# 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 --- # 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. Independent research methodology Capterra’s researchers use a mix of verified reviews, independent research and objective methodologies to bring you selection and ranking information you can trust. While we may earn a referral fee when you visit a provider through our links or speak to an advisor, this has no influence on our research or methodology. [Learn more](https://www.capterra.com/resources/proprietary-data-research/) How Capterra verifies reviews Capterra carefully verified over 2.5 million+ reviews to bring you authentic software experiences from real users. Our human moderators verify that reviewers are real people and that reviews are authentic. They use leading tech to analyze text quality and to detect plagiarism and generative AI. [Learn more](https://www.capterra.com/resources/how-we-verify-reviews/) How Capterra ensures transparency Capterra lists all providers across its website—not just those that pay us—so that users can make informed purchase decisions. Capterra is free for users. Software providers pay us for sponsored profiles to receive web traffic and sales opportunities. Sponsored profiles include a link-out icon that takes users to the provider’s website. [Learn more](https://www.capterra.com/resources/how-we-ensure-transparency/) [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 assistance Intuitive and user-friendly design Frequent glitches and instability Starting price $549 Per Month Free trial not available Capterra Shortlist charts the highest-rated and most popular products... Our "Best of" badge program showcases products with the highest ratings... Our "Best of" badge program showcases products with the highest ratings... Do you work for Cornerstone Software?[Manage this product listing](https://digitalmarkets.gartner.com/get-listed/claim-bx?url=https://www.idexx.com/en/&name=Cornerstone Software) ## 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 (280)](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 (280) Value For Money 3.7 (139) Value For Money 4.6 (266) Customer Service 4.3 (161) Customer Service 4.7 (278) ## Cornerstone Software alternatives Highest Rated [4.9 (234)](https://www.capterra.com/p/234498/Instinct-EMR/reviews/) Starting price Contact vendor for pricing Pricing Options Free Trial Free Version User Rating 99% of reviewers rated it above 4 stars [4.6 (276)](https://www.capterra.com/p/99977/ezyVet-Cloud-Vet-Software/reviews/) Starting price $260.50 Per User, Per Month Pricing Options Free Trial Free Version User Rating 96% of reviewers rated it above 4 stars [4.7 (83)](https://www.capterra.com/p/167764/Digitail/reviews/) Starting price Contact vendor for pricing Pricing Options Free Trial Free Version User Rating 93% of reviewers rated it above 4 stars [Covetrus Pulse](https://www.capterra.com/p/130107/Covetrus-Pulse/) [4.0 (542)](https://www.capterra.com/p/130107/Covetrus-Pulse/reviews/) Starting price Contact vendor for pricing Pricing Options Free Trial Free Version User Rating 75% of reviewers rated it above 4 stars [Learn More](https://www.capterra.com/p/130107/Covetrus-Pulse/) [View all alternatives](https://www.capterra.com/p/99976/Cornerstone-Practice-Management/alternatives/) ## Pros and Cons Responsive and knowledgeable assistance 93% positive reviews out of 42 Most reviewers describe customer support as prompt, accessible, and effective in resolving both technical and operational concerns. Frequent glitches and instability 83% negative reviews out of 46 Most users report recurring bugs, crashes, and slowdowns, causing workflow interruptions and requiring frequent troubleshooting or restarts. 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 reviewers find ease of use important, highlighting straightforward navigation, simple training, and accessible features for all staff. Comprehensive lab and equipment integration 87% positive reviews out of 31 Most reviewers appreciate integrations with lab equipment and third-party tools, streamlining workflows and centralizing patient information. Suzette K Hospital Administrator, 201 - 500 employees. "With the addition of a digital treatment sheet or integration it would be my program of choice." ## 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) [Vetstoria vs Cornerstone Software](https://www.capterra.com/compare/99976-162603/Cornerstone-Practice-Management-vs-Online-Booking)[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)  Independent research methodology Capterra's researchers use a mix of verified reviews, independent research and objective methodologies to bring you selection and ranking information you can trust. While we may earn a referral fee when you visit a provider through our links or speak to an advisor, this has no influence on our research or methodology. [Learn more](https://www.capterra.com/resources/proprietary-data-research/) How Capterra verifies reviews Capterra carefully verified over 2.5 million+ reviews to bring you authentic software experiences from real users. Our human moderators verify that reviewers are real people and that reviews are authentic. They use leading tech to analyze text quality and to detect plagiarism and generative AI. [Learn more](https://www.capterra.com/resources/how-we-verify-reviews/) How Capterra ensures transparency Capterra lists all providers across its website—not just those that pay us—so that users can make informed purchase decisions. Capterra is free for users. Software providers pay us for sponsored profiles to receive web traffic and sales opportunities. Sponsored profiles include a link-out icon that takes users to the provider's website. [Learn more](https://www.capterra.com/resources/how-we-ensure-transparency/)