ekco vs BodySite

BodySite runs care plans in a patient app. ekco runs the same plan in healthcare iMessage — no portal login for daily follow-through.

Feature comparison: ekco vs BodySite for between-visit care plan execution
Feature	ekco	BodySite
Patient surface	Healthcare iMessage (SMS when needed)	Patient app & portal
Care plan tasks & reminders	Scheduled plan texts + exception queue	100+ ready-made care plans delivered as daily lessons in their app
Scheduled between-visit check-ins	Check-ins on healthcare iMessage patients reply to	Program reminders in app
Care plan follow-through	See who is on the plan and who needs a nudge	Digital care plans & courses
Two-way patient texting on the plan	Two-way healthcare iMessage on the treatment plan — replies stay in the thread	Two-way messaging with staff in their app
Escalate when someone falls off	Exception queue when replies signal risk or non-adherence	Compliance & monitoring views
Patient confirmed reorder in thread	Reorder prompts from the plan in the same thread — clinic keeps the sale	Supplement paths in program
Practice OS / EMR / EHR	Not our job — works beside your chart	EMR + digital care platform
Pricing model	Per active patient (ekco)	$69/mo (25 clients) or $159/mo unlimited. Confirm on BodySite.
Time to first live check-in	Days	Not published as a public timeline

Public product pages checked October 2026.

Why clinics pick ekco

BodySite puts the care plan in a patient app and portal — courses, tasks, reminders, and compliance tracking. ekco keeps the same job in healthcare iMessage, where patients already reply.
No second login for routine check-ins. Staff still see who is on the plan and who needs a person.
Patient Store puts supplement and clinic-product reorders in the same thread when the plan calls for it — you keep the sale.
BodySite is a strong fit when you want a full digital-care EMR layer. ekco is a strong fit when portal adoption is the bottleneck.

Who should pick what

Choose BodySite if

You want a portal-first digital care platform with courses, structured programs, and remote monitoring packaged for longevity and whole-person medicine.
You are already standardized on BodySite for charting, patient tasks, and compliance tracking across a large panel.
Your patients reliably use a dedicated app between visits.

Choose ekco if

Portal fatigue is the problem — patients ignore tasks until the next visit.
You want check-ins and running-low nudges on healthcare iMessage with an exception queue when someone falls off.
You want reorders in the same thread without building a parallel patient app experience.

What BodySite is

BodySite markets a practice management and EMR layer for health and wellness practitioners: digital care plans, patient adherence, tasks and reminders, supplements, nutrition, exercise, and education between visits. Courses and lessons are part of that library. A patient opening a module is not the same signal as a reply in the thread. On its functional medicine page, BodySite reports 5,000+ providers and 700,000+ patients. BodySite was acquired in 2021 by the parent company of A4M. Public list prices start at $69/month for up to 25 clients, and $159/month for unlimited clients on one provider seat. Confirm on BodySite before you quote it. See sources.

What ekco is

ekco takes a clinician-directed care plan and keeps the patient moving on it between visits — check-ins and running-low texts on healthcare iMessage, where patients already reply. Not another portal login or a team inbox.

Staff see who is following the plan and who needs a person. You keep clinical judgment. ekco is not your EHR, chart, or billing system. It doesn’t book appointments and doesn’t take payment.

When the plan includes supplements or clinic products, reorder prompts arrive in the same thread. The patient confirms the request, and the clinic keeps the sale. ekco does not take payment.

Same job as BodySite — execution between visits — with the patient surface on healthcare iMessage instead of an app login.

BodySite is one of the few vendors with real FM traction on between-visit care: care plans, patient tasks, reminders, nutrition, supplements, and education in a digital program. ekco targets the same outcome with a lighter channel — scheduled texts patients open, staff-approved wording, and Patient Store when it is time to reorder.

Can I use BodySite and ekco?

Sometimes, if your contract and workflow allow two patient touchpoints. More often the decision is channel: portal-first digital care (BodySite) vs. text-first plan execution (ekco). ekco fits best when app adoption is the weak link.

Bottom line

BodySite is the honest head-to-head for FM care-plan adherence at scale. ekco wins when the plan needs to run in the thread patients already use — not another login.

Questions

Is ekco or BodySite better for functional medicine adherence?

Choose BodySite when patients will use a portal, courses, and structured digital programs every week. Choose ekco when portal adoption is the bottleneck and you need scheduled care-plan texts on healthcare iMessage, an exception queue, and Patient Store reorders in the same thread.

Is ekco trying to replace BodySite’s EMR?

No. BodySite is a broader practice platform. ekco is care-plan execution between visits on healthcare iMessage. Chart and deep digital programs can stay where they are; ekco handles scheduled follow-through and in-thread reorders.

Why publish ekco vs. BodySite but not vs. Fullscript?

Fullscript is dispensary distribution and increasingly Journeys. ekco extends that stack. It does not replace it. BodySite often still routes supplements through Fullscript, so the patient can end up in two places. ekco Patient Store keeps the reorder in the care-plan thread. See ekco + Fullscript on Integrations.