SimplePractice alternatives: 11 EHR tools compared
People who look past SimplePractice are mostly weighing price per head, add-ons that are billed separately, and a product written for four professions. The alternatives below include clinic systems with every feature in one price, a US wellness EHR, open source records you run yourself, and a few specialty or large-practice systems.
Short answer: The first three alternatives to SimplePractice in our EHR software ranking are Cliniko, Jane and Healthie. Places 1 to 3 go to challengers, vendors outside the best-known brands in a category, wherever the category has them; the established names follow from place 4 in their ranked order. Choose Cliniko if you run a multi-practitioner clinic and want one price band instead of per-head steps. The 11 entries that follow are all ranked in Best EHR Software in 2026; each one explains what sets it apart from SimplePractice.
Vendors can pay for more visibility on this website, for example a higher place in a ranking or more room on a page. Commercial relationships can also affect which products we feature and how prominently. Every vendor link is marked the same, whatever the arrangement behind it. How that works.
Pricing: Per month by plan, published; 30-day trial
Established in: United States
Built for: Solo therapists and small mental health or speech therapy practices
Not for: Physician practices outside behavioural health and speech therapy
01
Why buyers look past SimplePractice
01
The plan you start on is half the story
SimplePractice's pricing page lists Starter at $49, Essential at $79 and Plus at $99 a month for a solo practice. The 50% launch discount lasts three months and only applies if a paid account starts within seven days of the trial; a practice that takes the full 30-day trial begins at the standard rates. Annual prices are not on the page we read.
02
Extra practitioners and add-ons are separate lines
A group on Plus pays $99 for the first practitioner and $74 for each further one, so three clinicians come to $247 a month before add-ons. Care Aide, the AI note package, is $59 a month for the account owner and $49 for each additional clinician. ePrescribe is $49 a month plus an $89 set-up fee, and Insurance Navigator is $1.79 per claim. Groups of six or more get custom pricing through a sales call.
03
The product is written for four professions
The home page speaks to therapists, speech-language pathologists, occupational therapists and psychiatrists, each with its own feature blurb. A nutrition practice, a physical therapy clinic or a primary care office has to look at the 'all specialties' route to see what applies. The pages we read for security and telehealth showed badges and links but no detail on hosting location or telehealth limits, so those questions go to the vendor.
a general medical practice wants published per-provider prices and a collections-based billing service
#9
03
What each one does differently
1
Cliniko
Australia · Published
Cliniko is an Australian practice management system that charges by headcount alone: $45 a month for one practitioner, $95 for two to five, and $145 for six to eight, in US dollars. Every feature sits in every band, with unlimited patients, storage and reception users. The trial runs 30 days without payment details, though telehealth unlocks only once a card is on file. SMS costs 10 cents a message.
Switch from SimplePractice if you run a multi-practitioner clinic and want one price band instead of per-head steps.
Jane is a Canadian clinic system with three plans in Canadian dollars: Balance at $59, Practice at $79 and Thrive at $99. Balance is capped at one practitioner and 20 appointments a month. AI Scribe and group telehealth cost $15 per opted-in practitioner a month, and group sessions allow up to 15 participants. Insurance billing and payroll are further add-ons on the higher plans.
Switch from SimplePractice if you run a physio, massage or wellness clinic with classes, packages and online booking.
Healthie, a US company, limits plans by active clients rather than clinicians: Core ($19.99 monthly, $18 annual) holds ten, Essentials holds 250, and Plus ($129.99 monthly, $115 annual) is unlimited. Group telehealth and online programs start at Plus, and the Group plan adds team members at $50 a month per clinician. The trial covers Plus for 14 days with no card.
Switch from SimplePractice if you coach, counsel or run nutrition programmes and your client count matters more than your headcount.
OpenEMR is GPL software you can download for Windows, macOS or Linux, and its site announces a free hosted version for US-based providers. It holds ONC certification, which the project says depends on community funding. With no licence charge, the costs are setup, hosting and support from the vendors the project lists. Version 8.5 was announced on the site.
Switch from SimplePractice if you have someone technical who can run it, or you qualify for the free hosted version.
OpenMRS is a community project under the Mozilla Public License 2.0, reporting 8,000+ facilities in 70+ countries and REST and FHIR APIs. The site gives a download, documentation and a demo, not a hosted sign-up. It grew from public health and hospital settings, so it is a project to deploy and adapt, not a private-practice tool you open on Monday.
Switch from SimplePractice if you run clinics in a health programme and have developers or a local partner to implement it.
Elation is a US primary care EHR with orders, referral management, billing with real-time eligibility checks, an AI scribe, a patient portal and a developer platform. No price is shown; a form leads to a quote from a specialist. Its pages are written around primary care and direct primary care membership, a different job from therapy notes and session billing.
Switch from SimplePractice if your practice is moving from mental health notes into primary care and needs orders and referrals.
Medplum is an Apache 2.0 platform for building clinical software, with a provider app as a starting point. The free tier is for prototyping; the Production plan, for patient care, starts at $2,000 a month and Premium at $6,000, with hosting by Medplum or by you. Bots automate workflows, and e-prescribing is an integration. It is a toolkit that needs developers.
Switch from SimplePractice if a team of engineers is building its own care product and wants an open FHIR-based foundation.
Prospyr, from Austin, Texas, is made for aesthetic medicine: med spas, cosmetic surgeons and dermatology. Charting, consents, photos, e-prescribing, telehealth, payments and memberships share one record, and the vendor migrates existing records. Insurance billing is listed as a roadmap item, and prices come only through a demo.
Switch from SimplePractice if your clinic is moving into cosmetic or med spa services paid by the client.
ModMed's EMA is a cloud EHR built per specialty, with allergy, dermatology, gastroenterology, ophthalmology, orthopedics, urology and others on the homepage list. ModMed Scribe and revenue cycle tools are part of the offer. No price list was found, and behavioural health is not among the specialties.
Switch from SimplePractice if your practice has become a medical specialty group with procedures and coding to manage.
NextGen splits into Enterprise for ten or more providers and Office for smaller practices, with EHR, practice management, clearinghouse and billing services. Prices are not published; a disclosure page lists a portal set-up fee, a per-provider monthly subscription and charges for lab and registry interfaces. It suits a multi-specialty ambulatory group more than a therapy room.
Switch from SimplePractice if you are a growing medical group that needs billing teams, interfaces and coding services.
eClinicalWorks publishes per-provider monthly prices for an EHR-only plan and for EHR with practice management, while billing is a share of collections. Practices above nine providers pay extra implementation fees with travel billed separately, and patient statements carry usage fees. It is an ambulatory medical EHR with AI documentation, not a therapy tool.
Switch from SimplePractice if a general medical practice wants published per-provider prices and a collections-based billing service.
You run a multi-practitioner clinic and want one price band
Cliniko: It charges $95 a month for two to five practitioners in total, with every feature included and a 30-day trial.
02
You run classes, packages or a physio or massage clinic
Jane: Plans run CAD 59 to 99 a month, and group telehealth allows up to 15 participants at $15 per opted-in practitioner.
03
You coach or counsel clients and want programmes and unlimited clients
Healthie: Plus is unlimited clients at $115 a month billed annually, with group telehealth and online programmes included.
04
You want the code and the server in your own hands
OpenEMR: It is GPL software free to download, and the site now announces a free hosted version for US-based providers.
05
You have engineers building your own care product
Medplum: It is Apache 2.0, free for prototyping, with production hosting from $2,000 a month or self-hosting.
04
When SimplePractice is still the right choice
SimplePractice remains a sound choice for a therapy, speech-language, occupational therapy or psychiatry practice that wants telehealth, templates, claims and notes in one product. Its site offers free credentialing with up to two payers, a 30-day trial without a card, and an AI note package you can switch on for a flat monthly amount. The home page cites over 20 million clients and 250,000 practitioners, with an asterisk we could not resolve. If notes, billing and telehealth already run there and you stay under six clinicians, the move rarely pays for itself.
05
What moving off SimplePractice involves
01
Check what you pay for outside the plan
List the add-ons you use: Care Aide, ePrescribe, Insurance Navigator and any extra clinicians. Each needs an equivalent, or a decision to drop it, before you compare monthly totals.
02
Ask for the records before cancelling
Ask SimplePractice what export formats exist for client notes, treatment plans, invoices and claims, because the pages we read did not describe them. Keep a signed copy of the retention rules for your state or country.
03
Run both systems for one billing cycle
Move new clients first, rebuild note templates and intake forms, and keep the old account read-only until claims from the last sessions have been paid.
06
Questions about replacing SimplePractice
7 answers
What is the best alternative to SimplePractice?
For most small practices Cliniko is the first one to try: $45 a month for one practitioner and $95 for two to five, every feature included, and a 30-day trial.
Jane and Healthie come next if you want classes and packages, or programmes for coaching and nutrition clients.
Is there a cheaper alternative to SimplePractice for a group practice?
On published prices, yes. SimplePractice Plus costs $99 plus $74 for each extra practitioner, so four clinicians are $321 a month.
Cliniko's band for two to five practitioners is $95 a month in total, with SMS at 10 cents a message. Healthie's Group plan starts at $129.99 monthly plus $50 per added clinician.
Which SimplePractice alternative can I host myself?
OpenEMR is free to download under the GPL for Windows, macOS or Linux, and Medplum is Apache 2.0 with a self-host option on AWS, GCP, Azure or Kubernetes. OpenEMR is the one built as a finished record; Medplum is a developer platform.
Do the alternatives have an AI note taker like Care Aide?
Jane sells AI Scribe at $15 per opted-in practitioner a month, with five free notes on every plan. Elation and ModMed include AI scribes in their offers, although both quote prices privately. SimplePractice's own Note Taker is $35 a month, and Care Aide is $59.
Which alternative suits telehealth with groups?
Jane lists group telehealth for up to 15 participants at $15 a month per opted-in practitioner. Healthie includes group telehealth from its Plus plan. Cliniko has telehealth in every plan, unlocked after you add a card.
Can I move from SimplePractice to a free tool?
OpenEMR and OpenMRS carry no licence fee. OpenEMR announces a free hosted version for US-based providers; OpenMRS asks you to install it yourself. Both leave you to build note templates and workflows.
Is there an alternative for a practice that outgrew therapy-only software?
Elation suits primary care, ModMed and NextGen suit specialty medical groups, and eClinicalWorks publishes per-provider prices for ambulatory practices. All four are written for medical practices, so the move brings billing and order features along with a heavier set-up.
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Sources
Checked 2 November 2026
SimplePractice pricing: Starter $49, Essential $79, Plus $99; group $74 per extra practitioner; 50% offer for 3 months if a paid account starts within 7 days; Care Aide $59/$49; Note Taker $35; ePrescribe $49 plus $89 set-up; Insurance Navigator $1.79 per claim; custom pricing for 6+ practitioners.
SimplePractice home page: Therapists, speech-language pathologists, occupational therapists, psychiatrists; free credentialing with two payers; 30-day trial without card; 20M clients and 250k practitioners; Santa Monica.
SimplePractice telehealth: HIPAA-compliant telehealth wording; no plan limits or technical detail stated on the page read.
SimplePractice security: HIPAA, HITRUST and PCI badges, BAA link; no hosting location or export policy stated on the page read.
Cliniko pricing: $45 for 1 practitioner, $95 for 2 to 5, $145 for 6 to 8, USD; every feature in every plan; 30-day trial; SMS 10 cents; telehealth unlocks with a card.
Jane pricing: Balance CAD 59, Practice CAD 79, Thrive CAD 99; 20 appointments limit on Balance; AI Scribe $15 and Group Telehealth $15 per opted-in practitioner; up to 15 participants; 5 free AI notes.
Healthie pricing: Core, Essentials, Plus, Group prices monthly and annual; 10 and 250 active clients; unlimited from Plus; $50 per added clinician; 14-day Plus trial.
OpenEMR: Free download for Windows, macOS, Linux; ONC certified; certification funding appeal; free hosted version for US providers; version 8.5.
OpenMRS: 8,000+ facilities, 70+ countries, no licence fees, REST and FHIR APIs, download and demo.
Elation Health: Primary care EHR, billing with real-time eligibility, scribe, developer platform, demo-based quote.
Medplum pricing: Free for prototyping, Production from $2,000 a month, Premium from $6,000, Enterprise hosted or self-hosted, Bots.
Prospyr: Med spa and aesthetic practice platform, migration help, demo-based quote.
Founder of The Knowledge Engineers and of 2 Steps Ahead, an AI search visibility agency. Editorially responsible for every page on this site; research and drafting are AI-assisted.
Checked and edited by Sebastiaan Smits, last on 2 November 2026. The editorial process explains the method.
