Head-to-head

Medgate logovsUL SYSTOC logo

Medgate vs UL SYSTOC

A neutral, side-by-side comparison of Medgate and UL SYSTOC 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.
UL SYSTOC logo
UL SYSTOC

Part of UL Solutions

Long-standing occupational medicine practice management.

Built-in
17 / 24
Best for
Occupational medicine clinics that value a proven, workflow-focused incumbent.

Medgate vs UL SYSTOC: the short version

Medgate is built for large, safety-driven employers managing occupational health at scale, while UL SYSTOC is built for occupational medicine clinics that value a proven, workflow-focused incumbent. Of the 24 capabilities we track, Medgate offers 15 built-in and UL SYSTOC offers 17, with 12 that both cover. Medgate pulls ahead on immunization & titer tracking, hris / hcm integration, and cloud-based saas, while UL SYSTOC leads on dot / fmcsa compliance, drug & alcohol testing, and appointment scheduling. The right pick comes down to which capabilities your workflow depends on — the full breakdown is below.

Medgate vs UL SYSTOC at a glance

MedgateUL SYSTOC
Best forLarge, safety-driven employers managing occupational health at scale.Occupational medicine clinics that value a proven, workflow-focused incumbent.
Built-in capabilities15 / 2417 / 24
Deploymentcloud-based or on-premisecloud-based or on-premise
Pricingquote-based pricingquote-based pricing
Common segmentsEnterprise EHS, Employers & on-site clinicsOcc health & urgent care clinics, Multi-site provider groups

Both built-in

  • Occupational health records (EHR)
  • Medical surveillance programs
  • Exam & test management
  • Injury & case management
  • OSHA 300 / 300A / 301 recordkeeping
  • Respirator clearance & fit testing
  • Regulatory & audit reporting
  • Clinic charting & encounter workflow
  • Protocol & job-based rules
  • HIPAA & SOC 2 posture
  • Implementation & onboarding
  • Role-based access control

Medgate advantage

  • Immunization & titer tracking
  • HRIS / HCM integration
  • Cloud-based SaaS

UL SYSTOC advantage

  • DOT / FMCSA compliance
  • Drug & alcohol testing
  • Appointment scheduling
  • Billing & invoicing
  • Lab integration (HL7 / LIS)

Medgate vs UL SYSTOC, capability by capability

Built-inPartialAdd-onNot offeredUnconfirmed
CapabilityMedgate logoMedgateUL SYSTOC logoUL SYSTOC
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-inPartial
Compliance & Reporting
OSHA 300 / 300A / 301 recordkeepingBuilt-inBuilt-in
DOT / FMCSA compliancePartialBuilt-in
Drug & alcohol testingPartialBuilt-in
Respirator clearance & fit testingBuilt-inBuilt-in
Regulatory & audit reportingBuilt-inBuilt-in
Operations & Workflow
Appointment schedulingPartialBuilt-in
Clinic charting & encounter workflowBuilt-inBuilt-in
Employer / client portalPartialPartial
Protocol & job-based rulesBuilt-inBuilt-in
Billing & invoicingNot offeredBuilt-in
Platform & Integrations
HRIS / HCM integrationBuilt-inPartial
Lab integration (HL7 / LIS)PartialBuilt-in
Open API & webhooksPartialPartial
Telehealth visitsNot offeredNot offered
Mobile / employee appPartialNot offered
Security & Support
Cloud-based SaaSBuilt-inPartial
HIPAA & SOC 2 postureBuilt-inBuilt-in
Implementation & onboardingBuilt-inBuilt-in
Role-based access controlBuilt-inBuilt-in

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 UL SYSTOC?

Medgate is positioned for large, safety-driven employers managing occupational health at scale while UL SYSTOC is positioned for occupational medicine clinics that value a proven, workflow-focused incumbent. Across the 24 capabilities we track, Medgate offers 15 built-in and UL SYSTOC offers 17. Medgate stands out on Immunization & titer tracking, HRIS / HCM integration, Cloud-based SaaS. UL SYSTOC stands out on DOT / FMCSA compliance, Drug & alcohol testing, Appointment scheduling, Billing & invoicing.

Is Medgate or UL SYSTOC better for occupational health?

Neither is universally "better" — it depends on your operating model. Medgate is best for large, safety-driven employers managing occupational health at scale; UL SYSTOC is best for occupational medicine clinics that value a proven, workflow-focused incumbent. Compare them against the capabilities your workflow actually depends on rather than the raw feature count.

How much do Medgate and UL SYSTOC cost?

Medgate uses quote-based pricing and UL SYSTOC 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 UL SYSTOC?

UL SYSTOC — Long-standing occupational medicine practice management.. SYSTOC (offered through UL Solutions) is a long-established occupational medicine practice management and clinical system used by clinics and provider groups for visit workflow, protocols, and billing.