Therapy Practice Management Software · reliability comparison
Owl Practice vs Tebra (Kareo): which is more reliable? (2026)
Owl Practice and Tebra (Kareo) are effectively tied on reliability (89.3 vs 88.1). Over the last 90 days Owl Practice reported 5 incidents and Tebra (Kareo) reported 3, with effective uptime of 99.97% and 99.91% respectively. Owl Practice resolves incidents faster on average (7m).
Data updated Nov 1, 2026 · How we score
| Metric | Owl Practice | Tebra (Kareo) |
|---|---|---|
| Reliability score | 89.3 | 88.1 |
| Rank (therapy practice management platforms) | #6 | #7 |
| Uptime (90 days) | 99.97% | 99.91% |
| Incidents (90 days) | 5 | 3 |
| Partial / major outages | 5 | 0 |
| Avg time to resolve | 7m | 4h 17m |
| Outages we detected | 0 | 0 |
| Transparency score | 100/100 | 100/100 |
Where Owl Practice and Tebra (Kareo) differ
- Owl Practice reported 67% more incidents than Tebra (Kareo) over the last 90 days (5 vs 3).
- Owl Practice had 5 partial or major outages, compared with 0 for Tebra (Kareo).
- Owl Practice fixes problems faster: 7m on average, against 4h 17m for Tebra (Kareo) (36.2× quicker).
- Owl Practice's longest outage on record lasted 12m (Oct 18, 2026); Tebra (Kareo)'s lasted 3d (Jul 22, 2026).
90-day uptime
Owl Practice
Tebra (Kareo)
- No incidents
- Degraded
- Partial outage
- Major outage
- No data
Recent Owl Practice incidents
- Partial outageOct 25, 2026 · resolved in 3m
Affected: API
- Partial outageOct 18, 2026 · resolved in 12m
Affected: API
- Partial outageOct 13, 2026 · resolved in 6m
Affected: API
- Partial outageSep 9, 2026 · resolved in 3m
Affected: API
- Partial outageSep 6, 2026 · resolved in 11m
Affected: API
Recent Tebra (Kareo) incidents
- Degraded performanceSep 16, 2026 · resolved in 6h 46m
Experiencing Technical issues with calling support
Affected: Phone & IVR
- Degraded performanceSep 9, 2026 · resolved in 1h 18m
Some users are experiencing latency and/or errors when trying to log in to web app
Affected: Platform, Clinical (EHR)
- Degraded performanceAug 31, 2026 · resolved in 4h 48m
Affected: Platform, Clinical (EHR), Billing (PM)
Other therapy practice management platforms to consider
- Cliniko · #1 · 100% uptime
- TheraNest (Ensora Health) · #2 · 100% uptime
- TherapyAppointment · #3 · 100% uptime
- Practice Better · #4 · 99.93% uptime
See the full most reliable therapy practice management software ranking →