Skip to main content
Head-to-Head Comparison

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

Cornerstone, ezyVet, AVImark and RosaVet, side by side — every competitor cell checked against the vendor's own public pages, with the sources listed at the bottom. Where we couldn't confirm something, we say so. We did the research so you can finish your coffee.

Competitor details checked 2026-10-11. Products and terms change, so confirm with each vendor before you sign. RosaVet pricing is set, public, and won't change at the contract stage.

80
Feature rows compared
$0
Setup fee on RosaVet
$0
Per staff seat — only DVMs are billed
$199
First DVM per month — published on our pricing page

✓ has it · × doesn't have it · — we couldn't confirm it either way from the vendor's public documentation, so ask them. Competitor cells checked 2026-10-11. Sources are listed under the fine print.

 Cornerstone
IDEXX
ezyVet
IDEXX
AVImark
Covetrus
RosaVet
Founder-owned
Pricing & Terms
Published price (3-DVM clinic)Quote (priced by user count)Quote (from $260.50/mo)Quote$497/mo ($199 + 2 × $149)
Setup / implementation fee—Quoted separately—$0
Minimum termSet by order form1 year; renews yearly—None on monthly; 12 months on annual (the default at signup)
Cancelling90 days’ notice after first term30 days’ notice before renewal—One click in Billing
All staff seats included×——✓
Annual prepay discount———15%
AI & Intelligence
Voice → SOAP draft (DVM approves)CoVet add-on (IDEXX-owned)AI-Assisted Notes (US rollout)×✓
AI drug-interaction checkStatic lookup (paid module)—Static lookupAI (advisory) + curated list
DVM approves every clinical AI suggestion—✓N/A✓
Clinical Core
SOAP note authoring✓✓✓✓
Prescriptions module✓✓✓✓
Live queue board with urgency colorsStatus colors (whiteboard)Vet Radar (separate product)Whiteboard✓
Lab results viewer with reference ranges✓✓✓✓
AI lab result interpretationDecisionIQ (IDEXX labs)DecisionIQ (IDEXX labs)DecisionIQ (IDEXX labs)✓
Surgery & Procedures
Surgery + anesthesia moduleSmartFlow (add-on)Vet Radar (add-on)—✓
Pre-op checklist + ASA classification———✓
Intra-op vitals: q5-min remindersSmartFlow (add-on)Vet Radar (add-on)—Overdue-reading flag
Dental chartingSmartFlow (add-on)✓✓Modified Triadan (dog & cat)
Cross-visit dental comparison——✓✓
Imaging
Web DICOM viewer + measurement toolsWeb PACS (IDEXX add-on)Web PACS (IDEXX add-on)3rd-party PACSBuilt — study import not live yet
Drug Safety & Inventory
Drug formulary built inPaid module (VPR)—VPR (integrated)158 drugs
Species-specific dose calculatorPaid module (VPR)—✓In VetTools (5 free lookups/day)
5-layer drug safety check at prescribing———5-layer
Species check at prescribing———Off-label + contraindication warnings
Breed-sensitivity (MDR1) check at prescribing———Warns when the breed matches
Concurrent-medication conflict checkPaid module (VPR)—✓✓
Controlled-substance (DEA) logAuto report + state exportAuto report + PMP exportAuto reportAppend-only ledger (controlled dispensing not live)
Inventory management✓✓✓✓
Reorder points → draft purchase orders✓✓✓✓
Client Engagement
Client portal / appVello ($249/mo add-on)✓Covetrus Comms (add-on)✓
Client comms in 4 languages (email + portal)Documents in EN/ES/FR——EN·ES·PT·DE
Online bookingVello (add-on)✓Covetrus Comms (add-on)Requests from live open slots
Photo Review billing ($29.99/each)———✓
Vaccine reminder automation✓✓✓Email
Vaccine certificate auto-generation✓✓✓✓
Recall rules engine (auto-trigger)✓✓✓✓
AI pet-health chat for clients———Ask Dr. Rosie (5 free Qs/day)
Owner tools (chocolate calculator, QoL check)———✓
Wellness score dashboard for owner———✓
Marketing & Branded Content
Branded client handouts———15 topics (co-branded)
Online shop (e-commerce)3rd-partyVetsource (3rd-party)vRxPro (Covetrus)✓
Dr. Rosie PDF books in your client shop———33 books
Clinic website included———✓
Social media post drafting———AI drafts (you post)
Boarding & Grooming
Boarding module✓✓✓✓
Grooming bookings + records✓——✓
Daily kennel logs (meals, walks, meds)Printed sheet——✓
Per-day auto-charges✓✓✓✓
Multi-Location & Groups
Multi-location supportPaid add-on✓✓Up to 99 clinics self-serve (more on request), each on its own plan
Cross-location patient lookupPaid add-on—✓✓
Per-location revenue reportingPaid add-on✓✓✓
Float-pool staff scheduling (per clinic)———✓
Compliance & Regulatory
Append-only AI audit log——N/A✓
Travel health certificates (CVI)———Accreditation check + CVI worksheet
Coggins (EIA) tracking———Tracking + pre-filled worksheet
Hosting
Where it runsServer in your clinicCloud (+ offline mobile app)Server in your clinicCloud (offline view and entry on a set-up device)
Team & Roles
Staff role types—Custom rolesCustom roles12 built-in roles
Idle screen lock✓✓✓Kiosks only
Staff scheduling included———✓
Special Workflows
Euthanasia mode (no billing in room)———✓
NFC room/doctor/patient detection———✓
Insurance claim helpTrupanion direct payTrupanion direct pay—Claim packet for the owner
Client video visits—✓Covetrus Comms (add-on)Built in
Memorial record + grief workflow———✓
Integrations
IDEXX lab integration✓✓✓PDF import
Antech / Heska lab integration✓✓✓Antech PDF import
Integrated card processingFiserv (CardConnect)PayJunction / WindcaveCovetrus PaymentsStripe, 3.9% + 33¢ per US card payment
Text-message remindersVello (add-on)Vello (add-on)Covetrus Comms (add-on)Not yet (carrier registration)
Reporting & Analytics
Revenue reporting✓✓✓✓
Missed-charge detection (AI)——×✓
Recall compliance tracking✓—✓Send analytics only
CSV export✓✓✓Key reports only
Support & Onboarding
Phone supportMon–Sat24/7Mon–FriEmail only
Chat supportWeb chatIn-app ticket formWeb chatIn-app AI chat + human follow-up
Free self-serve migration (CSV + parser, no DVM limit)—×—✓
White-glove migration (we run it for you)—Quoted✓$499 flat, one-time
On-site install and training———$4,500 for 2 days + travel (optional)
Ownership & Values
Owned byIDEXX (NASDAQ)IDEXX (NASDAQ)Covetrus (private equity)A DVM’s family business
Investor-fundedPublic shareholdersPublic shareholdersPrivate equitySelf-funded
Built by an actively practicing DVM———DVM, University of Missouri, 2011
Watch it run

Three films.All three are the real product.

Recorded from the running software. Nothing storyboarded, nothing redrawn.

A tour of RosaVet

6:23

A walk through the floor, the exam room, the chart, checkout, the follow-up call, the business and the rules, and why each part helps. The highlights, not every feature.

A visit, arrival to callback

4:36

The queue board, check-in, vitals, the exam, results and imaging, checkout, and the follow-up call that evening, with why each step helps the doctor and the client.

The AI in RosaVet, area by area

5:46

How the AI helps the clinic and the doctor, one area at a time, and what stays with people: a doctor approves each suggestion, and the AI never writes into the record on its own. The main areas, not every feature.

Narration in English. Nothing loads from YouTube until you press play.

The short version

What's different.In two minutes.

Recorded from the running software. Nothing storyboarded, nothing redrawn.

What's different about RosaVet

2:04

Most vet software stores the chart. RosaVet reads it: lab results read against the whole chart, a note that drafts itself, the charge you might have missed, the phone answered, and clients kept in the loop.

Narration in English. Nothing loads from YouTube until you press play.

What it costs

Our prices are public.Theirs are quoted.

RosaVet bills per DVM: $199 for the first DVM, $149 each for DVMs 2–4, $129 for DVMs 5–10, $109 for DVMs 11–20 and $99 each from DVM 21 on. The rest of your team is free, and there is no setup fee. Each clinic location is billed on its own plan. A 3-DVM clinic pays $497 a month.

Card payments you take through RosaVet cost 3.9% + 33¢ each (US cards), with Stripe’s own fee included.

Cornerstone, ezyVet and AVImark quote each clinic. Ask for these in writing:

  • The monthly price, and whether it is per user, per DVM or per location
  • Setup, data-conversion and training fees
  • Add-ons: client app, imaging, anesthesia charting, AI scribe
  • Card-processing rates
  • The first term, how it renews, and the notice needed to cancel

Send us the quote and we’ll put it next to ours, line by line.

The fine print

The catchesin their own published terms.

Terms renew on their own

A Cornerstone subscription starts with a term set in your order form; after that, IDEXX’s terms ask for 90 days’ written notice to end it. ezyVet starts with a one-year term that renews every year, and IDEXX’s software terms want notice at least 30 days before a renewal. RosaVet: pay monthly or annually, and cancel in Billing.

Leaving early

IDEXX’s software terms let you cancel a subscription early, but there’s no refund of prepaid or unused fees, and fees stay due through the end of the term. RosaVet: on monthly billing, you stop paying at the end of the month you cancel in.

Prices are quoted, not published

IDEXX prices a Cornerstone subscription in tiers by number of users, and we found no public price list for Cornerstone or AVImark. ezyVet publishes a starting price (“as little as $260.50 per month”) and quotes implementation separately. RosaVet bills per DVM, the rest of your team is free, and every price is on our pricing page.

Many features are separate products

At IDEXX, the Vello client app (a flat $249 a month), Web PACS imaging, SmartFlow anesthesia and dental charting, and the Cornerstone pharmacy formulary are separate purchases. The CoVet AI scribe, IDEXX-owned since September 16, 2026, is its own subscription plus $35 a month per Cornerstone server to connect. Covetrus Comms and the vRxPro store are separate products that connect to AVImark. RosaVet’s per-DVM price includes the client portal, surgery module, formulary and voice-to-SOAP drafts.

Card processing

Cornerstone’s integrated processor is Fiserv (CardConnect); ezyVet integrates PayJunction, Windcave and CareCredit; Covetrus Payments works with Worldpay and Stripe. None of them publishes its rates. RosaVet runs on Stripe at 3.9% + 33¢ per US card payment, with Stripe’s own fee included.

Price changes

IDEXX’s Cornerstone subscription terms say IDEXX may increase its fees from time to time, with no cap stated. We found no public price-increase policy for ezyVet or AVImark, so ask for a cap in writing. RosaVet’s prices are public, so any change shows up on our pricing page.

Sources

Checked 2026-10-11. Vendors change their products and terms — if something here is out of date, tell us and we'll fix it.

Why clinics switch

The terms. The records. The add-ons.Thirty seconds each.

Every vendor term in these films comes from the published terms and sources above.

The fine print

0:25

Call for a quote, sign for a year, give 90 days' notice to leave. RosaVet's price is on the page: no setup, no implementation, and monthly plans with no minimum term.

Twenty years of records

0:28

RosaVet reads your current software's export: clients, patients, visit notes, vaccines and prescriptions. Nothing is guessed, every import can be rolled back, and the move is free to do yourself or $499 if we run it.

The add-on tax

0:30

Some systems sell the AI scribe, drug safety and the client app separately. In RosaVet, voice-to-SOAP drafts, drug-safety checks and missed-charge detection are in the price, and staff log in free.

Narration in English. Nothing loads from YouTube until you press play.

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 answer to their shareholders every quarter. We don't have shareholders. We don't have a Q3 target. The only one we have to please is you.

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 and we'll fix it. Being straight with clinic owners is the point of this page.

The last software you will ever purchase. Period.

Ready to stop overpayingfor software that fights you?

Book a demo, or start a 30-day free trial. Free self-serve migration for every practice; white-glove migration available for $499 (non-refundable) if you want us to run it. On-site install and training is also available: two days at your clinic, $4,500 plus travel.