KeenVerdict

Review · Health & wellness

IDEXX Cornerstone review

IDEXX's server-based veterinary practice management software with deep IDEXX diagnostics, imaging and payments integration.

By the KeenVerdict research desk · Updated November 12, 2026

Features (40%)
8.4
Ease of use (30%)
7.0
Value (30%)
6.8

Cornerstone is IDEXX's server-based practice management software, and its strength is the integration with IDEXX diagnostics a clinic already runs every day. Core features include scheduling, an EMR, inventory, invoicing, reporting, a whiteboard for patient status and tasks, imaging integration for ordering and viewing images, and compliance assessment alerts that flag every eligible care opportunity. Cornerstone Payments sends invoice amounts to the payment terminal, records payments back in the software and emails or texts payment links. Vello adds automated reminders and a pet owner mobile app, and VetConnect PLUS shows all IDEXX results with trend graphs. The partner list is long and includes Antech, Heska, Abaxis, QuickBooks, Vetstoria and Trupanion Express. Because it runs on a server the practice owns, the clinic carries hardware, backup and remote access costs, and IDEXX does not publish prices. New buyers who like IDEXX's tools may prefer ezyVet in the cloud.

Who it is for

Established hospitals that prefer server-based software

Price

See vendor pricing (USD check pending).

US price check pending. See the vendor pricing page.

Key features

  • Diagnostic integration with IDEXX in-house and reference lab testing
  • Scheduling, EMR, inventory, invoicing, reporting and a whiteboard
  • Imaging integration to order and view diagnostic images
  • Compliance assessment alerts for eligible care
  • Cornerstone Payments and Vello client engagement

Strengths and weaknesses

  • Strength: Long partner list, including Antech, Heska, Abaxis, QuickBooks and Trupanion Express
  • Strength: Cornerstone Payments records terminal payments back into the software
  • Strength: Practice data stays on the clinic's own server
  • Weakness: Server-based: the practice manages hardware and backups
  • Weakness: No published pricing
  • Weakness: IDEXX also sells cloud systems, ezyVet and Neo, for practices that want to drop the server

Key facts

  • Deployment: Server-based
  • Vendor: IDEXX
  • Client engagement: Vello, sold separately
  • Payments: Cornerstone Payments

Where it ranks

IDEXX Cornerstone is No. 9 in our Best Veterinary Practice Management Software verdict.

Alternatives we scored

Visit idexx.com · Questions or corrections: editorial@keenverdict.com