# invoice-as-a-service vs OpenEMR

> Two self-hosted projects, compared on the numbers selfhost.directory tracks live: score, popularity, release cadence and setup effort.

| | invoice-as-a-service | OpenEMR |
|---|---|---|
| Score | 43/100 | 72/100 ✓ |
| Rank in category | #12 of 13 in Billing | #1 of 5 in Healthcare |
| GitHub stars | 218 | 5 555 ✓ |
| Stars, last 30 days | — | +89 |
| Stable releases, 12 months | 1 | 6 ✓ |
| Latest release | v2026-10-23 · 23 Oct 2026 | v8_5_0 · 27 Oct 2026 ✓ |
| Setup | Moderate ✓ | Advanced |
| Official Docker image | Yes | Yes |
| License | MIT | GPL-3.0 |
| Main language | PHP | PHP |

## Which one should you pick?

OpenEMR scores 72/100 against 43/100 for invoice-as-a-service, so it is the safer default.

OpenEMR ships more often: 6 stable releases in the past year, against 1 for invoice-as-a-service.

If you want the quickest setup, invoice-as-a-service is easier to run; OpenEMR needs more configuration.

OpenEMR is growing faster right now (+89 stars in 30 days).

## Details

- [invoice-as-a-service](https://selfhost.directory/project/invoice-as-a-service) (markdown: https://selfhost.directory/project/invoice-as-a-service.md)
- [OpenEMR](https://selfhost.directory/project/openemr) (markdown: https://selfhost.directory/project/openemr.md)

---
Source: https://selfhost.directory/compare/invoice-as-a-service-vs-openemr