Head-to-head
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Enterprise Health vs Medgate
A neutral, side-by-side comparison of Enterprise Health and Medgate across all 24 occupational health capabilities we track — so you can see exactly where they overlap and where they differ.
Last reviewed: June 2026
Occupational health EHR built on a clinical foundation.
- Built-in
- 21 / 24
- Best for
- Employer on-site clinics and health systems wanting a certified clinical EHR with occ health depth.
Part of Cority
Occupational health & safety information system.
- Built-in
- 15 / 24
- Best for
- Large, safety-driven employers managing occupational health at scale.
Enterprise Health vs Medgate: the short version
Enterprise Health is built for employer on-site clinics and health systems wanting a certified clinical ehr with occ health depth, while Medgate is built for large, safety-driven employers managing occupational health at scale. Of the 24 capabilities we track, Enterprise Health offers 21 built-in and Medgate offers 15, with 15 that both cover. Enterprise Health adds built-in dot / fmcsa compliance, drug & alcohol testing, and appointment scheduling that Medgate doesn't match. On delivery, Enterprise Health is cloud-based and Medgate is cloud-based or on-premise. The right pick comes down to which capabilities your workflow depends on — the full breakdown is below.
Enterprise Health vs Medgate at a glance
| Enterprise Health | Medgate | |
|---|---|---|
| Best for | Employer on-site clinics and health systems wanting a certified clinical EHR with occ health depth. | Large, safety-driven employers managing occupational health at scale. |
| Built-in capabilities | 21 / 24 | 15 / 24 |
| Deployment | cloud-based | cloud-based or on-premise |
| Pricing | quote-based pricing | quote-based pricing |
| Common segments | Employers & on-site clinics, Enterprise EHS | Enterprise EHS, Employers & on-site clinics |
Both built-in
- Occupational health records (EHR)
- Medical surveillance programs
- Exam & test management
- Injury & case management
- Immunization & titer tracking
- OSHA 300 / 300A / 301 recordkeeping
- Respirator clearance & fit testing
- Regulatory & audit reporting
- Clinic charting & encounter workflow
- Protocol & job-based rules
- HRIS / HCM integration
- Cloud-based SaaS
- HIPAA & SOC 2 posture
- Implementation & onboarding
- Role-based access control
Enterprise Health advantage
- DOT / FMCSA compliance
- Drug & alcohol testing
- Appointment scheduling
- Employer / client portal
- Lab integration (HL7 / LIS)
- Telehealth visits
Medgate advantage
Nothing built-in only by Medgate.
Enterprise Health vs Medgate, capability by capability
How to read this comparison
Support levels reflect publicly available product information and are a neutral starting point for your own evaluation — not a definitive scorecard. Confirm specifics with each vendor before making a decision.
Frequently asked questions
What is the difference between Enterprise Health and Medgate?
Enterprise Health is positioned for employer on-site clinics and health systems wanting a certified clinical ehr with occ health depth while Medgate is positioned for large, safety-driven employers managing occupational health at scale. Across the 24 capabilities we track, Enterprise Health offers 21 built-in and Medgate offers 15. Enterprise Health stands out on DOT / FMCSA compliance, Drug & alcohol testing, Appointment scheduling, Employer / client portal.
Is Enterprise Health or Medgate better for occupational health?
Neither is universally "better" — it depends on your operating model. Both are commonly considered for Employers & on-site clinics, Enterprise EHS teams. Enterprise Health is best for employer on-site clinics and health systems wanting a certified clinical ehr with occ health depth; Medgate is best for large, safety-driven employers managing occupational health at scale. Compare them against the capabilities your workflow actually depends on rather than the raw feature count.
How much do Enterprise Health and Medgate cost?
Enterprise Health uses quote-based pricing and Medgate uses quote-based pricing. Most occupational health vendors quote based on locations, users, or employee volume, so request a tailored quote from each to compare like-for-like.
Who should consider Enterprise Health?
Enterprise Health — Occupational health EHR built on a clinical foundation.. Enterprise Health combines an ONC-certified clinical EHR with occupational health, employee health, and wellness capabilities, aimed at corporate on-site clinics and health systems.
Who should consider Medgate?
Medgate — Occupational health & safety information system.. Medgate (part of Cority) is an occupational health and safety information system used by large employers to manage clinical records, surveillance, and incident data across sites.