# invoice-ninja vs OpenEMR

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

| | invoice-ninja | OpenEMR |
|---|---|---|
| Score | 70/100 | 72/100 ✓ |
| Rank in category | #1 of 11 in Invoicing | #1 of 5 in Healthcare |
| GitHub stars | 10 354 ✓ | 5 555 |
| Stars, last 30 days | +244 ✓ | +87 |
| Stable releases, 12 months | 36 ✓ | 6 |
| Latest release | v5.13.50 · 21 Oct 2026 | v8_5_0 · 27 Oct 2026 ✓ |
| Setup | Moderate ✓ | Advanced |
| Official Docker image | Yes | Yes |
| License | Other | GPL-3.0 |
| Main language | PHP | PHP |

## Which one should you pick?

OpenEMR scores 72/100 against 70/100 for invoice-ninja, so it is the safer default.

invoice-ninja ships more often: 36 stable releases in the past year, against 6 for OpenEMR.

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

invoice-ninja is growing faster right now (+244 stars in 30 days).

## Details

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

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Source: https://selfhost.directory/compare/invoice-ninja-vs-openemr