Server Based EMR Software Reviews, Features, Pricing & Comparison

athenahealth EHR Software

athenahealth is a leading provider of cloud-based and on-premise healthcare solutions for medical groups and health systems nationwide. Their vision is to create a thriving ecosystem that delivers acc.. Read more

92 Reviews

eClinicalWorks EMR Software

eClinicalWorks is an award-winning vendor offering integrated EHR, Practice Management, Population Health, and Revenue Cycle Management solutions and services to more than 130,000 physicians across th.. Read more

83 Reviews

PrognoCIS EMR Software

PrognoCIS, set up in the early 2000s, is a healthcare company that is suitable for all sizes of practices and hospitals. It offers integrated modules for EHR, practice management, and patient portal a.. Read more

64 Reviews

EpicCare EMR software

Epic Systems Corporation, or Epic, has been in the market since 1979 and employees around 10,000 personnel. Headquartered in Verona, Wisconsin, Epic has ranked in numerous accolades and awards over th.. Read more

62 Reviews

AdvancedMD EHR Software

AdvancedMD is an integrated medical software suite for independent practices. Founded in 1999 and based in South Jordan, Utah, the vendor serves an expansive national footprint of more than 22,500 pra.. Read more

62 Reviews

Cerner EMR Software

Cerner is the leading US supplier of health care information technology, offering a unified suite of digital solutions that streamline clinical and administrative workflows of large health organizatio.. Read more

58 Reviews

Allscripts EMR Software

Allscripts has been in business for the past 30 years with presence across four countries; US, UK, Canada, and Australia. Over time, the company has transitioned from a core electronic prescribing ent.. Read more

56 Reviews

Amazing Charts EMR Software

Amazing Charts, a leading developer of Electronic Health Record, Practice Management, and Medical Billing Systems for outpatient practices, was founded in 2001 by a practicing family physician. In 201.. Read more

55 Reviews

DrChrono EHR Software

DrChrono’s All-in-One integrated EHR and medical billing software aims to modernize patient care and optimize practice efficiency. The EHR software is apt for practices of all sizes, small to large, c.. Read more

52 Reviews

ChartLogic EHR Software

ChartLogic, a subsidiary of Medsphere Systems Corporation, has been in the market since 1994. It is headquartered in Salt Lake City, Utah. The vendor provides an ambulatory electronic health record sy.. Read more

51 Reviews

Greenway Health EHR Software

Health IT company Greenway Health has been in this space for the past 30 years. It offers several options when it comes to electronic medical records (EMR) such as Intergy, Prime Suite, and Success EH.. Read more

50 Reviews

NextGen Healthcare EHR

NextGen Healthcare offers NextGen Office (formerly known as MediTouch)—a cloud-based EHR – specifically designed for private practices. NextGen Office is a fully integrated practice management solutio.. Read more

40 Reviews

ChiroTouch Chiropractic EMR Software

ChiroTouch is an Electronic Health Record (EHR) company established in 1999. It is designed to facilitate small and medium-sized practices. The system is fully integrated with a seamless medical bil.. Read more

40 Reviews

CareCloud EHR

CareCloud Charts is a specialty-driven EHR that allows clinicians with in-depth customization and a clean user interface. CareCloud EMR currently supports nine specialties; cardiology, ophthalmology, .. Read more

37 Reviews

Office Practicum EHR Software

Office Practicum is a leading EHR software specifically designed for pediatric practices. It was founded 25 years ago by a pediatrician and her husband. Over the years they have used inputs from leadi.. Read more

29 Reviews

Server Based EMR Software

Buyers Guide

Think Like an Expert: The Pros and Cons of Server Based EMR Software

The tech world, software, and automated features are quickly transforming society. No consumer or business functions the same as a few decades (or even a few months) ago. The drawback is that the many developments make it difficult to keep up.

What is really the best option these days?

A major debate rages between cloud-based and server-based systems. Here’s your first answer: No, there’s no easy answer about which type you should pick for your EMR software

To make it easier we compiled a breakdown of server-based systems, to help you gauge the best manner of upgrading your practice in 2019.  

Server Based System Defined

A server-based EMR software system will keep all your data hosted on land-based servers, physically stored on someone’s premises:

  • You can use your own servers and all your data will be kept there. In these cases it’s usually your responsibility to maintain the servers, requiring expert IT personnel. You also need to protect your data against hacking. 
  • A service provider may have its own servers and you’ll ‘rent’ one of them (or space on one of them) to store your data, patient information and more. The service provider will take on the responsibility to ensure the servers function, downtime is kept to a minimum and there are proper security features in place. 

Server vs Cloud-Based Systems: Is One Better?

In contrast, modern technology facilitates virtual servers that host your data on the ‘cloud’. This is a virtualized environment. It’s a popular option as users can often access the data from anywhere, as long as they have internet connections. This is different from server-based systems where you usually need to be connected to the network of which the servers are part. 

A cloud-based system has many benefits, but even though this is the newer tech on the market, there are definitive reasons why many companies and medical practices still opt for server-based systems. 

To help you decide which will work for you we discuss the advantages and disadvantages below. 

Server Based EMR Software: Your In-Depth Look

As mentioned, this is a complicated aspect of software management at the moment. Below you’ll see how one feature may have both pros and cons.

Important note: Realize that you’ll take risks no matter which option you pick. Understanding the topic helps you pick one that contains the least number of risks for your setup and will ensure the most streamlined process in your practice.

Henry Schein MicroMD

The Pros


This is one of the major reasons practices still pick this method: You don’t need an internet connection to ensure access to your data. This makes it possible to use advanced software even in remote areas.


Many experts are of the opinion that cloud-based systems are more secure. However, the nature of your data may prompt you to prefer keeping the information on-site, rather than sharing it to the cloud.

Asset Management

If data is corrupted or disappear, as long as you have a proper backup system, it should be easy to restore your practice to be fully functioning quite quickly. Some cloud-based systems can’t guarantee a quick recovery process. 


You may prefer having full control of your system. If you use cloud-based systems you’re often forced to adhere to certain SaaS (Software as a Service) updates which you may not want. To retain control or enjoy certain customized features you may benefit from server-based programs.


Because you’re not dependent on internet speed—and especially if you use network cabling instead of wireless systems—you will enjoy fast information retrieval. 


In many cases, the monthly premiums for this type of system are low (But also see below) 

The Cons

Capital Investment

If you’re hosting your software on your own system it will require a huge initial capital investment. You need to purchase quality servers, ensure you have a backup system & get all hardware and cabling necessary. 


In addition to initial costs, you’ll have monthly premiums, but if hosting it yourself you’ll also need expert IT personnel. This means your HR costs may be affected if you don’t have this in place already. 

Space & Storage

All the hardware will need storage space which can make it an impractical option for practices operating out of small offices. 


Depending on your infrastructure you may not be able to access the data from anywhere. This is a vital point to discuss with your vendor and if your work causes you to travel often, this can be frustrating. 


It is susceptible to being hacked, making security features a huge expense. Although it’s easy to make backups, you also need to store a backup off-site to use in the event of data being destroyed or corrupted. This calls for regularly taking the data off-site to where you store it (e.g. in a safe) and creates a possible security risk whether you send it digitally or transport it physically. 

Down Time & Asset Management

If your servers are faulty you’ll have downtime. Any physical damage or if security is breached can cause such a problem. When you use your own servers (not your vendors) you’ll have to manage the problem yourself, so you have no guarantee of how long downtime will be. Some vendors offer promises of limited downtimes. 

Who Needs Server Based EMR Software?

Based upon these facts it’s clear that server-based software caters for a niche group or people in unique circumstances:

  • You’re in a remote area where there’s no, or no guaranteed, internet connection.
  • You prefer that only you can have access to information, rather than uploading it to the cloud.
  • Your budget guidelines match what server based systems cost, rather than cloud based premiums.


As with many software purchases, you need to find the product that works for your unique situation. Paying for features you won’t use, or that are impractical for your set up will be a waste of money.