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Compare · ehr practice management

athenahealth VS eClinicalWorks

As of 30 October 2026, eClinicalWorks is named by 383 companies and athenahealth by 216; athenahealth skews to companies under 200 people (48% vs 48%), eClinicalWorks to companies over 1,000 (16% vs 21%).

As of 30 October 2026 · refreshed daily · counts move as websites, DNS and career sites are re-read.

The website-and-DNS footprint is not comparable between a marketing suite and a CRM: athenahealth's script and mail records show on hundreds of thousands of small sites, eClinicalWorks rarely leaves a trace outside its own apps. Compare on the job-posting numbers; use the footprint for reach.

athenahealth: 2–200 employees
48%
eClinicalWorks: 2–200 employees
48%
athenahealth: 1,000+ employees
21%
eClinicalWorks: 1,000+ employees
16%
Postings per company, 90 days
4.6 · 4.3
Website or DNS footprint
0 · 0
216companies name athenahealth
383companies name eClinicalWorks
72name both
999 · 1,634postings in 90 days, athenahealth · eClinicalWorks
02Side by side

Who chooses which

Share of each tool's companies in every segment. "Leans" marks a gap of more than two points.

By company size
SegmentathenahealthshareeClinicalWorksshareLeans
Self-employed21%21%even
2-10 employees2311%4010%even
11-50 employees2210%5314%eClinicalWorks
51-200 employees5827%9224%athenahealth
201-500 employees4219%9425%eClinicalWorks
501-1000 employees2411%3910%even
1001-5000 employees2612%4211%even
5001-10000 employees63%62%even
10,001+ employees136%154%athenahealth
By industry
SegmentathenahealthshareeClinicalWorksshareLeans
Health care13362%23962%even
Technology & software5425%5815%athenahealth
Business & finance services209%4311%even
Public, community & associations42%349%eClinicalWorks
Media & content21%82%even
Commerce & trade10%––outside top 12
Consumer services & leisure10%10%even
Manufacturing & industry10%––outside top 12
By country
SegmentathenahealthshareeClinicalWorksshareLeans
United States20294%37197%eClinicalWorks
United Kingdom42%21%even
PK21%––outside top 12
Australia10%––outside top 12
Canada10%10%even
Finland10%––outside top 12
France10%10%even
India10%31%even
Mexico10%––outside top 12
Sweden10%10%even
CL––10%outside top 12
Spain––10%outside top 12
Postings by team (share of each tool's postings)
SegmentathenahealthshareeClinicalWorksshareLeans
Healthcare clinical54043%81536%athenahealth
Healthcare support and caregiving18815%51623%eClinicalWorks
Administration & office17314%42719%eClinicalWorks
Finance & accounting635%1205%even
Software engineering343%141%athenahealth
Product, program & project management212%221%even
Data & AI192%161%even
IT operations & business systems171%251%even
Education & training151%151%even
Sales151%110%even
Customer service & success141%241%even
Social care and community91%321%even
Cite this

Quote the sentence with the date and the link. The numbers change daily; the link always shows the current ones.

eClinicalWorks is named by 383 companies in job postings and athenahealth by 216; 72 name both. (Breaknorm, 30 October 2026, https://breaknorm.co/compare/athenahealth-vs-eclinicalworks)
How we know

Read from the source, not self-reported

Every number on this page can be traced to a page we crawled or a posting we read. Full methodology →

  • Job postingsRead hourly from career sites. A tool counts when the employer's own text names it as the team's system; both tools can count for one company.
  • Website and DNSScripts and embeds on the company's pages, plus SPF, DKIM, MX and CNAME records of its domain that point at the vendor.
  • SegmentsCountry, size and industry from the company profile built from its website.
  • Not a reviewNo ratings, prices or feature claims. For those, read the vendors.
FAQ

athenahealth vs eClinicalWorks: questions

Which is more used, athenahealth or eClinicalWorks?

By companies naming it in their own job postings, eClinicalWorks (383) over athenahealth (216). By website-and-DNS footprint, eClinicalWorks (0 vs 0), because its scripts and mail records sit on many small company sites.

Who chooses athenahealth?

48% of athenahealth companies have 2 to 200 employees, against 48% for eClinicalWorks. 21% of athenahealth companies have over 1,000 employees, against 16% for eClinicalWorks.

Do companies run both?

72 companies name both in their postings, usually athenahealth in marketing and eClinicalWorks in sales, or during a migration.

Where do these numbers come from?

From the employer's own text in job postings read hourly from career sites, and from scripts found on company websites in our crawl. No vendor data, no surveys.

Companies and people

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Every company on either tool,
with the person who owns it

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