Azalea Health vs SAP Healthcare

Azalea Health was founded in 2008 in Valdosta, Georgia, and is now headquartered in Atlanta. They provide cloud-based healthcare IT solutions tailored to small practices, rural health clinics, and critical access hospitals. Their platform combines electronic health records, practice management software, revenue cycle management, analytics, and telehealth services into one system designed to simplify operations and improve patient care. Core features include a single patient record that unifies clinical and billing information, a patient portal for engagement, customizable templates, real-time updates, integrated billing workflows, and built-in telehealth sessions. Customer experience with Azalea Health is mixed but leans positive overall. Users often praise the system’s ease of use, responsive customer support, and quick onboarding, with some users reporting full training completed in under a week. At the same time, negative reviews mention long-term contracts, additional fees for features, and occasional performance slowdowns. Azalea does not publish standard pricing; instead, they offer a quote-based model. While some practices found them initially affordable, others reported rising costs due to add-ons and package changes. 

Founded in 1972 and headquartered in Walldorf, Germany, SAP is a global enterprise software provider offering powerful digital solutions for the healthcare sector. SAP Healthcare is designed to meet the needs of hospitals, health systems, and public health agencies by streamlining clinical, administrative, and financial operations through a flexible, modular platform. Their services include electronic health records, patient administration, revenue cycle management, supply chain logistics, and population health analytics. The platform supports international compliance standards such as HIPAA and GDPR, and offers broad interoperability with third-party systems using HL7 and FHIR. SAP is known for its enterprise-grade infrastructure, real-time analytics, and ability to scale across multi-site and multi-language healthcare environments. While some users note challenges with interface complexity and deployment timelines, many value its deep configurability and strong support resources. With a long-standing presence in regulated industries and a focus on integrated healthcare management, SAP remains a widely adopted solution for large and complex organizations.