IDEXX Neo vs Cornerstone Software

Covetrus Avimark

Covetrus Pulse

ezyVet

DaySmart Vet

Covetrus Impromed

Shepherd

Compare IDEXX Neo and Cornerstone Software based on features, pricing, verified reviews, integrations & more on GetApp. Find out which software is best for your business in 2026.

AVImark by Covetrus is an on-premise practice management software designed to help veterinarians and vet hospitals automate and manage finance and administration tasks, such as appointment scheduling, invoicing, budgeting, medical records management, and more.

Next-generation cloud-based software that transforms, innovates, and automates the way vets run their practices.

DaySmart Vet provides easy-to-use practice management software to automate tasks, streamline workflows, and improve communication.

IDEXX Neo is the cloud-based practice software that is intuitive to use, easy to learn and built to make switching simple.

Access Controls/Permissions

Alerts/Notifications

Appointment Management

Appointment Scheduling

Automated Scheduling

Billing & Invoicing

Calendar Management

Charting

Client Management

Coding Assistance

Communication Management

Confirmations/Reminders

Credit Card Processing

Customer Database

Customizable Forms

Customizable Reports

Customizable Templates

Data Import/Export

Decision Support

Document Management

Document Storage

Drag & Drop

Electronic Payments

Email Reminders

Historical Reporting

Imaging and X-rays

Inventory Management

Invoice Management

Live Chat

Mobile Access

Multi-Location

No-Show Tracking

Patient Records Management

Payment Processing

Prescription Processing

Real-Time Reporting

Reminders

Reporting & Statistics

SMS Messaging

Task Scheduling

Template Management

Third-Party Integrations

Workflow Management

IDEXX Neo

Linux

Web-based

Windows

iPad

iPhone

Veterinarian/Owner

My biggest complaint is that they will not let me type in a date when doing date entry for birthdays vaccine reminders. It is a drop down calendar and it is horrible.

I love that this software is accessible anywhere. I also really like the ease of use and the ability to be truly paper free.

Office Manager

There are several things that I love about IDEXX Neo. First, the ease of use with integrated training is great.

Idexx neo customer support has always been polite and helpful trying the best they can to resolve problems. Can use any computers you want- mac or PC.

Owner 

It's perpetually updated for no extra cost and it's very inexpensive. Those are great but their customer service is really excellent.

Auto Finance Underwriter

I have be happy with the customer service and the way the company learns my scoring model. I also enjoy being able to text the customer through the program.

Veterinary Doctor

User friendly app, was happy in using this app for my regular practice.

Veterinarian

Inability to change items/order of items on consults without deleting, cannot send complete record (consults, files, results) as one document, and difficult to edit templates.

Manager

We switched from Idexx Cornerstone to Neo because it is cloud based and inexpensive. We have been happy for the most part.

Owner/veterinarian

This has made my business more efficient even after a few months of use. I am so glad that I made the change to this software.

Neo provides a greater efficiency that what I was previously using. It is self intuitive how to use the software and my technician was able to start using it easily.

Practice Manager

Neo was easy to implement, their conversion team was thorough and helpful.

I also love that there is no down time for updates, as the system is cloud based-this also eliminates the need for expensive servers and their replacement.

No whiteboard built in, editing of estimates/invoices, overwriting when other users are in the record.

Owner/Veterinarian 

Ease of use, integration with our lab equipment, integration with smartflow.

So far all the new roll outs have been positive.

Owner/Practice Manager

Lastly, integration with other software is very limited. Software for client communication and education that is compatible with Neo is almost non-existent.

No standardized way to input phone numbers so searching a client by phone number is impossible.

IDEXX Neo screenshot: Appointment Scheduler: At-a-glance view of your day, appointment status and type.

IDEXX Neo screenshot: Appointment Hover: Review reason for visit or create a consult or estimate with one click.

IDEXX Neo screenshot: Practice Dashboard: Real-time, graphical view of key practice performance metrics.

IDEXX Neo screenshot: Built-in Texting: Text clients right from Neo.

IDEXX Neo screenshot: Patient Record: Neo puts patient information and key tasks right where you need them.

IDEXX Neo screenshot: Results Screen: View complete diagnostic history, trend results, share, or access IDEXX Clinical Decision Support.

IDEXX Neo screenshot: Order Tests: Search the IDEXX Reference Laboratory menu in seconds and add tests with a single click.

Freelancers

Small Business

ImproMed aims to streamline business operations and create ideal workflows for veterinarian practices. It helps track client data and aids the creation of wellness plans. Key features include inventory optimization, product and pricing management, enhanced reporting, and schedule management.

Meet Covetrus Pulse, the industry’s first all-in-one vOS. With Covetrus AI, save 6+ hours a week*, streamline visits, and auto-generate SOAP notes, all while focusing on delivering exceptional patient care. And it's all at no extra cost!

Made for vets, by vets, Shepherd’s user-centered design, intelligent automations, and intuitive workflow help vets efficiently practice best medicine—and accurately charge for their work.

Cornerstone from IDEXX is versatile, feature-rich software that can be customized to meet your every need. 

Accounting

Electronic Signature

SOAP notes

Status Tracking

Telemedicine

Treatment Planning

Cornerstone Software

Android

I love that several other programs integrate with cornerstone to make our jobs easier. I love how easy it is for new staff members to quickly catch on.

Cornerstone is very user friendly and well-organized. I have been using this soft ware for the past 7 years and have loved it more than the other two softwares I used at other clinics before this.

Vet tech

Since I am not on management side I can not determine if this software error or user. Management is always confused.

Owner Veterinarian

The user interface is not intuitive and has a very steep learning curve. Initial user experience is poor and frustrating.

Cornerstone is an amazing program to use. It is very user friendly and integrates well with the rest of our Idexx products and lab equipment.

They have blamed it on our "workflow", "environmental factors", our cell phones being too close to the computers and much more, but never admit that perhaps it is Cornerstone's issue.

I like that you can easily costumize the software with automatic options to help staff with their workflow, everything connects back to something else for easy access to information.

Veterinary technician 

I love the ability to “finalize” a note, which means no one else can go in an change something. Believe it or not but people can twist your words around, and with that feature they can’t.

There are some days that I do miss the software. I worked with Cornerstone for 18 years.

Customizable operating software with AMAZING customer support.

Practice owner

The Boarding Module is outdated and disjointed. It does not fully integrate into CStone, in my opinion.

Hospital Manager 

Overall, it is a good software to consider. I was not involved in the purchasing aspect.

What I like the most about this incredible software is the easy to use guidelines. Makes running a veterinary practice easier.

Practice manager

Far from being the best practice management system I've used. When I knew it, I knew it but even then there were always little tips and tricks I still didn't know, even after using it for 6 years.

The detailed information that Cornerstone offers (reports), receipts and treatment plans look clean and simple.

Awful from the price to the product. I wouldn't recommend this product for anyone.

Veterinary Tech

We have not had many problems that have caused us to contact customer support. When we have had to make a call for help it is generally solved very quickly.

Owner

The used to be really reasonable but now, if you cannot be charged they do not help you.

Cornerstone Software screenshot: Patient Check-in Screen: Cornerstone's easy-to-use patient check-in screen simplifies check in with alerts, pre-attached visit documents and even compliance reminders.

Cornerstone Software screenshot: Compliance Assessment Tool: This powerful tool pinpoints care opportunities as well as areas for improvement.

Cornerstone Software screenshot: Patient Visit List: A working invoice for the medical team, automatically capturing charges when performing tasks such as prescribing, or ordering lab work and radiographs.

Cornerstone Software screenshot: The Patient Clipboard: An electronic patient file that puts everything at your fingertips.  Medical note templates are provided; use templates as is, customize them to each doctor's preferences, or create new ones of your own.

Cornerstone Software screenshot: Appointment Scheduler: Schedule your way, with Cornerstone's versatile Appointment Scheduler. Prompts guide your team where and when to schedule appointments.

IDEXX Neo vs Cornerstone Software Comparison (2026)

IDEXX Neo

Cornerstone Software

Overview

Video & Screenshots

Pricing

User reviews

Key features

Integrations

Alternatives