Selection

Small practice EHRs that aren’t Epic

Updated: 11th March 2026

Small practices shopping for EHR products will find an expansive and competitive market. Unlike larger healthcare systems, where a few big-name players like Epic and Oracle Health (formerly Cerner) dominate, small practices enjoy a wealth of tailored options that cater to their unique needs.

Below are some notable EHRs that are well-suited to independent practices and smaller healthcare settings.

Kareo (now Tebra)

Kareo/Tebra stands out in the small practice EHR market as a cloud-based platform combining clinical and practice management features.

Recognized as a “Best in KLAS” small practice ambulatory EMR/PM in 2021, Tebra’s EHR is specifically designed for scalability, allowing small practices to expand as needed. The system’s intuitive, dashboard-based interface enables clinicians to handle tasks such as charting, billing, and scheduling all within a single window, enhancing workflow efficiency.

In 2023, Tebra introduced new features that enhance usability for small telehealth practices. These include a pre-call test feature, which allows both patients and providers to check their audio and video setup prior to a virtual appointment, and an improved self-pay billing workflow.

Tebra has since rolled out customizable reporting options, enabling practices to create tailored reports for analyzing appointment and billing data.

Key features of Tebra for small practices:

Patient engagement tools: Tebra's mobile-optimized patient portal simplifies patient communication and engagement through its appointment scheduling and secure messaging.
Telemedicine integration: Includes a built-in video-conferencing feature, ideal for small telehealth practices aiming to offer remote consultations with ease.

drchrono

drchrono offers a fully integrated web and mobile-based EHR and practice management system with a comprehensive billing module. Named the top mobile EHR by Black Book ten years running, its design centers on flexibility and ease of use, making it a popular choice for clinicians who prioritize an intuitive interface.

In recent updates, drchrono has enhanced its variable-duration scheduling feature, giving small practices more flexibility in tailoring appointment lengths to match different patient needs.

The platform has also launched reputation management tools to help practices gather patient feedback and improve engagement, ideal for independent practices that benefit from patient reviews.

drchrono’s advantages for small practices:

Single-window charting: Clinical notes appear in a single window, minimizing the need for excessive clicking, speeding up the documentation process.
Affordable options: A range of pricing plans to accommodate different budgets, making it one of the more accessible options for small practices.

Greenway Health

Greenway Health’s Intergy platform is an EHR and practice management solution that caters to small practices by allowing them to optimize their workflows according to their specific needs.

Much like drchrono, Greenway Health has strengthened its telehealth capabilities through further integration with Amazon Web Services (AWS), adding high-quality video and audio enhancements for virtual visits.

Additionally, its scheduling tools for managing in-person and virtual appointments make it an excellent option for small telehealth practices focused on balancing patient convenience with high-quality care delivery.

Notable features of Greenway Health for independent practices:

Workflow customization: Intergy’s flexibility allows practices to tailor the software to their preferred workflows, making it easier to integrate with existing systems and processes.
Enhanced telehealth with AWS: Greenway’s telehealth solution features high-quality video and audio for virtual visits, making it an ideal choice for small telehealth practices.

Elation Health

Elation Health's unified EHR and billing platform is purpose-built for independent and small-to-medium primary care practices.

Elation's EHR minimizes clicks and scrolling, allowing clinicians to spend more time on patient care and less on admin. Paired natively with Elation Billing, the platform delivers intuitive workflows for everything from charting to revenue cycle management, eliminating the need for separate practice management software.

Named Best in KLAS for Small Practice Ambulatory EHR/PM with 1-10 physicians in 2025, Elation consistently achieves high marks for customer satisfaction.

Standout features and recent enhancements

AI-powered medical scribe: Real-time transcription and continuous note-taking reduce after-hours documentation by up to two hours a day, helping providers stay fully present during visits.
Expanded interoperability: Direct integrations with national and regional labs, imaging centers, and pharmacies improve ordering and result retrieval processes.
Streamlined referral management: Built-in network tools make tracking and coordinating care with external specialists effortless.
Advanced population health insights: Dashboards and customizable reports help small practices identify care gaps, track quality metrics, and optimize panel management.

RXNT

For over 25 years, RXNT has helped healthcare practices succeed and scale through integrated, AI-powered software. The platform combines essential tools such as EHR/EMR, Practice Management, Billing and RCM, E-Prescribing, Scheduling, and Patient Portal technology.

With transparent pricing and extensive customization options, RXNT makes advanced healthcare technology accessible to practices of any size or specialty. The platform has facilitated over 130 million prescriptions and $8 billion in claims, earning recognition in Black Book's 2026 Physician Practice Management Report and TIME’s ranking of the World’s Top HealthTech Companies of 2025.

Key features of RXNT for small practices:

AI-powered medical scribe: RXNT recently launched Ambient IQ, its AI-powered scribe, to help healthcare providers save time and deliver better care—with many providers already reporting a 70% decrease in documentation efforts.
Workflow customization: RXNT’s software is designed to adapt. No matter your specialty or size, their software can be tailored to your needs.

Considerations for choosing an EHR for a small practice

With the financial challenges posed by the pandemic and ongoing economic uncertainty, organizations must be cautious when selecting an EHR that balances cost with essential features.

Small practice EHRs are generally designed to be cost-effective, but the pricing structure can vary based on features and functionality.

Curious about EHR implementation costs for your practice? Read our cost and budget guide to develop a realistic and effective budget for your software selection project.

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