Foothold Technology
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.
- Company typePrivate
- Founded2000
- HeadquartersBrooklyn, United States
- Headcount51–100
- GTM typeB2B
- OfferingSoftware
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).
Foothold Technology firmographics
Firmographics- 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
Foothold Technology industry classification
Industry- 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
Where Foothold Technology is headquartered
LocationHeadquarters
- HQ city
- Brooklyn
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Foothold Technology business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure
Revenue model
- 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
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | All subscription plans are quote-based and tailored to agency size and program requirements. |
Go-to-market motion1 record
Distribution channels2 records
Marketing channels6 records
Foothold Technology product offering
Product offeringCore 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
Companies that use Foothold Technology
Customer profileNamed customers10 records
Segments7 records
Ideal customer profiles5 records
Foothold Technology technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration10 records
AI capability2 records
Feature11 records
Foothold Technology partnerships and signals
Strategic signalPartnerships
16 partnerships are on record, tiered core, major, minor and supporting.
- FindhelpcoreFindhelp, 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 UscoreUnite 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 HomecoreCCMP, 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 CarecoreHudson 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 CoalitionmajorFoothold 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)coreFoothold 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)coreFoothold 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.
- HealthixcoreHealthix 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 MCTACminorFoothold 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 SecuritycoreFoothold 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 GroupcoreDrummond 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)supportingIMO 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)supportingDrFirst Rcopia with SureScripts is an additional software dependency for AWARDS's e-prescribing functionality, supporting ONC certification compliance.
- Google (Cloud Healthcare API)supportingGoogle'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)supportingInterSystems IRIS for Health is an additional software dependency relied upon by AWARDS to support health data interoperability requirements under ONC certification.
- Auth0supportingAuth0 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
Foothold Technology competitors and assessment
Company assessmentDirect 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
Foothold Technology social profiles
Digital presenceFoothold Technology compliance and trust
Trust signalCompliance5 records
Foothold Technology financial estimates
Financial estimateRevenue estimate
Valuation estimate
Foothold Technology leadership team
Management profileNumber of profiles
Foothold Technology funding detail
Funding detailFunding overview
Funding rounds2 records
Investors2 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Foothold Technology M&A and investment
M&A and investmentM&A1 record
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Foothold Technology
What does Foothold Technology do?
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.
Is Foothold Technology a public or private company?
Foothold Technology is a private company. It is classified as corporate owned and is currently operating.
When was Foothold Technology founded?
Foothold Technology was founded in 2000. It employs 51 to 100 people.
Where is Foothold Technology based?
Foothold Technology is headquartered in Brooklyn, United States, in the North America region.
How does Foothold Technology make money?
One revenue line is on record: saaS Subscription (EHR/Care Management Platform).
Who are Foothold Technology's main competitors?
Direct peers on record are ContinuumCloud, CentralReach, MediSked, Therap Services, Valant, Qualifacts and Netsmart Technologies. Broad incumbents are WellSky, NextGen Healthcare and Epic Systems.
Does Foothold Technology have an API?
Yes. Foothold Technology offers a FHIR API for interoperability and data exchange. The API is documented at fhir-docs.footholdtechnology.com and is subject to FHIR API Terms of Use. Additional software relied upon for certification includes Google's Cloud Healthcare API, IMO 2022 (Intelligent Medical Objects) for medical terminology, and DrFirst Rcopia with SureScripts for e-prescribing. Developer documentation is at fhir-docs.footholdtechnology.com.
What industry is Foothold Technology in?
Foothold Technology's product category is Behavioral Health EHR Software. Its primary akta.pro industry code is HLALABAH, Care Navigation, Referral & Digital Front Door Platforms. Its NAICS code is 5182 and its SIC code is 7370.