What 4th Dimension EMR does

4th Dimension EMR, Inc. (4D EMR) is a privately-held, founder-owned software company founded in 2013 by Dr. Robert Pollack, a board-certified plastic surgeon. The company provides a cloud-native electronic medical record (EMR) and practice management platform purpose-built for aesthetic medicine — specifically plastic and cosmetic surgery practices, medical spas, and other aesthetic providers. Its core platform consolidates scheduling, clinical charting, before-and-after photo management, patient quoting, point-of-sale and payment processing (including 4D PAY), inventory tracking, two-way messaging, patient portal with digital intake, telehealth, and insurance billing into a single HIPAA-compliant system accessible from any browser without local software installs.

The product architecture is distinguished by its native cloud build (as opposed to retrofitted legacy client-server EMRs) and a recent AI extension: 4D Scribe AI, an ambient medical scribe that listens to clinical encounters and generates structured SOAP/H&P/Progress notes in under 90 seconds. The AI capability is delivered through a partnership with Knowtex and embedded natively into the EMR workflow. The platform has earned ONC Health IT certification (Drummond Certified, April 2026) and operates an integration ecosystem that includes PatientFi (exclusive embedded patient financing), AI Med Consult (engagement analytics), Open Practice/OpenPM (billing), Rocopia (ePrescribing), and approximately ten other specialty-aligned partners.

Commercially, 4D EMR serves over 200 aesthetic practices in the United States on a subscription model priced at $750 per month for the first provider and $325 per month for each additional provider, with month-to-month contracts, no per-user fees, no implementation fees, and free data migration included. The company sells via a direct/inside sales motion with demo-based engagement, supported by industry event presence (ASAPS The Aesthetic MEET, AACS Annual Scientific Meeting) and content marketing. The company is incorporated in Nevada with operational headquarters in Las Vegas, and has no disclosed external funding to date.

Name

4th Dimension EMR

Legal name

4th Dimension EMR, Inc.

Website

https://4d-emr.com

Company type

Private

Founded year

2013

Operating status

Operating

Headcount range

11–50 employees

Short description

4th Dimension EMR provides a cloud-native electronic medical record and practice management platform purpose-built for plastic surgery, cosmetic surgery, and medical spa practices, integrating scheduling, charting, AI scribing, payments, and patient engagement for over 200 US aesthetic providers.

Ownership category

akta.pro rank

Product category

Aesthetic Medical Practice Management Software

NAICS

Custom Computer Programming Services (541511)

SIC

Services-Computer Programming, Data Processing, Etc. (7370)

akta.pro primary industry

EHR Implementation, Optimization, Training & Managed Services (HLACAAAL)

akta.pro secondary industry

Patient Intake, Digital Registration & eForms (HLACAEAF)

Keywords

• Aesthetic practice software
• EMR platform
• Practice management
• Medical scribing
• Patient engagement

Headquarters

HQ city

San Diego

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, Operations

Revenue model

1. Provider Subscription: Monthly subscription pricing per provider. Primary revenue stream from aesthetic practice customers paying recurring monthly fees. Tiered model with first provider at higher rate and additional providers at reduced per-provider cost. No per-user or per-seat charges for staff.
2. Professional Services (Migration & Training): Data migration, onboarding, and training included as part of standard implementation at no additional charge. No separate implementation fees. Training delivered via live Zoom sessions included in subscription.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels8 records

Core offering

4D EMR provides a cloud-based electronic medical records (EMR) and practice management software platform built specifically for aesthetic medicine practices. The platform supports patient charting, scheduling, billing, photo documentation, and integrated AI-powered medical scribing for plastic surgeons, medical spas, and cosmetic dermatology clinics.

Product overview

4D EMR offers a unified cloud-based EMR and practice management platform designed specifically for aesthetic medicine practices (plastic surgery, medical spas, cosmetic practices). The core 4D EMR platform integrates Electronic Medical Records, Practice Management, POS & Payment Processing (including 4D PAY), Patient Engagement, Reporting & Analytics, and Photo Management & Tools as integrated modules. The platform was built by a practicing plastic surgeon and features 4D Scribe AI as a specialized AI-powered medical scribe module that provides ambient listening, speech-to-text transcription, and AI-generated clinical notes. The platform serves over 200 aesthetic practices with HIPAA-compliant, cloud-native architecture accessible from any device.

Differentiator

Problem solved

Functional benefit

Brands

• 4D Scribe AI: AI-powered medical scribe that listens to clinical encounters, transcribes them with medical-grade accuracy, and generates structured clinical notes. Claims to reduce charting time by 60%.
• 4D PAY

Products and services

• 4D EMR Platform
• 4D Scribe AI
• 4D PAY

Quantifiable outcome

• 60% reduction in charting time per clinician (5 hours saved per week)
• +6 more outcomes

Named customers4 records

Segments3 records

Ideal customer profiles1 record

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration12 records

AI capability8 records

Feature6 records

Partnerships

Seven partnerships are on record, tiered core, secondary and minor.

• PatientFicoreTechnology or Integration · 13 May 2026Native integration announced May 2026 turning 4D EMR into exclusive integrated patient financing partner platform. PatientFi's financing solutions (approvals up to $60,000, zero-interest plans) fully embedded within 4D EMR workflow. Reusable digital wallet for repeat procedures, pre-consultation approvals, and automated financial sync to patient records. Drives up to 44% higher treatment conversion rates.
• AI Med ConsultcoreStrategic or Co-development Partner · 25 March 2026Strategic partnership announced at American Academy of Cosmetic Surgery (AACS) Annual Scientific Meeting. Combines AI Med Consult's AI-powered patient engagement technology with 4D EMR's electronic medical record platform. Enables practices to track patient behavior, outcomes, and optimize operations through real-time feedback and analytics. Integration passes patient engagement data directly into EMR with ROI insights from patient actions and treatment data.
• Open Practice (OpenPM)secondaryTechnology or Integration · 11 July 2024Partnership featuring The Crowes Nest Podcast discussing integration between 4D EMR and Open Practice for medical billing. OpenPM provides billing software and clearinghouse component integrated with 4D EMR clinical platform. Users and billers don't leave OpenPM to access clearinghouse functionality. Streamlines revenue cycle management without separate software platforms.
• Satisfied PatientminorGTM or Marketing Partner · 29 May 2024Co-hosted webinar on automated 5-star online reviews. Satisfied Patient provides reputation management and review automation integrated with 4D EMR. Joint webinar educating aesthetic practices on improving online presence and patient acquisition through automated review systems.
• KnowtexcoreTechnology or Integration · 9 January 2024Groundbreaking partnership announced January 2024 introducing first specialty-specific voice and generative AI EMR workflow. Knowtex provides AI-powered voice scribing technology integrated natively into 4D EMR platform. Partnership formed during shared MedTech Innovators 2023 cohort. CEO Dr. Robert Pollack describes it as 'the holy grail of doctor ease of use' allowing doctors to interact with EMR through natural voice commands.
• RocopiasecondaryTechnology or IntegrationThird-party ePrescribing service provider with HIPAA Business Associates Agreement access to 4D EMR practice data. Enables electronic prescription capabilities for controlled substances and general prescriptions through integrated workflow.
• Integrated Technology PartnerssecondaryTechnology or IntegrationLogo Partners displayed on homepage including Aesthetic Record, RealSelf, Weave, RSI, SurgiCare, LeadLoop, AdVital, Boost Patients, Shareable, and AI Image Assist. Web API integration allowing practices to connect third-party applications they select and permit through the 4D EMR program.

Scale indicators6 records

Recent moves6 records

Expansion highlights4 records

Direct peers

• Nextech: Nextech is one of the largest EMR and practice management vendors serving plastic surgery, dermatology, ophthalmology, and orthopedics. It is repeatedly cited by 4D EMR customers (e.g., Chopra Plastic Surgery, Barrett Plastic Surgery) as the legacy system they migrated away from, making it the most direct head-to-head competitor in the aesthetic EMR category.
• Modernizing Medicine (Mod Med): Modernizing Medicine offers specialty-specific EHR systems including a plastic surgery and med spa edition built on its EMA platform. It is named by 4D EMR customers as a prior incumbent they replaced, and competes for the same mid-market and enterprise aesthetic practices with AI documentation (ModMed Scribe) and integrated practice management.
• Symplast: Symplast is a cloud-native EHR and practice management platform purpose-built for plastic surgeons and med spas. It directly competes with 4D EMR in the same niche with mobile-first workflows, patient engagement, and integrated payments, serving a similar profile of elective-aesthetic practices.
• Aesthetic Record: Aesthetic Record is an EMR and business management platform built specifically for medical spas and aesthetic practices. It is listed as a 4D EMR integration partner logo and competes for the same med spa and aesthetic segment with scheduling, charting, inventory, and POS functionality.
• PatientNow (by Nextech): PatientNow is a marketing, patient engagement, and EMR platform targeting medical spas and aesthetic practices. It directly overlaps with 4D EMR's med spa segment on scheduling, patient engagement, and EMR, and competes in the same demo-driven sales motion.
• Remedly: Remedly provides specialty-specific EHR, practice management, and billing for medical spas, plastic surgery, and dermatology aesthetics. It targets the same elective-aesthetic verticals with cloud delivery and integrated patient engagement, comparable to 4D EMR's product surface.

Broad incumbents

• eClinicalWorks: eClinicalWorks is a large ambulatory EHR vendor serving practices of all specialties, including aesthetic and plastic surgery. While not specialty-specific, it overlaps on EMR, patient portal, and billing functionality and represents a broader incumbent alternative for practices considering 4D EMR.
• DrChrono (by EverHealth): DrChrono is a cloud-based EHR and practice management platform serving ambulatory specialties including aesthetics and med spas. It competes more broadly across specialties but overlaps with 4D EMR on scheduling, charting, patient engagement, and mobile/cloud delivery.
• athenahealth: athenahealth is a large-scale ambulatory EHR and revenue cycle vendor used by practices of varying sizes including some aesthetics. It is a broader incumbent alternative rather than a direct aesthetic-specialty competitor but overlaps materially on core EMR, patient portal, and billing functionality.
• CureMD: CureMD offers specialty-specific EHR, practice management, and billing across multiple ambulatory specialties including aesthetics. While not niche-focused on plastic surgery, it overlaps with 4D EMR on core clinical documentation, scheduling, patient engagement, and integrated billing.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/4D-EMR-61566956621893
• LinkedInlinkedin.com/company/4d-emr

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds1 record

Investors1 record

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

M&A

Investments

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

Frequently asked questions about 4th Dimension EMR