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Healthcare EHR Software · Rank #10 of 10

Practice Fusion review and pricing

Veradigm/Allscripts-owned originally-free ambulatory EHR; ongoing vendor stability concerns.

By Veradigm (formerly Allscripts) · Founded 2005 · San Francisco, CA · private

Practice Fusion is the originally-free ambulatory EHR, founded 2005 in San Francisco. Pioneered the "free EHR" model with advertising revenue but discontinued the free tier in 2018. Acquired by Allscripts (now Veradigm) in February 2018 for $100M. The platform centers on lightweight ambulatory EHR for solo and small specialty practices. Strengths: lightweight modern UX (inherited from free-EHR era), strong fit for solo practices, low entry pricing, and broad installed base from free-tier years. Best fit for solo practices and very small specialty groups (1-5 physicians) wanting lightweight EHR. Trade-offs: Veradigm/Allscripts parent has MAJOR vendor stability concerns (NASDAQ delisted Sept 2024, accounting restatements, SEC investigations, see Veradigm entry for details); customers may face uncertain vendor trajectory; AI features below modern competitors; customer support quality degraded with Veradigm financial turmoil; less suited for mid-market practices.

Visit Practice Fusion Vendor pricing Compare to Tebra (Kareo + PatientPop)
Best for

Solo practices and very small specialty groups (1-5 physicians) wanting lightweight EHR; accept Veradigm parent vendor stability risk.

Worst for

Buyers prioritizing vendor stability (Epic/athenahealth/DrChrono better), mid-market practices (athenahealth better), or compliance-conservative buyers.

Vendor Trust Score

Is Practice Fusion a trustworthy vendor?

5.7/10
Caution
Pricing transparency
Published rates; no hidden fees
6.5
Contract fairness
Reasonable terms; no auto-renew traps
6.5
Incident response
How they handle outages and breaches
5.5
Post-acquisition behavior
Customer treatment after M&A or PE
5.0
Executive stability
Leadership churn over 24 months
5.0
Roadmap honesty
Public commitments held
5.5
Trust signal log
  • 2005-04-22
    Founded; originally free EHR model
  • 2018-02-22
    Allscripts acquired Practice Fusion for $100M
  • 2018-04-22
    Free tier discontinued post-acquisition
  • 2024-09-22
    Veradigm parent NASDAQ delisting affects Practice Fusion vendor stability
Vendor Trust is scored independently of product quality. A great product from an unfair vendor still earns a low trust score.
Review Intelligence

What 280 reviews actually say

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

Last synthesized
2026-04-29

Praise patterns

  • Lightweight modern UX
    64% →
  • Strong fit for solo practices
    51% →
  • Low entry pricing
    47% →
  • San Francisco engineering legacy
    31% →

Complaint patterns

  • Veradigm parent vendor stability concerns
    64% ↑
  • AI features below competitors
    47% ↑
  • Customer support degraded
    51% ↑
  • Less suited for mid-market
    38% →
Sentiment trend (6 months)
54/100 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

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

Contribute your deal price
Company size Median annual
1-3 physicians $6,000
3-10 physicians $18,000
10+ physicians $48,000
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

  • Lightweight modern UX
  • Strong fit for solo practices
  • Low entry pricing
  • Broad installed base from free-tier years
  • San Francisco engineering legacy
  • Simple practice management

Editorial: Weaknesses

  • Veradigm parent vendor stability concerns (NASDAQ delisted Sept 2024)
  • Veradigm SEC investigations affect Practice Fusion
  • AI features below modern competitors
  • Customer support quality degraded with Veradigm turmoil
  • Less suited for mid-market
  • Uncertain vendor trajectory

Key features & integrations

  • +Solo + small practice EHR
  • +Practice management
  • +E-prescribing
  • +Patient portal
  • +Telehealth
  • +20+ integrations
20+ integrations
SurescriptsCarequalityStripe Healthcare
Geography supported
Primary US
Best fit
1–5 employees · Solo + very small practices
Editorial deep-dive

Read our full ranking of Healthcare EHR Software

Practice Fusion ranks #10 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

#9
Tebra (Kareo + PatientPop)
Kareo + PatientPop 2022 merger formed Tebra; SMB-friendly practice management + EHR + patient engagement.
★ 3.8 partial
#8
Greenway Health
Vista Equity PE-backed mid-market ambulatory EHR; flag PE pressure pattern.
★ 3.6 opaque
#7
DrChrono
EverHealth-owned modern iPad-first EHR for small practices.
★ 3.9 partial
Help the next buyer

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Pricing in B2B software is opaque because vendors want it that way. Verified buyer prices fix that, anonymously. Share what you actually paid for Practice Fusion; we’ll add it to the verified pricing dataset on this page (with company size band only, no identifying details).

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