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Reviewed by the MedicalRecords.com editorial teamUpdated January 202610 alternatives compared
We compared 10 alternatives to ContinuumCloud. The top competitors include Kipu Health, Netsmart, SimplePractice. The best alternative depends on your practice size, specialty, budget, and deployment preferences. Browse the detailed comparisons below with feature analysis, pricing, and expert recommendations.
Looking for an alternative to ContinuumCloud? Healthcare practices switch EMR systems for many reasons: evolving feature needs, pricing changes, specialty-specific requirements, deployment preferences, or better integration options. ContinuumCloud ContinuumCloud provides electronic health records (EHR) and practice management solutions for healthcare organizations.... Below we compare the top 10 alternatives so you can find the best fit for your practice.
Serves: Substance abuse treatment centers, Addiction treatment facilities, Residential treatment programs
#1 Addiction Medicine EHR (Black Book 2025 & 2026) serving substance abuse treatment centers, behavioral health facilities, and residential recovery programs.
Serves: Community mental health centers, Behavioral health organizations, Addiction treatment facilities
#1 Behavioral Health enterprise EHR (Black Book 2026) serving community mental health, addiction treatment, and post-acute care organizations.
Serves: Solo therapists, Independent counselors, Small group practices
SimplePractice lists Starter, Essential, and Plus subscriptions. Its pricing page distinguishes solo and group configurations, with additional practitioner seats on Plus and custom pricing discussions for groups of six or more.
Serves: Solo therapists, Group therapy practices, Psychology practices
TherapyNotes lists Solo, Group, and Enterprise subscriptions. Its standard subscriptions include notes, appointments, client and staff messaging, a client portal, and Basic Telehealth. Optional services have separate charges.
Serves: Small practices, Urgent care, Retail clinics
Cloud-based EHR and practice management platform serving ambulatory practices, urgent care, and retail clinics.
Serves: Small to medium practices, Specialty groups, Urgent care
AdvancedMD offers EHR, practice management, and patient engagement software with specialty-dependent pricing. Its pricing page distinguishes software subscriptions, encounter-based options, and revenue-cycle management services.
Serves: Small-to-mid-size hospitals, Physician practices, Specialty practices
The former Allscripts hospital and large-practice portfolio requires product-specific evaluation. Altera identifies the 2022 acquisition of that business and lists Sunrise, Paragon, and TouchWorks among the acquired EHRs. The historical Allscripts name alone does not identify a current product or contracting entity.
Serves: Ambulatory practices, Multi-specialty groups, FQHCs
athenahealth describes athenaOne as an integrated EHR, medical billing and practice management, and patient engagement offering. Its page describes AI-assisted clinical and administrative workflows and a percentage-of-collections pricing model.
Serves: Community hospitals, Rural hospitals, Critical access hospitals
Integrated EHR and financial solutions specifically designed for community hospitals and rural healthcare facilities.
Serves: General dental practices, Multi-location dental groups, Pediatric dental practices
Market-leading dental practice management and EHR system used by 50,000+ dental practices, offering full tooth-level charting, imaging, and CDT billing.
| Vendor | Deployment | Target Market | Pricing Model | Starting Price |
|---|---|---|---|---|
| ContinuumCloud (current) | cloud | Behavioral health, Mental health practices | Cloud-based delivery is stated, but the commercial pricing model is not publicly disclosed. No official amount or evidence of per-provider, per-site, per-bed, per-location, per-encounter, monthly, or annual pricing was found. | See product pricing and terms |
| Kipu Health | cloud | Substance abuse treatment centers, Addiction treatment facilities | Quote-based / not publicly disclosed. Kipu’s official Terms & Conditions state that Subscription Fees are set in customer-specific Order Forms; no public per-user/provider/site/month, annual, bed, transaction, or percentage-of-collections rate is stated. No public minimum commitment, free trial, or free tier was found. Order Forms have an initial duration and automatically renew for that duration unless notice is given at least 90 days before expiry. | See product pricing and terms |
| Netsmart | cloud, on-premise | Community mental health centers, Behavioral health organizations | Quote-based / not publicly disclosed for general commercial list pricing. Official Netsmart ONC mandatory-cost disclosures state subscription pricing bases but publish no dollar rates: myAvatar and myUnity core subscriptions are priced by average daily census; NIAM by number of users plus one-time hosting setup; OrderConnect by number of prescribers plus one-time implementation; myHealthPointe by average daily census (no implementation fee); CareConnect Inbox and Care Pathways require subscriptions plus one-time implementation; CareConnect FHIR requires a subscription. No per-user/provider/site/month list rate, annual commercial rate, bed rate, transaction fee, collections percentage, minimum, free trial, or free tier was disclosed in the opened official sources. | See product pricing and terms |
| SimplePractice | cloud | Solo therapists, Independent counselors | Monthly account subscription plus per-clinician and usage fees; no annual rate or revenue-share. | See product pricing and terms |
| TherapyNotes | cloud | Solo therapists, Group therapy practices | Standard subscription is monthly, user/provider based: Solo $69/month for one user; Group $79/month for the first clinician plus $50/month per additional clinician, with unlimited non-clinical staff free. Enterprise is published at the same Group rates with a designated account manager, but official pages conflict on minimum: public pricing page says 20+ users, while the official support pricing article says at least 30 users. Optional services are usage-, transaction-, prescriber-, or clinician-based rather than percent-of-collections: electronic claims/ERAs/eligibility per request/claim; paper claims per mailed claim; reminders per text/voice; card processing per transaction; Premium Telehealth and TherapyFuel per clinician/month; ePrescribe per prescriber/month. Monthly invoices and payment by card, debit card, or check are documented. No annual base subscription rate, bed-based rate, percent-of-collections rate, or public negotiated enterprise/hospital rate was disclosed. | See product pricing and terms |
| eClinicalWorks | cloud | Small practices, Urgent care | Per-provider monthly subscription plus optional percentage-of-collections RCM. Annual billing, term, minimums and discounts are not public. | See product pricing and terms |
| AdvancedMD | cloud | Small to medium practices, Specialty groups | Mixed per-provider monthly, per-claim, percentage-of-collections RCM and transaction pricing. Managed RCM is 4%–8% of collections. | See product pricing and terms |
| Allscripts / Veradigm | cloud, on-premise | Small-to-mid-size hospitals, Physician practices | Quote-based / not publicly disclosed. Official ONC cost disclosure describes two alternatives: a one-time license fee plus additional costs, or an annual subscription cost per provider that includes the CEHRT package. The legacy Professional/TouchWorks terms define billable users as providers or mid-levels who use the software at least twice in 90 days; additional billable-user accounts are charged at then-current rates in the Client Order. Each full-time Professional provider or mid-level license includes access for four non-provider/non-mid-level authorized users; part-time licenses do not. Orders can also state user/transaction fees. No public per-user, per-provider, per-site, per-month, per-bed, percentage-of-collections, or transaction rate was found. | See product pricing and terms |
| athenaOne | cloud | Ambulatory practices, Multi-specialty groups | Quote-based/organization-specific percentage of collections; official athenahealth says pricing corresponds to the organization's collections, with minimal upfront costs and no long-term contracts. No public provider/site/month or one-time dollar amount found. | See product pricing and terms |
Visit each vendor's profile for detailed pricing and feature information.
Assess Your Practice Needs
Document your must-have features, specialty requirements, practice size, and budget constraints. Identify the specific pain points that are driving your search for a ContinuumCloud alternative.
Compare Deployment Models
Determine whether cloud-based, on-premise, or hybrid deployment best fits your infrastructure. Cloud systems offer lower upfront costs and automatic updates, while on-premise solutions provide more control over data and customization.
Evaluate Total Cost of Ownership
Look beyond the monthly subscription or license fee. Factor in implementation costs, data migration, staff training, hardware requirements, and ongoing support fees. Request detailed quotes from at least 3 vendors.
Request Demos and References
Schedule personalized demos with your top 2-3 choices. Ask for references from practices similar to yours in size and specialty. Involve end-users (physicians, nurses, billing staff) in the evaluation process.
Plan Your Migration
Before committing, understand the vendor's data migration process, implementation timeline, training program, and go-live support. A well-planned transition minimizes disruption to patient care and practice operations.
Use our free comparison tool to evaluate ContinuumCloud against any of the alternatives above. Compare features, pricing, deployment options, and user ratings in one view.