View all EHR Alternatives
Best Free Alternatives to Epic Systems
Stop paying Enterprise ($1,200/mo - $100M+). Discover professional-grade tools that won't break your budget.
Category: EHRVerified for 2025
Top Recommended Replacements
OpenEMR
Best Overall FOSS Alternative
Why we like it
The most mature open-source EHR globally; ONC Certified; includes integrated billing, patient portal, and e-prescribing; 100% free with no licensing fees.
Keep in mind
Requires technical expertise for self-hosting; the interface can feel dated compared to modern cloud suites.
Bahmni
Best for Hospital Management
Why we like it
An integrated hospital system combining OpenMRS, OpenELIS (Lab), and Odoo (ERP); exceptional for managing full hospital workflows, inventories, and labs in one dashboard.
Keep in mind
Highly complex to set up; primarily optimized for low-resource settings and mid-sized hospitals.
OpenMRS
Best for Community Clinics
Why we like it
A modular, community-driven record system focused on high-performance clinical data; incredible flexibility for adding custom forms and patient observations.
Keep in mind
Not a full 'Practice Management' suite out-of-the-box; lacks native billing and inventory features unless integrated with tools like Bahmni.
Tebra (formerly Kareo)
Best for Small Private Practices
Why we like it
Cloud-based and easy to implement; specifically designed for independent doctors; lower first-year costs than an Epic rollout for small teams.
Keep in mind
Proprietary software; per-provider pricing can add up; billing services often carry an additional percentage-based fee.
GNU Health
Best for Public Health/Research
Why we like it
Focuses on social medicine and population health; includes modules for genetics, epidemiology, and laboratory management; totally free under the GNU license.
Keep in mind
Learning curve is steep; technical documentation is geared toward developers and data scientists.
CloudMedico
FREEBest Plug-and-Play Alternative
Why we like it
Permanent free plan for up to 100 patients; cloud-based (no server required); includes telehealth and a patient portal in 5-minute setup.
Keep in mind
Limited patient headcount on the free tier; not suitable for large, high-volume hospitals.
HospitalRun
Best for Offline Access
Why we like it
Designed specifically for environments with unreliable internet; allows for offline data entry and syncing when a connection is restored; modern, clean UI.
Keep in mind
Project development has had periods of inactivity; features are more basic compared to the deep modules of OpenEMR.
eClinicalWorks
Best for Patient Engagement
Why we like it
Market leader for mid-sized practices; features 'Sunoh.ai' for automated clinical documentation; stronger AI integrations than basic open-source tools.
Keep in mind
Opaque pricing; contracts can be restrictive; users often report high add-on costs for advanced interoperability.
NOSH EMR
Best for Solo Physicians
Why we like it
Created by a physician for physicians; incredibly fast and patient-centered interface; low resource requirements to host locally.
Keep in mind
Smaller community support than OpenEMR; fewer integrations with large national lab networks out-of-the-box.
CharmHealth
FREEBest for Startup Clinics
Why we like it
Free for up to 50 encounters per month; very modern interface; supports a 'Pay-as-you-go' encounter model that is great for low-volume specialists.
Keep in mind
Can become expensive quickly as encounter volume grows; advanced portal branding is a paid upgrade.
Practice Fusion
Best for Rapid Charting
Why we like it
Cloud-native with an emphasis on speed; excellent specialty-specific templates; one of the first EHRs to offer a truly intuitive user experience.
Keep in mind
No longer offers its famous 'Free' version; now requires a significant monthly commitment per provider.
DoliMed
Best for ERP/EHR Integration
Why we like it
Built on the Dolibarr ERP platform; manages patients as 'Third Parties'; excellent for managing clinic business (stock, HR) alongside medical notes.
Keep in mind
Requires manual configuration of medical modules; primarily popular in the European market.