Hospital service
Built for referral, specialty, and 24/7 emergency floors
A single-vet clinic and a 12-doctor overnight ER don't run on the same workflow, and most practice software makes hospitals pay per doctor to find that out. Vivetra's Hospital service runs multi-doctor, multi-shift referral and specialty care on the same shared-core deployment as every other service — one patient record, one billing system, built around how a hospital floor actually moves through a shift, not a general-practice clinic's day.
$200/mo as your first service — unlimited doctors and staff, fully managed hosting included in that price, not a footnote. +$50/mo if added to an existing Vivetra deployment that already runs another service.
Built for the pace of a hospital floor
Multi-doctor, multi-shift scheduling
Overlapping shifts, on-call rotations, and doctor-specific specialty blocks (surgery, internal medicine, cardiology) all live on the same calendar — not a bolt-on for a single-provider clinic stretched to cover a dozen doctors.
Whiteboard-style case tracking
A live view of every patient currently in the building — status, assigned doctor, pending diagnostics, and disposition — so a shift change doesn't mean a verbal handoff is the only record of where a case stands.
Referral-in / referral-out communication
Structured intake from a referring general practice and a structured summary back out when a case returns to that practice's care — the two-way traffic a referral hospital handles every day, built into the record instead of a fax or a PDF attachment.
Controlled-substance logging
Per-dose, per-doctor controlled-substance administration and waste logging with an auditable trail — the level of recordkeeping an ER/specialty pharmacy actually needs, not a generic inventory count.
Real-time treatment-sheet charting
Hospitalized-patient treatment sheets update in real time as meds, fluids, and monitoring checks are administered — the record a night-shift doctor needs to trust at 3 a.m. without calling around to confirm what already happened.
Unlimited doctors and staff, one flat price
Add a fourth overnight doctor or a second surgery team without a per-seat quote — the price above doesn't change because your headcount grows.
Where we're honest about the gap
The closest direct competitor in this specific segment is Instinct Science — a purpose-built ER/specialty EMR that has spent years earning trust with hospitals exactly like yours, including a vendor-stated average 24/7 live support response time of about 90 seconds. That is a real, earned track record, and it's the honest flank where a brand-new vendor like Vivetra hasn't caught up yet: we don't have years of hospital-floor support history behind us, and we're not going to pretend otherwise.
The rest of the field looks different case by case — ezyVet and Vetspire scale to real per-seat cost at hospital headcounts (ezyVet commonly runs $300–500+/user/mo, Vetspire around $349/DVM/mo at that scale), ImproMed/Avimark and eVetPractice/Covetrus Pulse are broader general-practice platforms stretched to cover hospital use, and Shepherd and Hippo Manager are built for small general practices and don't carry real ER tooling.
Two more things we tell every prospective customer upfront: there's no built-in payment processing inside Vivetra itself — your hospital is never locked into a specific processor or a per-transaction cut on your clients' payments — and we're a new, unproven vendor next to competitors with real years-long track records. Both are true, and neither is a footnote.
The closest thing to our pricing model
There's one existing product whose pricing shape actually resembles
ours: OpenVPM (opens in new tab)
(openvpm.com) — open-source, run-it-yourself or
hosted, unlimited staff, no per-user fees, per its own site. Of every
vendor in this segment, it's the closest analog to "flat price,
unlimited headcount" instead of per-seat billing.
The difference is what you're not doing yourself. OpenVPM's run-it-yourself path means your team (or an IT contractor) runs the server, applies the patches, and restores the backup if something goes wrong. Vivetra is fully managed for you — Vivetra operates the deployment as part of your monthly price, so nobody on your staff ever touches a server. And where OpenVPM is a community-maintained project, Vivetra is purpose-built for ER-grade clinical depth (controlled-substance logging, real-time treatment sheets, multi-shift scheduling) backed by a vendor support relationship, not a volunteer maintainer queue.
Yes. The $200/mo first-service price and
the +$50/mo add-on rate for any
additional service don't change based on how many doctors,
techs, or front-desk staff you add under this service —
there's no per-seat tier to hit and no headcount to report.
Is "unlimited doctors and staff" really unlimited?