Kareo

What Kareo does

Kareo, founded in 2004 and headquartered in Corona Del Mar, California, provides cloud-based electronic health record (EHR), practice management, and medical billing software targeting independent healthcare practices in the United States — solo practitioners, small group practices, and specialty providers across mental health, pediatrics, family medicine, dental, and other verticals. The platform combines clinical documentation, revenue cycle management, patient scheduling, patient engagement, and practice marketing tools within a single-login integrated suite, with specialty-specific templates, MACRA/MIPS support, HIPAA/HITRUST CSF/PCI DSS compliance, and an emerging AI Smart Staff module that adds AI-assisted clinical note generation, automated patient review responses, practice analytics, and robotic process automation for billing workflows.

The company's revenue model is primarily subscription-based, sold via direct sales (field and inside) with quote-based monthly pricing that is not publicly disclosed, supplemented by transaction-fee revenue from integrated patient payment processing. Go-to-market combines sales-led motions with product-led growth tools (EHR cost calculator, billing calculator, competitive scanner, efficiency grader) and a curated Partner Marketplace channel. In December 2023 Kareo merged with PatientPop to form the combined Tebra entity, expanding into patient acquisition, reputation management, and marketing automation; the combined platform serves approximately 150,000 providers across more than 1,916 companies, with 98.48% of customers based in the United States. Kareo has historically been venture-backed (over $160 million raised across rounds from 2005-2018, including a $55.4M round in 2015 led by Montreux Equity Partners with Silver Lake participation) and has executed three disclosed acquisitions (ECCO Health in 2013, DoctorBase in 2015, PatientlySpeaking in 2021) to extend its product surface.

Name

Kareo

Legal name

Kareo

Website

https://kareo.com

Company type

Private

Founded year

2004

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Kareo provides cloud-based EHR, practice management, and medical billing software for U.S. independent healthcare practices, now operating as part of Tebra following its 2023 merger with PatientPop, serving approximately 150,000 providers via an integrated subscription platform.

Ownership category

akta.pro rank

Product category

Healthcare Practice Management Software

NAICS

Software Publishers (513210), Software Publishers (51321)

SIC

Services-Prepackaged Software (7372)

akta.pro primary industry

Patient Engagement, Education & Messaging Platforms (portal/CRM integrated) (HLALABAJ)

akta.pro secondary industries

Care Navigation, Referral & Digital Front Door Platforms (HLALABAH), Virtual Visit & Scheduling Platforms (EHR-integrated) (HLALABAA)

Keywords

• Electronic health records
• Medical billing software
• Practice management software
• Healthcare revenue cycle
• Patient engagement platform

Headquarters

HQ city

Irvine

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Marketing or Sales, Infrastructure, Operations

Revenue model

1. Medical Billing Software Subscriptions: Kareo generates revenue primarily through subscription-based pricing for its medical billing software, practice management, and EHR solutions. The platform is sold as an integrated all-in-one solution for independent healthcare practices.
2. Patient Payments: Additional revenue streams include patient payment processing through integrated billing and payments features.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels5 records

Core offering

Kareo delivers a cloud-based, all-in-one EHR+ platform for independent healthcare practices, integrating electronic health records, medical billing and claims management, patient payments, patient engagement (online scheduling, intake, messaging), and practice marketing (websites, SEO, reputation management). The platform is sold primarily as a monthly subscription and incorporates AI-powered automation (AI Note Assist, AI Review Replies, generative AI billing appeal letters, and robotic process automation) to reduce administrative workload.

Product overview

Tebra (formerly Kareo) offers an all-in-one EHR+ platform for independent healthcare practices combining clinical, financial, and growth tools. The integrated suite includes EHR for clinical documentation, Billing and Payments for revenue cycle management, Patient Experience for engagement and scheduling, Practice Marketing for online presence, and AI Smart Staff for workflow automation. All products share a unified database and single login, enabling seamless data flow between charting, billing, scheduling, and patient communication workflows. Kareo was rebranded as Tebra following a December 2023 integration, consolidating its medical practice management capabilities under a single brand.

Differentiator

Problem solved

Functional benefit

Products and services

• EHR (Electronic Health Records) Cloud-based electronic health record system that streamlines clinical documentation with AI Note Assist for automated clinical note generation, e-prescribing, electronic labs, telehealth, provider scheduling, complete patient history, and MACRA/MIPS support. Sold to independent healthcare practices and specialty practices.
• Billing Integrated medical billing and claims management platform covering practice management, real-time insurance eligibility verification, claims processing, denial management, electronic claim submission, and robotic process automation for revenue cycle. Sold to independent practices, specialty practices, and medical billing companies.
• Payments Patient payment collection solution enabling online pay, card-on-file functionality, and automated statements for streamlined payment processing. Sold to independent healthcare practices for patient-facing billing.
• Patient Experience Patient engagement platform providing online scheduling, appointment reminders, digital intake forms, and HIPAA-compliant two-way messaging to improve patient communication and reduce no-shows. Sold to independent healthcare practices.
• Practice Marketing Marketing solution for independent practices including custom practice websites, SEO optimization, online profile management across Google and directories, and AI-powered review response capabilities. Sold to independent healthcare practices to grow patient volume.
• AI Smart Staff AI-powered automation suite comprising AI Note Assist for clinical documentation, AI Review Replies for patient feedback, AI Powered Insights for practice analytics, and automated patient billing workflows. Sold to independent healthcare practices to reduce administrative workload.

Quantifiable outcome

• Trusted by 150,000+ providers
• +2 more outcomes

Named customers6 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability4 records

Feature5 records

Partnerships

One partnership is on record.

• TebracoreStrategic or Co-development Partner · 1 December 2023Kareo integrated with Tebra in December 2023, combining Kareo's medical billing and practice management expertise with PatientPop's patient engagement capabilities to create a comprehensive operating system for independent practice success. The combined entity operates under the Tebra brand while leveraging Kareo's established market presence.

Scale indicators3 records

Recent moves6 records

Expansion highlights6 records

Broad incumbents

• athenahealth: athenahealth offers cloud-based EHR, practice management, and billing services primarily for small to mid-sized practices and large medical groups. It is directly comparable to Kareo/Tebra in target market and integrated RCM offering, though it serves a broader range including larger enterprises.
• athenaOne: athenahealth's athenaOne suite bundles EHR, practice management, and patient engagement for ambulatory groups. It is a broader incumbent competitor to Tebra/Kareo's integrated offering in the SMB and mid-market practice segment.
• NextGen Healthcare: NextGen Healthcare delivers EHR and practice management solutions to ambulatory practices of all sizes, including a meaningful independent practice segment. It competes with Kareo across the SMB ambulatory market while also serving larger enterprise clients.

Direct peers

• ModMed: ModMed (Modernizing Medicine) offers specialty-specific EHR and practice management systems for independent specialty practices. It overlaps with Kareo's specialty practice go-to-market and shares a SaaS-based, integrated clinical+financial product approach.
• Practice Fusion: Practice Fusion offers a cloud-based EHR primarily for independent practices, with a similar low-friction, SMB-friendly positioning to Kareo. Both compete for the same solo practitioner and small group buyer with subscription-based cloud delivery.
• DrChrono (EverHealth): DrChrono (now part of EverHealth) provides cloud-based EHR, practice management, and billing tools specifically built for small and specialty practices. It overlaps directly with Kareo in target customer profile, mobile/cloud delivery, and integrated billing.
• eClinicalWorks: eClinicalWorks offers EHR, practice management, and patient engagement tools serving independent practices and small group practices. Its target customer base, bundled EHR+PM model, and pricing transparency closely mirror Kareo's go-to-market approach.
• Greenway Health: Greenway Health provides EHR, practice management, and revenue cycle management solutions to ambulatory practices, including the SMB independent segment. Its integrated ambulatory suite competes head-to-head with Kareo's all-in-one platform.
• CareCloud: CareCloud delivers cloud-based EHR, practice management, and medical billing solutions to small and mid-sized medical practices. It is a direct competitor in the same SMB ambulatory EHR+billing market that Kareo serves.
• AdvancedMD: AdvancedMD provides cloud-based EHR, practice management, and medical billing software for independent practices and billing companies. It is the most direct competitor to Kareo/Tebra in the SMB independent practice segment with a comparable all-in-one positioning.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/GoKareo
• Facebookfacebook.com/GoKareo
• LinkedInlinkedin.com/company/kareo

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Funding overview

Funding rounds12 records

Investors10 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A3 records

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Kareo