Augnito: Augnito is a voice AI platform for clinical documentation, offering medical speech-to-text dictation and an ambient AI scribe that turns clinician-patient conversations into structured notes. MacParakeet: Free, open-source local voice app for Apple Silicon Macs offering on-device meeting recording, live transcripts, dictation, and file transcription powered by NVIDIA Parakeet. Below, they line up on price, capture method, and how each fits a real meeting stack.
How Hosiqo compares and tests toolsFinal recommendation
Shortlist Augnito when clinicians dictating reports, discharge summaries, and imaging notes hands-free matters most, and MacParakeet when system-wide dictation across applications for privacy-conscious users matters most. Try them side by side on real calls before deciding — needs vary by team.
Augnito is a voice AI platform for clinical documentation, offering medical speech-to-text dictation and an ambient AI scribe that turns clinician-patient conversations into structured notes.
Free, open-source local voice app for Apple Silicon Macs offering on-device meeting recording, live transcripts, dictation, and file transcription powered by NVIDIA Parakeet.
Augnito is a healthcare voice AI company (founded 2020, co-developed with Scribetech) focused on clinical documentation. Its two main products are Augnito Spectra, a medical speech-to-text engine for real-time dictation and voice commands, and Augnito Omni, an ambient AI scribe that captures clinician-patient conversations and structures them into EMR-ready notes such as SOAP notes. Capture is microphone-based: clinicians dictate directly, or Omni listens ambiently to natural conversation, with no voice-profile training required. The vendor states accent-agnostic recognition across 55+ clinical specialties, with Omni supporting 37+ languages. It is delivered as cloud-based SaaS and runs on desktop workstations, a mobile app, and a Chrome browser extension, with an on-premises deployment option for Spectra. Augnito integrates with third-party EMR/EHR, RIS, and PACS systems (including Epic and Cerner) without requiring native integration, and includes a Smart Editor plus customizable templates. It holds HIPAA, SOC 2 Type II, and ISO 27001 certifications. It is intended for doctors, radiologists, GPs, nurses, surgeons, and healthcare enterprises.
Best suited for
MacParakeet is a free, open-source voice application for Apple Silicon Macs that runs speech recognition entirely on-device using NVIDIA's Parakeet TDT model via FluidAudio CoreML. Beyond system-wide dictation and file or URL transcription, it includes a meeting recording mode with live transcript preview, in-app note-taking, and export, plus meeting calendar integration through macOS EventKit that can show reminders and optionally auto-start recording. Because all speech recognition runs locally, the project states that audio remains on the device, with no cloud speech-to-text, no required accounts, and opt-out telemetry. It supports around 25 European languages with automatic detection and includes a text cleanup pipeline for filler removal, custom word replacements, and snippet expansion. Optional AI features such as summaries, chat, and text formatting can be enabled through cloud or local providers when the user chooses. Built with Swift and SwiftUI and distributed under the GPL-3.0 license, MacParakeet is actively maintained on GitHub and can be installed via a notarized DMG, a Homebrew cask, or built from source. It is positioned as a privacy-respecting, bot-free option for capturing meetings directly from the Mac. Pricing varies by plan. Check the official website for current pricing.
Best suited for
Augnito is custom pricing (contact sales); MacParakeet is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Augnito | MacParakeet |
|---|---|---|
| Core capability | Medical speech-to-text dictation with voice commands (Augnito Spectra) | On-device meeting recording with live transcript preview and note-taking |
| Standout feature | Ambient AI scribe that structures clinician-patient conversations into notes (Augnito Omni) | Meeting calendar integration via macOS EventKit with optional auto-start |
| Team usage | Accent-agnostic recognition with no voice-profile training, across 55+ clinical specialties | System-wide dictation with hotkey and push-to-talk modes |
| Integrations | Multilingual ambient capture supporting 37+ languages | File and URL transcription on the device |
| Languages & capture | Works with third-party EMR/EHR, RIS, and PACS without native integration | Local NVIDIA Parakeet TDT speech recognition with no cloud STT |
| Best-fit workflow | Customizable templates and SOAP-note formats with a built-in Smart Editor | Text cleanup pipeline including filler removal and custom replacements |
Augnito
Choose Augnito if you need clinicians dictating reports, discharge summaries, and imaging notes hands-free — strengths include specialized for healthcare with broad emr/ehr/ris/pacs compatibility and no native integration required.
MacParakeet
Choose MacParakeet if you need capturing and transcribing meetings locally on a mac without a bot — strengths include free and open source with on-device speech recognition.
Augnito
MacParakeet
It depends on your workflow. Augnito is strong for clinicians dictating reports, discharge summaries, and imaging notes hands-free, while MacParakeet is strong for capturing and transcribing meetings locally on a mac without a bot. Both transcribe and summarize meetings.
Augnito is custom pricing and MacParakeet is a free tier with paid upgrades. Check each vendor's pricing page for the latest plans and free-tier limits.
Yes. Many teams run more than one meeting assistant when the workflows are complementary.
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