IDEXX Cornerstone vs VetHero: Veterinary Software Compared

A side-by-side look at IDEXX Cornerstone and VetHero. See how these veterinary practice management systems compare on features, deployment, and Puppilot sync support.

26 Features Compared Both Sync with Puppilot Updated 2026

IDEXX Cornerstone On-Premise

Parent CompanyIDEXX Laboratories
Founded1985
DeploymentOn-Premise (server-based)
PricingLicense + Annual Support
User Base125,000+ professionals
Best ForMulti-doctor practices, specialty hospitals, and corporate groups that rely heavily on IDEXX diagnostics
Puppilot Sync Full Sync
VS

VetHero Cloud

Parent CompanyVetHero Inc. (independent)
Founded~2019
DeploymentCloud-Based
PricingSubscription
User Base
Best ForSmall practices looking for a cloud practice management system
Puppilot Sync Full Sync

Feature-by-Feature Comparison

How IDEXX Cornerstone and VetHero stack up across 26 core capabilities

FeatureIDEXX CornerstoneVetHero
EMR / Medical Records Core Clinical
SOAP Notes Core Clinical
AI SOAP / Transcription Core Clinical
Treatment Sheets / Whiteboard Core Clinical
Prescription Management Core Clinical
Digital Imaging / DICOM Core Clinical
Controlled Substance Logging Core Clinical
Appointment Scheduling Scheduling
Online Booking (Client Self-Service) Scheduling
Boarding / Hospitalization Scheduling
Inventory Management Financial
Invoicing & Billing Financial
Payment Processing Financial
Wellness Plans Financial
Client Communication (Reminders) Client Engagement
2-Way Messaging / Texting Client Engagement
Client Portal / App Client Engagement
Telemedicine / Video Client Engagement
Reporting & Analytics Operations
Multi-Location Support Operations
Mobile App / Access Operations
Digital Forms (Intake/Consent) Operations
IDEXX Lab Connection Lab Connections
Antech Lab Connection Lab Connections
Heska Lab Connection Lab Connections
IDEXX Web PACS Imaging Lab Connections

Strengths & Weaknesses

IDEXX Cornerstone

+ Seamless IDEXX diagnostics connection (VetConnect PLUS in-house + reference labs)
+ Customizable medical record templates for any specialty
+ Massive user base means extensive community knowledge and third-party support
On-premise server dependency creates IT overhead and limits remote access
Steeper learning curve — requires significant training investment
No native AI features or modern cloud capabilities

VetHero

Details coming soon.

Puppilot Syncs with Both

Whether your clinic runs IDEXX Cornerstone or VetHero, Puppilot's AI phone answering service syncs directly with your practice management system to answer calls with real patient context. Learn more about how Puppilot works with IDEXX Cornerstone and VetHero.

Puppilot + IDEXX Cornerstone Full Sync

Reads: Patient records, appointment schedule, medical history, medications, client info

Writes: Appointment booking, call notes, follow-up tasks

Connection: Direct database connection (on-premise server)

Setup: Days

Puppilot + VetHero Full Sync

Reads: Patient records, appointment schedule, medical history, medications, client info

Writes: Appointment booking, call notes, follow-up tasks

Connection: Cloud API

Setup: Days

Frequently Asked Questions

IDEXX Cornerstone is Deepest IDEXX diagnostics connection; industry gold standard for specialty and referral practices. VetHero is VetHero: AI-powered features, cloud-based. The best choice depends on your clinic's size, specialty, and workflow preferences.

It depends on your priorities. IDEXX Cornerstone is best for Multi-doctor practices, specialty hospitals, and corporate groups that rely heavily on IDEXX diagnostics. VetHero is best for Small practices looking for a cloud practice management system. Consider factors like your budget, whether you prefer cloud or on-premise, and which lab systems you use.

Yes. Puppilot syncs with both IDEXX Cornerstone and VetHero, providing AI-powered phone answering that reads patient records and appointment data directly from either system.

Yes, data migration between IDEXX Cornerstone and VetHero is possible, though it typically requires careful planning and may involve a third-party migration service. Your Puppilot service would continue working seamlessly through the switch.