EU Sovereignty Score
Non-EU vendorHealthcareHeadquarters: US

Tebra: sovereignty score and 8 European alternatives

Tebra is a cloud-based electronic health record and practice management platform for independent private practices, such as family medicine, primary care and mental health. Its EHR+ platform covers clinical documentation, billing and payments, patient experience, practice marketing and AI-supported administrative automation. The company was formerly known as Kareo and PatientPop.

Tebra Technologies, Inc. is headquartered in Corona del Mar, California. Its privacy policy states that personal information is kept on its own servers and those of service providers, that affiliates may be outside the United States, and that data may be processed in countries where privacy laws may be less stringent. No parent company is named. Tebra describes its features as HIPAA-compliant and offers a Business Associate Agreement, but the website contains no EU hosting commitment and no GDPR statement, so a European practice should confirm hosting and processing terms first. No open-source or self-hosted option is described.

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Sovereignty score
17 / 1000 = high exposure
100 = sovereign
  • Jurisdiction SOV-210
    Headquartered in the US: CLOUD Act and FISA 702
  • Data residency SOV-30
    No hosting in Europe (US)
  • Cryptographic key sovereignty SOV-320
    Key management with a non-European vendor
  • Freedom from lock-in SOV-640
    Closed source: switching requires data migration
  • Source & runtime sovereignty SOV-4 · SOV-615
    Closed source, runtime with the vendor

SOV codes: the matching objective in the European Commission's Cloud Sovereignty Framework. Official source

How the score is calculated

Facts and evidence

Last checked October 11, 2026
HeadquartersUS (US)Verified by hand
EU adequacy decisionOnly for companies individually certified under the EU-US Data Privacy FrameworkVerified by hand
Sovereignty modelVendor-hosted (non-EU)Verified by hand
Data hostingUSVerified by hand
Open-sourceNoVerified by hand
GDPR-compliantNoVendor-stated
CategoryHealthcare
TypeProduct
Websitetebra.com ↗

How we verify · Something wrong? Suggest a correction

Top EU-based & GDPR-compliant alternatives to Tebra

The European alternatives to Tebra come from our knowledge base of over 6,200 vendors. We only list vendors headquartered in the EU or the EEA; fully European-owned vendors rank before vendors with a foreign owner. For each alternative you see the country, the open-source status and a short description.

Score per alternative: 0 = high exposure, 100 = sovereign

59 European Healthcare vendors are in the catalogue. View the whole category · Submit an alternative · View category on the map

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Why digital sovereignty matters with Tebra

Tebra is headquartered in the United States. US vendors fall under the CLOUD Act and FISA 702: US authorities can compel access to data, even when that data sits in a European data centre. That is the core of the jurisdictional exposure in our model.

Tebra hosts data outside the EU (US). Personal data therefore leaves the EU, which requires a transfer mechanism under the GDPR and pulls the data residency score down.

Tebra is closed source and hosted by the vendor. The encryption keys and the runtime sit with the vendor and switching requires data migration. Ask about bring-your-own-key, export options and open standards.

What this means for your organisation depends on your whole stack and context. The free assessment weighs Tebra together with your other vendors and gives a total score, a heatmap and the main risk drivers.

Frequently asked questions

What is the best European alternative to Tebra?

It depends on your use case. Strong EU alternatives to Tebra include Ada Health, Agfa HealthCare and Aiforia. On this page you can compare 8 EU alternatives by jurisdiction, data residency and open-source status.

Are there open-source alternatives to Tebra?

Our list of EU alternatives to Tebra is mostly commercial options. Browse the category on the map for open-source choices.

Is Tebra GDPR-compliant and where is the data hosted?

Tebra is headquartered in US and hosts data in US. Its GDPR compliance is limited or unclear. For full EU data residency the EU alternatives on this page usually offer more certainty.

Details and sources

Verified by handHeadquarters, owner, hosting locations and licence have been checked by us against public sources. Free of charge and for every vendor, not a paid label. Nothing in this knowledge base is taken over automatically. Last checked on October 11, 2026.

Sources

Public sources used in the latest check of this record.

Compliance evidence

The links below point to the vendor's own public documents. We only record what we found: a missing link means "not found publicly", not "not compliant".

No public compliance evidence has been recorded for this vendor yet. Do you know its DPA or subprocessor list? Something wrong? Suggest a correction

Digital sovereignty in Healthcare

Healthcare: Healthcare — medical imaging, PACS, clinical systems. In this category the choice of vendor determines who has legal access to your data, where that data lives and how easily you can switch later.

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8 European alternatives to Tebra — GDPR-compliant & EU-hosted · EU Sovereignty Score