Therapy Practice Management Software · reliability comparison
SimplePractice vs Tebra (Kareo): which is more reliable? (2026)
Tebra (Kareo) is more reliable than SimplePractice, scoring 88.1 vs 85.1 out of 100. Over the last 90 days SimplePractice reported 7 incidents and Tebra (Kareo) reported 3, with effective uptime of 99.86% and 99.91% respectively. SimplePractice resolves incidents faster on average (1h 49m).
Data updated Nov 1, 2026 · How we score
| Metric | SimplePractice | Tebra (Kareo) |
|---|---|---|
| Reliability score | 85.1 | 88.1 |
| Rank (therapy practice management platforms) | #8 | #7 |
| Uptime (90 days) | 99.86% | 99.91% |
| Incidents (90 days) | 7 | 3 |
| Partial / major outages | 4 | 0 |
| Avg time to resolve | 1h 49m | 4h 17m |
| Outages we detected | 0 | 0 |
| Transparency score | 100/100 | 100/100 |
Where SimplePractice and Tebra (Kareo) differ
- SimplePractice reported 2.3× as many incidents as Tebra (Kareo) over the last 90 days (7 vs 3).
- SimplePractice had 4 partial or major outages, compared with 0 for Tebra (Kareo).
- SimplePractice fixes problems faster: 1h 49m on average, against 4h 17m for Tebra (Kareo) (2.4× quicker).
- SimplePractice's longest outage on record lasted 4h 5m (Dec 17, 2025); Tebra (Kareo)'s lasted 3d (Jul 22, 2026).
90-day uptime
SimplePractice
Tebra (Kareo)
- No incidents
- Degraded
- Partial outage
- Major outage
- No data
Recent SimplePractice incidents
- InformationalOct 23, 2026 · resolved in <1m
- InformationalOct 13, 2026 · resolved in 1h
Affected: Main application
- Partial outageOct 6, 2026 · resolved in 1h 56m
Affected: Main application
- Partial outageSep 4, 2026 · resolved in 31m
Customers unable to create appointments
Affected: Main application
- Partial outageSep 1, 2026 · resolved in 34m
Unable to approve appointment requests
Affected: Main application
- Partial outageAug 31, 2026 · resolved in 1h 20m
Affected: Main application
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 →