# OpenEMR vs SimplePractice

**Leader by Vioscale score:** SimplePractice

| Attribute | OpenEMR | SimplePractice |
|---|---|---|
| **Vioscale score** | 31.8 (63% (medium)) | 51 (66% (medium)) |
| activity.commits_last_30d | 10 | - |
| adoption.github_stars | 118 | - |
| deployment.options | `{"cloud":true,"hybrid":true,"on_prem":true,"self_hosted":true}` | `{"cloud":true}` |
| description.long | 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. | Cloud-based software that helps therapists, psychiatrists, and other wellness practitioners manage their practice operations, including scheduling, billing, patient documentation, treatment planning, and video consultations. |
| features.capabilities | `{"hipaa":true,"deployment":"on_prem","care_setting":"ambulatory","product_type":"ehr","onc_certified":true,"revenue_cycle":true,"patient_portal":true,"target_segment":"clinic","telehealth_builtin":true}` | `{"epcs":true,"hipaa":true,"deployment":"cloud","care_setting":"ambulatory","product_type":"ehr","pricing_model":"per_seat","revenue_cycle":true,"target_segment":"clinic","deployment_model":"cloud_web_app","telehealth_builtin":true,"e_prescribing_erx_integration":true}` |
| integrations.count | 1 | - |
| integrations.list | `[{"name":"ClaimRev Clearinghouse Module"}]` | - |
| language.primary | Shell | - |
| license.spdx | GPL-3.0 | - |
| market.availability | `{"primaryMarkets":["US"],"availabilityScope":"regional","availableCountries":["US"],"notAvailableCountries":[]}` | `{"primaryMarkets":["US"],"availabilityScope":"global","availableCountries":[],"notAvailableCountries":[]}` |
| platform.support | `{"web":true}` | `{"web":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"}}` | `{"type":"subscription","plans":[{"free":false,"name":"Starter","summary":"$49/month (50% off first 3 months if purchased within 7 days: $24.50/month)","components":[{"kind":"fixed","amount":49,"period":"month","currency":"USD"}],"contactSales":false},{"free":false,"name":"Essential","summary":"$79/month (50% off first 3 months if purchased within 7 days: $39.50/month)","components":[{"kind":"fixed","amount":79,"period":"month","currency":"USD"}],"contactSales":false},{"free":false,"name":"Plus","summary":"$99/month (50% off first 3 months if purchased within 7 days: $49.50/month)","components":[{"kind":"fixed","amount":99,"period":"month","currency":"USD"}],"contactSales":false}],"addOns":[{"name":"Care Aide","components":[{"kind":"fixed","amount":59,"period":"month","currency":"USD"},{"kind":"per_unit","unit":"additional clinician","amount":49,"period":"month","currency":"USD"}]},{"name":"Note Taker","components":[{"kind":"fixed","amount":35,"period":"month","currency":"USD"}]},{"name":"ePrescribe","components":[{"kind":"fixed","amount":49,"period":"month","currency":"USD"},{"kind":"one_time","amount":89,"currency":"USD"}]}],"summary":"Free 30-day trial, then from $49/month. Optional add-ons for Care Aide, Note Taker, and ePrescribe available for all plans.","currency":"USD","freeTier":true,"sourceUrl":"https://www.simplepractice.com/pricing/","retrievedAt":"2026-08-14T10:24:56.005Z","freeTrialDays":30,"startingPrice":{"amount":49,"period":"month","currency":"USD"},"billingPeriods":["month"]}` |
| pricing.free_tier | yes | yes |
| pricing.model | freemium | freemium |
| pricing.price_level | high | mid |
| pricing.starting_price | `{"amount":70,"currency":"USD"}` | `{"amount":49,"currency":"USD"}` |
| pricing.transparent | no | yes |
| reliability.status_page | - | yes |
| security.hipaa | yes | yes |
| security.pci | - | yes |

## Capabilities (Healthcare Software)

| Capability | OpenEMR | SimplePractice |
|---|:--:|:--:|
| **Core** |  |  |
| Product type | EHR/EMR | EHR/EMR |
| Care setting | Ambulatory / outpatient | 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 | - | - |
| **Engagement** |  |  |
| Patient portal | ✓ | - |
| **Financial** |  |  |
| Revenue-cycle / medical billing | ✓ | ✓ |
| **Deployment** |  |  |
| Deployment | On-premises | Cloud / SaaS |
| **Pricing** |  |  |
| Pricing model | - | Per seat / user |
| **Market** |  |  |
| Target segment | Clinic / group practice | Clinic / group practice |

*Source: Vioscale. Generated 2026-09-01T16:42:58.109Z. "-" = undocumented, not absent.*