The honest version
WellSky is a large, capable platform. It runs home health, hospice and facility-based care for organizations far bigger than the ones we build for, it has an integration marketplace we cannot match, and agencies run real clinical operations on it every day. This page is not an argument that it is bad software.
The question is fit. WellSky is built for organizations with a director of clinical informatics and a budget line for software. Sothcare is built for an agency with six clinicians, one office manager, and nobody whose job title contains the word "systems".
Those are different problems, and the pricing models reflect it.
Figures are from public software directories, not from WellSky. WellSky does not publish pricing, and actual cost varies by contract, module selection and agency size. Verify directly before deciding on cost. Last checked August 2026. 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 | not in published docs | ✓ 1-click |
| Contract | Annual | Month-to-month |
Where the per-user model bites hardest
Skilled home health has seasonal caseloads and clinician turnover. Under per-user pricing that produces two costs: you keep paying for accounts belonging to clinicians who left until someone remembers to deprovision them, and you pay again the moment you hire the replacement.
It also produces a quieter cost. When a login has a price attached, small agencies ration them, and shared accounts appear. At that point the audit trail stops being attributable to an individual — which is the entire reason a surveyor wants an electronic record in the first place.
A flat fee removes both. Every clinician gets their own login because it costs nothing extra, and your invoice in a hiring month matches your invoice in a quiet one.
Where WellSky is genuinely the better choice
Multi-state and multi-line operations. If you run home health alongside hospice or facility-based care, or bill across several state Medicaid programs, WellSky covers ground we do not.
Large organizations. Above roughly fifty clinicians, WellSky's configurability stops being overhead and starts being an asset. You will have someone whose job is to configure it.
The integration marketplace. If you depend on a specific third-party integration — a particular telephony vendor, a therapy staffing platform, a hospital referral feed — check whether we support it before you talk to us. Often we will not.
If any of those describe you, we would rather say so now than sell you something you leave in four months. See who Sothcare is built for →
Where we think we win for an independent agency
Cost at small scale. $519 flat for skilled home health at any headcount, against a per-user model plus add-on modules. Run it against your own invoice rather than our estimate.
PDGM at the point of care. The CMS HHGS grouper runs live in the home, so the clinician sees the HIPPS code before they leave rather than after a back-office pass.
One flat fee, no module unlock. OASIS-E2, 837I generation and ADR packaging are in the base price, not priced separately.
Who answers support. A founder, at our current size. That stops being true above some scale, and we would rather say so than pretend otherwise.
See the skilled home health detail →Sothcare vs WellSky — FAQ
Is Sothcare cheaper than WellSky?
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. On the scenario above — 25 clinicians at commonly cited per-user rates — the difference is roughly $850 a month, about $10,000 a year. Your own figure depends on your contract.
Does Sothcare support OASIS-E2 and PDGM like WellSky?
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 a back-office pass after the visit.
How hard is it to switch from WellSky?
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.
See the flat-fee difference live
20 minutes, founder-led, no deck. We will run your WellSky numbers against Sothcare in real time.
Book my 20-min demoAlso compare: vs Axxess · vs HCHB · vs Alora
Read next: switch without losing a claim · PDGM survival guide
WellSky, Axxess, Homecare Homebase, Alora, AlayaCare, Therap and HHAeXchange are trademarks of their respective owners. Sothcare is not affiliated with, endorsed by or sponsored by any of them; their names are used here solely to identify the products being compared.
Competitor pricing figures are drawn from public software directories, not from the vendors themselves, and vary by contract, module selection and agency size. Verify directly before making a decision on cost. Last checked August 2026.