Choosing veterinary practice management software means committing to a system that will touch every appointment, invoice, medical record, and client interaction your clinic runs — often for years. Koi is a relatively new entrant: a cloud-native veterinary PIMS founded in 2021 by two veterinarians, Dr. Remington Drake and Dr. Alfred Tam, and headquartered in Clearwater, Florida. As of mid-2026, Koi serves U.S. practices only.

This review covers what Koi actually does, how its pricing works, where its strengths and gaps are, and which practice profiles it fits best — based on the vendor's own published information, third-party reviews, and how it compares to the broader veterinary software market.

What Koi is and who built it

Koi Technologies LLC was founded by two practicing veterinarians — Dr. Remington Drake, a second-generation veterinarian with a background in emergency medicine and practice ownership, and Dr. Alfred Tam, whose clinical experience spans general practice and specialty emergency work. Both founders are still clinically active.

The company is small (2–10 employees) and the product is cloud-native, browser-based, and U.S.-only at this time. Koi's stated motivation is to build a single, unified platform that replaces the patchwork of disconnected tools many veterinary teams use for scheduling, medical records, billing, and client communication.

Pricing structure

Koi uses a tiered monthly subscription model. All tiers are cloud-based with no server hardware required. There is no long-term contract requirement.

Add-on modules:

• Voice dictation: $75/mo per user — veterinary-specific voice recognition engine, 25 free AI scribe records/mo included.
• Voice dictation + AI Scribe: $115/mo per user — ambient AI scribe converts consultations into SOAP notes and record entries; requires human approval before finalization; uses personalized templates.

Additional users beyond the included count are priced per seat. Practices should request a demo for exact per-user pricing at their team size.

For comparison in the 2026 market: cloud PIMS platforms typically range from $200–$600/month for small-to-mid practices, with enterprise configurations scaling higher. Shepherd starts around $299/mo, ezyVet starts at $260.50/mo per user, and Provet Cloud starts at $249/mo. Koi's Core tier at $210/mo is at the lower end of cloud PIMS pricing, though the value equation depends on how many users you need and whether the built-in features replace paid add-ons your current system requires.

Core features

Medical records and workflows

Koi's medical records system includes split-screen viewing, built-in drug labels, fully searchable records, and record collision protection (preventing two users from overwriting each other's edits simultaneously). The master problem list tracks active and historical conditions per patient.

Flowsheets (Complete Plus tier)

The flowsheet system is one of Koi's more distinctive features. It integrates directly with the medical record — vitals entered on the flowsheet automatically populate the patient's record. Built-in drug dose calculation and vitals analysis are included. Automated invoicing from flowsheets means that treatments administered during hospitalization can be captured for billing without separate manual entry.

Client communication

Two-way email and texting are built into every tier. The internal messaging system lets staff attach files directly from Koi. Automated reminders (vaccinations, rechecks, preventives) are included. Text counts vary by tier: 250/mo on Core, 1,000/mo on Complete, 2,000/mo on Complete Plus.

Hospital analytics

Basic and advanced reporting dashboards cover practice performance metrics. The analytics tools are designed for practice owners and managers who want visibility into revenue, appointment volume, and operational trends without exporting to a spreadsheet.

Inventory management

Inventory tracking is included across all tiers. Koi handles reorder points, stock levels, and links inventory items to invoices. Practices coming from systems where inventory is a separate module will find this integrated approach simpler, though the depth of inventory analytics may not match a dedicated inventory management platform.

Lab and diagnostics integrations

Koi currently lists integrations with three major veterinary diagnostic partners:

• Antech — direct connection to Antech's diagnostics platform
• IDEXX Reference Laboratories — integration with IDEXX reference labs and point-of-care diagnostics
• Zoetis VetScan — bidirectional connection for VetScan devices and reference laboratories

These integrations cover the lab providers used by the majority of U.S. small-animal practices. If your clinic uses a different reference lab, confirm integration availability before committing.

Payment processing

Koi integrates with PayJunction for payment processing. The Complete and Complete Plus tiers include text-to-pay and email-to-pay functionality, which can reduce time spent on phone-based payment collection and outstanding invoices.

Where Koi is strong

Built by practicing veterinarians. The founders' clinical backgrounds inform the product design — features like flowsheet-to-record integration, built-in drug labels, and signal lights for patient status reflect real hospital workflow needs rather than abstract feature lists.

All-in-one pricing without module fragmentation. Many PIMS platforms charge separately for messaging, reminders, and analytics. Koi bundles these into the tier, which makes total cost of ownership more predictable.

Modern architecture. As a cloud-native platform built from scratch in the 2020s, Koi does not carry the technical debt of systems originally designed for on-premise deployment and later adapted for the cloud. The interface is modern, and updates are continuous.

AI scribe with human-in-the-loop approval. The AI scribe module at $115/mo per user generates SOAP notes from consultation audio but requires explicit human approval before records are finalized. This is consistent with how most veterinary AI scribe tools handle clinical documentation in 2026.

Where Koi may not fit

U.S.-only. Koi currently serves only U.S. practices. Clinics in Canada, the U.K., Europe, Australia, or other markets cannot use it.

No published third-party integrations beyond labs. VetSoftwareHub's listing shows no listed integrations beyond the three lab partners. Practices that rely on integrations with specific imaging platforms, payment processors other than PayJunction, or specialty tools should verify compatibility directly with Koi before committing.

Small company, new product. Koi Technologies is a small startup. This means fast iteration and direct founder access, but it also means less proven track record at scale compared to IDEXX-owned ezyVet, Covetrus Pulse, or well-established independent platforms like Shepherd. Practices evaluating Koi should ask about data migration support, onboarding timelines, uptime guarantees, and customer support capacity.

No free trial documented. Unlike some competitors (CoVet offers a free AI scribe plan, Shepherd and others offer demo periods), Koi's public information does not mention a free trial. Practices typically request a demo and then evaluate through a guided walkthrough.

Limited enterprise features. Multi-location practices and corporate groups should evaluate whether Koi's multi-site reporting, consolidated billing, and group-level analytics meet their needs. The platform appears best suited for single-location practices and small groups at this stage.

Who should consider Koi

Koi fits best for:

• Single-location U.S. general practices (1–5 DVMs) that want to move from a legacy server-based PIMS or a fragmented cloud setup to one unified platform.
• Practices doing significant in-clinic hospitalization that benefit from integrated flowsheets with automated charge capture.
• Owners who value founder proximity — the ability to talk directly to a DVM co-founder about product direction and support.

Koi is likely not the right fit for:

• Multi-location or corporate groups needing centralized group-level reporting.
• Practices outside the United States.
• Clinics with deep integration requirements beyond IDEXX, Antech, and Zoetis.
• Specialty or emergency hospitals that need the advanced whiteboard, triage, and charge-capture workflows built into platforms like Instinct EMR or ezyVet.

What to ask in a demo

If you schedule a Koi demo, these questions will help you evaluate fit for your specific practice:

1. Data migration: What does migration from your current PIMS look like — timeline, cost, and what data transfers cleanly vs. what needs manual entry?
2. Onboarding: How many hours of staff training are typical, and is training included in the subscription?
3. Support: What are the support channels (phone, email, chat), response time expectations, and is support included or billed separately?
4. User limits and pricing at scale: How does pricing change as you add users beyond the included count? What is the per-seat cost at 5, 8, or 12 full-time users?
5. Uptime and data backup: What is the documented uptime SLA, and how are backups handled?
6. Integration roadmap: Are additional integrations (imaging, additional payment processors, pharmacy) on the near-term roadmap?
7. Contract terms: Is there a minimum commitment, and what does the cancellation and data export process look like?

How Koi compares

Vendor independence matters for practices that want to avoid diagnostic lock-in, data portability restrictions, or the risk that an acquisition changes the product roadmap.

Sources

• Koi Technologies official website: https://koi.tech
• Koi pricing page: https://koi.tech/pricing
• Koi leadership and contact page: https://koi.tech/contact
• VetSoftwareHub Koi Review 2026: https://www.vetsoftwarehub.com/product/koi
• Alfred Tam DVM LinkedIn (co-founder): https://www.linkedin.com/in/atamdvm
• CoVet veterinary software comparison 2026: https://co.vet/post/veterinary-software-comparison
• SignalPET top 10 veterinary software tools 2026: https://www.signalpet.com/articles/the-top-10-veterinary-software-tools
• Provet Cloud best veterinary practice management software 2026: https://www.provet.com/blog/best-veterinary-practice-management-software
• Shepherd veterinary software AI comparison 2026: https://www.shepherd.vet/blog/ai-in-veterinary-software-feature-comparison-for-2026