Foothold Technology

What Foothold Technology does

Foothold Technology is a cloud-based SaaS provider of electronic health record (EHR) and care management software purpose-built for human services agencies, founded in 2000 and headquartered in Walnut Creek, California. The company operates as a subsidiary of Radicle Health and is a Certified B Corporation and Pledge 1% member. Its two core products are AWARDS, an ONC Health IT Certified Complete Ambulatory EHR for behavioral health, intellectual and developmental disabilities (I/DD), supportive housing, and home and community-based services (HCBS); and Foothold Care Management (FCM), a care management platform serving NY State Health Homes and Care Management Agencies. AWARDS and FCM are built on a modular architecture with proprietary Builder tools (PlanBuilder, FormBuilder, ReportBuilder, BillingBuilder) and add-on modules for e-prescribing (via DrFirst/SureScripts), E-MAR, E-Labs, and EVV.

The technology stack is healthcare-specialized: FHIR-based interoperability, HL7 messaging, integrations with Regional Health Information Organizations (RHIOs) including Healthix and Bronx RHIO, IMO 2022 for medical terminology, Google Cloud Healthcare API, InterSystems IRIS for Health, and Auth0 for identity management. The platform is highly configurable for multi-service agencies and integrates with the NY State MAPP HHTS for Health Home tracking. FCM holds a System Usability Scale (SUS) score of 78, comparable to Microsoft Word (75) and Amazon (82), versus the EHR industry average of 45. The platform holds ONC Health IT Certification (Certificate #15.04.04.1500.AWAR.03.00.1.171220), HIPAA compliance, and CCPA compliance, with security validated by GreyCastle Security.

Foothold employs a SaaS subscription model with annual billing on a quote-based, enterprise sales motion. Pricing is not publicly disclosed; prospective customers are routed through a "Request a Demo" CTA and consultative sales engagement. The company serves seven customer segments, with primary focus on behavioral health organizations, NY State Health Homes and Care Management Agencies (CMAs), and I/DD providers. Foothold claims over 50% of NY State Health Home member enrollment and approximately 60% of NY Health Homes run on its platform, with 160+ Care Management Agencies served. The go-to-market leverages Health Home network partnerships, the NY Health Home Coalition, and integration partners including Unite Us and Findhelp to support NY's 1115 Medicaid Waiver and Social Care Network rollout. The company maintains an active content marketing engine (blog, resource library, ROI/Efficiency calculators) and participates in industry conferences such as HIMSS and HMA. Recent strategic activity includes the 2021 acquisition of Relevant Healthcare, partnerships with Unite Us and Findhelp (March 2024), and the launch of a Medicaid Toolkit (October 2025).

Name

Foothold Technology

Legal name

Foothold Technology

Website

https://footholdtechnology.com

Company type

Private

Founded year

2000

Operating status

Operating

Headcount range

51–100 employees

Short description

Foothold Technology provides cloud-based EHR (AWARDS) and care management (FCM) software to behavioral health, I/DD, HCBS, and NY Health Home agencies, serving over 50% of NY State Health Home enrollment and 160+ care management agencies. The company operates as a subsidiary of Radicle Health and is a Certified B Corporation.

Ownership category

akta.pro rank

Product category

Behavioral Health EHR Software

NAICS

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (5182)

SIC

Services-Computer Programming, Data Processing, Etc. (7370)

akta.pro primary industry

Care Navigation, Referral & Digital Front Door Platforms (HLALABAH)

Keywords

• Behavioral health EHR
• Care management software
• Human services software
• Health information exchange
• Medicaid billing software

Headquarters

HQ city

Brooklyn

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure

Revenue model

1. SaaS Subscription (EHR/Care Management Platform): Foothold Technology operates on a SaaS subscription model, providing its AWARDS EHR and Foothold Care Management (FCM) platforms as cloud-based services to human services agencies, behavioral health organizations, Health Homes, and Care Management Agencies. The software is sold with full-service implementation, training, and ongoing support bundled into the partnership offering. Pricing is quote-based and not publicly disclosed.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels6 records

Core offering

Foothold Technology provides cloud-based SaaS electronic health record (EHR) and care management software to human services agencies, behavioral health organizations, and NY State Health Homes. Its two core products are AWARDS, an ONC Health IT Certified Complete Ambulatory EHR for behavioral health, I/DD, HCBS, supportive housing, and multi-service human services agencies, and Foothold Care Management (FCM), a care management platform purpose-built for NY State Health Homes and Care Management Agencies with MAPP HHTS synchronization and integrated billing.

Product overview

Foothold Technology offers a unified software platform for human services organizations consisting of AWARDS (the core Behavioral Health EHR) and Foothold Care Management (FCM, the care coordination platform). AWARDS provides full functionality for case management, client tracking, treatment planning, billing, and reporting, while FCM specifically supports Health Homes and Care Management Agencies. The platform operates on a modular architecture with core features like PlanBuilder, FormBuilder, ReportBuilder, and BillingBuilder, supplemented by add-on modules through FootholdConnect including E-Prescribing, E-MAR, E-Labs, and EVV. The company's platform serves agencies across developmental disabilities, HCBS, supportive housing, care coordination, and behavioral health, with over 50% of New York State's Health Home enrollment on their platform. Foothold is part of Radicle Health and is a Certified B Corporation.

Differentiator

Problem solved

Functional benefit

Brands

• AWARDS: Certified Electronic Health Record (EHR) software for behavioral health and human service providers.
• Foothold Care Management (FCM)

Products and services

• AWARDS AWARDS is Foothold's flagship cloud-based Behavioral Health EHR and electronic health record system providing full functionality for case management, client tracking, treatment planning, service delivery, billing, and reporting for human services agencies across developmental disabilities, HCBS, supportive housing, care coordination, and behavioral health. It is ONC Health IT Certified as a Complete Ambulatory EHR and supports FHIR-based interoperability with RHIOs, HIEs, labs, pharmacies, and other providers.
• Foothold Care Management (FCM) Foothold Care Management (FCM) is a web-based care management platform built specifically for NY State Health Homes and Care Management Agencies. It provides configurable solutions for multi-service care with caseload coverage overviews, gaps in care tracking, clinical event notifications from RHIOs, MAPP HHTS synchronization, integrated billing, built-in HML logic, reports and raw data extracts, and monthly customer training. FCM manages over 50% of New York State's Health Home member enrollment and serves 160+ Care Management Agencies.
• AWARDS E-Prescribing Add-On E-Prescribing add-on module for AWARDS enabling electronic prescription capabilities integrated within the EHR, connected via DrFirst Rcopia and the SureScripts network for ONC certification compliance.
• AWARDS E-MAR (Electronic Medication Administration Record) Add-On E-MAR add-on module providing electronic medication administration recording functionality for residential behavioral health and other care settings using AWARDS.
• AWARDS E-Labs Add-On E-Labs add-on module enabling electronic lab results integration with AWARDS, allowing automatic receipt and management of laboratory data within the EHR.
• AWARDS EVV (Electronic Visit Verification) Add-On EVV add-on module providing electronic visit verification capabilities for home and community-based services (HCBS) to meet Medicaid compliance requirements within AWARDS.

Quantifiable outcome

• Over 50% of NY State Health Home member enrollment managed on the platform; 160+ Care Management Agencies served
• +3 more outcomes

Named customers10 records

Segments7 records

Ideal customer profiles5 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration10 records

AI capability2 records

Feature11 records

Partnerships

16 partnerships are on record, tiered core, major, minor and supporting.

• FindhelpcoreTechnology or Integration · 11 March 2024Findhelp, the nation's most trusted and widely used closed-loop referral management software company, partnered with Foothold Technology to support New York's Medicaid 1115 Waiver and Social Care Networks. The partnership enables integration between Findhelp's referral platform and Foothold's care management software.
• Unite UscoreTechnology or Integration · 6 March 2024Unite Us, a leading technology partner for social care transformation, entered a strategic partnership with Foothold Technology to enhance coordinated care accessibility in New York in preparation for the 1115 Medicaid Waiver implementation. The partnership combines Unite Us's closed-loop referral management with Foothold's EHR and care management capabilities for Social Care Networks.
• Community Care Management Partners (CCMP) Health HomecoreStrategic or Co-development PartnerCCMP, a Health Home in New York, serves as both a customer and strategic partner. CCMP's Director of Operations publicly endorses Foothold Care Management as 'a major selling point' for recruiting Care Management Agencies into the CCMP Health Home network.
• Hudson Valley CarecoreStrategic or Co-development PartnerHudson Valley Care transitioned to Foothold Care Management and provided a public case study. Their transition was described as going '2000x better than expected,' and the organization uses Foothold's platform to support individuals with multiple chronic illnesses and serious behavioral health conditions.
• NY Health Home CoalitionmajorStrategic or Co-development PartnerFoothold Technology works closely with the NY Health Home Coalition, a statewide organization representing Health Home providers and stakeholders in New York State. Foothold has been involved in advocacy efforts to support the development and sustainability of Health Homes and has participated in coalition activities to promote policies and funding initiatives.
• MAPP (Maternal and Infant Community Health Collaboratives / NY Health Home HHTS)coreTechnology or IntegrationFoothold Care Management provides best-in-class MAPP HHTS synchronization, enabling claims and documentation data to be sent directly to the NY State MAPP system. Foothold offers dedicated ongoing MAPP sync customer support.
• Regional Health Information Organizations (RHIOs)coreTechnology or IntegrationFoothold integrates with Regional Health Information Organizations (RHIOs) in New York, enabling clinical event notifications to be automatically sent to Care Managers and supervisors. The company has helped clients connect AWARDS to multiple RHIOs including the Bronx RHIO, one of nine regional HIEs in New York.
• HealthixcoreTechnology or IntegrationHealthix is a RHIO/HIE partner that Foothold Technology works with to support customers participating in Health Homes and RHIOs. The partnership enables information exchange between Foothold's AWARDS platform and the Healthix health information exchange.
• NYU and MCTACminorStrategic or Co-development PartnerFoothold Technology participated in cutting-edge projects with NYU and MCTAC (Metropolitan Transportation Advocacy Council / NY-based technical assistance center) to create reporting standards for customers in the context of Value-Based Payments.
• GreyCastle SecuritycoreTechnology or IntegrationFoothold Technology partners with national cybersecurity firm GreyCastle Security to meet or exceed compliance standards set by NIST, HIPAA, and other key regulatory bodies. GreyCastle provides ongoing security assessment and validation for Foothold's platform.
• Drummond GroupcoreTechnology or IntegrationDrummond Group is the ONC-authorized certification body (ATCB) that certified Foothold's AWARDS 3.0 as an ONC Health IT Certified Complete Ambulatory EHR. The certification was received December 20, 2017.
• IMO (Intelligent Medical Objects)supportingTechnology or IntegrationIMO 2022 is one of the additional software dependencies that AWARDS relies upon to demonstrate compliance with ONC certification criteria, providing medical terminology and coding support.
• DrFirst (Rcopia with SureScripts)supportingTechnology or IntegrationDrFirst Rcopia with SureScripts is an additional software dependency for AWARDS's e-prescribing functionality, supporting ONC certification compliance.
• Google (Cloud Healthcare API)supportingTechnology or IntegrationGoogle's Cloud Healthcare API is an additional software dependency relied upon by AWARDS to demonstrate compliance with ONC certification criteria for interoperability.
• InterSystems (IRIS for Health)supportingTechnology or IntegrationInterSystems IRIS for Health is an additional software dependency relied upon by AWARDS to support health data interoperability requirements under ONC certification.
• Auth0supportingTechnology or IntegrationAuth0 is an additional software dependency relied upon by AWARDS for identity and access management as part of ONC certification compliance.

Scale indicators4 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• ContinuumCloud: ContinuumCloud (formed from the merger of Core Solutions and Echo Group) delivers an EHR and care management platform for behavioral health and human services organizations. It directly competes with Foothold's AWARDS and FCM products across the same customer verticals.
• CentralReach: CentralReach offers an EHR, practice management, and clinical platform purpose-built for applied behavior analysis (ABA), I/DD, and behavioral health providers. It competes directly with Foothold's I/DD and behavioral health modules for the same provider types.
• MediSked: MediSked provides EHR, care coordination, and home and community-based services software for I/DD, aging, and behavioral health providers. It overlaps with Foothold's I/DD, HCBS, and care management offerings for the same human services buyer segments.
• Therap Services: Therap provides EHR, documentation, and billing software for I/DD, behavioral health, and home and community-based service providers. It overlaps significantly with Foothold's I/DD and HCBS modules and targets the same nonprofit and human services buyer segments.
• Valant: Valant provides a behavioral health-specific EHR and practice management platform targeting outpatient mental health and substance use providers. It is a direct niche competitor to AWARDS in the outpatient behavioral health segment.
• Qualifacts: Qualifacts owns Credible, CareLogic, InSync, and Kantime, serving behavioral health, mental health, and human services agencies. It directly competes with Foothold in behavioral health EHR and care management, particularly for mid-market and enterprise behavioral health customers.
• Netsmart Technologies: Netsmart is the largest behavioral health and human services EHR in the US, serving community mental health centers, behavioral health agencies, and Health Homes. It directly competes with Foothold's AWARDS product across the same buyer profile and is the most analogous scale player in the vertical.

Broad incumbents

• WellSky: WellSky provides software for human services, post-acute care, and behavioral health across hospital, home health, and community-based settings. It is a broader incumbent that competes with Foothold in behavioral health, HCBS, and care coordination, particularly for larger multi-service agencies.
• NextGen Healthcare: NextGen offers ambulatory EHR and practice management with behavioral health and human services capabilities as part of its broader portfolio. It is a broader incumbent competing for mid-sized behavioral health and multi-specialty organizations that Foothold also targets.
• Epic Systems: Epic is the dominant general acute-care EHR in the US and offers behavioral health and care management modules integrated with its broader Cosmos and Care Everywhere networks. It does not specialize in human services but increasingly competes for integrated delivery networks that include behavioral health.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/footholdtech
• Facebookfacebook.com/footholdtechnology
• LinkedInlinkedin.com/company/foothold-technology

Compliance5 records

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds2 records

Investors2 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A1 record

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Foothold Technology