IDEXX Cornerstone vs ezyVet

Side-by-side from the Top 11 ranking of The 11 Best Veterinary Practice Management Software (2026). Last verified June 29, 2026.

The short answer

ezyVet ranks higher on Top 11 (#1 vs #8) for Veterinary clinic owners and practice managers managing appointments, records, and billing. The most powerful and integrated PIMS for large, complex veterinary practices and hospitals.

At a glance

IDEXX CornerstoneezyVet
Top 11 rank#8 / The 11 Best Veterinary Practice Management Software (2026)#1 / The 11 Best Veterinary Practice Management Software (2026)
Score (out of 9.4)7.79.2
Best forPowerful on-premise legacy PIMSLarge or specialty hospitals
Pricing$$$ ($400 to $1200/mo)$$$$ ($500 to $1500+/mo)
HQWestbrook, ME, USAAuckland, New Zealand
Founded19922006

IDEXX Cornerstone

A feature-rich on-premise system with a dated interface and high learning curve.

www.idexx.com/en/veterinary/software-services/cornerstone-software/

See full entry in The 11 Best Veterinary Practice Management Software (2026)

ezyVet

The most powerful and integrated PIMS for large, complex veterinary practices and hospitals.

www.ezyvet.com/

See full entry in The 11 Best Veterinary Practice Management Software (2026)

Methodology and scoring weights live at /methodology. No vendor pays for placement — see about.