Head-to-head

Medgate logovsOccuCare logo

Medgate vs OccuCare

A neutral, side-by-side comparison of Medgate and OccuCare across all 24 occupational health capabilities we track — so you can see exactly where they overlap and where they differ.

Last reviewed: June 2026

Medgate logo
Medgate

Part of Cority

Occupational health & safety information system.

Built-in
15 / 24
Best for
Large, safety-driven employers managing occupational health at scale.
OccuCare logo
OccuCare

Part of Sapphire Software Solutions

All-in-one occupational health, surveillance & wellness suite.

Built-in
12 / 24
Best for
Industrial employers and on-site clinics that want clinical EMR, surveillance, and wellness in one suite.

Medgate vs OccuCare: the short version

Medgate is built for large, safety-driven employers managing occupational health at scale, while OccuCare is built for industrial employers and on-site clinics that want clinical emr, surveillance, and wellness in one suite. Of the 24 capabilities we track, Medgate offers 15 built-in and OccuCare offers 12, with 8 that both cover. Medgate pulls ahead on osha 300 / 300a / 301 recordkeeping, respirator clearance & fit testing, and protocol & job-based rules, while OccuCare leads on appointment scheduling, employer / client portal, and lab integration (hl7 / lis). On delivery, Medgate is cloud-based or on-premise and OccuCare is cloud-based. The right pick comes down to which capabilities your workflow depends on — the full breakdown is below.

Medgate vs OccuCare at a glance

MedgateOccuCare
Best forLarge, safety-driven employers managing occupational health at scale.Industrial employers and on-site clinics that want clinical EMR, surveillance, and wellness in one suite.
Built-in capabilities15 / 2412 / 24
Deploymentcloud-based or on-premisecloud-based
Pricingquote-based pricingquote-based pricing
Common segmentsEnterprise EHS, Employers & on-site clinicsOcc health & urgent care clinics, Employers & on-site clinics, Enterprise EHS

Both built-in

  • Occupational health records (EHR)
  • Medical surveillance programs
  • Exam & test management
  • Injury & case management
  • Immunization & titer tracking
  • Regulatory & audit reporting
  • Clinic charting & encounter workflow
  • Cloud-based SaaS

Medgate advantage

  • OSHA 300 / 300A / 301 recordkeeping
  • Respirator clearance & fit testing
  • Protocol & job-based rules
  • HRIS / HCM integration
  • HIPAA & SOC 2 posture
  • Implementation & onboarding
  • Role-based access control

OccuCare advantage

  • Appointment scheduling
  • Employer / client portal
  • Lab integration (HL7 / LIS)
  • Mobile / employee app

Medgate vs OccuCare, capability by capability

Built-inPartialAdd-onNot offeredUnconfirmed
CapabilityMedgate logoMedgateOccuCare logoOccuCare
Clinical & Medical Records
Occupational health records (EHR)Built-inBuilt-in
Medical surveillance programsBuilt-inBuilt-in
Exam & test managementBuilt-inBuilt-in
Injury & case managementBuilt-inBuilt-in
Immunization & titer trackingBuilt-inBuilt-in
Compliance & Reporting
OSHA 300 / 300A / 301 recordkeepingBuilt-inPartial
DOT / FMCSA compliancePartialUnconfirmed
Drug & alcohol testingPartialPartial
Respirator clearance & fit testingBuilt-inPartial
Regulatory & audit reportingBuilt-inBuilt-in
Operations & Workflow
Appointment schedulingPartialBuilt-in
Clinic charting & encounter workflowBuilt-inBuilt-in
Employer / client portalPartialBuilt-in
Protocol & job-based rulesBuilt-inPartial
Billing & invoicingNot offeredPartial
Platform & Integrations
HRIS / HCM integrationBuilt-inPartial
Lab integration (HL7 / LIS)PartialBuilt-in
Open API & webhooksPartialUnconfirmed
Telehealth visitsNot offeredPartial
Mobile / employee appPartialBuilt-in
Security & Support
Cloud-based SaaSBuilt-inBuilt-in
HIPAA & SOC 2 postureBuilt-inPartial
Implementation & onboardingBuilt-inPartial
Role-based access controlBuilt-inPartial

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 Medgate and OccuCare?

Medgate is positioned for large, safety-driven employers managing occupational health at scale while OccuCare is positioned for industrial employers and on-site clinics that want clinical emr, surveillance, and wellness in one suite. Across the 24 capabilities we track, Medgate offers 15 built-in and OccuCare offers 12. Medgate stands out on OSHA 300 / 300A / 301 recordkeeping, Respirator clearance & fit testing, Protocol & job-based rules, HRIS / HCM integration. OccuCare stands out on Appointment scheduling, Employer / client portal, Lab integration (HL7 / LIS), Mobile / employee app.

Is Medgate or OccuCare better for occupational health?

Neither is universally "better" — it depends on your operating model. Both are commonly considered for Enterprise EHS, Employers & on-site clinics teams. Medgate is best for large, safety-driven employers managing occupational health at scale; OccuCare is best for industrial employers and on-site clinics that want clinical emr, surveillance, and wellness in one suite. Compare them against the capabilities your workflow actually depends on rather than the raw feature count.

How much do Medgate and OccuCare cost?

Medgate uses quote-based pricing and OccuCare 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 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.

Who should consider OccuCare?

OccuCare — All-in-one occupational health, surveillance & wellness suite.. OccuCare is an occupational health and safety suite from Sapphire Software Solutions, used by industrial employers and on-site clinics worldwide. It combines a clinical EMR — exams, audiometry, spirometry, vaccinations, and pharmacy — with medical surveillance, incident management, and employee wellness modules.