SPRY alternatives for physical therapy practices in 2026

The main SPRY alternatives for physical therapy practices are WebPT, Prompt Health, Jane, HelloNote, Raintree, and Physitrack. Every one of them handles PT documentation. Where they differ is in three things: how billing and claims work, how the price scales, and whether the home exercise program is built in or bought from a partner. This guide compares them on those points, using each vendor's published information as of October 2026.

Which SPRY alternative fits which practice

• WebPT: practices that want the most widely used PT EMR and a large family of add-on products.
• Prompt Health: practices that want automation and AI documentation in one system, from a single clinician to an enterprise group.
• Jane: multidisciplinary and cash-based clinics that want online booking with published pricing.
• HelloNote: solo and budget-conscious practices that want low published pricing and no contract.
• Raintree: multi-location groups that need an enterprise EMR.
• Physitrack: US solo and small practices, one to ten clinicians, that want AI documentation, exercise prescription, and a patient app in one system, and can start in early access alongside their current EMR.

What SPRY is, and why practices compare it

SPRY describes itself as an AI-native platform for outpatient rehab that connects intake, scheduling, documentation, prior authorization, billing, collections and reporting. It serves physical, occupational and speech therapy, pediatric therapy and chiropractic practices, from independent clinics to multi-location groups, and says more than 1,000 rehab clinics use it. Its Essentials plan covers the EMR, scheduling, billing tools and a home exercise program powered by Wibbi. The Plus plan adds an AI scribe and a mobile app for therapists.

Three things usually start the comparison:

• The price scales with visits. SPRY prices its plans "based on number of visits per full-time provider" and does not publish dollar figures on its pricing page, so the bill grows with each clinician's caseload. Our SPRY pricing guide breaks down the figures clinics have reported.
• Billing as a share of collections. SPRY's optional billing service costs 4 to 6 percent of collections.
• Exercise programs come from a partner. SPRY's home exercise program is powered by Wibbi, so the exercise library, the patient experience and part of the commercial terms sit with a second company.

What to compare in a SPRY alternative

• Billing and claims, today. Does the system check eligibility, submit claims and post payments now, or is billing on the roadmap?
• Pricing model. Per provider, per visit band, per note, or a percentage of collections. Model it on your real caseload, not the entry price.
• Documentation. PT templates for evaluations, daily notes, progress reports and discharge summaries, Medicare rules such as the 8-minute rule, and whether an AI scribe is included or extra.
• Exercise programs and the patient app. Built in, or added through a partner.
• Practice size. Solo, small group or multi-site.
• Switching. Whether the vendor migrates your records and lets you run both systems in parallel.

The SPRY alternatives, compared

WebPT

Best for: practices that want the most widely used PT-specific EMR. WebPT says it is trusted by more than 150,000 rehab therapy professionals and serves more than 40 percent of the outpatient rehab market. It combines PT documentation with scheduling, billing, outcomes and patient engagement products, and it acquired Clinicient in 2022. Pricing is by quote and depends on the products you select, so ask for an itemized quote that separates the EMR from billing and engagement modules.

Prompt Health

Best for: practices that want strong automation and AI documentation in one system. Prompt describes itself as an EMR and practice management platform for rehab therapy and chiropractic clinics, with an AI scribe that uses ambient listening and real-time CPT coding, payer rules, scheduling and billing. It serves single-provider practices up to enterprise groups. Pricing is by quote. See our Prompt Health alternatives guide for a closer look.

Jane

Best for: multidisciplinary and cash-based clinics. Jane is booking-led practice management with charting, payments, and telehealth. Its published US pricing is $59 a month for Balance, which covers one practitioner and 20 appointments a month but does not support the insurance billing add-on. Practice costs $79 a month and includes one full-time practitioner. Additional practitioners cost $35 full-time or $17.50 part-time. Thrive costs $99 a month, with additional practitioners at $40 full-time or $20 part-time. Insurance billing costs $20 a month plus $5 per additional full-time practitioner or $2.50 per additional part-time practitioner. Check PT documentation depth and US insurance workflows against your payer mix.

HelloNote

Best for: solo and budget-conscious practices. HelloNote publishes its pricing. Lite costs $49.99 a month for one user and excludes billing, a home exercise program, and a patient portal. Plus costs $70 a month for the first full-time provider, plus $45 per additional full-time provider or $30 per part-time provider. Billing and eligibility are available on Plus, and the clearinghouse is a $25 optional add-on. The plan also offers a home exercise program, a patient portal, and included data migration. HelloNote has no contracts, and its free plan covers up to two patients.

Raintree

Best for: multi-location groups and enterprise organizations. Raintree is an enterprise rehab EMR built for shared operations across sites, with centralized reporting and permissions. It integrates with Physitrack's home exercise programs, including single sign-on and writing program data back to the chart. Pricing is by quote, and a small clinic may not need enterprise depth.

Physitrack

Best for: US solo and small practices, one to ten clinicians, that want documentation, exercise prescription, and patient follow-through in one system. Physitrack opened to early access on 28 September 2026. Its AI scribe drafts the SOAP note from the visit for you to review and sign. It recommends a home exercise program from more than 18,000 exercise videos for your approval, and the program reaches the patient's phone through PhysiApp. Online booking, digital intake, the front desk calendar and a one-page patient chart run in the same system. Unlike SPRY's partner model, the exercise library and the patient app are Physitrack's own: Physitrack has built clinical software for more than 14 years, and its exercise prescription platform is used by 110,000 clinicians worldwide.

Two limits during early access, stated plainly. Payments and claims are on the roadmap rather than live; billing will come through an integration with Claim.MD. And the security audit is still under way, so Physitrack cannot yet sign a Business Associate Agreement, and the EMR is not yet covered for patient health information under HIPAA. During early access it runs alongside your current system.

Pricing: free during early access. From January 1, 2027, standard US pricing is $59.99 per user per month. Home exercise programs and remote therapeutic monitoring are included, and RTM carries an $8 charge per active plan of care. The AI scribe is an optional $19 per clinician per month with 100 notes included. No contract. See the Physitrack page for details.## SPRY alternatives at a glance

Prices are each vendor's published figures as of October 2026, per month. Confirm current terms in writing before you sign.

How to switch from SPRY without a bad month

The lowest-risk switch is a staggered one. Start new patients in the new system while existing plans of care finish in SPRY, then switch SPRY off once that caseload is discharged. Nobody moves mid-treatment, and every episode of care stays in one record. Before you start, export patient demographics, notes and open claims from SPRY, decide how billing continues for patients still in care, and check your contract's notice period. Our guide to switching EMR systems covers the full checklist.

Frequently asked questions

What are the best SPRY alternatives for physical therapy?

The main SPRY alternatives are WebPT, the most widely used PT EMR; Prompt Health, for automation and AI documentation; Jane, for multidisciplinary and cash-based clinics; HelloNote, for low published pricing; Raintree, for multi-location groups; and Physitrack, for US solo and small practices.

How much does SPRY cost?

SPRY prices its Essentials and Plus plans by the number of visits per full-time provider and does not publish dollar figures on its pricing page (October 2026). Its optional billing service costs 4 to 6 percent of collections. Ask SPRY for a written quote based on your real visit volume.

Which SPRY alternative has the lowest published price?

Among vendors that publish prices, HelloNote Lite is $49.99 a month for one user but excludes billing, a home exercise program, and a patient portal. Jane Balance is $59 a month for one practitioner with a 20-appointment cap. Physitrack is free during early access and costs $59.99 per user per month at the standard US rate from January 2027, but claims are not live yet. Compare total cost including billing.

Can Physitrack EMR / PMS replace SPRY today?

For documentation, scheduling, intake and exercise prescription, practices can start using it in early access. Insurance billing and claims are not live yet; they are coming through an integration with Claim.MD. Until Physitrack's security audit completes and it can sign a Business Associate Agreement, the EMR is not covered for patient health information under HIPAA, so practices run it alongside their current system.

Which SPRY alternatives include a home exercise program?

Physitrack EMR / PMS includes its own library of more than 18,000 exercise videos and the PhysiApp patient app, with home exercise programs and remote therapeutic monitoring in the price. HelloNote includes a home exercise program in its Plus plan, and Prompt Health and WebPT offer their own home exercise tools. SPRY's home exercise program is powered by Wibbi.

Bottom line

Physitrack fits US solo and small practices that want AI documentation, exercise prescription, and a patient app in one place. Physitrack is free to try in early access alongside your current system. WebPT may fit practices that prioritize an established PT-specific product family, while Prompt Health suits practices seeking broader automation. Jane and HelloNote fit smaller practices with different pricing and workflow needs, and Raintree suits enterprise groups. Compare written quotes that include billing, then switch in stages.