ERPNext with Marley Health review

ERPNext with Marley Health is the low-cost route, and the only entry here that reaches into clinical work. ERPNext itself is free and open source under GPL-3.0; Frappe's pricing page says your cost is hosting plus implementation, with Frappe Cloud sites from $5 per month and no per user fee. Marley Health, formerly Frappe Health, is an open source hospital information system that installs on top of ERPNext. Its readme lists patient management, outpatient and inpatient management, clinical procedures, rehabilitation and physiotherapy, and laboratory management, and says the design is based on HL7 FHIR. Facilities map to service units and specialties to medical departments, while ERPNext handles pharmacy and supplies, purchasing, HR, accounts and assets. The limits are support and assurance. Frappe sends most buyers to its 200+ partners for setup, and the vendor pages make no U.S. healthcare compliance claims, so a U.S. hospital should review security and HIPAA obligations with its partner first.

Who it is for

Clinics and small hospitals with technical staff that want an open source ERP and hospital information system at low cost.

Price

ERPNext is free and open source; Frappe Cloud hosting from $5 per month, not per user.

$5 onwards /mo
Quoted from the vendor pricing page on November 10, 2026.

Key features

• Marley Health adds patient, outpatient, inpatient, clinical procedure and lab management
• Design based on HL7 FHIR, with support for multiple medical code standards
• ERPNext covers pharmacy and supplies, purchasing, HR, accounts and assets
• Healthcare services link to ERPNext billing documents such as sales invoices
• Patient portal, website and payment integration from the Frappe framework

Strengths and weaknesses

• Strength: Cheapest option here: hosting from $5 per month with no per user fee
• Strength: GPL-3.0 code you can self-host
• Strength: Covers clinical workflows that other ERPs leave to the EHR
• Weakness: Implementation and support usually need a Frappe partner
• Weakness: No U.S. healthcare compliance claims on the vendor pages
• Weakness: Smaller ecosystem than the enterprise suites

Key facts

• License: GPL-3.0 open source
• Hosting: Frappe Cloud from $5 per month, or self-host
• Healthcare app: Marley Health (formerly Frappe Health)
• Partners: 200+ implementation partners, per Frappe

Where it ranks

ERPNext with Marley Health is No. 4 in our Best ERP for Healthcare verdict.