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Healthcare EHR Software · Rank #6 of 10

eClinicalWorks review and pricing

Private founder-led ambulatory EHR; flag 2017 DOJ $155M settlement over EHR certification fraud.

By eClinicalWorks LLC · Founded 1999 · Westborough, MA · private

eClinicalWorks is the privately-held ambulatory EHR + revenue cycle platform, founded 1999. Founder-led for 25 years. The platform centers on ambulatory practice management + EHR + RCM + telehealth for small-to-mid practices. Strengths: founder-led 25 years (no PE pressure), broad ambulatory installed base (130K+ providers), aggressive AI feature velocity (eClinicalWorks 2024 launched Sunoh.ai for AI scribe + eCW Cardiology AI), and competitive pricing. Best fit for ambulatory practices (5-200 physicians) wanting modern AI features at competitive pricing. Trade-offs: MUST flag the 2017 DOJ $155M settlement over EHR certification fraud where eClinicalWorks falsely claimed compliance with ONC EHR certification standards while collecting Medicare Meaningful Use incentive payments, this is a foundational trust event in the company history that buyers should factor; subsequent operational improvements have been documented but the underlying trust gap remains for some buyers. Customer support quality variable, implementation 2-6 months typical, and product velocity faster than legacy peers but UX feels denser than athenahealth.

Visit eClinicalWorks Vendor pricing Compare to Veradigm (formerly Allscripts)
Best for

Ambulatory practices (5-200 physicians) wanting modern AI features (Sunoh.ai scribe) at competitive pricing.

Worst for

Buyers prioritizing vendor brand reputation (Epic/athenahealth better), hospital scope (Epic better), or compliance-conservative buyers concerned about 2017 DOJ history.

Vendor Trust Score

Is eClinicalWorks a trustworthy vendor?

7.2/10
Mixed
Pricing transparency
Published rates; no hidden fees
5.5
Contract fairness
Reasonable terms; no auto-renew traps
7.0
Incident response
How they handle outages and breaches
6.5
Post-acquisition behavior
Customer treatment after M&A or PE
8.5
Executive stability
Leadership churn over 24 months
9.0
Roadmap honesty
Public commitments held
6.5
Trust signal log
  • 1999-04-22
    Founded by Girish Navani
  • 2017-05-31
    DOJ $155M settlement over EHR certification fraud and Meaningful Use payments
  • 2024-04-22
    Sunoh.ai AI scribe launched for ambient clinical documentation
Vendor Trust is scored independently of product quality. A great product from an unfair vendor still earns a low trust score.
Review Intelligence

What 480 reviews actually say

Synthesized from G2, Capterra, Reddit, Trustpilot. Patterns >15% prevalence shown.

Last synthesized
2026-04-29

Praise patterns

  • Founder-led 25 years
    71% →
  • Broad ambulatory installed base
    64% →
  • Sunoh.ai AI scribe
    51% ↑
  • Competitive pricing
    47% →

Complaint patterns

  • 2017 DOJ settlement legacy trust gap
    47% →
  • Customer support variable
    51% →
  • UX denser than athenahealth
    41% →
  • Implementation 2-6 months
    31% →
Sentiment trend (6 months)
64/100 0 pts
12
01
02
03
04
05
Patterns are extracted from review corpus and human-verified. We surface trends, not anecdotes.
Verified Pricing

What buyers actually pay

92 anonymized deal disclosures · last updated 2026-05-01

Contribute your deal price
Company size Median annual
5-25 physicians $60,000
25-100 physicians $240,000
100+ physicians $720,000
Verified pricing is crowdsourced from buyers under anonymity guarantees. Vendor-listed prices are validated against actual deals quarterly.
Compliance & Security

Auto-verified certifications

Verified 2026-05-01
SOC 2 Type II
ISO 27001
HIPAA
GDPR
CCPA
PCI DSS
FedRAMP

Editorial: Strengths

  • Founder-led 25 years (no PE pressure)
  • Broad ambulatory installed base (130K+ providers)
  • Aggressive AI feature velocity (Sunoh.ai scribe)
  • Competitive pricing
  • Modern AI features at lower price than athenahealth
  • Cardiology + specialty depth

Editorial: Weaknesses

  • 2017 DOJ $155M EHR certification fraud settlement (foundational trust gap)
  • Customer support quality variable
  • UX denser than athenahealth
  • Implementation 2-6 months
  • Brand recognition affected by 2017 scandal

Key features & integrations

  • +Ambulatory clinical EHR
  • +Practice management
  • +Revenue cycle
  • +Patient portal (healow)
  • +Sunoh.ai AI scribe
  • +Telehealth (healow TeleVisits)
  • +Carequality
  • +50+ integrations
50+ integrations
SurescriptsCarequalityCommonWellAWSSunoh.ai
Geography supported
Primary US; growing global
Best fit
5–10,000 employees · Ambulatory practices
Editorial deep-dive

Read our full ranking of Healthcare EHR Software

eClinicalWorks ranks #6 in our editorial review of 10 healthcare ehr software platforms. The deep-dive covers methodology, comparison tables, decision matrix, migration scoring, and FAQs.

Read the full ranking

Closest alternatives in Healthcare EHR Software

#5
Veradigm (formerly Allscripts)
Allscripts rebranded to Veradigm 2022; delisted from NASDAQ 2024; major vendor stability concerns.
★ 3.4 opaque
#7
DrChrono
EverHealth-owned modern iPad-first EHR for small practices.
★ 3.9 partial
#4
NextGen Healthcare
Thoma Bravo Nov 2024 take-private at $1.8B; strong ambulatory fit, flag PE pressure.
★ 3.8 opaque
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