Head-to-head

Evotix logovsMedgate logo

Evotix vs Medgate

A neutral, side-by-side comparison of Evotix and Medgate across all 24 occupational health capabilities we track — so you can see exactly where they overlap and where they differ.

Last reviewed: June 2026

EHS platform with dedicated occupational health management.

Built-in
9 / 24
Best for
Safety-led organizations integrating occupational health with industrial hygiene and EHS data.
Medgate logo
Medgate

Part of Cority

Occupational health & safety information system.

Built-in
15 / 24
Best for
Large, safety-driven employers managing occupational health at scale.

Evotix vs Medgate: the short version

Evotix is built for safety-led organizations integrating occupational health with industrial hygiene and ehs data, while Medgate is built for large, safety-driven employers managing occupational health at scale. Of the 24 capabilities we track, Evotix offers 9 built-in and Medgate offers 15, with 6 that both cover. Evotix pulls ahead on drug & alcohol testing, employer / client portal, and mobile / employee app, while Medgate leads on medical surveillance programs, exam & test management, and immunization & titer tracking. On delivery, Evotix is cloud-based and Medgate is cloud-based or on-premise. The right pick comes down to which capabilities your workflow depends on — the full breakdown is below.

Evotix vs Medgate at a glance

EvotixMedgate
Best forSafety-led organizations integrating occupational health with industrial hygiene and EHS data.Large, safety-driven employers managing occupational health at scale.
Built-in capabilities9 / 2415 / 24
Deploymentcloud-basedcloud-based or on-premise
Pricingquote-based pricingquote-based pricing
Common segmentsEnterprise EHS, Employers & on-site clinicsEnterprise EHS, Employers & on-site clinics

Both built-in

  • Occupational health records (EHR)
  • Injury & case management
  • OSHA 300 / 300A / 301 recordkeeping
  • Regulatory & audit reporting
  • Cloud-based SaaS
  • Role-based access control

Evotix advantage

  • Drug & alcohol testing
  • Employer / client portal
  • Mobile / employee app

Medgate advantage

  • Medical surveillance programs
  • Exam & test management
  • Immunization & titer tracking
  • Respirator clearance & fit testing
  • Clinic charting & encounter workflow
  • Protocol & job-based rules
  • HRIS / HCM integration
  • HIPAA & SOC 2 posture
  • Implementation & onboarding

Evotix vs Medgate, capability by capability

Built-inPartialAdd-onNot offeredUnconfirmed
CapabilityEvotix logoEvotixMedgate logoMedgate
Clinical & Medical Records
Occupational health records (EHR)Built-inBuilt-in
Medical surveillance programsPartialBuilt-in
Exam & test managementPartialBuilt-in
Injury & case managementBuilt-inBuilt-in
Immunization & titer trackingPartialBuilt-in
Compliance & Reporting
OSHA 300 / 300A / 301 recordkeepingBuilt-inBuilt-in
DOT / FMCSA compliancePartialPartial
Drug & alcohol testingBuilt-inPartial
Respirator clearance & fit testingPartialBuilt-in
Regulatory & audit reportingBuilt-inBuilt-in
Operations & Workflow
Appointment schedulingPartialPartial
Clinic charting & encounter workflowPartialBuilt-in
Employer / client portalBuilt-inPartial
Protocol & job-based rulesPartialBuilt-in
Billing & invoicingNot offeredNot offered
Platform & Integrations
HRIS / HCM integrationPartialBuilt-in
Lab integration (HL7 / LIS)PartialPartial
Open API & webhooksPartialPartial
Telehealth visitsNot offeredNot offered
Mobile / employee appBuilt-inPartial
Security & Support
Cloud-based SaaSBuilt-inBuilt-in
HIPAA & SOC 2 posturePartialBuilt-in
Implementation & onboardingPartialBuilt-in
Role-based access controlBuilt-inBuilt-in

How to read this comparison

Support levels reflect publicly available product information and are a neutral starting point for your own evaluation — not a definitive scorecard. Confirm specifics with each vendor before making a decision.

Frequently asked questions

What is the difference between Evotix and Medgate?

Evotix is positioned for safety-led organizations integrating occupational health with industrial hygiene and ehs data while Medgate is positioned for large, safety-driven employers managing occupational health at scale. Across the 24 capabilities we track, Evotix offers 9 built-in and Medgate offers 15. Evotix stands out on Drug & alcohol testing, Employer / client portal, Mobile / employee app. Medgate stands out on Medical surveillance programs, Exam & test management, Immunization & titer tracking, Respirator clearance & fit testing.

Is Evotix or Medgate better for occupational health?

Neither is universally "better" — it depends on your operating model. Both are commonly considered for Enterprise EHS, Employers & on-site clinics teams. Evotix is best for safety-led organizations integrating occupational health with industrial hygiene and ehs data; Medgate is best for large, safety-driven employers managing occupational health at scale. Compare them against the capabilities your workflow actually depends on rather than the raw feature count.

How much do Evotix and Medgate cost?

Evotix uses quote-based pricing and Medgate uses quote-based pricing. Most occupational health vendors quote based on locations, users, or employee volume, so request a tailored quote from each to compare like-for-like.

Who should consider Evotix?

Evotix — EHS platform with dedicated occupational health management.. Evotix (formerly SHE Software) is an EHS platform with a dedicated occupational health module that links health data with industrial hygiene and safety incidents. It supports case management, exposure tracking, drug and alcohol testing, and ergonomic and psychosocial assessments for safety-led organizations.

Who should consider 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.