Rectangle vs NexHealth: 10,000 practices chose NexHealth
Rectangle is a payment processor. NexHealth takes the payment, posts it to your ledger, and sends the statement.
Or call 866-522-1598
A payment processor for your front desk, with add-on tools.
Their competition: Worldpay and OpenEdge.
A patient experience platform that keeps your calendar full and your patient balances collected.
Our competition: the hours your staff spend calling to fill a last-minute cancellation, manually posting payments, and checking insurance one patient at a time.
Actions speak louder than sales promises
What each company actually did over the past five years.
NexHealth over the past five years
100 releases a year
180 releases a year
260 releases a year
Rectangle over the past five years
Sold to private equity
- Sold a stake to GI Partners, Nov 2021
- Founder CEO plans to buy other companies
- Resells card processing for big banks
Two CEO changes in two years
- Outside CEO replaces founder, Mar 2023
- Founder back as CEO, new CTO and COO, 2025
- Also sold as Clover PracticePay, Jul 2025
Three weeks down after ransomware
- Payments offline Feb 6 to 26, 2026
- Practices post by hand for weeks
- Engagement still not in any plan
A typical practice sees
What practices told us when they left Rectangle for NexHealth
Cancellations fill themselves. Rectangle never did that part.
On Rectangle, the terminal took the card and that was the whole job. Patients filled out a website form and waited for a call back, and the office lost two or three appointments a day. They replaced both with NexHealth.
Office manager, single-location dental practice
Payments post to the ledger. Patient and insurance split on their own.
On Rectangle, a payment posted only if that patient's ledger was open in Dentrix. If someone had a different patient open and ran the card, it posted to the wrong patient. The office moved payments to NexHealth.
Office manager, single-location dental practice
Forms write back to the chart. Medical alerts too.
On Rectangle, payments were down for weeks, and the forms tool beside it never made sending a form by text easy, so the doctor was still on paper. They signed NexHealth for payments first, then forms, texting and recall.
Office manager and co-owner, single-doctor dental practice
A local support team.
Practices missed the NexHealth team. NexHealth support is in Draper, Utah. And the onboarding team is in San Francisco, CA.
Office manager, three-location orthodontic group
Who does the job: software, or your staff
Buying a payment processor means your staff does the job, next to that terminal.
The job
With NexHealth
With Rectangle
Keeps your calendar full
With NexHealth
NexHealth, on its own
- Waitlist that fills cancellations on its own
- Online scheduling on your website, Google Maps and invisalign.com
- Tracks which bookings came from where
With Rectangle
Your staff, by hand
Rectangle takes the payment. Filling the chair is not its job. When a patient cancels, the front desk calls down the list, or a second system does.
Gets patients ready before they walk in: forms done, insurance checked, card on file
With NexHealth
NexHealth, on its own
- Custom forms that sync to the patient chart
- Reads the insurance card from a photo
- Texts the patient when their insurance ID is wrong or expired
- Collects a card on file at booking or in the forms
With Rectangle
Your staff, by hand
Rectangle stores a card on file. Forms and insurance checks run on another system. Practices pair it with a second vendor for both.
Collects your balances
With NexHealth
NexHealth, on its own
- Posts every payment to the ledger
- Works out the patient portion vs insurance on its own
- Text to pay, email, terminal and online portal
- Patient statements
- Surcharging
With Rectangle
Your staff, by hand
Rectangle's text to pay is a link your staff pastes into a text, balance typed by hand. Patients at one practice said it looked like spam. Statements still go out on paper or through a second vendor.
Writes it all back to your practice management system
With NexHealth
NexHealth, on its own
Every feature works with your practice management system, because the connection is ours and not a third party's.
With Rectangle
Your staff, by hand
Rectangle posts through a bridge app on some systems and not at all on others. The bridge needs the right patient's ledger open. Wrong patient open, wrong ledger. Many practices post by hand.
Gets you live
With NexHealth
An onboarding manager, with you
A person in San Francisco installs the sync and sets up your reminders, forms and online booking. 7 days from signed to live.
With Rectangle
Your staff, with help articles
Terminals ship and you get a login. Rectangle lists 500+ systems it works with and 30+ it connects to directly. Which posting path your system gets is worked out during onboarding.
Picks up when you call
With NexHealth
A person in Draper, Utah
40 seconds to reach a person by phone.
With Rectangle
Your staff, left to their own
Rectangle advertises 24/7 support. In February 2026 ransomware took its payments down. Practices typed payments in by hand for weeks, some for two months, and were still charged.
A person in Draper picks up your call in 40 seconds. A person in San Francisco gets you live in 7 days.
Rectangle: a processor's support line. Outages and missing merchant statements.
Questions practices ask us
Is Rectangle Health owned by private equity?
Yes. GI Partners bought a stake in November 2021, with TA Associates staying in. An outside CEO replaced the founder in March 2023, and the founder was back as CEO by 2025. Rectangle says it serves 40,000 providers.
What does Rectangle cost?
Its site says plans start at $40 a month and processing from 1.99%. Software fees run $100 to $149 a month per location, and merchant statements show blended rates from 3% to nearly 6%. The rate is interchange plus a markup that changes by card type, so most practices do not know their real rate until they pull a statement. Pull three months of merchant statements before you compare.
What happened in the Rectangle outage?
On February 6, 2026 a ransomware attack on Rectangle's payment gateway took its processing down. Service came back around February 26. Terminals were out for a week and posting was out for weeks, some for two months. Staff typed payments in by hand and called patients for balances. Several practices were still charged fees that month, and some never turned the integration back on.
Does Rectangle post payments to my practice management system?
On some systems, through its posting tool. It posts when the patient's ledger is open, and on some systems not at all. Statements and the end-of-day reconciliation stay with your staff.
Does Rectangle do reminders, online scheduling and forms?
It sells a patient engagement add-on called Bridge Engagement. It is not in any of the four plans on its pricing page, and its 2025 product news was all payments. Practices run reminders, scheduling and forms on another system.
Do I need to buy out my Rectangle contract to switch?
Check your agreement for the term, the notice period and the fee. Terms run three years, with a $700 early termination fee on a single office and a six-figure buyout quoted to a 19-location group. Terminals are sometimes leased or tied to a loan. Some fees are waived if Rectangle cannot match a written rate offer, so get the number in writing before you give notice.
Who owns NexHealth?
Its founders, backed by Silicon Valley investors. The roadmap comes from what practices ask for, and new product updates ship most weeks: 880+ releases in the past five years.
How do I switch from Rectangle to NexHealth?
A NexHealth person installs the sync, sets up your reminders, forms and online booking, and walks your front desk through it. 7 days from signed to first feature live.
Does NexHealth work with my practice management system?
15 systems, dental and medical, cloud and on premise: Dentrix, Dentrix Ascend, Eaglesoft, Open Dental, Denticon, Curve, Cloud9, Dolphin, eClinicalWorks, athenahealth, NextGen, ModMed and more. The full list is at nexhealth.com/integrations.
Is NexHealth for medical practices too?
Yes. 19 specialties: dental, orthodontics, primary care, dermatology, physical therapy and more.
Rectangle is a payment processor.
Keep the terminal if you like it. Add the platform that posts every payment to your ledger, sends the statements and keeps your calendar full.
Or call 866-522-1598
Already on Rectangle? Keep the terminal while you move. You can be live on NexHealth in 7 days.
when you demo NexHealth in October