Veterinary Practice Management Software · reliability comparison
IDEXX Cornerstone vs IDEXX Neo: which is more reliable? (2026)
IDEXX Neo is more reliable than IDEXX Cornerstone, scoring 92.4 vs 58.6 out of 100. Over the last 90 days IDEXX Cornerstone reported 4 incidents and IDEXX Neo reported 3, with effective uptime of 99.41% and 99.94% respectively. IDEXX Neo resolves incidents faster on average (44m).
Data updated Nov 1, 2026 · How we score
| Metric | IDEXX Cornerstone | IDEXX Neo |
|---|---|---|
| Reliability score | 58.6 | 92.4 |
| Rank (veterinary practice management systems) | #11 | #3 |
| Uptime (90 days) | 99.41% | 99.94% |
| Incidents (90 days) | 4 | 3 |
| Partial / major outages | 2 | 3 |
| Avg time to resolve | 19h 43m | 44m |
| Outages we detected | 0 | 0 |
| Transparency score | 100/100 | 100/100 |
Where IDEXX Cornerstone and IDEXX Neo differ
- IDEXX Cornerstone reported 33% more incidents than IDEXX Neo over the last 90 days (4 vs 3).
- IDEXX Neo had 3 partial or major outages, compared with 2 for IDEXX Cornerstone.
- IDEXX Neo fixes problems faster: 44m on average, against 19h 43m for IDEXX Cornerstone (27.0× quicker).
- IDEXX Cornerstone's longest outage on record lasted 3d (Jun 23, 2026); IDEXX Neo's lasted 21h 6m (Jul 16, 2026).
90-day uptime
IDEXX Cornerstone
IDEXX Neo
- No incidents
- Degraded
- Partial outage
- Major outage
- No data
Recent IDEXX Cornerstone incidents
- Partial outageOct 20, 2026 · resolved in 1h 7m
20 October 2026 - CareCredit Integrated Payments may be unavailable
Affected: Online Payments
- Degraded performanceAug 27, 2026 · resolved in 33d 2h
Cornerstone - SmartOrder - MWI
Affected: SmartOrder - Online Inventory Ordering
- Partial outageAug 17, 2026 · resolved in 1h 24m
Some Cornerstone practices are unable to login to Vello
Affected: Cornerstone Vello
- Degraded performanceAug 13, 2026 · resolved in 4h 19m
MyCornerstone - Upgrade scheduling and user permission management
Affected: MyCornerstone
- Major outageJun 23, 2026 · resolved in 98d 8h
SmartOrder — IDEXX online ordering and order matchingofficial update ↗
Affected: SmartOrder - Online Inventory Ordering
- Major outageJan 5, 2026 · resolved in 267d 1h
SmartOrder – Patterson Ordering Unavailableofficial update ↗
Affected: SmartOrder - Online Inventory Ordering
Recent IDEXX Neo incidents
- Partial outageOct 9, 2026 · resolved in 1h 29m
Fiserv outage impacting IDEXX Payments in Neo
Affected: Neo Software
- Partial outageSep 17, 2026 · resolved in 15m
Neo: Open consultations cannot be closed or marked "ready to pay"
Affected: Neo Software
- Partial outageSep 2, 2026 · resolved in 28m
Neo AI Patient History Summarization Outage
Affected: Neo Software
Other veterinary practice management systems to consider
- PetDesk · #1 · 100% uptime
- Otto · #2 · 100% uptime
- Vetstoria · #4 · 99.96% uptime
- Vetspire · #5 · 99.90% uptime
See the full most reliable veterinary practice management software ranking →