Proprietary market map

Behavioral Health EHR/EMR Market Explorer

Interactive view of the most relevant EHR/EMR platforms across specialty mental health, SUD, recovery, human services, and integrated behavioral health settings.

●50 EHR/EMRs mapped ●21,205 facilities in scope
Prepared for: Mark Korf, Hazelden Betty Ford Foundation
Prepared by: Arden Clark
Unique BH facilities
21,205
Unique facilities after removing mental-health / SUD overlap.
SUD facilities
15,953
Substance use treatment facilities in SAMHSA’s 2024 survey.
Mental health facilities
14,091
Mental health treatment facilities in the same survey.
Facilities offering both
8,839
Overlap removed to avoid double counting the market baseline.
How to read it: The chart is a 4-zone market map. The underlying axes use finer-grained scores so you can compare the field without forcing every EHR/EMR into rough buckets. Revenue uses company or business-unit proxies when product-level revenue is not public.
50 of 50 shown X-axis: best-fit organization size Y-axis: vendor revenue scale

Market map

Click a dot to inspect fit, tradeoffs, research notes, and source links.

Small-practiceGeneral ambulatoryBH growthSUD / residentialEnterprise BHHealth-system EHR
$1M $5M $10M $25M $50M $100M $250M $500M $1B $2.5B $5B solo / very small small / group mid-size / multi-site enterprise / public Vendor revenue scale Best-fit organization size Scaled SMB and crossoverMore vendor scale, smaller buyer base Enterprise and integratedLarge vendors, complex buyers Lean practice toolsLower cost, faster adoption Growth behavioral health / SUDMore operating depth SimplePractice TherapyNotes Qualifacts InSync BestNotes Kipu Qualifacts CareLogic Lightning Step NextGen Healthcare Streamline SmartCare Netsmart myAvatar Epic SimplePractice — SimplePractice | $50M–$100M | Solo / very small practice Jane App — Jane.App | $100M–$250M | Solo / very small practice TherapyNotes — TherapyNotes | $100M–$250M | Solo / very small practice Sessions Health — Sessions Health | <$1M | Solo / very small practice Carepatron — Carepatron | $1M–$5M | Solo / very small practice TheraNest — Ensora Health | $250M–$500M | Small practice / group CounSol — CounSol | $5M–$10M | Small practice / group Owl Practice — Owl Practice | $1M–$5M | Small practice / group Valant — Valant | $10M–$25M | Small practice / group TherapyAppointment — TherapyAppointment | $1M–$5M | Small practice / group CarePaths — CarePaths | $1M–$5M | Small practice / group ICANotes — ICANotes | $25M–$50M | Small practice / group Tebra (Kareo + PatientPop) — Tebra | $100M–$250M | Small practice / group CharmHealth — CharmHealth | $1M–$5M | Small practice / group AdvancedMD — AdvancedMD | $100M–$250M | Small practice / group eClinicalWorks — eClinicalWorks | $500M–$1B | Small practice / group DrChrono — DrChrono | $10M–$25M | Small practice / group athenaOne for Behavioral Health — athenahealth | $1B–$2.5B | Mid-size / multi-site Qualifacts InSync — Qualifacts | $100M–$250M | Mid-size / multi-site RXNT — RXNT | $50M–$100M | Small practice / group ClinicTracker — ClinicTracker | $1M–$5M | Mid-size / multi-site PIMSY — Smoky Mountain Information Systems | $5M–$10M | Small practice / group BestNotes — BestNotes | $5M–$10M | Mid-size / multi-site AccuCare — Orion Healthcare Technology | $1M–$5M | Small practice / group Alleva — Alleva | $25M–$50M | Mid-size / multi-site Exym — Exym | $1M–$5M | Mid-size / multi-site EHR YOUR WAY — EHR YOUR WAY | $25M–$50M | Mid-size / multi-site Greenway Health — Greenway Health | $100M–$250M | Mid-size / multi-site Kipu — Kipu Health | $25M–$50M | Mid-size / multi-site AZZLY Rize — AZZLY | $1M–$5M | Mid-size / multi-site MedEZ — MedEZ | $1M–$5M | Mid-size / multi-site Sunwave — Sunwave Health | $10M–$25M | Mid-size / multi-site Patagonia Health — Patagonia Health | $5M–$10M | Mid-size / multi-site Qualifacts CareLogic — Qualifacts | $100M–$250M | Mid-size / multi-site Cx360 — Core Solutions | $10M–$25M | Mid-size / multi-site Lightning Step — Lightning Step | $25M–$50M | Mid-size / multi-site Zoobook — Zoobook Systems | $10M–$25M | Mid-size / multi-site AWARDS — Foothold Technology | $5M–$10M | Mid-size / multi-site NextGen Healthcare — NextGen Healthcare | $500M–$1B | Mid-size / multi-site Opus — Opus Behavioral Health | $1M–$5M | Mid-size / multi-site Behave Health — Behave Health | <$1M | Mid-size / multi-site ContinuumCloud (Welligent) — ContinuumCloud | $50M–$100M | Mid-size / multi-site Cantata Arize — Cantata Health Solutions | $10M–$25M | Enterprise / public sector Sigmund AURA — Sigmund Software | $5M–$10M | Enterprise / public sector Qualifacts Credible — Qualifacts | $100M–$250M | Enterprise / public sector Streamline SmartCare — Streamline Healthcare Solutions | $50M–$100M | Enterprise / public sector MEDITECH — MEDITECH | $500M–$1B | Enterprise / public sector Netsmart myAvatar — Netsmart | $500M–$1B | Enterprise / public sector Oracle Health — Oracle (Cerner proxy) | $5B+ | Enterprise / public sector Epic — Epic Systems | $5B+ | Enterprise / public sector
X-axis moves from solo and small organizations to enterprise and public-sector buyers.
Y-axis uses a log scale so smaller and larger vendors can sit on the same map without flattening the field.

EHR/EMR comparison

Build a side-by-side view from the map or the table below.
Comparison is available in script-enabled browsers. If scripts are blocked, use the map links, table, and vendor profiles below.

Comparison table

Click any row to open the detail panel. Use the action button to add an EHR/EMR to comparison.

Sortable columns Current view updates with filters
EHR/EMRVendorBest-fit organizationRevenue scaleBH-nativeFocusPrimary tradeoffConfidenceAction
SimplePractice Small-practice · Solo / very small practice
SimplePractice Solo to small group practice $50M–$100M
$87.5M est.
 Yes Mental health / therapy Fast, affordable, and easy to adopt, but lighter on enterprise reporting, complex program structures, and public-sector workflows. High Profile
Jane App Small-practice · Solo / very small practice
Jane.App Solo to small group practice $100M–$250M
$102.4M est.
 No Multi-disciplinary private practice Excellent UX and operations support for private practices, but lighter behavioral-health specificity than behavioral-health-native platforms. Medium Profile
TherapyNotes Small-practice · Solo / very small practice
TherapyNotes Solo to small group practice $100M–$250M
$115.8M est.
 Yes Mental health / therapy Reliable behavioral-health workflows and strong SMB fit, but less depth for enterprise analytics, state reporting, and multi-program complexity. High Profile
Sessions Health Small-practice · Solo / very small practice
Sessions Health Solo to small group practice <$1M
$770K est.
 Yes Mental health / therapy Very lightweight and low-friction, but narrower enterprise depth and fewer large-scale operating signals than more established platforms. Medium Profile
Carepatron Small-practice · Solo / very small practice
Carepatron Solo to small group practice $1M–$5M
$4.3M est.
 No Multi-disciplinary / therapy Extremely accessible and broad for small practices, but less purpose-built for BH compliance, state reporting, or large-program complexity. Medium Profile
TheraNest Small-practice · Small practice / group
Ensora Health Small to mid-sized group practice $250M–$500M
$250M–$500M est.
 Yes Mental health / therapy Broad feature set and stronger parent-company scale than many therapist tools, but still lighter than enterprise BH suites. Medium Profile
CounSol Small-practice · Small practice / group
CounSol Solo to small group practice $5M–$10M
$9.6M est.
 Yes Counseling / therapy practice management Low-friction and easy to adopt for therapy practices, but thinner on enterprise reporting, residential workflows, and multi-program operating complexity. Medium Profile
Owl Practice Small-practice · Small practice / group
Owl Practice Solo to small group practice $1M–$5M
$1.0M est.
 Yes Therapy / counseling Strong therapist UX and referral support, but smaller vendor scale and less evidence of large-enterprise adoption. Medium Profile
Valant Small-practice · Small practice / group
Valant Solo to small group practice $10M–$25M
$17.9M est.
 Yes Behavioral health Purpose-built BH workflows and growth tooling, but not the strongest fit for very large public-sector or multi-program enterprises. Medium Profile
TherapyAppointment Small-practice · Small practice / group
TherapyAppointment Solo to lower-mid group practice $1M–$5M
$1.7M est.
 Yes Mental health / therapy Clean fit for therapy practices with long-standing workflow depth, but less suited to large, multi-program behavioral health or public-sector environments. Medium Profile
CarePaths Small-practice · Small practice / group
CarePaths Solo to lower-mid group practice $1M–$5M
$1.1M est.
 Yes Behavioral health / therapy Strong behavioral-health fit and lower-cost entry point, but lighter enterprise depth and fewer large-agency scale signals. Medium Profile
ICANotes Small-practice · Small practice / group
ICANotes Small to lower-mid group practice $25M–$50M
$47.2M est.
 Yes Mental health / psychiatry / SUD Strong psychiatric and documentation depth with built-in assessment tools, but interface and operational feel are more utilitarian than newer UX-led tools. Medium Profile
Tebra (Kareo + PatientPop) General ambulatory · Small practice / group
Tebra Small practice to lower-mid group $100M–$250M
$248.0M est.
 No Small-practice operations Strong for small-practice business workflows, but behavioral-health-specific clinical depth is lighter than behavioral-health-native products. Medium Profile
CharmHealth General ambulatory · Small practice / group
CharmHealth Small practice to lower-mid specialty group $1M–$5M
$3.9M est.
 No General ambulatory / psychiatry Flexible and lower-friction for practices, but less purpose-built for complex behavioral health programs, residential care, or public-sector reporting. Medium Profile
AdvancedMD General ambulatory · Small practice / group
AdvancedMD Small to mid-sized practice / group $100M–$250M
$143.1M est.
 No Integrated ambulatory care Mature ambulatory breadth and revenue-cycle tooling, but not purpose-built for BH/SUD documentation depth. High Profile
eClinicalWorks General ambulatory · Small practice / group
eClinicalWorks Small to mid-sized practice / group $500M–$1B
$907.8M est.
 No Integrated ambulatory care Large install base and integrated stack, but BH workflows can feel more generic than behavioral-health-native platforms. High Profile
DrChrono General ambulatory · Small practice / group
DrChrono Small to mid-sized practice or specialty group $10M–$25M
$24.4M est.
 No General ambulatory / psychiatry Broader ambulatory tooling and mobile UX are a plus, but behavioral-health-specific program structure and public-sector workflow depth are limited. Medium Profile
athenaOne for Behavioral Health General ambulatory · Mid-size / multi-site
athenahealth Small to mid-sized practice / group $1B–$2.5B
$1.7B est.
 No Integrated ambulatory care Strong interoperability and ambulatory operations, but behavioral-health specificity is lighter than the deepest behavioral-health-native suites. High Profile
Qualifacts InSync BH growth · Mid-size / multi-site
Qualifacts Small to mid-sized organization $100M–$250M
$218.3M est. (vendor)
 Yes Behavioral health More BH-specific depth and vendor scale than the lightest therapist tools, but still less enterprise-heavy than Qualifacts’ larger suites. High Profile
RXNT General ambulatory · Small practice / group
RXNT Small to mid-sized practice or specialty group $50M–$100M
$55.2M est.
 No General ambulatory / behavioral health Operational breadth and billing integration are useful, but BH-native care-program workflows are lighter than dedicated behavioral health suites. Medium Profile
ClinicTracker BH growth · Mid-size / multi-site
ClinicTracker Small to mid-sized agency $1M–$5M
$1.3M est.
 Yes Mental health / substance use / related agencies Deeper agency fit than many therapist tools, but a much smaller vendor scale and more limited ecosystem than leading BH platforms. Medium Profile
PIMSY BH growth · Small practice / group
Smoky Mountain Information Systems Small to mid-sized behavioral health organization $5M–$10M
$5.5M est.
 Yes Mental and behavioral health Purpose-built behavioral health depth is a plus, but public revenue disclosure is limited and the vendor scale is smaller than the biggest BH suites. Medium Profile
BestNotes BH growth · Mid-size / multi-site
BestNotes Small to mid-sized organization $5M–$10M
$5.5M est.
 Yes Behavioral health / addiction Good BH/SUD breadth and transparent packaging, but not as large or deeply embedded as upper-tier enterprise platforms. Medium Profile
AccuCare SUD / residential · Small practice / group
Orion Healthcare Technology Small to mid-sized addiction-treatment, peer-recovery, or behavioral health organization $1M–$5M
$1.6M est.
 Yes Addiction treatment / peer recovery / mental health Purpose-built SUD and recovery workflows are a plus, but public install-base and revenue disclosure are limited. Medium Profile
Alleva BH growth · Mid-size / multi-site
Alleva Mid-sized clinic to multi-site organization $25M–$50M
$30.8M est.
 Yes Behavioral health / addiction / IDD Modern BH/IDD workflow design, but lower documented market scale than the biggest BH suites. Medium Profile
Exym BH growth · Mid-size / multi-site
Exym Small to mid-sized agency or community behavioral health organization $1M–$5M
$1.4M est.
 Yes Behavioral health agencies Stronger agency workflow fit than small-practice tools, but lighter vendor scale and market footprint than the largest BH suites. Medium Profile
EHR YOUR WAY BH growth · Mid-size / multi-site
EHR YOUR WAY Mid-sized clinic to multi-site organization $25M–$50M
$47.8M est.
 Yes Mental health / psychiatry / addiction Configurable and broad for BH provider types, but with less obvious market share than top-tier enterprise suites. Medium Profile
Greenway Health General ambulatory · Mid-size / multi-site
Greenway Health Mid-sized multispecialty, FQHC, tribal, or integrated-care organization $100M–$250M
$190M est.
 No General ambulatory / integrated behavioral health Large vendor scale and integrated-care breadth are strengths, but the product is less BH-native than purpose-built behavioral health platforms. Medium Profile
Kipu SUD / residential · Mid-size / multi-site
Kipu Health Mid-sized to large multi-site provider $25M–$50M
$34.8M est.
 Yes Substance use disorder / behavioral health Strong SUD and treatment-center specialization, but not the default choice for broad multi-specialty health-system deployments. High Profile
AZZLY Rize SUD / residential · Mid-size / multi-site
AZZLY Mid-sized to large treatment provider $1M–$5M
$3.2M est.
 Yes Addiction treatment / behavioral health Purpose-built for SUD/BH treatment operations, but smaller vendor scale and fewer independent install-base signals than leading specialty suites. Medium Profile
MedEZ SUD / residential · Mid-size / multi-site
MedEZ Mid-sized inpatient, outpatient, or residential behavioral health organization $1M–$5M
$2.1M est.
 Yes Behavioral health / substance abuse Purpose-built inpatient and substance-abuse workflow depth is valuable, but public scale signals are limited and the vendor is smaller than leading SUD platforms. Medium Profile
Sunwave SUD / residential · Mid-size / multi-site
Sunwave Health Mid-sized to large treatment center $10M–$25M
$21.1M est.
 Yes Substance use disorder / treatment centers Strong treatment-center workflow integration, but a weaker fit for very small private practices and a smaller documented footprint than top SUD platforms. Medium Profile
Patagonia Health BH growth · Mid-size / multi-site
Patagonia Health Mid-sized behavioral health agency, county group, or public-sector team $5M–$10M
$5.6M est.
 No Behavioral health / public health Strong agency workflow and reporting fit, especially for public-sector contexts, but smaller vendor scale than the largest enterprise behavioral health suites. Medium Profile
Qualifacts CareLogic Enterprise BH · Mid-size / multi-site
Qualifacts Mid-sized to large organization $100M–$250M
$218.3M est. (vendor)
 Yes Behavioral health / community provider Richer billing and reporting than smaller-practice BH products, but heavier administrative lift and implementation work. High Profile
Cx360 Enterprise BH · Mid-size / multi-site
Core Solutions Mid-sized to large complex organization $10M–$25M
$14.8M est.
 Yes Behavioral health / IDD / human services Flexible for complex service models, but typically heavier to implement and operate than lightweight cloud practice tools. Medium Profile
Lightning Step SUD / residential · Mid-size / multi-site
Lightning Step Single-location to regional behavioral health or addiction-treatment center $25M–$50M
$28.9M est.
 Yes Addiction treatment / behavioral health Deeper operational coverage than therapist-first tools, but more process-heavy and implementation-intensive than simpler practice systems. Medium Profile
Zoobook SUD / residential · Mid-size / multi-site
Zoobook Systems Mid-sized addiction or behavioral health organization across outpatient, residential, detox, or MAT settings $10M–$25M
$20.8M est.
 Yes Addiction treatment / mental health Strong addiction-treatment specificity, including MAT, but less enterprise scale and fewer publicly documented large-system wins than the biggest SUD platforms. Medium Profile
AWARDS Enterprise BH · Mid-size / multi-site
Foothold Technology Large multi-program organization $5M–$10M
$6.7M est.
 Yes Behavioral health / human services Strong case management and reporting depth for complex programs, but more traditional UX and lower brand scale than larger suites. Medium Profile
NextGen Healthcare General ambulatory · Mid-size / multi-site
NextGen Healthcare Mid-sized to large organization $500M–$1B
$680.9M est.
 No Integrated ambulatory care Mature ambulatory platform with stronger mid-market depth, but less behavioral-health-native workflow specialization than purpose-built behavioral-health vendors. High Profile
Opus SUD / residential · Mid-size / multi-site
Opus Behavioral Health Mid-sized behavioral health or SUD organization, including multi-center operators $1M–$5M
$3.2M est.
 Yes Behavioral health / SUD treatment centers Broad behavioral-health operating stack and clinical flexibility are strong, but public revenue and install-base signals still trail more established enterprise platforms. Medium Profile
Behave Health SUD / residential · Mid-size / multi-site
Behave Health Multi-site SUD or behavioral health organization with residential, outpatient, or recovery-housing operations <$1M
$902K est.
 Yes Addiction treatment / recovery operations Covers more of the operating stack than a typical EHR, but public benchmarking on customer scale and revenue is limited. Medium Profile
ContinuumCloud (Welligent) Enterprise BH · Mid-size / multi-site
ContinuumCloud Large multi-program organization $50M–$100M
$50M–$100M est.
 Yes Behavioral health / human services Broad human-services reach and enterprise depth, but a heavier operating model than mid-market cloud products. Medium Profile
Cantata Arize Enterprise BH · Enterprise / public sector
Cantata Health Solutions Mid-sized to large behavioral health, human services, or CCBHC-aligned organization $10M–$25M
$14.7M est.
 Yes Behavioral health / human services Strong fit for mission-driven behavioral health and human-services providers, but a smaller vendor scale than Netsmart or Qualifacts enterprise suites. Medium Profile
Sigmund AURA SUD / residential · Enterprise / public sector
Sigmund Software Large treatment center to enterprise program $5M–$10M
$5.8M est.
 Yes Addiction treatment / behavioral health Strong compliance and program-operations fit for structured treatment environments, but implementation overhead is heavier than lightweight SMB tools. Medium Profile
Qualifacts Credible Enterprise BH · Enterprise / public sector
Qualifacts Large multi-site or enterprise organization $100M–$250M
$218.3M est. (vendor)
 Yes Behavioral health / CCBHC / enterprise Deep enterprise BH functionality and public-sector fit, but greater cost and implementation burden than mid-market platforms. High Profile
Streamline SmartCare Enterprise BH · Enterprise / public sector
Streamline Healthcare Solutions Enterprise behavioral health, human services, or public-sector organization $50M–$100M
$95.5M est.
 Yes Behavioral health / human services Strong fit for complex organizations and public-sector reporting, but heavier to implement and manage than lighter cloud systems. Medium Profile
MEDITECH Health-system EHR · Enterprise / public sector
MEDITECH Large hospital or health system $500M–$1B
$731.6M est.
 No Integrated health system / hospital Durable hospital-community fit, but not a behavioral-health-native workflow leader. High Profile
Netsmart myAvatar Enterprise BH · Enterprise / public sector
Netsmart Large multi-site, public-sector, or enterprise provider $500M–$1B
$525.4M est.
 Yes Behavioral health / addiction treatment / public sector Very strong enterprise/public-sector depth and interoperability story, but substantial implementation and operating overhead. High Profile
Oracle Health Health-system EHR · Enterprise / public sector
Oracle (Cerner proxy) Enterprise health system / hospital $5B+
$5.7B proxy est.
 No Integrated health system / enterprise Broad enterprise functionality and large-system fit, but behavioral-health workflows often require more tailoring than behavioral-health-native platforms. Medium Profile
Epic Health-system EHR · Enterprise / public sector
Epic Systems Enterprise health system / hospital $5B+
$5.7B est.
 No Integrated health system / enterprise Unmatched enterprise integration and interoperability, but usually overbuilt and expensive for stand-alone specialty behavioral-health organizations. High Profile

Vendor profiles and source trail

Every mapped EHR/EMR has a linked profile card so the page still works cleanly in browsers or preview tools that limit JavaScript.

50 profiles Linked from map and table

SimplePractice

SimplePractice

Back to map
Small-practice Mental health / BH $50M–$100M Behavioral-health-native

All-in-one practice management and EHR platform built for therapists and other private-practice clinicians.

Best-fit organization
Solo to small group practice
Revenue proxy
$87.5M est. · Third-party estimate
Growjo estimated annual revenue at $87.5M.
Why it sits here
Placed far left because install-base data overwhelmingly skews to very small organizations.
Organization-size signal
99.19% of observed customers are 0–100 employees (Apps Run The World); Enlyft also shows 88% small (<50 employees).
Primary tradeoff
Fast, affordable, and easy to adopt, but lighter on enterprise reporting, complex program structures, and public-sector workflows.
Confidence
High

Sources

Jane App

Jane.App

Back to map
Small-practice Mental health / BH $100M–$250M General / integrated

Practice-management platform with strong UX, scheduling, charting, billing, and telehealth for independent clinics.

Best-fit organization
Solo to small group practice
Revenue proxy
$102.4M est. · Third-party estimate
Growjo estimated annual revenue at $102.4M; GetLatka separately reported $25M revenue in 2022.
Why it sits here
Very small-practice customer mix keeps Jane on the left despite scaled vendor revenue.
Organization-size signal
Apps Run The World shows 99.81% of observed Jane App customers at 0–100 employees; GetLatka reports 18K customers.
Primary tradeoff
Excellent UX and operations support for private practices, but lighter behavioral-health specificity than behavioral-health-native platforms.
Confidence
Medium

Sources

TherapyNotes

TherapyNotes

Back to map
Small-practice Mental health / BH $100M–$250M Behavioral-health-native

Behavioral-health-native EHR and practice-management software focused on scheduling, documentation, billing, and telehealth.

Best-fit organization
Solo to small group practice
Revenue proxy
$115.8M est. · Third-party estimate
Growjo estimated annual revenue at $115.8M.
Why it sits here
Left-leaning placement reflects a very small-practice customer mix despite a scaled vendor revenue estimate.
Organization-size signal
Apps Run The World shows TherapyNotes EHR customers at 100% 0–100 employees; Enlyft shows 70% small (<50 employees).
Primary tradeoff
Reliable behavioral-health workflows and strong SMB fit, but less depth for enterprise analytics, state reporting, and multi-program complexity.
Confidence
High

Sources

Sessions Health

Sessions Health

Back to map
Small-practice Mental health / BH <$1M Behavioral-health-native

Therapist-designed mental health EHR with scheduling, notes, billing, telehealth, and a client portal.

Best-fit organization
Solo to small group practice
Revenue proxy
$770K est. · Third-party estimate
GetLatka reported Sessions Health at $770K revenue in 2025.
Why it sits here
Placed far left because product marketing is aimed at therapists and small group practices.
Organization-size signal
Vendor positions Sessions Health as an all-in-one therapist-designed EHR and separately markets a dedicated solution for group practices.
Primary tradeoff
Very lightweight and low-friction, but narrower enterprise depth and fewer large-scale operating signals than more established platforms.
Confidence
Medium

Sources

Carepatron

Carepatron

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Small-practice Mental health / BH $1M–$5M General / integrated

General healthcare workspace that includes EHR, scheduling, billing, telehealth, and documentation features applicable to behavioral health.

Best-fit organization
Solo to small group practice
Revenue proxy
$4.3M est. · Third-party estimate
GetLatka reported Carepatron at $4.3M revenue in 2025.
Why it sits here
Placed far left because product positioning centers on small clinicians and startup-friendly adoption.
Organization-size signal
Vendor positions Carepatron as an all-in-one healthcare workspace trusted by 100,000+ clinicians in 120+ countries and oriented to smaller practices.
Primary tradeoff
Extremely accessible and broad for small practices, but less purpose-built for BH compliance, state reporting, or large-program complexity.
Confidence
Medium

Sources

TheraNest

Ensora Health

Back to map
Small-practice Mental health / BH $250M–$500M Behavioral-health-native

Therapy-practice platform under Ensora Health, aimed at independent practices and group practices.

Best-fit organization
Small to mid-sized group practice
Revenue proxy
$250M–$500M est. · Third-party range
LeadIQ estimates Ensora Health revenue in the $250M–$500M range; midpoint used for plotting.
Why it sits here
Revenue reflects parent-company scale; x-position reflects TheraNest’s SMB-heavy install base.
Organization-size signal
Enlyft shows 66% of tracked customers are small (<50 employees) and 25% are medium-sized.
Primary tradeoff
Broad feature set and stronger parent-company scale than many therapist tools, but still lighter than enterprise BH suites.
Confidence
Medium

Sources

CounSol

CounSol

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Small-practice Mental health / BH $5M–$10M Behavioral-health-native

Counseling-practice management platform covering scheduling, notes, records, billing, and client communication.

Best-fit organization
Solo to small group practice
Revenue proxy
$9.6M est. · Third-party estimate
Owler estimated CounSol revenue at $9.6M.
Why it sits here
Placed toward the left because CounSol is built around therapy-practice management rather than larger behavioral health agencies.
Organization-size signal
CounSol is positioned as practice-management software for counselors and therapists, with pricing and feature packaging aimed at smaller practices.
Primary tradeoff
Low-friction and easy to adopt for therapy practices, but thinner on enterprise reporting, residential workflows, and multi-program operating complexity.
Confidence
Medium

Sources

  • Product CounSol
    Official counseling practice-management positioning.
  • Scale signal CounSol features
    Practice-management scope for counselors and therapists.
  • Revenue Owler – CounSol
    Estimated revenue: $9.6M.

Owl Practice

Owl Practice

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Small-practice Mental health / BH $1M–$5M Behavioral-health-native

Therapy-practice suite for scheduling, clinical records, billing, secure messaging, and referrals.

Best-fit organization
Solo to small group practice
Revenue proxy
$1.0M est. · Third-party estimate
Growjo estimated annual revenue at $1.0M.
Why it sits here
Left placement reflects therapist-centered positioning with modest extension into group practices and counseling centers.
Organization-size signal
Owl markets directly to therapists, group practices, and college counseling centers; pricing is structured to grow with the practice.
Primary tradeoff
Strong therapist UX and referral support, but smaller vendor scale and less evidence of large-enterprise adoption.
Confidence
Medium

Sources

Valant

Valant

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Small-practice Mental health / BH $10M–$25M Behavioral-health-native

Behavioral health EHR focused on private practices and group practices with documentation, intake, billing, and telehealth tools.

Best-fit organization
Solo to small group practice
Revenue proxy
$17.9M est. · Third-party estimate
Growjo estimated annual revenue at $17.9M.
Why it sits here
Left-side placement reflects small-practice positioning and 6sense install-base signal.
Organization-size signal
Valant explicitly markets a small-practice EHR; 6sense shows the majority of tracked customers in the 0–9 employee band.
Primary tradeoff
Purpose-built BH workflows and growth tooling, but not the strongest fit for very large public-sector or multi-program enterprises.
Confidence
Medium

Sources

TherapyAppointment

TherapyAppointment

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Small-practice Mental health / BH $1M–$5M Behavioral-health-native

All-in-one EMR and practice-management platform designed specifically for therapists and mental health practitioners.

Best-fit organization
Solo to lower-mid group practice
Revenue proxy
$1.7M est. · Third-party estimate
GetLatka reported TherapyAppointment revenue at $1.7M; Growjo separately estimated $870K.
Why it sits here
Placed in the lower-left growth band because it is purpose-built for mental health practices but still oriented toward smaller organizations.
Organization-size signal
TherapyAppointment calls itself the longest-standing practice-management EMR built specifically for mental health practitioners and markets dedicated solo and group-practice workflows.
Primary tradeoff
Clean fit for therapy practices with long-standing workflow depth, but less suited to large, multi-program behavioral health or public-sector environments.
Confidence
Medium

Sources

CarePaths

CarePaths

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Small-practice Mental health / BH $1M–$5M Behavioral-health-native

ONC-certified behavioral health EHR and practice-management platform with teletherapy, documentation, billing, and measurement-based care tools.

Best-fit organization
Solo to lower-mid group practice
Revenue proxy
$1.1M est. · Third-party estimate
GetLatka reported CarePaths revenue at $1.1M.
Why it sits here
Placed left of center because the product is built for behavioral health practices that want more clinical depth than a lightweight therapist tool without moving into enterprise complexity.
Organization-size signal
CarePaths markets an ONC-certified behavioral health EHR with explicit solo-practice and group-practice workflows, plus pricing aimed at smaller organizations.
Primary tradeoff
Strong behavioral-health fit and lower-cost entry point, but lighter enterprise depth and fewer large-agency scale signals.
Confidence
Medium

Sources

ICANotes

ICANotes

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Small-practice Mental health / BH $25M–$50M Behavioral-health-native

Behavioral-health-native EHR built around psychiatry and mental-health documentation, assessment tools, prescribing, billing, and telehealth.

Best-fit organization
Small to lower-mid group practice
Revenue proxy
$47.2M est. · Third-party estimate
Growjo estimated annual revenue at $47.2M.
Why it sits here
Placed left-of-center because it reaches beyond solo therapists into group, inpatient, and residential settings without reading as a full enterprise suite.
Organization-size signal
ICANotes markets to mental-health practices broadly, including group therapy, inpatient/residential settings, and multidisciplinary teams.
Primary tradeoff
Strong psychiatric and documentation depth with built-in assessment tools, but interface and operational feel are more utilitarian than newer UX-led tools.
Confidence
Medium

Sources

Tebra (Kareo + PatientPop)

Tebra

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General ambulatory Integrated / general $100M–$250M General / integrated

Practice-operations platform combining EHR / PM heritage (Kareo) with patient-growth tooling (PatientPop).

Best-fit organization
Small practice to lower-mid group
Revenue proxy
$248.0M est. · Third-party estimate
Growjo estimated annual revenue at $248M.
Why it sits here
Left-of-center because Tebra’s install base skews to smaller physician practices, even with scaled vendor revenue.
Organization-size signal
PatientPop Practice Growth customers are 95.66% 0–100 employees; Kareo historically serves independent practices.
Primary tradeoff
Strong for small-practice business workflows, but behavioral-health-specific clinical depth is lighter than behavioral-health-native products.
Confidence
Medium

Sources

CharmHealth

CharmHealth

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General ambulatory Integrated / general $1M–$5M General / integrated

All-in-one ambulatory EHR and practice-management platform with specialty support for psychiatry and therapy workflows.

Best-fit organization
Small practice to lower-mid specialty group
Revenue proxy
$3.9M est. · Third-party estimate
GetLatka reported CharmHealth revenue at $3.9M; Growjo separately estimates $4.3M.
Why it sits here
Placed in the lower-middle practice band because the platform supports psychiatry but is not primarily built around behavioral-health organizational complexity.
Organization-size signal
CharmHealth has dedicated psychiatry EMR content for psychiatrists, psychologists, and therapists, but its overall product remains a general ambulatory suite.
Primary tradeoff
Flexible and lower-friction for practices, but less purpose-built for complex behavioral health programs, residential care, or public-sector reporting.
Confidence
Medium

Sources

AdvancedMD

AdvancedMD

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General ambulatory Integrated / general $100M–$250M General / integrated

Ambulatory EHR, practice management, and patient-engagement stack that can be used by behavioral health groups.

Best-fit organization
Small to mid-sized practice / group
Revenue proxy
$143.1M est. · Third-party estimate
Growjo estimated annual revenue at $143.1M.
Why it sits here
Sits near center-left because customer mix spans small and medium organizations, but product is not behavioral health-native.
Organization-size signal
Enlyft shows 45% small, 38% medium, and 17% large among tracked AdvancedMD customers.
Primary tradeoff
Mature ambulatory breadth and revenue-cycle tooling, but not purpose-built for BH/SUD documentation depth.
Confidence
High

Sources

eClinicalWorks

eClinicalWorks

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General ambulatory Integrated / general $500M–$1B General / integrated

Large ambulatory EHR / PM platform with behavioral-health use cases inside broader primary and specialty care organizations.

Best-fit organization
Small to mid-sized practice / group
Revenue proxy
$907.8M est. · Third-party estimate
Growjo estimated eClinicalWorks annual revenue at $907.8M.
Why it sits here
Placed center-right because scale is large, but the install base still skews to ambulatory groups rather than hospital enterprises.
Organization-size signal
eClinicalWorks' observed customer base most often falls in the 10–50 employee band; the company also says it supports 180K physicians and 850K medical professionals.
Primary tradeoff
Large install base and integrated stack, but BH workflows can feel more generic than behavioral-health-native platforms.
Confidence
High

Sources

DrChrono

DrChrono

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General ambulatory Integrated / general $10M–$25M General / integrated

Cloud-based ambulatory EHR and billing platform with specialty-specific support for psychiatry and mental health practices.

Best-fit organization
Small to mid-sized practice or specialty group
Revenue proxy
$24.4M est. · Third-party estimate
Growjo estimated DrChrono revenue at $24.4M.
Why it sits here
Placed left of center because the platform fits practices and specialty groups better than agencies or enterprise behavioral health organizations.
Organization-size signal
DrChrono maintains dedicated psychiatry pages and markets scheduling, charting, billing, telehealth, and patient-portal workflows for psychiatry practices.
Primary tradeoff
Broader ambulatory tooling and mobile UX are a plus, but behavioral-health-specific program structure and public-sector workflow depth are limited.
Confidence
Medium

Sources

athenaOne for Behavioral Health

athenahealth

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General ambulatory Integrated / general $1B–$2.5B General / integrated

Ambulatory EHR and RCM platform with a behavioral-health offering layered into the broader athenaOne stack.

Best-fit organization
Small to mid-sized practice / group
Revenue proxy
$1.7B est. · Third-party estimate
Growjo estimated athenahealth annual revenue at $1.7B.
Why it sits here
Placed near the middle-right because athenahealth has very large vendor scale but an install base still weighted to ambulatory groups rather than hospital enterprises.
Organization-size signal
Enlyft shows 64% small, 24% medium, and 12% large among tracked athenahealth customers; athenahealth launched a behavioral-health solution in 2024.
Primary tradeoff
Strong interoperability and ambulatory operations, but behavioral-health specificity is lighter than the deepest behavioral-health-native suites.
Confidence
High

Sources

Qualifacts InSync

Qualifacts

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BH growth Mental health / BH $100M–$250M Behavioral-health-native

Behavioral-health EHR and practice-management platform positioned for smaller and mid-market provider organizations.

Best-fit organization
Small to mid-sized organization
Revenue proxy
$218.3M est. (vendor) · Third-party estimate
Growjo estimated Qualifacts annual revenue at $218.3M; used as the portfolio-vendor proxy for InSync.
Why it sits here
Placed near the market middle because InSync is explicitly positioned for small and mid-market organizations.
Organization-size signal
Qualifacts says InSync serves thousands of practices and is designed for small and mid-market organizations.
Primary tradeoff
More BH-specific depth and vendor scale than the lightest therapist tools, but still less enterprise-heavy than Qualifacts’ larger suites.
Confidence
High

Sources

  • Product InSync
    Small and mid-market behavioral-health positioning.
  • Scale signal Qualifacts
    Qualifacts says InSync serves thousands of practices and the company serves 2,200+ agencies overall.
  • Revenue Growjo – Qualifacts
    Estimated annual revenue: $218.3M.

RXNT

RXNT

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General ambulatory Integrated / general $50M–$100M General / integrated

Integrated ambulatory software suite spanning EHR, practice management, e-prescribing, and billing, with specialty support for behavioral health.

Best-fit organization
Small to mid-sized practice or specialty group
Revenue proxy
$55.2M est. · Third-party estimate
Growjo estimated RXNT revenue at $55.2M.
Why it sits here
Placed just left of center because RXNT has explicit behavioral-health coverage but remains a general ambulatory platform.
Organization-size signal
RXNT maintains an integrated mental and behavioral health specialty page covering billing, appointments, and EHR workflows.
Primary tradeoff
Operational breadth and billing integration are useful, but BH-native care-program workflows are lighter than dedicated behavioral health suites.
Confidence
Medium

Sources

ClinicTracker

ClinicTracker

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BH growth BH + SUD $1M–$5M Behavioral-health-native

Integrated EHR, billing, and scheduling platform built for mental health, substance use, and related agencies.

Best-fit organization
Small to mid-sized agency
Revenue proxy
$1.3M est. · Third-party estimate
Growjo estimated annual revenue at $1.3M.
Why it sits here
Placed just right of SMB therapist tools because product positioning is agency-oriented rather than solo-practice first.
Organization-size signal
ClinicTracker is positioned as an integrated EMR and billing solution for mental health, substance abuse, and related agencies.
Primary tradeoff
Deeper agency fit than many therapist tools, but a much smaller vendor scale and more limited ecosystem than leading BH platforms.
Confidence
Medium

Sources

PIMSY

Smoky Mountain Information Systems

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BH growth Mental health / BH $5M–$10M Behavioral-health-native

Behavioral-health EHR and patient-management platform built for mental and behavioral health providers, with documentation, reporting, and RCM support.

Best-fit organization
Small to mid-sized behavioral health organization
Revenue proxy
$5.5M est. · Third-party range
Adapt lists PIMSY revenue in the $1M–$10M range; midpoint used for plotting.
Why it sits here
Placed in the lower-middle growth band because PIMSY is clearly BH-native and organizationally oriented, but still smaller in vendor scale than Qualifacts or Netsmart.
Organization-size signal
PIMSY says it is trusted by thousands of providers and markets flexible plans for practices of varying sizes across mental and behavioral health.
Primary tradeoff
Purpose-built behavioral health depth is a plus, but public revenue disclosure is limited and the vendor scale is smaller than the biggest BH suites.
Confidence
Medium

Sources

BestNotes

BestNotes

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BH growth BH + SUD $5M–$10M Behavioral-health-native

Behavioral health and addiction EHR with charting, scheduling, CRM, billing, and telehealth features.

Best-fit organization
Small to mid-sized organization
Revenue proxy
$5.5M est. · Third-party estimate
Growjo estimated annual revenue at $5.5M.
Why it sits here
Centered between small-practice and mid-market behavioral health systems because product messaging spans both.
Organization-size signal
BestNotes is positioned for behavioral health and addiction treatment organizations and offers solo-practice through enterprise-oriented pricing and setup options.
Primary tradeoff
Good BH/SUD breadth and transparent packaging, but not as large or deeply embedded as upper-tier enterprise platforms.
Confidence
Medium

Sources

AccuCare

Orion Healthcare Technology

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SUD / residential SUD / addiction $1M–$5M Behavioral-health-native

Web-based behavioral health EHR/EMR and billing system focused on addictions, peer recovery, and mental health programs.

Best-fit organization
Small to mid-sized addiction-treatment, peer-recovery, or behavioral health organization
Revenue proxy
$1.6M est. · Third-party estimate
Growjo estimated Orion Healthcare Technologies annual revenue at $1.6M.
Why it sits here
Placed in the lower-middle because AccuCare is clearly purpose-built for addiction and recovery workflows, but public company-scale signals remain small.
Organization-size signal
AccuCare says it was built from the ground up for addictions, substance use disorder, peer recovery, and mental health professionals and is designed to streamline workflows for entire organizations.
Primary tradeoff
Purpose-built SUD and recovery workflows are a plus, but public install-base and revenue disclosure are limited.
Confidence
Medium

Sources

Alleva

Alleva

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BH growth BH + SUD $25M–$50M Behavioral-health-native

Cloud EHR platform built for behavioral health, addiction treatment, and IDD providers.

Best-fit organization
Mid-sized clinic to multi-site organization
Revenue proxy
$30.8M est. · Third-party estimate
Growjo estimated annual revenue at $30.8M.
Why it sits here
Placed in the growth-platform band because it serves more complex organizations than therapist-first tools without reading as a full public-sector enterprise suite.
Organization-size signal
Alleva positions itself across behavioral health, substance use disorder, and IDD organizations with integrated clinical, billing, and operations workflows.
Primary tradeoff
Modern BH/IDD workflow design, but lower documented market scale than the biggest BH suites.
Confidence
Medium

Sources

  • Product Alleva
    Behavioral health / addiction / IDD platform.
  • Revenue Growjo – Alleva
    Estimated annual revenue: $30.8M.

Exym

Exym

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BH growth Mental health / BH $1M–$5M Behavioral-health-native

Behavioral-health-native EHR for mental health agencies, with telehealth, documentation, analytics, and multi-setting support.

Best-fit organization
Small to mid-sized agency or community behavioral health organization
Revenue proxy
$1.4M est. · Third-party estimate
GetLatka reported Exym revenue at $1.4M.
Why it sits here
Placed in the BH growth band because Exym is built for agencies and structured provider organizations rather than solo practices.
Organization-size signal
Exym says its software is built for mental health agencies and separately positions the platform for behavioral health providers, schools, and residential workflows.
Primary tradeoff
Stronger agency workflow fit than small-practice tools, but lighter vendor scale and market footprint than the largest BH suites.
Confidence
Medium

Sources

EHR YOUR WAY

EHR YOUR WAY

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BH growth BH + SUD $25M–$50M Behavioral-health-native

Behavioral health EHR positioned across mental health, psychiatry, counseling, and addiction treatment with configurable workflows.

Best-fit organization
Mid-sized clinic to multi-site organization
Revenue proxy
$47.8M est. · Third-party estimate
Growjo estimated annual revenue at $47.8M.
Why it sits here
Positioned around the market middle because product messaging spans group practices through enterprises.
Organization-size signal
Vendor says the platform is simple enough for group practices and powerful enough for enterprises; product serves psychiatrists, therapists, counselors, social workers, clinics, and addiction centers.
Primary tradeoff
Configurable and broad for BH provider types, but with less obvious market share than top-tier enterprise suites.
Confidence
Medium

Sources

Greenway Health

Greenway Health

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General ambulatory Integrated / general $100M–$250M General / integrated

Scaled ambulatory EHR platform used in integrated-care settings, with behavioral health screening and coordinated-care capabilities.

Best-fit organization
Mid-sized multispecialty, FQHC, tribal, or integrated-care organization
Revenue proxy
$190M est. · Third-party estimate
GetLatka reported Greenway Health revenue at $189.6M in 2025.
Why it sits here
Placed right of center because Greenway fits integrated behavioral and primary care environments better than small private practices.
Organization-size signal
Greenway highlights behavioral health screening, integrated behavioral health in care coordination, and support for tribal and urban Indian health settings.
Primary tradeoff
Large vendor scale and integrated-care breadth are strengths, but the product is less BH-native than purpose-built behavioral health platforms.
Confidence
Medium

Sources

Kipu

Kipu Health

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SUD / residential BH + SUD $25M–$50M Behavioral-health-native

SUD- and BH-focused platform spanning EMR, CRM, patient engagement, admissions, and revenue-cycle workflows.

Best-fit organization
Mid-sized to large multi-site provider
Revenue proxy
$34.8M est. · Third-party estimate
Growjo estimated annual revenue at $34.8M.
Why it sits here
Placed to the right of general behavioral health growth platforms because Kipu is built for more operationally complex SUD and treatment-center environments.
Organization-size signal
Kipu says it serves 1,800+ customers across 6,000 locations and is used across residential, outpatient, OTP, and behavioral-health settings.
Primary tradeoff
Strong SUD and treatment-center specialization, but not the default choice for broad multi-specialty health-system deployments.
Confidence
High

Sources

AZZLY Rize

AZZLY

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SUD / residential BH + SUD $1M–$5M Behavioral-health-native

Behavioral health and addiction-treatment platform combining EHR, billing, CRM, patient engagement, and lab integrations.

Best-fit organization
Mid-sized to large treatment provider
Revenue proxy
$3.2M est. · Third-party estimate
Growjo estimated annual revenue at $3.2M.
Why it sits here
Placed in the growth SUD cluster because of specialty treatment-center orientation with some geographic scale.
Organization-size signal
AZZLY markets Rize as an all-in-one addiction treatment and mental-health EHR + RCM platform and says it supports providers in 31+ states.
Primary tradeoff
Purpose-built for SUD/BH treatment operations, but smaller vendor scale and fewer independent install-base signals than leading specialty suites.
Confidence
Medium

Sources

  • Product AZZLY
    Behavioral health and addiction-treatment platform positioning.
  • Product AZZLY Rize
    All-in-one addiction treatment and mental-health EHR + RCM positioning.
  • Revenue Growjo – AZZLY
    Estimated annual revenue: $3.2M.

MedEZ

MedEZ

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SUD / residential BH + SUD $1M–$5M Behavioral-health-native

Comprehensive EHR and billing platform for behavioral health and substance abuse practices across inpatient and outpatient settings.

Best-fit organization
Mid-sized inpatient, outpatient, or residential behavioral health organization
Revenue proxy
$2.1M est. · Third-party estimate
Growjo estimated MedEZ revenue at $2.1M; Owler separately lists $1.5M.
Why it sits here
Placed in the lower-right growth band because MedEZ is designed for more complex care settings than therapy-practice tools, even though vendor revenue remains modest.
Organization-size signal
MedEZ explicitly positions itself for behavioral health and substance abuse facilities across inpatient and outpatient settings.
Primary tradeoff
Purpose-built inpatient and substance-abuse workflow depth is valuable, but public scale signals are limited and the vendor is smaller than leading SUD platforms.
Confidence
Medium

Sources

Sunwave

Sunwave Health

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SUD / residential SUD $10M–$25M Behavioral-health-native

All-in-one platform for treatment providers spanning CRM, EMR, telehealth, and revenue-cycle operations.

Best-fit organization
Mid-sized to large treatment center
Revenue proxy
$21.1M est. · Third-party estimate
Growjo estimated annual revenue at $21.1M; GetLatka separately reported $6.4M in 2025.
Why it sits here
Placed in the SUD/residential growth band because product architecture is built around treatment-center operations. A 2025 merger announcement is included in the source trail; the plotted revenue proxy remains directional for the legacy product line.
Organization-size signal
Sunwave positions itself as an all-in-one platform for treatment providers, combining CRM, EMR, billing, and patient engagement for behavioral health and SUD organizations.
Primary tradeoff
Strong treatment-center workflow integration, but a weaker fit for very small private practices and a smaller documented footprint than top SUD platforms.
Confidence
Medium

Sources

Patagonia Health

Patagonia Health

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BH growth Mental health / BH $5M–$10M General / integrated

Integrated EHR/EMR, practice-management, and billing system used in behavioral health and public health settings.

Best-fit organization
Mid-sized behavioral health agency, county group, or public-sector team
Revenue proxy
$5.6M est. · Third-party estimate
Growjo estimated Patagonia Health annual revenue at $5.6M.
Why it sits here
Placed just right of center because the product fits agencies and government-adjacent groups better than solo practices, but vendor scale remains modest.
Organization-size signal
Patagonia Health says its EHR is designed for behavioral health agencies and can scale to multi-location health departments and statewide groups; a featured behavioral health customer says it grew from 36 to 90 employees using the platform.
Primary tradeoff
Strong agency workflow and reporting fit, especially for public-sector contexts, but smaller vendor scale than the largest enterprise behavioral health suites.
Confidence
Medium

Sources

Qualifacts CareLogic

Qualifacts

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Enterprise BH Mental health / BH $100M–$250M Behavioral-health-native

Behavioral-health EHR and practice-management platform with stronger agency / operational depth than therapist-first tools.

Best-fit organization
Mid-sized to large organization
Revenue proxy
$218.3M est. (vendor) · Third-party estimate
Growjo estimated Qualifacts annual revenue at $218.3M; used as the portfolio-vendor proxy for CareLogic.
Why it sits here
Placed to the right of InSync because CareLogic is marketed more clearly to agencies and scaled provider organizations.
Organization-size signal
CareLogic is positioned for behavioral-health organizations of all sizes with emphasis on integrated workflow, billing, and reporting.
Primary tradeoff
Richer billing and reporting than smaller-practice BH products, but heavier administrative lift and implementation work.
Confidence
High

Sources

  • Product CareLogic
    Behavioral-health EHR / agency workflow positioning.
  • Scale signal Qualifacts
    Qualifacts serves 2,200+ behavioral-health agencies and 170+ CCBHCs.
  • Revenue Growjo – Qualifacts
    Estimated annual revenue: $218.3M.

Cx360

Core Solutions

Back to map
Enterprise BH Mental health / BH $10M–$25M Behavioral-health-native

Configurable EHR and case-management platform for behavioral health, IDD, and human services organizations.

Best-fit organization
Mid-sized to large complex organization
Revenue proxy
$14.8M est. · Third-party estimate
Growjo estimated annual revenue at $14.8M.
Why it sits here
Placed near the enterprise-behavioral health band because of its focus on configurable, complex-provider workflows rather than therapist-first simplicity.
Organization-size signal
Cx360 is positioned for behavioral health, IDD, and human services organizations that need configurable clinical and case-management workflows.
Primary tradeoff
Flexible for complex service models, but typically heavier to implement and operate than lightweight cloud practice tools.
Confidence
Medium

Sources

Lightning Step

Lightning Step

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SUD / residential SUD / addiction $25M–$50M Behavioral-health-native

All-in-one EHR/EMR, CRM, and RCM suite built for behavioral health and addiction-treatment centers.

Best-fit organization
Single-location to regional behavioral health or addiction-treatment center
Revenue proxy
$28.9M est. · Third-party estimate
Growjo estimated Lightning Step annual revenue at $28.9M.
Why it sits here
Placed in the growth SUD band because the platform is built for addiction and behavioral health organizations ranging from single-location sites to regional treatment operators. A 2025 merger announcement is included in the source trail; the plotted revenue proxy remains directional for the legacy product line.
Organization-size signal
Lightning Step says it serves providers from private practice to large-scale treatment centers and separately describes single-location and regional / multi-state facility workflows.
Primary tradeoff
Deeper operational coverage than therapist-first tools, but more process-heavy and implementation-intensive than simpler practice systems.
Confidence
Medium

Sources

Zoobook

Zoobook Systems

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SUD / residential BH + SUD $10M–$25M Behavioral-health-native

Cloud-based behavioral health and addiction-treatment EHR focused on clinical compliance, billing, referral capture, and MAT workflows.

Best-fit organization
Mid-sized addiction or behavioral health organization across outpatient, residential, detox, or MAT settings
Revenue proxy
$20.8M est. · Third-party estimate
Growjo estimated Zoobook Systems revenue at $20.8M.
Why it sits here
Placed in the SUD growth band because Zoobook is tailored to addiction and behavioral health operations across multiple levels of care.
Organization-size signal
Zoobook explicitly supports outpatient, inpatient, residential, detox, and methadone clinic settings.
Primary tradeoff
Strong addiction-treatment specificity, including MAT, but less enterprise scale and fewer publicly documented large-system wins than the biggest SUD platforms.
Confidence
Medium

Sources

AWARDS

Foothold Technology

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Enterprise BH Mental health / BH $5M–$10M Behavioral-health-native

Cloud EHR / case-management platform used across behavioral health and broader human-services programs.

Best-fit organization
Large multi-program organization
Revenue proxy
$6.7M est. · Third-party estimate
Growjo estimated annual revenue at $6.7M.
Why it sits here
Placed near enterprise-behavioral health systems because the operating model is aimed at multi-program human-services organizations.
Organization-size signal
AWARDS is positioned for human services organizations including residential, mental health, and social-service providers.
Primary tradeoff
Strong case management and reporting depth for complex programs, but more traditional UX and lower brand scale than larger suites.
Confidence
Medium

Sources

NextGen Healthcare

NextGen Healthcare

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General ambulatory Integrated / general $500M–$1B General / integrated

Ambulatory EHR / PM platform that can serve larger multi-site medical groups and integrated behavioral-health settings.

Best-fit organization
Mid-sized to large organization
Revenue proxy
$680.9M est. · Third-party estimate
Growjo estimated NextGen Healthcare annual revenue at $680.9M.
Why it sits here
Placed right of athenahealth because install-base data suggests more mid-market and larger-group penetration.
Organization-size signal
Enlyft shows 27% small, 44% medium, and 29% large among tracked NextGen customers.
Primary tradeoff
Mature ambulatory platform with stronger mid-market depth, but less behavioral-health-native workflow specialization than purpose-built behavioral-health vendors.
Confidence
High

Sources

Opus

Opus Behavioral Health

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SUD / residential BH + SUD $1M–$5M Behavioral-health-native

Behavioral-health-specific EHR, CRM, and RCM platform for addiction, SUD, mental health, and broader behavioral health treatment providers.

Best-fit organization
Mid-sized behavioral health or SUD organization, including multi-center operators
Revenue proxy
$3.2M est. · Third-party estimate
GetLatka reported Opus revenue at $3.2M and 300 customers in 2024.
Why it sits here
Placed in the lower-right growth band because the platform is aimed at multi-program behavioral health and SUD operations, not just therapist offices.
Organization-size signal
Opus is described as a behavioral-health-specific platform for mental health, substance use, psychiatry, psychology, and treatment centers ranging from single-clinician practices to large multi-center operations.
Primary tradeoff
Broad behavioral-health operating stack and clinical flexibility are strong, but public revenue and install-base signals still trail more established enterprise platforms.
Confidence
Medium

Sources

  • Product Opus
    Official behavioral-health-specific EHR positioning.
  • Product Opus EHR
    Behavioral healthcare-specific EHR overview.
  • Scale signal Software Advice – Opus
    Various sizes, from single-clinician practices to large multi-center operations.
  • Revenue GetLatka – Opus
    Reported revenue: $3.2M and 300 customers.

Behave Health

Behave Health

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SUD / residential SUD / addiction <$1M Behavioral-health-native

Integrated EHR/EMR, CRM, RCM, and ERP suite for behavioral health, addiction treatment, and recovery-housing operators.

Best-fit organization
Multi-site SUD or behavioral health organization with residential, outpatient, or recovery-housing operations
Revenue proxy
$902K est. · Third-party estimate
GetLatka reported Behave Health revenue at $902.2K in 2024.
Why it sits here
Placed in the lower-right because the platform is designed for multi-level-of-care and multi-site operations, while disclosed company scale remains small.
Organization-size signal
Behave Health says it supports residential treatment centers, outpatient programs, sober living homes, detox facilities, mental health clinics, MAT providers, and multi-site organizations.
Primary tradeoff
Covers more of the operating stack than a typical EHR, but public benchmarking on customer scale and revenue is limited.
Confidence
Medium

Sources

  • Product Behave Health
    Official behavioral health, addiction treatment, and sober-living positioning.
  • Scale signal Behave Health FAQ
    Official FAQ says the platform supports multi-site and multi-level-of-care organizations.
  • Revenue GetLatka – Behave Health
    Reported revenue: $902.2K in 2024.

ContinuumCloud (Welligent)

ContinuumCloud

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Enterprise BH Mental health / BH $50M–$100M Behavioral-health-native

Cloud platform spanning behavioral health and human services, including Welligent for behavioral-health EHR workflows.

Best-fit organization
Large multi-program organization
Revenue proxy
$50M–$100M est. · Third-party range
LeadIQ estimates ContinuumCloud revenue in the $50M–$100M range; midpoint used for plotting.
Why it sits here
Placed to the right because of county/agency-style usage and broader human-services complexity.
Organization-size signal
ContinuumCloud positions itself across behavioral health and human services, and Welligent has long been used by counties, agencies, and larger service organizations.
Primary tradeoff
Broad human-services reach and enterprise depth, but a heavier operating model than mid-market cloud products.
Confidence
Medium

Sources

Cantata Arize

Cantata Health Solutions

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Enterprise BH BH + SUD $10M–$25M Behavioral-health-native

Modern behavioral health and human-services EHR integrating clinical, billing, medication management, and client engagement workflows.

Best-fit organization
Mid-sized to large behavioral health, human services, or CCBHC-aligned organization
Revenue proxy
$14.7M est. · Third-party estimate
GetLatka reported Cantata Health Solutions revenue at $14.7M in 2025; Growjo separately estimates $23.1M.
Why it sits here
Placed on the enterprise-leaning side because Arize is built for broader organizational complexity, not just private-practice workflows.
Organization-size signal
Cantata positions Arize for behavioral health and human services and says it serves more than 100 customers across 45 states.
Primary tradeoff
Strong fit for mission-driven behavioral health and human-services providers, but a smaller vendor scale than Netsmart or Qualifacts enterprise suites.
Confidence
Medium

Sources

Sigmund AURA

Sigmund Software

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SUD / residential BH + SUD $5M–$10M Behavioral-health-native

Enterprise-oriented EHR and operations platform for addiction treatment and behavioral health organizations.

Best-fit organization
Large treatment center to enterprise program
Revenue proxy
$5.8M est. · Third-party estimate
Growjo estimated annual revenue at $5.8M.
Why it sits here
Placed further right because vendor language explicitly targets enterprise addiction-treatment operations.
Organization-size signal
Sigmund positions AURA as an enterprise EHR for addiction treatment and behavioral-health centers and clinics.
Primary tradeoff
Strong compliance and program-operations fit for structured treatment environments, but implementation overhead is heavier than lightweight SMB tools.
Confidence
Medium

Sources

Qualifacts Credible

Qualifacts

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Enterprise BH Mental health / BH $100M–$250M Behavioral-health-native

Enterprise-oriented behavioral-health platform focused on complex multi-program, multi-location provider environments.

Best-fit organization
Large multi-site or enterprise organization
Revenue proxy
$218.3M est. (vendor) · Third-party estimate
Growjo estimated Qualifacts annual revenue at $218.3M; used as the portfolio-vendor proxy for Credible.
Why it sits here
Placed firmly right because product positioning and CCbehavioral healthC signals point to large complex agencies.
Organization-size signal
Credible is marketed for large, complex provider organizations, including CCBHC and enterprise-scale behavioral-health operations.
Primary tradeoff
Deep enterprise BH functionality and public-sector fit, but greater cost and implementation burden than mid-market platforms.
Confidence
High

Sources

  • Product Credible
    Enterprise behavioral-health platform positioning.
  • Scale signal Qualifacts
    2,200+ agencies, including 170+ CCBHCs representing more than 35% of all CCBHCs.
  • Revenue Growjo – Qualifacts
    Estimated annual revenue: $218.3M.

Streamline SmartCare

Streamline Healthcare Solutions

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Enterprise BH Mental health / BH $50M–$100M Behavioral-health-native

Enterprise behavioral health and human-services EHR with configurable workflows, telehealth, patient portal, and reporting.

Best-fit organization
Enterprise behavioral health, human services, or public-sector organization
Revenue proxy
$95.5M est. · Third-party estimate
Growjo estimated Streamline Healthcare Solutions annual revenue at $95.5M.
Why it sits here
Placed toward the enterprise side because SmartCare is sold as a single-platform system for complex behavioral health and human-services organizations, while revenue scale stays below Netsmart and Qualifacts.
Organization-size signal
Streamline positions SmartCare as an enterprise, cloud-based, single-platform EHR developed specifically for behavioral health and human services; the company reported 40,000 individual users.
Primary tradeoff
Strong fit for complex organizations and public-sector reporting, but heavier to implement and manage than lighter cloud systems.
Confidence
Medium

Sources

MEDITECH

MEDITECH

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Health-system EHR Integrated / general $500M–$1B General / integrated

Hospital and health-system EHR platform used by community hospitals and larger delivery organizations that include behavioral-health services.

Best-fit organization
Large hospital or health system
Revenue proxy
$731.6M est. · Third-party estimate
Growjo estimated MEDITECH annual revenue at $731.6M.
Why it sits here
Placed right because its customer base skews to hospitals and large organizations rather than specialty outpatient practices.
Organization-size signal
6sense shows the most common MEDITECH customer size in the 1,000–4,999 employee band, indicating larger hospital and health-system customers.
Primary tradeoff
Durable hospital-community fit, but not a behavioral-health-native workflow leader.
Confidence
High

Sources

Netsmart myAvatar

Netsmart

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Enterprise BH BH + SUD $500M–$1B Behavioral-health-native

Enterprise behavioral-health EHR used across community, residential, inpatient, and integrated care settings.

Best-fit organization
Large multi-site, public-sector, or enterprise provider
Revenue proxy
$525.4M est. · Third-party estimate
Growjo estimated Netsmart annual revenue at $525.4M.
Why it sits here
Placed high and right because Netsmart is one of the clearest behavioral-health enterprise anchors in the market.
Organization-size signal
Netsmart positions myAvatar for community-based, residential, inpatient, and addiction-treatment programs; Enlyft shows 44% medium and 29% large among tracked Netsmart customers.
Primary tradeoff
Very strong enterprise/public-sector depth and interoperability story, but substantial implementation and operating overhead.
Confidence
High

Sources

  • Product myAvatar
    Behavioral health and addiction-treatment positioning across community, residential, and inpatient programs.
  • Revenue Growjo – Netsmart
    Estimated annual revenue: $525.4M.
  • Org-size signal Enlyft – Netsmart
    44% medium, 29% large, 28% small among tracked customers.

Oracle Health

Oracle (Cerner proxy)

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Health-system EHR Integrated / general $5B+ General / integrated

Enterprise EHR and health-system platform used across large hospital systems and integrated delivery organizations.

Best-fit organization
Enterprise health system / hospital
Revenue proxy
$5.7B proxy est. · Business-unit proxy
Cerner has been estimated around $5.7B annual revenue; used here as an Oracle Health business-unit proxy rather than Oracle total company revenue.
Why it sits here
Placed near Epic but slightly left because Oracle Health is clearly enterprise-focused, though current business-unit disclosure is less transparent post-acquisition.
Organization-size signal
Oracle Health inherits Cerner’s large health-system footprint, including federal and multi-hospital deployments.
Primary tradeoff
Broad enterprise functionality and large-system fit, but behavioral-health workflows often require more tailoring than behavioral-health-native platforms.
Confidence
Medium

Sources

  • Product Oracle Health
    Enterprise health-system positioning.
  • Revenue Growjo – Cerner
    Cerner annual revenue estimate used as Oracle Health business-unit proxy.
  • Scale signal Oracle Health
    Large health-system and federal footprint.

Epic

Epic Systems

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Health-system EHR Integrated / general $5B+ General / integrated

Dominant enterprise EHR platform across large health systems, academic medical centers, and integrated delivery networks that include behavioral health.

Best-fit organization
Enterprise health system / hospital
Revenue proxy
$5.7B est. · Industry / company-reported
Becker’s reported Epic generated about $5.7B in 2025.
Why it sits here
Placed at the far right because Epic is fundamentally a health-system platform rather than a specialty behavioral health tool.
Organization-size signal
Epic held 42.3% of the acute-care EHR market and 54.9% of acute-care hospital beds in 2025, making it the clear enterprise benchmark.
Primary tradeoff
Unmatched enterprise integration and interoperability, but usually overbuilt and expensive for stand-alone specialty behavioral-health organizations.
Confidence
High

Sources

What the axes mean

The x-axis scores the typical buyer each EHR/EMR fits best, using public positioning, customer-size signals when available, and workflow complexity. The y-axis uses vendor or business-unit revenue because product-level revenue is rarely disclosed.

Proprietary approach

This view uses a proprietary normalization method that combines vendor disclosures, third-party company intelligence, and analyst judgment to place non-standard public data on a single comparable map.

What to treat carefully

Private-company revenue and customer-scale figures are directional, not audited. “Facilities,” “customers,” “agencies,” “locations,” and “practitioners” are not interchangeable, so the source trail is attached to every point.