diagnosed a mass - but no way of describing the location so you are left with reading through the exam to find out where the lump is. There are not many tabs on the patient records to sort the medical history to make finding inputs faster. But it has a Fantastic white board. The whiteboard that is fairly easy to use and does everything we needed. This was huge for our hospital and is badly needed in a paperless larger hospital. Unfortunately few practices use PM software to the maximum like we do, the problems we find or deficiencies that we find in the software from all these companies we have a small voice. But overall I think for a busy practice that wants a paperless practice and a excellent whiteboard feature and full integration of results with lab equipment and radiology results Cornerstone is the best. Pros Whiteboard and paperless capabilities and lab integration Cons Stupid little things like cannot add descriptors to Diagnosis, lack of tabs to sort medical history Review Source Response from IDEXX February 10, 2019 Hi Steve, really appreciate your detailed feedback. Always good to get the specifics on where we're hitting the mark, and where a user such as yourself sees room for improvement! JJ Jim J. Practice Manager Veterinary Used the software for: 2+ years ### "Great vision, substandard implementation" October 19, 2016 3.0 I have been using Cornerstone for about 10 years now. It is a very powerful program but is a daily source of frustration for us. The program has a checkered history- it started life as a diet calculator, but then features were bolted on over the years until it is now a full-blown practice management system with support for digital radiography, inventory management, medical notes, the works. Unfortunately this haphazard development history shows: the program is inconsistent in operation from one screen to the next, and many parts of the program don't work well with one another. Also, and perhaps most frustratingly, bugs do not get fixed: updates contain new features and new bugs, but old bugs are rarely fixed. Here's an example: there is a rounding error in the quantity on hand calculation that occasionally makes it impossible for certain inventory quantities to go to zero. Even entering zero manually does not set the quantity to zero. Unfortunately it is impossible to move an item to a new location if the QOH is not zero - a step necessitated by a design error in the program that I won't go into - so one has to contact customer support, have them remotely connect to the server, and edit the data using database tools. This needs to be done every few months. Some features are extremely hard to use - for example, simply selecting a lot number for a vaccine requires 3 windows, 7 clicks, and one double-click on a non-obvious location. It is so tedious that we had to disable expiration date tracking for everything except vaccines. There are at least 3 different ways to enter dates in different parts of the program. Error messages appear at random and are not helpful. User errors made cannot be corrected (!) - for example, if we enter the wrong provider on an invoice, the entire invoice needs to be voided and recreated - it cannot be changed, even by a supervisor with special clearance. Etc. I could go on for hours. Pros Great vision and a huge feature set Cons Crash-prone, hard to use, inconsistent Review Source CW Carissa W. Assistant Hospital & Health Care Used the software for: 2+ years ### "Why Cornerstone" December 28, 2022 5.0 I have been overall very happy with cornerstone. Pros Cornerstone work with Idexx laboratories so results go automatically into there charts. Easy to learn platform. With helpful guides. Cons That with telemedicine more used they should be working on platform to use it. We must use our app to talk to clients the save PDF into there charts. If there was a link for telemedicine would be outstanding.. Review Source AT Amy T. Office Manager Veterinary Used the software for: 2+ years ### "The Good and the Interesting" December 14, 2018 4.0 Cornerstone is definitely more robust than Intravet that we tried first when we went paperless, and the ability to view most all of the client and patient info within one screen is very handy. Pros Cornerstone has the ability to not only keep all of your patient charts, orderly and mostly at your fingerprints on one screen, along with client information and notes. The program also has several add-on features or programs that you can integrate for lab work, wellness plans and there is a new feature coming out in the next update as well. Cons All of the Cornerstone features don't seem to "work" all of the time. When there are updates or patches to fix certain aspects of the program it seems to disrupt or "break" other features or items that worked just fine. We will experience glitches within some accounts but not others, the add-ons tend to slow the program down and tech support is not allows that "supportive" or helpful if it is outside items typically on their help menu. There are many shortcuts to the programs use too, the users just aren't made aware of them. Review Source Response from IDEXX January 22, 2019 Hi Amy, thank you for your feedback (both the good and the interesting). Glad to hear that the ability to add apps and services to Cornerstone is a plus for your team! VR Verified Reviewer Veterinarian Veterinary Used the software for: 2+ years ### "Cornerstone Review" December 7, 2018 5.0 I've worked with several different programs as a relief veterinarian, and though there are still things about the software that I may not understand or utilize properly, it's the one I seem able to use the most features / easy to learn and use. Pros Different boards that keep me organized on phone calls / meds to fill / exam notes to finish writing! Cons Too many different areas to record information, example - some staff will use the callback text versus quick text options and they show up in different areas when searching / text vs exam Review Source Response from IDEXX February 10, 2019 Thanks for taking the time to let us know that Cornerstone is helping you stay organized. We've got great resources available that can help your team standardize how they use the software. F1 help is always a good place to start, followed by the IDEXX Learning Center. 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 ## Related categories [Veterinary](https://www.capterra.com/veterinary-software/)