Dr. Rosie DVM

Head-to-Head Comparison

We compared every feature.So you don't have to.

Cornerstone, ezyVet, AVImark, and RosaVet — every category, every line item, every hidden add-on that the sales team won't volunteer until you're already on the contract. We did the research so you can finish your coffee.

Pricing reflects publicly available info as of 2026. Verify with each vendor before signing. RosaVet pricing is set, public, and won't change at the contract stage.

127

Feature rows compared

$5K–15K

Setup fee on Cornerstone

$0

Setup fee on RosaVet

$72,552

Saved vs Cornerstone over 24 months (3-DVM clinic)

	Cornerstone IDEXX	ezyVet IDEXX	AVImark Covetrus	RosaVet Husband + wife
Pricing & Terms
Per-DVM avg cost (3-DVM clinic, marginal ladder)	~$300	~$250	~$180	$432
Per-DVM avg cost at 10 DVMs (marginal ladder)	~$280	~$220	~$160	$367
Setup / implementation fee	$5K–15K	$3K–8K	$1K–3K	$0
Contract length minimum	1–3 yrs	1–2 yrs	1+ yr	Monthly
Cancellation friction	Retention call + ETF	90-day notice	90-day notice	Email + we do it
All staff seats included	×	×	×	✓
Stripe processing markup	+ ~0.5%	+ ~0.3%	Pass-through	Pass-through
Annual prepay discount	Negotiated	5%	~5%	15%
AI & Intelligence
Voice → SOAP under 4 sec	3rd-party add-on $	3rd-party add-on $	×	✓
Native AI radiology pre-read	3rd-party $	3rd-party $	×	✓
AI drug-interaction checker	Static lookup	Static lookup	Static lookup	Dr. Rosie AI
Hallucination protection	×	×	×	Source-cited only
DVM approves every AI suggestion	N/A	Auto-accept default	N/A	✓
Knowledge sources behind the AI	Vendor proprietary	Vendor proprietary	N/A	750K+ peer-reviewed
Clinical Core
SOAP note authoring	✓	✓	✓	✓
Prescriptions module	✓	✓	✓	✓
Live queue board with urgency colors	×	Partial	×	✓
Real-time patient triage colors	×	Partial	×	✓
Cmd+K global patient search	×	×	×	✓
Lab results viewer with reference ranges	✓	✓	✓	✓
AI lab result interpretation	×	3rd-party	×	✓
Surgery & Procedures
Surgery + anesthesia module	Add-on $	Add-on $	Partial	✓
Pre-op checklist + ASA classification	×	Partial	×	✓
Intra-op vital monitoring (q5min auto-prompt)	×	×	×	✓
Dental charting (Modified Triadan)	Manual	3rd-party	×	✓
Cross-visit dental comparison	×	×	×	✓
AI post-op SOAP auto-generation	×	×	×	✓
Imaging & DICOM
DICOM viewer (web-based)	3rd-party $	3rd-party $	3rd-party $	✓
Cloud PACS (storage included)	Add-on $	Add-on $	Add-on $	500GB included
Multi-modality (rad/dental/US/CT/MRI)	Per-modality $	Per-modality $	Limited	All included
In-platform measurement tools	3rd-party	3rd-party	3rd-party	✓
Teleradiology referral one-click	External	External	×	✓
IDEXX imaging integration	Native	Native	Add-on	Native
AI Imaging & Vision
AI radiograph abnormality detection	3rd-party $$	3rd-party $$	×	✓
AI dental X-ray analysis	3rd-party	3rd-party	×	✓
AI ultrasound interpretation	3rd-party	3rd-party	×	✓
AI CT/MRI assist	×	3rd-party	×	✓
AI image measurement assist	×	×	×	✓
AI cross-visit imaging comparison	×	×	×	✓
AI photo review for client submissions	×	×	×	✓
AI body condition scoring	×	×	×	✓
Drug Safety & Inventory
500+ drug formulary built in	Add-on	Built-in	Built-in	Built-in
AI species-specific dosing calculator	×	Static	Static	AI-driven
5-layer drug safety checks	2-layer	3-layer	2-layer	5-layer
Species-contraindication check	✓	✓	✓	✓
MDR1 breed-specific gating	×	Partial	×	✓
Concurrent-medication conflict check	×	Partial	×	✓
DEA append-only controlled-substance log	Manual	Manual	Manual	Built-in
Food-animal withdrawal time tracking (FARAD)	Manual	Manual	Manual	✓
Inventory management	✓	✓	✓	✓
Auto-reorder thresholds	Premium tier	Premium tier	×	✓
Client Engagement
Client portal (web app)	$99-199/mo add-on	Tier-gated	Add-on	✓
Multi-language client comms (4+)	EN + limited	EN + limited	EN only	EN·ES·PT·DE
Auto-translated discharge instructions	×	×	×	✓
Online booking (real-time slots)	Add-on	✓	Add-on	✓
Photo Review billing ($29.99/each)	×	×	×	✓
Vaccine reminder automation	✓	✓	Manual	✓
Vaccine certificate auto-generation	Manual	Partial	Manual	✓
Recall rules engine (auto-trigger)	Add-on	✓	Manual	✓
AI symptom triage in client portal	×	×	×	✓
VetTools (chocolate calc, QoL, body cond.)	×	×	×	All built in
Wellness score dashboard for owner	×	×	×	✓
Annual wellness PDF for owner	×	×	×	✓
Marketing & Branded Content
500+ branded handouts auto-customized	×	×	×	✓
30+ branded PDF books (resale rights)	×	×	×	✓
Branded videos for exam rooms	×	×	×	✓
In-room display auto-activation	×	×	×	✓
Online shop (e-commerce)	3rd-party $	3rd-party $	×	✓
Clinic website included	3rd-party $	3rd-party $	×	✓
Social media management tools	×	×	×	✓
Boarding & Grooming
Boarding module	Add-on $$	Add-on $$	Add-on	✓
Grooming bookings + records	×	3rd-party	×	✓
Daily kennel logs (eat/drink/meds/play)	Manual	Manual	Manual	✓
Per-day auto-charges	Manual	Partial	Manual	✓
Vaccine compliance gating at booking	Manual	Partial	×	✓
Photo updates to anxious owners	×	×	×	✓
Multi-Location & Groups
Multi-location support	Premium tier	Premium tier	Limited	Unlimited (no surcharge)
Cross-location patient lookup	Add-on $$	Add-on	×	✓
Per-location revenue dashboard	Premium tier	Add-on	×	✓
Stripe Connect partnership/contractor split	×	×	×	✓
Float-pool staff scheduling	×	Partial	×	✓
Compliance & Regulatory
DEA append-only log (audit-clean)	Manual	Manual	Manual	✓
GDPR-compliant data residency (EU)	Limited	✓	×	✓
LGPD-compliant data residency (Brazil)	×	×	×	✓
Append-only AI audit log	N/A	N/A	N/A	✓
USDA accredited workflow (CVI/health certs)	×	×	Partial	✓
Coggins / equine health cert auto-fill	×	×	Manual	✓
Offline & Sync
Full offline workflow (no signal req'd) — coming Q4 2026	×	Partial	Partial	Coming Soon
Local SQLite per-device — coming Q4 2026	×	×	×	Coming Soon
Conflict resolution surfaces to DVM	N/A	Last-writer-wins	Last-writer-wins	DVM resolves
Offline payment processing	×	×	×	Stripe Tap-to-Pay
Team & Roles
Distinct staff role types	5	8	6	12
Row-level security (RLS) at DB level	×	×	×	✓
MFA required for DVM	Optional	Optional	Optional	Required
Idle screen lock	Optional	Optional	×	✓
Staff scheduling included	Add-on	Add-on	Add-on	✓
Special Workflows
Euthanasia mode (no billing in room)	×	×	×	✓
RFID room/doctor/patient detection	×	×	×	✓
Bulk herd-treatment workflow	×	×	Partial	✓
Insurance claim prep assistant	×	×	×	✓
Telemedicine consults	3rd-party	3rd-party	3rd-party	✓
Memorial record + grief workflow	×	×	×	✓
Integrations
IDEXX lab integration	✓	✓	Add-on	✓
Antech / Heska lab integration	Add-on	✓	Add-on	✓
CE Broker auto-submit (CE)	×	×	×	✓
Stripe payment processing native	Worldpay	Stripe + others	Worldpay	Stripe (pass-through)
Twilio SMS in client locale	EN only	Limited	EN only	4 languages
SAML SSO (universities/enterprise)	Enterprise tier	Enterprise tier	×	✓
Reporting & Analytics
Revenue + utilization dashboards	Premium tier	✓	Add-on	✓
Missed-charge detection (AI)	×	×	×	✓
Auto-generated weekly board pack	×	×	×	✓
Recall compliance tracking	Manual	✓	Manual	✓
Custom CSV export	✓	✓	✓	✓
Education & CE for Staff
RACE-approved CE built in	×	×	×	RosaCE included
Vet tech CE track	×	×	×	✓
Manager / staff training included	×	×	×	Free w/ PMS
Owner business education (Forge Academy)	×	×	×	Free for owner
Certificate generation + storage	×	×	×	✓
Support & Onboarding
Phone support	Premium tier	Business hrs	Business hrs	Included
In-platform live chat	×	✓	×	✓
Free self-serve migration (CSV + parser, no DVM limit)	×	×	×	✓
White-glove migration (we run it for you)	$3K-15K setup +	$3K-8K +	$1K-3K +	$499 flat, one-time
On-site training (per day)	$1,500/day +	$1,200/day +	$900/day +	$1,500/day (optional)
Dedicated CSM	Enterprise tier	Enterprise tier	Enterprise tier	Included at 21+ DVMs
Ownership & Values
Owned by	IDEXX (NASDAQ)	IDEXX (NASDAQ)	Covetrus (PE)	A working DVM + her husband
Investor-funded	Public shareholders	Public shareholders	Private equity	Self-funded
Sales team commission-driven	✓	✓	✓	No sales team
Built by an actively practicing DVM	×	×	×	25 years clinical practice

Total monthly cost rollup

A 3-DVM clinic.Every line item. Real numbers.

$X Cost on that platformIncluded Free with RosaVetNot offeredDoesn't exist on that platform

Line item	Cornerstone	ezyVet	AVImark	RosaVet
Base PMS (3 DVMs — v4 marginal ladder: $499 + 2 × $399)	$900	$750	$540	$1,297
Staff seats (8 staff @ $25 avg)	$200	$200	$200	Included
Voice→SOAP add-on (per DVM)	$300	$300	Not offered	Included
AI radiology pre-read	$500	$500	Not offered	Included
Marketing agency / handouts / videos	$1,200	$1,200	$1,200	Included
Website + booking platform	$300	$300	$300	Included
Online shop / e-commerce	$200	$200	$200	Included
Boarding/grooming module	$150	$150	$100	Included
Client portal	$150	Tier-gated	$100	Included
Multi-language SMS	Not offered	$50	Not offered	Included
Setup fee (amortized over 24 mo)	~$420	~$230	~$80	$0
Total per month	~$4,320	~$3,880	~$2,720	$1,297
Total over 24 months (a typical contract length)	~$103,680	~$93,120	~$65,280	$31,128
You save with RosaVet	$72,552	$61,992	$34,152	OVER 24 MONTHS

RosaVet saves the average 3-DVM clinic $3,000+ per month vs. Cornerstone.
That's $72,000+ over a typical 24-month contract.
The math isn't subtle.

Even compared to the cheapest competitor on this list, you'd save $34,152 over 24 months— enough to fund a new exam-room build-out, an associate vet's signing bonus, or a year of mortgage payments on a small clinic property.

It's not just about money

Some of these features aren't even sold elsewhere.

When the table shows Not offered next to a competitor, it doesn't mean they include it free. It means no amount of money buys you that capability on their platform. You'd have to do without — or hire a third party, train your team to switch tools mid-workflow, and reconcile the data manually.

With RosaVet you're not just saving $34K-$73K over 24 months. You're getting an entire stack of capabilities the incumbents can't even quote a price on.

True apples to apples

The previous rollup was generous.Here's what really matches RosaVet.

The earlier table only counted features competitors actually sell. To truly match RosaVet's feature set on Cornerstone, ezyVet, or AVImark, you'd have to bolt on third-party vendors for every "Not offered" cell — AI radiology services, branded-content libraries, translation tools, compliance trackers, telemedicine, RFID hardware, in-room display systems. Add it all up and the comparison gets ugly fast.

$X Native cost$X* Third-party vendor requiredIncluded Free with RosaVet

To match RosaVet's feature set, you'd need	Cornerstone	ezyVet	AVImark	RosaVet
Base PMS (3 DVMs — v4 marginal ladder: $499 + 2 × $399)	$900	$750	$540	$1,297
Staff seats (8 staff)	$200	$200	$200	Included
Voice→SOAP for 3 DVMs	$300	$300	$350*	Included
AI radiology pre-read service	$500	$500	$700*	Included
Marketing agency	$1,200	$1,200	$1,200	Included
Website + booking platform	$300	$300	$300	Included
500+ branded handouts library	$300*	$300*	$300*	Included
Branded video library for exam rooms	$400*	$400*	$400*	Included
In-room display hardware/software	$500*	$500*	$500*	Included
RFID auto-detection system	$1,000*	$1,000*	$1,000*	Included
Online shop / e-commerce	$200	$200	$200	Included
Boarding/grooming module	$150	$150	$100	Included
Client portal	$150	Tier-gated	$100	Included
Multi-language client comms (4 langs)	$300*	$50	$300*	Included
AI lab result interpretation	$200*	$200*	$200*	Included
5-layer AI drug-safety service	$150*	$150*	$150*	Included
DEA append-only compliance tool	$200*	$200*	$200*	Included
Telemedicine consult tool	$300*	$300*	$300*	Included
Annual wellness PDF tool	$150*	$150*	$150*	Included
Auto-reorder inventory	$100*	$100*	$100*	Included
Float-pool staff scheduling	$75*	$75*	$75*	Included
Setup fee (amortized 24 mo)	$420	$230	$80	$0
Total per month	~$7,995	~$7,255	~$7,445	$1,297
Total over 24 months (a typical contract length)	~$191,880	~$174,120	~$178,680	$31,128
You save with RosaVet	$160,752	$142,992	$147,552	OVER 24 MONTHS

* Indicates a third-party vendor required because the platform doesn't natively offer the feature. Estimates based on typical mid-market pricing for each category. Actual third-party costs vary by vendor and deal.

$143,000–$161,000.
That's what it really costs to almostmatch RosaVet on a competitor's platform.
Almost.

Even if you bolt on every third-party tool money can buy, you still don't get RFID auto-SOAP-start integrated with the chart, in-room AI displays driven by patient context, euthanasia-mode billing suppression, or 12-role row-level security — capabilities that simply don't exist outside RosaVet at any price.

And that's just the dollars

The bigger savings is the oneyou can't put on a spreadsheet.

Every hour you and your team spend wrestling software is an hour you don't spend with patients, with families, or with your own kids. Here's what RosaVet gives back to a typical 3-DVM clinic every year — and what it would actually be worth to your life.

~3,000

Hours/year recovered for a 3-DVM clinic

12 hours back every working day. Across the whole team.

~1.5

Full-time employees worth of time

Not hired. Not paid. Just freed up from the people you already have.

~$150K

Productivity unlocked per year

At a $50/hr blended team rate. On top of dollar savings.

What we do that they don't	Today's cost in time	Hours/year recovered
Voice→SOAP under 4 sec vs 5–8 minutes typing per note	~6 min × 14 SOAPs × 3 DVMs × 250 days	~1,050 hrs
Cmd+K global patient search vs Cornerstone navigation	~30 sec × 30 lookups × 8 staff × 250 days	~500 hrs
Branded handouts auto-attach vs printing & customizing each time	~3 min × 50 appts × 250 days	~625 hrs
AI radiology pre-read vs reading every study cold	~4 min × 5 studies × 3 DVMs × 250 days	~250 hrs
Auto-translated discharge instructions vs Google Translate by hand	~10 min × 5 non-EN discharges × 250 days	~208 hrs
Annual wellness PDF auto-generation vs hand-compiling year-end summaries	~20 min × 500 pets/yr	~167 hrs
Auto-reorder inventory thresholds vs manual stock check by practice manager	~1.5 hr/wk × 50 weeks	~75 hrs
Per-day boarding auto-charges vs manual reconciliation at checkout	~20 min × 200 stays/yr	~67 hrs
Cross-location patient lookup vs faxing/calling between clinics	~5 min × 10 transfers/wk × 50 weeks	~43 hrs
Vaccine reminder automation vs manual quarterly recall reports	~9 hrs × 4 quarters/yr	~35 hrs
DEA append-only log vs paper clipboard	~90 sec × 10 doses × 250 days	~10 hrs
Total time recovered, annually	Hours that used to belong to software	~3,030 hrs

Estimates based on a typical 3-DVM general-practice clinic with 8 support staff and 50 daily appointments. Conservative — multiplier features (e.g., AI imaging on a specialty practice) push the number higher.

The retention math

ER vets burn out at 2× the rate of GPs.Documentation load is the #1 cited reason.

Cutting 60% of a DVM's charting time isn't a productivity feature. It's a retention feature. Replacing one burnt-out vet costs $80,000–$150,000 in recruiting, signing bonus, training, and lost productivity. RosaVet pays for itself the first time it stops one of your associates from quitting.

$143K-$161K saved. ~3,000 hours back.
That's not a price difference. That's a different way of practicing medicine.

Now choose wisely

Two ways to use that time.Don't pick the wrong one.

Path 1 — For good

Give the time back to your patients, your team, and your family.

Longer appointments. Real conversations. Better care.
Your DVMs go home before sundown. Their kids notice.
Burnout drops. Retention rises. You keep your team for 10 years instead of 2.
Every patient gets the version of you that medicine deserves.

Path 2 — For evil

Cram twice as many appointments into the same day.

"Maximize utilization." Squeeze the team until they quit.
Hire the next one. Squeeze them too. Repeat.
Doctors burn out at 2× the rate. Patients feel rushed.
Quarterly numbers go up. Everything else goes down.

We built this for Path 1.
Choose Path 2 and we'll charge you double. 😉

(That last part is a joke. Sort of. If you need Path 2, we'd suggest Cornerstone — they've been optimizing for it for 30 years.)

$72K is one clinic

Now multiply.By every DVM. Every location. Every year.

That $72,552 number was for a single 3-DVM clinic. Here's what happens when the math scales to mid-size hospitals, multi-location groups, and corporate chains. Sit down before you read the last row.

Clinic profile	Cornerstone (24 mo)	RosaVet (24 mo)	You save
Solo doctor · 1 DVM · 1 location	~$37,200	$11,976	~$25,224
Small clinic · 3 DVMs · 1 location	~$103,680	$31,128	~$72,552
Mid hospital · 10 DVMs · 1 location	~$175,680	$88,080	~$87,600
Large hospital · 25 DVMs · 1 location typical regional ER	~$349,200	$184,920	~$164,280
Multi-location chain · 15 DVMs · 5 locations	~$514,800	$121,560	~$393,240
Corporate group · 50 DVMs · 10 locations small chain or aggregated practice group	~$1,300,800	$334,320	~$966,480

Estimates based on per-DVM volume tiers and per-location fixed costs (each location adds its own website, marketing, branded handouts, online shop, etc.). Multi-location and corporate numbers approximated; actual savings vary based on contract terms negotiated with incumbent vendors.

For corporate & chain operators

Your group is leaving$1 million+ on the table.Every two years.

That money isn't going to your DVMs. It isn't going to your techs. It isn't going to your equipment budget, your facility upgrades, or your client retention. It's going to a publicly traded vendor's quarterly earnings report.

The next time IDEXX or Covetrus reports a "great quarter," look at your monthly software invoice. That's where the great quarter came from.

Talk to us about Enterprise →

Don't tell corporate how much they save. Just send them the link.

The fine print

The catchesyour sales rep won't volunteer.

Setup fees aren't optional

Cornerstone's $5K-15K setup is non-negotiable. ezyVet's $3K-8K is "tiered." AVImark's $1K-3K is "data conversion." All call it implementation. RosaVet calls it $0.

90-day cancellation notice

Buried in ezyVet and AVImark contracts. Three more months of fees after you decide to leave. RosaVet: email today, done tomorrow.

Payment processing markup

Cornerstone marks up your card processing 0.3-0.5% above the underlying processor's rate. On $100K/month volume, that's $300-500/mo extra. RosaVet: pure pass-through Stripe.

Tier upgrades for "premium features"

Multi-location? Premium tier. Advanced analytics? Premium tier. Online booking? Premium tier. RosaVet: solo doc gets every feature. 25-DVM hospital gets every feature. Same software.

Per-seat pricing taxes growth

Hire a kennel tech: $25/mo. Hire a receptionist: $25/mo. Hire a groomer: $25/mo. RosaVet: pay per DVM, every other seat free.

Annual price increases

IDEXX raises Cornerstone 6-9%/yr. ezyVet 5-7%. AVImark 5%. Compound 5 years and your "$300/DVM" is "$400+." RosaVet pricing stays public — you'll know in advance.

Our promise to you

We're never going to stop.Every quarter. Forever.

Software that doesn't grow, dies. Every quarter we ship new features, new integrations, new species support, new clinical workflows. That's the deal.

Public companies like IDEXX have to optimize for shareholder returns. That means cutting features that don't drive ARR, sunsetting clinics whose contracts aren't profitable enough, raising prices to hit Q3 targets. We don't have shareholders. We don't have a Q3 target. We have customers, and we have time.

No upgrade fees

Every new feature lands on your existing plan. Same price, more value, every quarter.

Pricing stays public

No annual surprise increase. When pricing changes, you'll see it on this page first.

Every quarter, we make this software better.
Every quarter, you get the new features for free.
Every quarter. Forever. That's the deal.

Why this comparison looks like this

Most "comparison pages" you'll find onlinewere written by the company being compared.

We compared every feature publicly because we want clinic owners to evaluate this honestly, not on a sales call where the rep controls the narrative. Some cells say "RosaVet wins." Some say "we tied." A few say "we have it; they have it too." That's how this is supposed to work.

If you find a row where we got the competitor's feature wrong, tell us — we'll update it. Our reputation is built on being the company that doesn't bullshit its customers.

The last software you will ever purchase. Period.

Ready to stop overpayingfor software that fights you?

Join the RosaVet waitlist. Free self-serve migration for every practice; white-glove migration available for $499 (non-refundable) if you want us to run it.

Pick your practice type See pricing