What Practice Studio does

PracticeStudio, marketed by MicroFour, Inc., is a privately-held, family-owned electronic health record (EHR) and practice management platform built for solo and small-to-mid-sized outpatient provider groups across six specialties: chiropractic, dermatology, family practice, internal medicine, orthopedic, and urgent care. Founded in 1989 and headquartered in Amarillo, Texas, the company has continuously operated under family ownership for 37 years with no outside investors, no acquisition history, and no exit strategy; it self-describes as the longest-tenured independent EHR vendor still serving these specialties. PracticeStudio is sold as a single bundled subscription covering charting, scheduling, billing, claims submission, insurance verification, patient portal, TeleMed, two-way SMS reminders, document/media management, e-prescribing, and AI — with all modules developed in-house by the same team.

The platform is a Windows-based application installable on-premise or delivered via MicroFour's own cloud (bare-metal servers in Texas with no AWS, Azure, or third-party hosting). At the center of the stack is Alma AI, an in-house assistant introduced in 2025 that runs entirely on MicroFour-owned infrastructure, performs ambient encounter transcription via self-hosted WhisperX, and converts speech into SNOMED-coded structured clinical data across 13 chart sections with persistent per-user memory and screen-aware context. Other vertically-integrated components include the Surescripts-certified RxWriter e-prescribing module (with EPCS for Schedule II–V controlled substances), a built-in DICOM viewer with annotation and measurement, HL7 lab integration, eFax, document scanning, and a 150+ report analytics suite. The roadmap includes Guided Agency, a planned capability for autonomous multi-step workflow execution within user-defined permission boundaries.

PracticeStudio's go-to-market is direct sales only: prospects request demos via the website, are routed through HubSpot CRM to inside sales, and receive quote-based pricing scaled by specialty and practice size under month-to-month contracts. There are no resellers, no marketplace listings, and no channel partners; Alma AI is included at no add-on fee. Compliance is a core commercial asset — PracticeStudio X20 holds ONC 2015 Edition Certification (Certificate No. 15.04.04.1985.Prac.20.00.1.180810, certified 08/10/2018 by Drummond Group), Surescripts Solution Provider certification, and EPCS certification, with annual Real World Testing plans and results published through 2025.

Name

Practice Studio

Legal name

MicroFour, Inc.

Website

https://practicestudio.net

Company type

Private

Founded year

1989

Operating status

Operating

Headcount range

51–100 employees

Short description

PracticeStudio, by family-owned MicroFour, Inc., is an ONC-certified EHR and practice management platform serving solo and group outpatient practices in chiropractic, dermatology, family practice, internal medicine, orthopedic, and urgent care. It bundles charting, billing, scheduling, patient engagement, e-prescribing, and proprietary in-house Alma AI into one subscription.

Ownership category

akta.pro rank

Headquarters

HQ city

Amarillo

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, Infrastructure, Operations, Marketing or Sales, Supply Chain

Revenue model

1. EHR & Practice Management Software Subscription: PracticeStudio is sold as a comprehensive EHR and practice management platform covering charting, billing, scheduling, patient engagement, and Alma AI under a single subscription. Pricing is not publicly disclosed; the company describes it as straightforward and quote-based, scaled by practice size and specialty. A month-to-month contract structure is referenced in certification documentation. No per-record fees, no data export charges.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels6 records

Core offering

PracticeStudio is an integrated Electronic Health Record (EHR) and practice management software platform for outpatient medical practices across six specialties (chiropractic, dermatology, family practice, internal medicine, orthopedic, urgent care). Bundled under a single subscription are charting, appointment scheduling, electronic claims and billing, automatic insurance verification, two-way SMS reminders, a patient portal, TeleMed video visits, DICOM imaging, document and media management, e-prescribing with EPCS, and the proprietary Alma AI clinical documentation assistant that produces SNOMED-coded structured chart data on MicroFour's own Texas servers. The offering is sold via direct sales and deployed either as a cloud-hosted service on MicroFour's infrastructure or as on-premise Windows software.

Differentiator

Problem solved

Functional benefit

Brands

• Alma AI: Proprietary AI assistant built in-house by MicroFour that provides ambient clinical documentation, screen-aware clinical intelligence, structured chart data generation with SNOMED codes, persistent memory, and guided agency workflow automation. Named after Alma Gwendolyn White (Mimi), mother of MicroFour's founders. Runs entirely on MicroFour-owned servers in Texas with no third-party AI components.
• RxWriter
• DCez
• PracticeStudio X20

Products and services

• PracticeStudio Electronic Health Record (EHR) and practice management platform serving outpatient medical practices across chiropractic, dermatology, family practice, internal medicine, orthopedic, and urgent care specialties. Bundles charting, appointment scheduling, billing and claims, insurance verification, SMS reminders, patient portal, TeleMed, document and DICOM management, e-prescribing, and the Alma AI assistant in a single subscription, deployed either cloud-hosted on MicroFour's own Texas servers or as on-premise Windows software.
• Alma AI Proprietary in-house AI assistant built by MicroFour that produces structured clinical data with SNOMED CT codes across 13 encounter sections via ambient scribing (WhisperX-based speech-to-text), generates pre-visit clinical briefings, supports screen-aware context actions, and maintains persistent per-user memory. Runs entirely on MicroFour-owned servers with no OpenAI, Azure, or other third-party AI integration.
• DCez Original chiropractic practice management software from MicroFour (1989); predecessor product to the broader PracticeStudio EHR platform, designed specifically for chiropractic offices handling high-frequency visits, re-exams, and chiropractic-specific billing codes and modifiers.

Quantifiable outcome

• No patient data leaves MicroFour's infrastructure — zero third-party AI data sharing
• +4 more outcomes

Segments6 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

AI capability8 records

Feature13 records

Partnerships

Two partnerships are on record, tiered core.

• Drummond GroupcoreTechnology or IntegrationDrummond Group is the ONC-Authorized Certification Body (ONC-ACB) that certified PracticeStudio X20 as compliant with ONC Certification Criteria for Health IT (2015 Edition). Certificate No. 15.04.04.1985.Prac.20.00.1.180810. Drummond Group conducts the testing and certification of EHR technology required for government meaningful use compliance.
• SurescriptscoreTechnology or IntegrationSurescripts is the nation's largest e-prescribing network, routing over 1 billion electronic prescriptions annually. MicroFour's RxWriter is a Surescripts-certified Solution Provider for prescription routing (new scripts and renewals), prescription benefits (formularies), and medication history. This certification enables RxWriter to connect electronically to every accredited pharmacy in the United States.

Scale indicators11 records

Recent moves6 records

Expansion highlights4 records

Direct peers

• eClinicalWorks: eClinicalWorks is a privately held ambulatory EHR and practice management vendor serving small-to-mid-sized physician practices. Comparable to PracticeStudio in target market, integrated EHR+PM platform scope, and specialty adaptation, with similar pricing model and customer profile.
• Tebra (formerly Kareo): Tebra is a cloud-based practice management, EHR, billing, and patient engagement platform purpose-built for independent practices. Closely comparable to PracticeStudio in solo-and-small-group customer focus, integrated platform, and all-in-one subscription model.
• athenahealth: athenahealth is a leading cloud-based ambulatory EHR and practice management platform serving physician practices of all sizes. Directly comparable to PracticeStudio in core EHR, billing, and patient engagement functionality, with similar sales-led GTM targeting outpatient groups.
• AdvancedMD: AdvancedMD offers cloud-based EHR, practice management, billing, and patient engagement for small-to-mid-sized ambulatory practices. Comparable to PracticeStudio in target customer size, subscription model, integrated platform scope, and specialty adaptation.
• NextGen Healthcare: NextGen provides ambulatory EHR and practice management solutions with deep specialty templates for orthopedics, dermatology, and primary care — directly mirroring PracticeStudio's six specialty verticals. Similar integrated platform, sales-led model, and mid-market provider target.
• DrChrono (by EverHealth): DrChrono delivers cloud-based EHR, practice management, and medical billing for ambulatory practices with strong mobile (iPad/iPhone) support. Comparable to PracticeStudio in customer profile of solo and small specialty practices, though differentiated by mobile-first deployment versus PracticeStudio's Windows focus.
• Greenway Health: Greenway Health provides ambulatory EHR and practice management solutions (Intergy, Prime Suite) serving primary care and specialty practices. Comparable to PracticeStudio in core platform architecture, ambulatory focus, and target customer profile of independent medical groups.
• ModMed (Modernizing Medicine): ModMed is a specialty-native EHR platform with deep dermatology, orthopedic, and gastroenterology workflows plus embedded AI ambient documentation (EMA). Most directly comparable to PracticeStudio in specialty-vertical depth and AI strategy, though typically serving larger specialty groups.
• Practice Fusion (Veradigm): Practice Fusion is a cloud-based EHR targeting independent ambulatory practices, originally focused on small physician offices. Directly comparable to PracticeStudio in target customer size, integrated EHR+PM scope, and price-sensitive ambulatory positioning.

Broad incumbents

• Epic Systems (Community Connect): Epic is the dominant EHR for large health systems but extends into ambulatory through Community Connect and specialty modules. As the broad incumbent in the space, Epic sets competitive pressure that shapes PracticeStudio's mid-market specialty positioning, though Epic typically serves much larger customers.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key highlights7 records

Customer concentration

• Xx.com/practice_studio
• LinkedInlinkedin.com/company/microfour

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

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 Practice Studio