Therapy Practice Management Software · reliability comparison
Tebra (Kareo) vs TheraNest (Ensora Health): which is more reliable? (2026)
TheraNest (Ensora Health) is more reliable than Tebra (Kareo), scoring 100.0 vs 88.1 out of 100. Over the last 90 days Tebra (Kareo) reported 3 incidents and TheraNest (Ensora Health) reported 0, with effective uptime of 99.91% and 100% respectively.
Data updated Nov 1, 2026 · How we score
VS
| Metric | Tebra (Kareo) | TheraNest (Ensora Health) |
|---|---|---|
| Reliability score | 88.1 | 100.0 |
| Rank (therapy practice management platforms) | #7 | #2 |
| Uptime (90 days) | 99.91% | 100% |
| Incidents (90 days) | 3 | 0 |
| Partial / major outages | 0 | 0 |
| Avg time to resolve | 4h 17m | — |
| Outages we detected | 0 | 0 |
| Transparency score | 100/100 | 100/100 |
Where Tebra (Kareo) and TheraNest (Ensora Health) differ
- TheraNest (Ensora Health) reported no incidents in the last 90 days, while Tebra (Kareo) reported 3.
- Tebra (Kareo)'s longest outage on record lasted 3d (Jul 22, 2026); TheraNest (Ensora Health)'s lasted 1h 29m (Apr 9, 2026).
90-day uptime
Tebra (Kareo)
TheraNest (Ensora Health)
- No incidents
- Degraded
- Partial outage
- Major outage
- No data
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)
Recent TheraNest (Ensora Health) incidents
No incidents reported by TheraNest (Ensora Health) in the last 90 days.
Other therapy practice management platforms to consider
- Cliniko · #1 · 100% uptime
- TherapyAppointment · #3 · 100% uptime
- Practice Better · #4 · 99.93% uptime
- Healthie · #5 · 99.96% uptime
See the full most reliable therapy practice management software ranking →