AI Workforce
Updated November 6, 2026
Zenoti vs PatientNow: one platform from the treatment room to payroll
PatientNow and Zenoti both chart treatments, book patients, take payments and run memberships and marketing. Zenoti also runs full-service payroll that files your federal and state payroll taxes, and gives you every location from a single login, so the treatment room and the back office run on one platform.
Charting to payroll: what each platform runs
PatientNow
- QuickBooks Online sync
Payroll calculation reports in PatientNow Essentials; payroll tax filing not stated publicly. One account for every location: listed as coming soon.
Zenoti
One platform, at one location or many
Sources: PatientNow practice management and pricing pages and help center; Zenoti payroll and tipping, medspa features and multi-location pages. Checked November 6, 2026.
Medspa and aesthetic brands that run on Zenoti
Zenoti vs PatientNow: the problems medspa teams switch to solve
Both platforms chart treatments, book patients and take payments. The difference shows up in the work around them: payroll, more locations, memberships, missed calls and the move itself.
The problem
Commissions, tips and payroll eat hours every pay period
Injectors, aestheticians and the front desk each earn on their own rules. Even when your software totals the pay, someone still has to run payroll and file the taxes, often through a separate service.
How Zenoti fixes it
In Zenoti, commissions calculate automatically from closed invoices, including split and tiered commissions, and digital tips land in each employee's Zenoti Wallet at the end of every shift. Zenoti Integrated Payroll handles federal and state tax calculations, filings and payments across all 50 US states, and generates and files W-2s and 1099s at year end, so payroll runs on the same platform as your appointment book.
See payroll and tippingThe problem
A second location should run on the same system
Growth brings more providers, more rooms and, at some point, another location that has to share services, prices and patient records. PatientNow sets up new locations from a template of your best-performing site and reports by location. As of October 2026, it lists managing every location from one account, with rollup visibility across the practice, as coming soon.
How Zenoti fixes it
Zenoti runs every location on one platform, with records from every location a single login away. Set services, pricing and configuration once and push changes to every location in bulk. Memberships, gift card balances and package sessions can be set up for use at every location, Zenoti tracks what each location owes when a patient buys at one and redeems at another, and reports run for one location, a region or the whole practice. One location or many, it is the same platform.
“Zenoti offered the key capabilities for growth and analysis that we were looking for.”Austin G., CFO, Health, Wellness and Fitness, on why the practice chose Zenoti. August 4, 2026. August 4, 2026. Read on Capterra
The problem
A declined card or a month away can end a membership
Memberships and packages are a practice's steady revenue. An expired card, a member who travels or a partner who wants to share the benefits can cut one short.
How Zenoti fixes it
Zenoti bills memberships automatically and, when a card payment fails, retries the charge at intervals you set instead of lapsing the membership. Members can freeze for a defined period, share benefits with family and, if you allow it, use them at any of your locations.
See memberships and packagesThe problem
New leads call while every provider is with a patient
The phone rings mid-treatment, a consult inquiry waits until tomorrow, and patients who haven't been in for months never hear from you.
How Zenoti fixes it
AI Receptionist answers calls around the clock, books single or multiple services around provider schedules, offers a reschedule when someone calls to cancel, and transfers to your team when a caller asks. Zenoti's marketing tools send automated email and text campaigns to audiences built from service history and visit recency, so lapsed patients hear from you.
The problem
Charting runs into the next appointment
Units, lot numbers, photos, consents and the note itself all have to be complete, signed and stored as protected health information before the day ends.
How Zenoti fixes it
Zenoti's injectable records capture product, units per injection zone, lot number, expiry date and administering provider, and every before and after photo links to its visit and chart note, with 200+ face and body guides and a ghosting overlay. AI Scribe, a paid add-on on the Zenoti Mobile App, listens to the consultation and fills your custom chart templates for the provider to review. Prescriptions go out through Surescripts, medical directors approve treatments from a review dashboard, and Zenoti provides a signed Business Associate Agreement.
“Zenoti for Medspa use has been great and allowed us to basically go paperless.”Madison G., Operations Manager, Medical Practice. July 6, 2026. July 6, 2026. Read on Capterra
The problem
Switching feels riskier than staying put
Patient records, memberships, gift card balances and a team to retrain, all while patients keep booking.
How Zenoti fixes it
Zenoti moves patient profiles, upcoming appointments, notes, memberships, packages and gift card balances, plus up to two years of past appointments and invoices, and configures the Zenoti modules you use. Zenoti validates the migrated data, and your team checks it and signs off before go-live. Each team member gets self-paced online courses for their role through Zenoti University.
“As a small medspa with four providers and one manager, the conversion process has been my sole responsibility, but I have never felt like I was doing it alone.”Lisa F., Business Development Manager. May 14, 2026. May 14, 2026. Read on Capterra
Zenoti vs PatientNow: feature comparison
Checked against each vendor's public pages, and PatientNow's public help center, on October 10, 2026. "Not stated publicly" means we could not find it there, not that it is missing, so ask in your demo. Plans and add-ons differ by vendor, so confirm what your plan includes.
How to read this comparison
- Built in
- Native to Zenoti.
- Both
- Both vendors list it.
- Via partners
- Listed by PatientNow as a partner integration.
Not stated publicly means we couldn’t confirm it from public information, not that the product lacks it.
What it means for you:Same on both
| Capability | Zenoti | PatientNow | What it means for you |
|---|---|---|---|
| Clinical and charting | |||
| Charting and injectables | BothCustom chart templates; injectable records capture product, units per injection zone, lot number, expiry date and administering provider | BothTemplates for injectables, surgery, weight loss and wellness; injection sites and units marked on the image; lot number and expiration date recorded on each injection (PatientNow Essentials help center) | 40% less charting time and up to 33% more revenue for injectable clinics on Zenoti. |
| AI chart notes | BothAI Scribe fills your custom chart templates from the consultation; a paid add-on on the Zenoti Mobile App | BothAI Scribe drafts SOAP notes for provider sign-off; listed as included in all plans | 1–2 hours of charting saved per provider per day, up to $24K per provider per month. |
| Before and after photos | BothPhotos linked to the visit and chart note; 200+ face and body guides and a ghosting overlay | BothRxPhoto: positioning guides, ghosting overlays, injection sites and units marked on the photo | 2–3 minutes saved per appointment with Photo Manager: 30+ minutes per provider per day, an estimated $7,500 a month for a 28-location medspa. |
| Intake and consent forms | BothSent automatically when an appointment is booked | BothSent by SMS or email before the visit | 70%+ of forms completed before the appointment at About Face (7 locations). |
| E-prescribing | BothThrough Surescripts, supporting EPCS and non-EPCS medications | BothPrescriptions and lab orders from the patient record through 120+ connected vendors | Same on both: Both cover this |
| Injectable inventory | BothConsumables deducted when a service is performed; batch and expiry tracking; near-expiry batches flagged with suggested substitutes | BothCharted injectable units update billing and inventory; lot number and expiration date recorded on each injection (PatientNow Essentials help center) | Same on both: Both cover this |
| Medical director review | BothA review dashboard to assign, check and approve treatments, with records from every location a single login away | BothSignature fields for provider or medical director sign-off (PatientNow Essentials help center); a review dashboard not stated publicly | Same on both: Both cover this |
| Front desk, AI and marketing | |||
| Online booking | BothWebstore, website widget, Reserve with Google, Facebook and Instagram, with deposits and cards captured at booking | BothWebsite and Google, with deposits at booking | 84 front desk hours saved by online booking in three months at JECT (six medspas), alongside 43 new guests and $20,000+ in one month. |
| AI call answering | BothAI Receptionist answers calls 24/7, books single or multiple services, offers a reschedule and transfers to your team | BothRecura AI answers calls and texts 24/7 and calls new leads back in under 30 seconds | 1 in 3 missed calls converted into a booked appointment, 25% upsell rate, across 3,500+ locations. |
| Marketing automation | BothAutomated email and SMS by guest behavior, with audiences by service history, visit recency or loyalty tier | BothAI-drafted email and SMS; automated drips by treatment interest, visit history or inactivity | 408 lapsed patients recovered and $89,794 in revenue at OrangeTwist (14 locations) in six months of Smart Marketing. |
| Reviews and reputation | BothGoogle and Facebook reviews in one dashboard, with AI-drafted replies you approve | BothReview dashboard and automated review requests after every visit | Same on both: Both cover this |
| Memberships and payments | |||
| Memberships and packages | BothAutomatic billing, failed cards retried at intervals you set, freezes, family sharing and use at any location you allow | BothMemberships, packages and recurring billing, with member benefits tracked | 22% more revenue at medspas that offer memberships (Zenoti Benchmark Report). |
| Patient financing | BothPay over time through Affirm, Afterpay, Klarna and Sunbit | BothFinancing through Cherry and CareCredit | 30% higher average ticket when patients pay over time; BNPL is 20–30% of monthly revenue at Zenoti-powered businesses. |
| Staff and payroll | |||
| Commissions and tips | BothCommissions from closed invoices, including split and tiered; digital tips to each employee's Zenoti Wallet at the end of every shift | BothCommission plans on a straight scale, sliding scale or average sales amount, with a commission report (PatientNow Essentials help center); Tippy listed among add-ons and integrations | Same on both: Both cover this |
| Payroll and tax filing | Built inFederal and state tax filings and payments in all 50 US states; W-2s and 1099s at year end | Payroll calculation report for hourly and commission pay (PatientNow Essentials help center); payroll tax filing not stated publicly; QuickBooks Online sync | Payroll cut from 2 hours to 30 minutes per location at OC Waxing (five locations), a 75% reduction. |
| Locations and reporting | |||
| One account for every location | Built inEvery location on one platform, with records from every location a single login away; memberships, gift cards and package sessions can be set up for use at any location | Listed as coming soon; new locations set up from a template of your best-performing site; reports by location | 55% of guests retained across six centers at JECT, with one guest profile and the same experience at every location. |
| Settlements and royalties between locations | Built inTracks what each location owes when a patient buys at one and redeems at another; franchisor royalties | Not stated publicly | |
| Reporting | BothReports scheduled to a distribution list, by organization, region or location | BothKPI dashboard, scheduled reports, AI forecasts and an AI Business Analyst, by location, provider or service | 75 management hours saved per branch per month at Silkor (25 laser and skin clinics). |
| Business types | Medspas, salons, spas, barbershops and fitness | Med spas, plastic surgery, weight loss, dermatology, IV therapy, wellness, surgical and non-surgical aesthetics | |
Zenoti vs PatientNow reviews on Capterra and G2
Each rating comes with the number of reviews behind it. Zenoti's Capterra score is built on 1,292 reviews and its G2 score on 316, as both sites showed them on October 10, 2026. The split by support, ease of use and features follows.
Capterra
Scores out of 5, as each product's Capterra listing showed them on October 10, 2026 (listings updated September 28 and 29, 2026). The top bars show each product's number of Capterra reviews. Zenoti on Capterra.
G2
Overall scores out of 5 from each product's G2 listing. Sub-scores out of 10 from G2's PatientNow vs Zenoti comparison, with the number of reviews behind each in brackets. The top bars show each product's number of G2 reviews. Ease of setup is Zenoti's lowest G2 score; the practices below describe the support they had through the move. Zenoti on G2.
Practice teams who switched from PatientNow
"ZENOTI is the BEST EMR system out there!"
“Their weekly check-ins, responsiveness, training and willingness to help has made the transition feel much more manageable.”
Lisa F.Business Development Manager at a small medspa. May 14, 2026. Capterra
A practice CFO, two months after go-live
“We are now a little over 2 months past our go-live date and are really feeling the benefits from the change.”
Austin G.CFO, Health, Wellness and Fitness. August 4, 2026. Capterra
"I highly recommend Zenoti for anyone looking for an EMR system that is with the times, user-friendly and robust."
“Our Implementation manager was great and helped us work through the data with a fine tooth comb as we transitioned from our old system.”
Nicole R.Business Operations, Medical Practice. February 2, 2026. Capterra
Capterra reviews constitute the subjective opinions of individual end users based on their own experiences and do not represent the views of Capterra or its affiliates. Excerpts are verbatim; read each review in full on Capterra.
Case studies from top medspa businesses on Zenoti
Medspa and aesthetic brands in their own words and numbers, from a skin clinic with three decades behind it to more than 23 clinics.
Everybody loves Zenoti Connect, it's one of our favorite Zenoti features. It's super easy, super helpful and allows clients to independently communicate with the clinic team at their convenience. It saves the phone call the front desk doesn't have time for.More than 23 clinics (and counting)
We've recovered 84 patients, generated thousands in revenue, and seen a boost in bookings thanks to campaigns that offer personalized discounts to patients. We love Smart Marketing as it improves visit frequency while we focus on running our business.84 patients recovered
With Zenoti we've been able to streamline core processes, which has been invaluable. Lead management helps us handle large volumes of inquiries, turning them into consultations and clients.Several software systems consolidated into one
Guests re-engaged after up to 210 days away spent on average 8% more than others.
Read the case study
More than 70% of forms are now completed on guests' own devices before their appointments.
Read the case study
Serves an average of 70 guests a day, with Smart Marketing campaigns to re-engage prospects and regain lost customers.
Read the case study
Zenoti Connect runs two-way texting between guests and providers, plus automatic instructions and appointment notifications.
Read the case study
Sent 46,000 emails over three months across nearly a dozen Smart Marketing campaigns.
Read the case studySwitching from PatientNow to Zenoti
Here is the move in five steps, with a Zenoti onboarding team alongside you. Plan it around your treatment calendar and keep your busiest weeks clear.
Scope
You and Zenoti's onboarding team agree what moves and what Zenoti configures, set out in a statement of work.
Migrate
Patient profiles, upcoming appointments, notes and balances move to Zenoti, with up to two years of past data from one source.
Configure
Zenoti configures the modules you use and sets up your services, products and staff from the data you provide.
Validate
Zenoti checks the migrated data, and your team reviews the data and settings before go-live and signs off.
Train and go live
Each team member takes self-paced online courses for their role through Zenoti University, then you go live.
What moves
Patient profiles, upcoming appointments, notes, memberships, packages and gift card balances, plus up to two years of past appointments, invoices and payments. Chart files move in accepted formats; other images and documents need a separate statement of work.
Your records are yours
PatientNow's FAQ says your patient records are yours and that its team will help you export your data if you move on, so ask for the export early in your plan. PatientNow's FAQ
See your medspa running on Zenoti
Book a live demo built around your practice. See how Zenoti handles injectables, memberships and payroll for a medspa like yours, and talk through what a move from PatientNow involves for your go-live date.
“Overall, I was extremely happy with onboarding Zenoti for our practice.”Madison G., Operations Manager, switched from PatientNow. Capterra, July 6, 2026.
Book your demo
A Zenoti specialist will reach out to schedule your demo.
Zenoti vs PatientNow: questions medspa owners ask
What is the difference between Zenoti and PatientNow?
Both chart treatments, book patients online, take payments and run memberships and marketing for aesthetic practices. Zenoti also runs full-service payroll with federal and state tax filing in all 50 US states, and gives you every location from a single login, which PatientNow lists as coming soon. Both offer AI for calls and charting: PatientNow offers Recura AI and includes AI Scribe in all plans, while Zenoti offers AI Receptionist, and AI Scribe as a paid add-on.
PatientNow vs Zenoti for med spa growth: what changes as you add providers and locations?
Both book online, run memberships and marketing, and report by location. PatientNow can set up a new location from a template of your best-performing site and lists one account for every location as coming soon. Zenoti gives you every location from a single login, can honor memberships, gift card balances and package sessions at every location, tracks what each location owes when a patient buys at one and redeems at another, and runs payroll with tax filing as you add providers.
Comparing PatientNow and Zenoti for plastic surgery clinics: what is the difference?
PatientNow's plastic surgery software schedules surgeons, providers, rooms and equipment together, keeps consults, pre-op, procedures and post-op visits in one patient timeline, and manages insurance alongside cash-pay work. Zenoti runs the non-surgical aesthetic side of a cosmetic surgery practice: consultation workflows, treatment plans with custom quotes, post-surgical follow-up scheduling, packages and injectable tracking, alongside full-service payroll and a single login across locations. If surgery brings in most of your revenue, ask each vendor to walk through one full surgical case in your demo.
Does Zenoti have an AI receptionist and AI Scribe?
Yes. AI Receptionist answers calls around the clock, books single or multiple services around provider schedules, offers a reschedule when someone calls to cancel, and transfers to your team when a caller asks. AI Scribe, a paid add-on that runs on the Zenoti Mobile App, listens to the consultation and fills your custom chart templates for the provider to review. On Zenoti's AI Scribe page, a registered nurse at Spa 35 reports saving roughly 60 minutes a day in charting.
Is Zenoti HIPAA compliant, and does it sign a BAA?
Yes. Zenoti supports HIPAA-compliant workflows for medical spas, including a signed Business Associate Agreement, encrypted patient data, access controls and audit logs, and photo management that treats clinical images as protected health information.
How long does it take to switch from PatientNow to Zenoti?
The move runs in five steps: scope, migrate, configure, validate, and train and go live.
What moves from PatientNow to Zenoti?
Zenoti's standard migration covers patient profiles, upcoming appointments, notes and alerts, memberships, packages, gift card and other balances, and up to two years of past appointments, invoices and payments from one source. Chart files move in accepted formats; other images and documents need a separate statement of work. PatientNow's own FAQ says your patient records are yours and that its team will help you export your data.
Can I try Zenoti before committing?
Zenoti offers a live demo built around your practice. It does not offer a self-serve free trial.
How does Zenoti pricing compare with PatientNow?
Neither vendor publishes a price list, so ask for a quote in your demo and include the add-ons and other tools you pay for today when you compare.
Is Zenoti only for large medspa groups?
No. More than 30,000 salon, spa and medspa businesses across 50+ countries use Zenoti, from single-location medspas to multi-location medspa groups and franchises.
Is there a learning curve with Zenoti?
Yes. Zenoti covers a lot, and ease of setup is its lowest score on G2. Practices switching to Zenoti work with Zenoti's onboarding team on setup and data, take self-paced online courses for their roles, and get remote support after go-live.
Sources and disclaimers
All sources checked October 10, 2026. Capterra reviews constitute the subjective opinions of individual end users based on their own experiences and do not represent the views of Capterra or its affiliates.