# Netsmart Technologies vs OpenEMR

| Attribute | Netsmart Technologies | OpenEMR |
|---|---|---|
| **vioscaleAI score** | 36.4 (44% (low)) | 36.7 (63% (medium)) |
| activity.commits_last_30d | - | 10 |
| adoption.dependent_repos | - | 0 |
| adoption.github_stars | - | 119 |
| content.faq | `[{"answer":"Software for managing behavioral health practices, including integrated tools for writing prescriptions with controlled substance authorization. It is indexed under Healthcare Software.","source":"https://www.ntst.com/","question":"What is Netsmart Technologies?","confidence":0.6},{"answer":"We have confirmed browser-based access to Netsmart Technologies. That is the extent of what we could verify from public sources, so it may well offer desktop or mobile clients we have not indexed.","source":"https://www.ntst.com/","question":"What platforms does Netsmart Technologies support?","confidence":0.6},{"answer":"We have only confirmed a cloud / SaaS deployment for Netsmart Technologies, so it appears to be vendor-hosted. If a self-hosted option exists we have not found it documented publicly.","source":"https://www.ntst.com/","question":"Can Netsmart Technologies be self-hosted?","confidence":0.6},{"answer":"We have confirmed 3 integrations for Netsmart Technologies, including Apricot, OrderConnect and ClaimsConnect. This is what we could verify from public sources, so the vendor may support others we have not indexed.","source":"https://www.ntst.com/","question":"What does Netsmart Technologies integrate with?","confidence":0.6},{"answer":"We have independently confirmed HIPAA for Netsmart Technologies. Certifications we do not list are ones we have not been able to verify from public sources, which is not the same as Netsmart Technologies not holding them. Always confirm compliance directly before you rely on it.","source":"https://www.ntst.com/","question":"What security certifications does Netsmart Technologies have?","confidence":0.6}]` | `[{"answer":"Free, open-source EHR and practice management platform available for self-deployment or as a managed cloud service. ONC-certified and HIPAA-compliant, designed for ambulatory healthcare practices with integrated clinical workflows and medical billing. It is indexed under Healthcare Software.","source":"https://www.open-emr.org/","question":"What is OpenEMR?","confidence":0.6},{"answer":"OpenEMR is open source, so it can be self-hosted and used at no licence cost. It is released under the GPL-3.0 licence. A commercial or hosted edition starts at $70 per month. Pricing changes often, so verify at source before relying on it.","source":"https://www.open-emr.org/","question":"Is OpenEMR free to use?","confidence":0.6},{"answer":"We have confirmed browser-based access to OpenEMR. That is the extent of what we could verify from public sources, so it may well offer desktop or mobile clients we have not indexed.","source":"https://www.open-emr.org/","question":"What platforms does OpenEMR support?","confidence":0.6},{"answer":"Yes. OpenEMR can be deployed cloud / SaaS, hybrid, on-premise and self-hosted, so it does not have to run on the vendor's infrastructure.","source":"https://www.open-emr.org/","question":"Can OpenEMR be self-hosted?","confidence":0.6},{"answer":"We have independently confirmed HIPAA for OpenEMR. Certifications we do not list are ones we have not been able to verify from public sources, which is not the same as OpenEMR not holding them. Always confirm compliance directly before you rely on it.","source":"https://www.open-emr.org/","question":"What security certifications does OpenEMR have?","confidence":0.6},{"answer":"Yes. OpenEMR is published under the GPL-3.0 licence, a copyleft licence, so check its terms before embedding it in a closed-source product. Licence terms can change between releases, so verify against the repository for the version you intend to use.","source":"https://github.com/openemr/openemr-devops","question":"Is OpenEMR open source?","confidence":0.95},{"answer":"OpenEMR is available in the United States. Its primary market is the United States.","source":"https://www.open-emr.org/","question":"Where is OpenEMR available?","confidence":0.75}]` |
| deployment.options | `{"cloud":true}` | `{"cloud":true,"hybrid":true,"on_prem":true,"self_hosted":true}` |
| description.long | Netsmart provides integrated cloud-based EHR and practice management solutions for community healthcare providers, with specialized offerings for physical therapy, geriatric care, and post-acute care settings, including revenue cycle management and care coordination capabilities. | Free, open-source EHR and practice management platform available for self-deployment or as a managed cloud service. ONC-certified and HIPAA-compliant, designed for ambulatory healthcare practices with integrated clinical workflows and medical billing. |
| features.capabilities | `{"epcs":true,"hipaa":true,"deployment":"cloud","care_setting":"cross","product_type":"ehr","onc_certified":true,"revenue_cycle":true,"telehealth_builtin":true}` | `{"hipaa":true,"deployment":"on_prem","care_setting":"ambulatory","product_type":"ehr","onc_certified":true,"revenue_cycle":true,"patient_portal":true,"target_segment":"clinic","interoperability":"fhir","telehealth_builtin":true}` |
| integrations.count | 12 | 1 |
| integrations.list | `[{"name":"Apricot"},{"name":"OrderConnect","native":true,"category":"e-prescribing"},{"name":"ClaimsConnect","native":true,"category":"billing"},{"name":"ASI-MV","native":false},{"name":"WoundZoom","native":false,"category":"clinical"},{"name":"Zynx Health","native":false,"category":"clinical_decision_support"},{"name":"AlertMD","native":false,"category":"billing"},{"name":"GuardianRx","native":false,"category":"pharmacy"},{"name":"Change Healthcare","native":false,"category":"payments"},{"name":"Direct Project","native":false,"category":"communication"},{"name":"Vertilocity","native":false,"category":"erp"},{"name":"QS/1","native":false,"category":"pharmacy"},{"name":"GenesisLabs","native":false,"category":"laboratory"},{"name":"MedAllies","native":false},{"name":"Accumen","native":false}]` | `[{"name":"ClaimRev Clearinghouse Module"}]` |
| language.primary | - | Shell |
| license.spdx | - | GPL-3.0 |
| market.availability | - | `{"primaryMarkets":["US"],"availabilityScope":"regional","availableCountries":["US"],"notAvailableCountries":[]}` |
| platform.support | `{"web":true}` | `{"web":true,"linux":true,"windows":true}` |
| pricing | - | `{"type":"hybrid","plans":[{"free":true,"name":"Self-Hosted (Open Source)","description":"Free and open source software for self-deployment"},{"free":false,"name":"Cloud Standard Edition","summary":"Starting at approximately $70/month with no per-provider charges","components":[{"kind":"fixed","amount":70,"period":"month","currency":"USD"}],"description":"Managed cloud hosting on AWS Marketplace","contactSales":false}],"summary":"Free open-source or managed cloud starting at ~$70/month","currency":"USD","freeTier":true,"sourceUrl":"https://www.open-emr.org/","retrievedAt":"2026-08-25T21:45:36.304Z","startingPrice":{"amount":70,"period":"month","currency":"USD"}}` |
| pricing.free_tier | - | yes |
| pricing.model | commercial | free |
| pricing.price_level | - | free |
| pricing.starting_price | - | `{"amount":70,"currency":"USD"}` |
| pricing.transparent | - | no |
| reliability.status_page | yes | - |
| security.certifications | `[{"name":"SSAE 18","status":"active","auditor":"third-party"}]` | `[{"name":"ONC Ambulatory EHR Certification","status":"active"}]` |
| security.gdpr | - | yes |
| security.hipaa | yes | yes |
| security.vulnerabilities | - | `{"count":0,"source":"https://advisories.ecosyste.ms/api/v1/advisories?ecosystem=go&package_name=github.com%2Fopenemr%2Fopenemr-devops&per_page=100","last_12m":0,"max_severity":null}` |

## Capabilities (Healthcare Software)

| Capability | Netsmart Technologies | OpenEMR |
|---|:--:|:--:|
| **Core** |  |  |
| Product type | EHR/EMR | EHR/EMR |
| Care setting | Cross-setting | Ambulatory / outpatient |
| **Compliance** |  |  |
| HIPAA compliant / BAA available | ✓ | ✓ |
| ONC Health IT certified | ✓ | ✓ |
| HITRUST CSF certified | - | - |
| **Clinical** |  |  |
| e-Prescribing with EPCS (controlled substances) | ✓ | - |
| Built-in telehealth / video visits | ✓ | ✓ |
| **Interoperability** |  |  |
| Interoperability standards | - | FHIR / SMART on FHIR |
| **Engagement** |  |  |
| Patient portal | - | ✓ |
| **Financial** |  |  |
| Revenue-cycle / medical billing | ✓ | ✓ |
| **Deployment** |  |  |
| Deployment | Cloud / SaaS | On-premises |
| **Pricing** |  |  |
| Pricing model | - | - |
| **Market** |  |  |
| Target segment | - | Clinic / group practice |

*Source: vioscaleAI. Generated 2026-10-20T14:16:59.894Z. "-" = undocumented, not absent.*