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Medgate

Part of Cority

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.

Reviewed by the Compare Occ Health Software Editorial TeamLast reviewed: June 2026

Best for

Large, safety-driven employers managing occupational health at scale.

Deployment

Cloud / SaaS, On-premise

Pricing model

Quote-based

Built-in capabilities

15 of 24 tracked

Typical fit

Enterprise EHSEmployers & on-site clinics

Strengths

  • Mature occupational health & safety data model
  • Used by large, regulated employers
  • Configurable clinical and surveillance workflows

Things to confirm

  • !Enterprise focus; heavier than clinic-first tools
  • !Confirm current roadmap under the Cority portfolio
  • !Longer implementation timelines

Medgate pricing

Medgate uses quote-based. Like most occupational health platforms, it's quoted to your organization rather than list-priced — expect cost to scale with your number of locations, active users, and employee volume, plus the modules you switch on (for example drug & alcohol testing, medical surveillance, or an employer portal).

Medgate is delivered as cloud / saas or on-premise. Ask each shortlisted vendor for a written quote that separates the core platform from add-ons, implementation, and onboarding, and confirm how pricing changes as you grow, so you can compare like for like.

We don't publish dollar figures because occupational health vendors price by quote — always confirm current pricing directly with Medgate.

Capability breakdown

Support levels are compiled from public information — verify with the vendor.

Clinical & Medical Records
  • Occupational health records (EHR)

    A purpose-built record for occupational health encounters, tied to employer and job rather than only to a patient.

    Built-in
  • Medical surveillance programs

    Track recurring surveillance (hearing, respiratory, heavy metals, asbestos) with due dates and exposure-based cohorts.

    Built-in
  • Exam & test management

    Capture and store audiograms, spirometry, vision, vitals, and physical exam results in structured form.

    Built-in
  • Injury & case management

    Manage work-related injuries from intake through return-to-work, including restrictions and follow-up visits.

    Built-in
  • Immunization & titer tracking

    Record vaccinations and titers with reminders for boosters and series completion.

    Built-in
Compliance & Reporting
  • OSHA 300 / 300A / 301 recordkeeping

    Maintain OSHA injury & illness logs and generate the 300A summary and electronic ITA submission files.

    Built-in
  • DOT / FMCSA compliance

    Manage DOT physicals, CDL medical certificates, and FMCSA National Registry workflows.

    Partial
  • Drug & alcohol testing

    Order, collect, and track drug & alcohol tests, including random pool management and MRO workflow.

    Partial
  • Respirator clearance & fit testing

    Run respirator medical evaluations and record qualitative/quantitative fit-test results.

    Built-in
  • Regulatory & audit reporting

    Produce the cross-program reports auditors, clients, and leadership ask for, on demand.

    Built-in
Operations & Workflow
  • Appointment scheduling

    Book individual and bulk/event appointments (e.g., a 200-person flu or audiogram day).

    Partial
  • Clinic charting & encounter workflow

    Front-desk to provider to checkout workflow with protocol-driven documentation.

    Built-in
  • Employer / client portal

    A secure portal where employers send employees, view results, and download clearances.

    Partial
  • Protocol & job-based rules

    Define exam protocols per job, client, or exposure so the right services are ordered automatically.

    Built-in
  • Billing & invoicing

    Generate employer invoices and/or medical claims, with service-to-charge mapping.

    Not offered
Platform & Integrations
  • HRIS / HCM integration

    Sync employee rosters, departments, and status from HR systems.

    Built-in
  • Lab integration (HL7 / LIS)

    Send orders to and receive results from reference and on-site labs electronically.

    Partial
  • Open API & webhooks

    Documented APIs and webhooks to build custom integrations and automations.

    Partial
  • Telehealth visits

    Conduct and document virtual visits (e.g., injury triage, follow-ups) inside the platform.

    Not offered
  • Mobile / employee app

    Mobile access for staff and a way for employees to complete forms or view results.

    Partial
Security & Support
  • Cloud-based SaaS

    Fully hosted, browser-based delivery with vendor-managed updates.

    Built-in
  • HIPAA & SOC 2 posture

    Documented HIPAA compliance and independent security attestation (e.g., SOC 2).

    Built-in
  • Implementation & onboarding

    Structured data migration, configuration, and training to get live.

    Built-in
  • Role-based access control

    Granular permissions so clinicians, billers, and employer users each see only what they should.

    Built-in

Looking at other options?

See the closest occupational health software alternatives to Medgate, ranked by fit.

Alternatives to Medgate

Frequently asked questions

What is 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 is Medgate best for?

Medgate is best for large, safety-driven employers managing occupational health at scale, and is most commonly evaluated by Enterprise EHS, Employers & on-site clinics teams.

How is Medgate deployed and priced?

Medgate is offered as cloud / saas or on-premise with quote-based. Confirm current pricing directly with the vendor, as occupational health platforms are typically quoted to your locations and user count.

What are the best alternatives to Medgate?

The closest alternatives to Medgate include Cority, Axion Health (ReadySet), Enterprise Health. See the full alternatives list for capability-by-capability comparisons.