PMS Market Share in Australian Clinics (2026)
We crawled 20k+ unique clinic domains across Australia to map which practice management systems are actually in use. The short version: Cliniko dominates allied health, dental is a different world, and 55% of clinics show no detectable PMS at all.

The Big Picture
Only 44.9% of Australian clinic websites expose a detectable PMS signal. The remaining 55.1% either use a system that leaves no public footprint, manage appointments manually or rely on tools we haven't fingerprinted yet.
Of the clinics where we do detect a PMS, the market is fragmented. No single vendor holds more than 13.2% of the total addressable market.
Top 10 PMS Platforms by Domain Count
Ranked by the number of unique clinic domains where the platform was detected via public website signals.
| Platform | Domains | % of Total |
|---|---|---|
| 1.Cliniko | 2,625 | 13.2% |
| 2.HotDoc | 951 | 4.8% |
| 3.Halaxy | 838 | 4.2% |
| 4.Dental4Windows | 723 | 3.6% |
| 5.HealthEngine | 527 | 2.6% |
| 6.PracSuite | 499 | 2.5% |
| 7.Exact (SOE) | 431 | 2.2% |
| 8.Power Diary | 396 | 2.0% |
| 9.Splose | 320 | 1.6% |
| 10.Nookal | 279 | 1.4% |
PMS Preferences by Clinic Type
Each clinic vertical has its own dominant platform. What works for a chiropractor is irrelevant to a dentist. Here are the top 3 PMS platforms for the four largest clinic categories.
Dentists
Psychologists
Chiropractors
Medical Clinics
Key Takeaways
Cliniko owns allied health.With 2,625 detected domains it's the clear leader, driven heavily by chiropractors (919 domains). It has minimal presence in dental or GP.
Dental is a two-horse race. Dental4Windows (637) and Exact/SOE (365) account for most detectable dental PMS installs. Legacy systems with deep integrations into dental supply chains.
Psychology runs on Halaxy. 565 domains detected, nearly 6x the next competitor (Cliniko at 95). Power Diary holds second place at 282.
GP clinics are HotDoc territory. 662 medical clinic domains detected. HotDoc functions as both PMS integration layer and patient-facing booking platform.
The greenfield is massive.55.1% of clinic domains show no public PMS signal. For vendors, that's 10,900+ domains that are either running invisible legacy systems or have no software at all.
Methodology
Data sourced from the Atlas clinic intelligence platform. 20k unique clinic domains across Australia are crawled every week. PMS detection is based on public website signals: embedded booking widgets, JavaScript includes, meta tags, DNS records and link patterns. "Not detected" means no public signal was found, not that no PMS is in use.

Data Engineer & Developer. Builder of Atlas.
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