Your veterinary practice management software is at the center of daily clinic operations. Scheduling, patient records, billing, lab and imaging integration, and client communication all run through it.
Two commonly used platforms are Cornerstone and AVImark.
While the software itself differs, both depend heavily on the IT environment around them. Your network, workstations, server or hosting setup, backups, and security all determine how reliably either platform actually performs.
Cornerstone vs. AVImark: What Is the Difference?
Cornerstone and AVImark are both established veterinary practice management systems, but they’re typically deployed differently, and that difference shapes what your clinic’s IT setup needs to look like.
Cornerstone is generally installed on a local, on-premises server that the clinic owns and maintains, with data stored and managed on-site. AVImark has traditionally followed a similar on-premises model, though cloud-hosted and remote-access configurations are increasingly common across veterinary platforms generally.
That distinction matters because it determines where responsibility for maintenance, backup, and security actually sits. An on-premises setup puts server upkeep, local backups, and network protection on your clinic’s own IT environment. A hosted or remote-access setup shifts part of that responsibility to a third party, but your local network, workstations, and the connection between your clinic and any hosted environment still need to be properly secured.
The right platform choice comes down to your clinic’s workflow, existing systems, and staff familiarity. From an IT standpoint, the more useful question isn’t which platform is better. It’s whether your current IT environment is actually built to support the platform and hosting model you’re running.
Your Network Matters
Veterinary practice management software needs reliable connectivity between the systems and devices your team uses throughout the day.
A poorly configured or unreliable network can result in:
- Slow application performance during appointments
- Lost connections between imaging or lab equipment and patient records
- Workstation interruptions at check-in or checkout
- Delays accessing client and patient history
A strong network infrastructure keeps these systems working the way your clinic actually needs them to.
Backups Are Part of Your IT Setup, Not an Afterthought
Whether you’re running Cornerstone or AVImark, your practice management system holds information your clinic depends on every day: patient histories, treatment records, client contact information, and billing data.
Your IT provider should know what’s being backed up, where those backups are stored, how often they run, and whether they’ve actually been tested for recovery, not just assumed to be working.
Related resource: Veterinary Disaster Recovery Plan: Why It Matters
Security Doesn’t Come Built In
Neither Cornerstone nor AVImark automatically secures the network it runs on. That’s a separate layer that has to be actively managed: firewall protection, workstation security, user access controls, and monitoring across whichever platform your clinic uses.
Why Veterinary-Specific IT Support Matters
A general IT provider can often fix a workstation or reset a password. Veterinary practices typically need more specialized support, one that understands how practice management software, imaging systems, lab integrations, and network infrastructure all work together.
Tier3MD provides veterinary IT support for clinics running Cornerstone, AVImark, and other common veterinary platforms, with a focus on keeping every connected system, not just the software itself, working reliably.


