Comparison
WellSky is a capable, enterprise-grade platform. But its per-user pricing punishes independent agencies for hiring. Here's the honest, feature-by-feature breakdown — and the dollar math for a typical 25-clinician agency.
Estimates based on commonly observed WellSky configurations as of 2026-05. Verify your contract directly with the vendor. Run your own numbers →
| Capability | WellSky | Sothcare |
|---|---|---|
| Pricing model | Per-user + add-ons | $519 flat |
| OASIS-E2 native | ✓ | ✓ |
| PDGM HIPPS at point-of-care | add-on | ✓ live |
| 837I claim generation | add-on | ✓ native |
| ADR auto-packaging | manual | ✓ 1-click |
| Survey-readiness export | ✗ | ✓ 1-click |
| MFA mandatory | optional | ✓ |
| Contract | Annual | Month-to-month |
We'd rather you pick the right tool than churn in 60 days. WellSky is likely the stronger fit if you're a large, multi-state enterprise, you need hospice or facility-based lines today, or you depend on its broad third-party integration marketplace. Sothcare is purpose-built for independent agencies of 1–50 clinicians who want clinical, EVV, and billing on one flat-fee platform.
See who Sothcare is built for →For most independent agencies, yes. WellSky is per-user plus add-ons, so cost climbs with every hire. Sothcare is a flat $519/mo for skilled home health regardless of clinician count — a 25-clinician agency commonly saves $1,500–$2,000+/mo.
Yes — OASIS-E2 native, with the CMS HHGS grouper running live at the point of care so you see the HIPPS code before leaving the home. On WellSky, PDGM is typically an add-on or post-hoc.
Patients, clinicians, schedules, and care plans import via CSV. Active episodes finish in WellSky while new admissions start in Sothcare, so no claims are lost. Full cutover is typically 60–90 days.
25 minutes, founder-led, no deck. We'll run your WellSky numbers against Sothcare in real time.
Book my 25-min demoAlso compare: vs Axxess · vs HCHB · vs Alora
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