Cloud vs. On-Premise PIMS for Startup Vet Clinics | NectarVet

Starting a veterinary clinic comes with countless decisions, from location and staffing to equipment and technology. One of the most critical choices is your Practice Information Management System (PIMS). To see a full comparison of the best PIMS options for startup clinics, check out our comprehensive guide.

The debate between cloud-based and on-premise PIMS has been ongoing for years, but for startup clinics, the choice is becoming clearer. Let’s break it down.

Startup-Specific Considerations

For new clinics, cash flow and flexibility are key. Cloud-based PIMS generally require a much lower upfront investment compared to traditional on-premise systems. You don’t need to purchase servers or set up a dedicated server room, freeing up both space and capital for other priorities.

Cloud platforms also grow with you. As your clinic expands or your needs evolve, adding features or upgrading plans is seamless. You can use the devices you already have—tablets, laptops, or phones—and often integrate with a wide variety of other veterinary technologies. Modern cloud PIMS tend to offer advanced features and sleek user interfaces, giving your clients a pleasant, contemporary experience from day one.

Benefits of Cloud-Based PIMS

  1. Access Anywhere – Finish your patient notes from home or check on cases while working remotely. Cloud platforms like NectarVet let you access your data securely from any location.
  2. Device Flexibility – Tablets, phones, computers—you can connect as many devices as you need.
  3. Automatic Data Backups – NectarVet backs up data every hour, so you never have to worry about losing critical information.
  4. Included Support & Updates – Customer support and system updates are typically included at no extra cost.
  5. Flexible Integrations – Many cloud PIMS offer open API policies, letting you connect to new technologies as they emerge.
  6. Modern Features & Interface – Your staff and clients will enjoy a smooth, intuitive experience.
  7. Seamless Rollouts – New features are automatically available without hours of manual installation.

Cloud-based systems like NectarVet also often offer exclusive features that on-premise PIMS can’t match:

  • Unlimited 2-Way SMS for client communication.
  • Client Portals for appointments, medical history, and billing.
  • Customizable Online Scheduling, including deposit collection.
  • VetCove Integration for inventory management.
  • Built-In AI Tools, from exam scribing to client communication and medical record review.

Cloud-based systems also offer exclusive features that most on-premise PIMS can’t match. Here are some cloud-specific features and nuances between the platforms available today:

  • Unlimited 2-Way SMS – certain cloud-based PIMS NectarVet and Pulse offer unlimited SMS, and there are others like EzyVet or Shepherd which have volume-based charges, but still offer SMS capabilities within their platform.
  • Client Portals – all-in-one cloud platforms like NectarVet, Digitail, Shepherd, and include portals in their subscriptions.
  • Online Scheduling – NectarVet offers customizable scheduling with deposit collection.
  • VetCove Integration for Inventory – Independently-owned PIMS like NectarVet integrate with VetCove, while platforms owned by veterinary suppliers like Covetrus Pulse do not.
  • AI Features – NectarVet provides a broad suite of AI tools including AI scribe, AI call summaries, AI medical history review, and AI client communication generation, while Digitail has more specialized AI features like AI dental charting.

On-Premise PIMS: What You Gain and What You Risk

Traditional on-premise systems like Avimark, Cornerstone, and ImproMed have been around the longest and have large, active user communities. Peer-to-peer support can be valuable, and migration tools often exist if you decide to switch systems later. Additionally, clinics in extremely remote locations without reliable internet may benefit from on-premise setups, and after the initial purchase, there’s usually no ongoing subscription fee.

However, on-premise systems come with significant drawbacks:

  • Server Failures – Veterinary servers crash frequently, and replacements average around $17,000.
  • Manual IT Maintenance – Updates, backups, and bug fixes can take hours of staff time.
  • Limited Remote Access – Teams working offsite often require VPNs, and some vendors may need to send personnel onsite.
  • Data Loss Risk – If backups aren’t performed regularly, critical patient data can be lost.

Why Cloud Is the Future for Startup Clinics

While on-premise systems may feel “tried and true,” they don’t future-proof your clinic. For startup clinics, cloud-based PIMS offer a lower upfront cost, better flexibility, modern features, and scalable integrations—all while providing a safer, more convenient workflow for staff and clients.

Choosing a cloud PIMS like NectarVet empowers new veterinary clinics to launch with confidence, provide exceptional client experiences, and grow efficiently without being limited by outdated technology.

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