EMR One-Pagers — Q-Site Medspa Survey

Eight EMRs ranked by user satisfaction. Each card shows who uses the platform, what users love and hate (in their own words), and the Moxie-positioning read. Based on 152 medspa respondents, Feb 24 – Mar 30, 2026.
Satisfaction = 1–7 scale (1 Extremely Dissatisfied → 7 Extremely Satisfied)
Survey average = 5.38/7
Revenue bands: <$20k/mo $20–100k/mo $100k+/mo
1

Vagaro

6.25/7
mean satisfaction
n = 8directional
88%satisfied or better
0%dissatisfied
Revenue
12%
75%
12%
Mid-market cluster — 75% at $20–100k/mo, very few at either extreme
Providers
Median 5
047+
Owner-led — 75% of owners still treat patients
Locations
88% single-location
Data & Reporting Strong "reporting features provide insights into revenue, staff performance"

What they love

  • Low price"cheap"; "upfront cost"
  • Reports"insights into revenue, staff performance"
  • Ease + workflow fit"integrates well with workflow"

What they hate

  • Almost nothing — one isolated complaint"not very intuitive"
  • Structural risk: users cluster small — may outgrow the platform
Moxie Play Concede the segment. Vagaro owns the price-happy <$100k tier and its users aren't shopping (zero decliners in the sample). Focus poach energy upmarket on Zenoti, Nextech, and Boulevard.
2

Moxie

6.20/7
mean satisfaction
n = 5directional
80%satisfied or better
0%dissatisfied
Revenue
40%
40%
20%
Wide spread — two users under $20k, two at $50–100k, one at $100k+
Providers
Median 1
047+
Solo practitioners — owner IS the practice; NP/PA/RN/DO skew (no MDs)
Locations
100% single-location
Data & Reporting Blind spot No reporting complaints — but 3 of 5 users don't track gross margins at all (early-stage blind spot)

What they love

  • Completeness"by far the most complete EMR out there" — said by a respondent who had used 5 other EMRs
  • Reliability + ease"it always works… very user friendly"
  • Service + transparency"they do what they sold they're gonna do"

What they hate

  • No mobile app"I wish it had an app on my phone"
  • Price flagged once"it's great but expensive"
Moxie Position Completeness + service is the moat, and Moxie users are the fastest growers in the survey (3 of 5 grew 21–50%). Close the mobile gap and get ahead of "expensive" with ROI framing before Prospyr or Boulevard weaponize either.
3

Aesthetics Pro

5.69/7
mean satisfaction
n = 13respondents
54%satisfied or better
0%dissatisfied
Revenue
8%
62%
31%
Mid-to-upper — most at $20–100k; a third at $100k+
Providers
Median 3
047+
All owner-operators; MD-led (38%)
Locations
85% single-location
Data & Reporting Strong "full relational database for reporting" — 31% run formal dashboards, the most data-driven of any EMR

What they love

  • Full-featured reporting"full relational database for reporting"
  • Customizable"easy to customize, offers all features we need"
  • Everyday simplicity"simple to use for everyday tasks"

What they hate

  • Bugs + glitches"still has a lot of bugs"; "has a few glitches"
  • Slow support + weak integrations"could be better/quicker with support"
  • Lead indicatorone user: "it's just OK. Will probably change."
Moxie Play Retention champions stuck on a tolerated tool, and half are declining — they need a growth narrative, not a feature brochure. Lead with reporting depth and actual support velocity.
4

Aesthetic Record

5.54/7
mean satisfaction
n = 24largest sample
50%satisfied or better
0%dissatisfied
Revenue
25%
50%
25%
Widest spread of any EMR — equal quarters at both ends, half in the middle
Providers
Median 2
047+
Small teams; 42% of owners generate >75% of revenue themselves
Locations
75% single-location
Data & Reporting Weak Flagged as the #1 improvement area — "would like more integrations and easier reporting"

What they love

  • Price"the price can't be beat"; "best priced EMR"
  • Ease"user-friendly"; "feature-rich and easy to use"
  • Before/after photos"after photos ghost over the before so I get a perfect match"
  • Responsive support"issues have gotten resolved"

What they hate

  • Weak on wellness / HRT"clunky for hormone replacement"; "doesn't integrate with labs"
  • Limited reporting — flagged as top improvement area
  • Booking portal"managing monthly promotions and booking portal is very clunky"
Moxie Play AR owns affordable, aesthetics-only. The wedge is anything beyond injectables: wellness, HRT, labs. Target AR users expanding service lines, not defending them.
5

Boulevard

5.52/7
mean satisfaction
n = 21respondents
62%satisfied or better
5%dissatisfied
Revenue
24%
48%
29%
Broad mix — but lowest median profit of any EMR despite the top-tier share
Providers
Median 3
047+
Split — some owners delegate, some still inject themselves
Locations
67% single, 33% multi-location
Data & Reporting Mixed One positive — "great reports" — but 57% of users sit at $0–10k profit (lowest tracking rigor) and charting is "not the best for documentation"

What they love

  • Scheduling"easy booking"; "great scheduling platform"
  • Bundled marketing"marketing and text messaging included"
  • Customizable forms"forms that automatically attach to appointments"

What they hate

  • Outages"system goes down often"; "system crashes" (4 mentions — most of any EMR)
  • Cost"very expensive per month"
  • Weak charting"not the best for charting"
  • No human support"no access to talk to a person"
Moxie Play Reliability cracks and a third of users in revenue decline — the trust is eroding. Target practices that outgrew scheduling-first needs; lead with clinical depth, uptime, and a human on the phone.
6

Patient Now

5.36/7
mean satisfaction
n = 14respondents
50%satisfied or better
7%dissatisfied
Revenue
50%
43%
Solid revenue — 43% at $100k+/mo, only 7% under $20k; MD-led (36%)
Providers
Median 5
047+
Fully delegated — only 7% of owners still inject
Locations
71% single, 21% at 2–3 locations
Data & Reporting Weak Aging platform. 36% of users don't know or don't track their gross margins — alarming for practices this mature

What they love

  • Longevity + familiarity"used for 10+ years"; "most comprehensive charting"
  • E-prescribing"integrated to send electronic prescriptions"
  • RX Photo integration"easy to use once set up"

What they hate

  • Aging platform"older platform that has not advanced with growing needs"
  • Trapped by data"out of date but our client base is too large to move"
  • Slow + no weekend support"slow loading"; "no service on the weekend"
Moxie Play Users are trapped by migration cost, not loyalty. These are high-transaction-value mature practices in revenue decline — a data-migration offer is the unlock, not feature parity.
7

Zenoti

4.95/7
mean satisfaction
n = 21respondents
43%satisfied or better
19%dissatisfied
Revenue
29%
62%
Enterprise skew by far — 62% at $100k+/mo (24% over $250k)
Providers
Median 6
047+
Highest of any EMR. 52% of owners generate <25% of revenue — true delegators
Locations
Most multi-location of any EMR (38% at 2+, 10% at 4+)
Data & Reporting Weak "the reporting sucks"; "conflicting numbers" (4 mentions). 52% bolt on a separate CRM because the built-in tools aren't enough

What they love

  • All-in-one"best all-in-one software for EMR/POS/analytics"
  • AI features"they keep adding more AI features"
  • Onboarding training"personalized training for every staff member"

What they hate

  • Zero support"zero customer support"; "difficult to speak with someone" (5 mentions)
  • Overcomplicated"stupid complicated"; "not user friendly"
  • Price creep"increase price with every single addition"
  • iPad lag"at least 75% of the time we have had issues with lags"
Moxie Play Biggest prize. Enterprise-sized + losing ground (19% declining despite top revenue) + furious. "They do what they sold they're gonna do" lands hardest here — one respondent wrote a 200-word teardown, which means they're already shopping.
8

Nextech

4.25/7
mean satisfaction
n = 8directional
38%satisfied or better
50%dissatisfied
Revenue
62%
38%
No small practices — all at $20k+; 25% over $250k; 50% "Other" license (non-clinical)
Providers
Median 4
047+
Mostly delegated — non-clinical ownership common
Locations
62% single-location, 38% multi-location
Data & Reporting Weak "reporting is not good." 75% of users bolt on a separate CRM — highest rate in the survey

What they love

  • GHL integration + go-live team (one recent switcher)
  • One user reported smooth day-to-day operation — the rest are struggling

What they hate

  • Ancient UI"floppy disk as the save button"; "old DOS interface"
  • Slow + clunky"very slow and clunky from a charting standpoint"
  • Not medspa-native"not set up for a medical spa"
  • Reporting"reporting is not good"
Moxie Play Plastic-surgery tool forced into medspa. 50% dissatisfied, highest marketing spend in the survey trying to compensate, 75% bolting on a separate CRM. Easiest acquisition targets — they know the tool is failing.