The Echo Group
The Echo Group (dba Ensora Health) is a U.S. healthcare software company that builds cloud-based EHR and practice management platforms — TheraNest for mental health practices and Fusion for rehabilitative therapy — with integrated billing, payments, telehealth, and AI session documentation, serving 28,000+ SMB therapy practices and 200,000+ providers nationwide.
- Company typePrivate
- Founded1981
- HeadquartersConway, United States
- Headcount51–100
- GTM typeB2B
- OfferingSoftware
What The Echo Group does
The Echo Group, now doing business as Ensora Health, is a U.S.-based, private health-record software company founded in 1981 and headquartered in Conway, with a staff of 51-100. The company builds cloud-based EHR and practice management software for mental, behavioral, and rehabilitative therapy providers, organized around two core products — TheraNest for mental health solo and group practices and Fusion for physical, occupational, and speech therapy practices — complemented by modular add-ons including Revenue Cycle Management, Payments, Telehealth, electronic prescribing (eRx), and a Clearinghouse. Its platform architecture is an integrated core-EHR-plus-add-ons model that bundles scheduling, clinical documentation, billing, claims, and payments within a single system, and it has recently introduced an AI Session Assistant to support session documentation in both in-person and telehealth encounters.
The company operates a sales-led go-to-market, acquiring customers primarily through website demo requests and free-trial sign-ups, and monetizes via tiered monthly subscriptions priced by practice size (Solo Practice through 50+ providers) plus add-on module fees and implementation/training professional services. Its customer base spans a long tail of SMB therapy practices — the company reports serving 200,000+ individual providers across 28,000+ practices — with particular depth in mental health counseling, pediatric therapy, vision and hearing services, and PT/OT/SLP clinics, and it markets through a multi-channel mix of content, case studies, social media, newsletters, and industry events such as AMHCA 2026.
The Echo Group firmographics
Firmographics- Name
- The Echo Group
- Legal name
- Ensora Health
- Website
- https://echobh.com
- Company type
- Private
- Founded year
- 1981
- Operating status
- Operating
- Headcount range
- 51–100 employees
- Short description
- The Echo Group (dba Ensora Health) is a U.S. healthcare software company that builds cloud-based EHR and practice management platforms — TheraNest for mental health practices and Fusion for rehabilitative therapy — with integrated billing, payments, telehealth, and AI session documentation, serving 28,000+ SMB therapy practices and 200,000+ providers nationwide.
- Ownership category
- akta.pro rank
The Echo Group industry classification
Industry- Product category
- Mental Health & Therapy Practice Management Software
- NAICS
- Computer Systems Design and Related Services (54151)
- SIC
- Services-Prepackaged Software (7372)
- akta.pro primary industry
- EHR Implementation, Optimization, Training & Managed Services (HLACAAAL)
- akta.pro secondary industry
- Virtual Visit & Scheduling Platforms (EHR-integrated) (HLALABAA)
Keywords
Where The Echo Group is headquartered
LocationHeadquarters
- HQ city
- Conway
- HQ country
- United States
- HQ region
- North America
Markets served
The Echo Group business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Marketing or Sales, Operations, Infrastructure
Revenue model
- EHR Software Subscriptions: Subscription-based pricing for TheraNest (mental health) and Fusion (rehab therapy) EHR platforms. Pricing varies by practice size and provider count. Includes core scheduling, billing, documentation, and telehealth capabilities.
- Product Add-ons: Additional revenue from add-on services including Revenue Cycle Management, Payments, Telehealth, eRx, and Clearinghouse services. These enable land-and-expand within existing customer base.
- Professional Services: Customer education and professional services for implementation and training
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | TheraNest - Mental Health EHR |
| Subscription | Monthly | Fusion - Rehab Therapy EHR |
| Subscription | Monthly | Revenue Cycle Management (RCM) |
Go-to-market motion1 record
Distribution channels1 record
Marketing channels8 records
The Echo Group product offering
Product offeringCore offering
The Echo Group develops and sells cloud-based Electronic Health Record (EHR) and practice management software for mental, behavioral, and rehabilitative therapy practices. Its two core platforms — TheraNest for mental/behavioral health and Fusion for physical, occupational, and speech therapy — are sold as subscription products with integrated add-on modules for revenue cycle management, payments, telehealth, ePrescribing, and clearinghouse. The company also offers professional services, customer education, and customer support to its base of more than 28,000 practices and 200,000 providers.
Product overview
Ensora Health offers a platform-plus-modules architecture with two core EHR products: TheraNest for mental health practices (solo and group) and Fusion for rehabilitative therapy (PT, OT, SLP). These core platforms are complemented by modular add-ons including Revenue Cycle Management, Payments, Telehealth, eRx, and Clearinghouse services. The company also incorporates AI capabilities through its AI Session Assistant feature, which integrates directly into the core EHR products to assist with session documentation and administrative workflows.
Differentiator
Problem solved
Functional benefit
Brands
- TheraNest: Mental health EHR and practice management solution for mental health practices
- Fusion
- Ensora RCM
- Ensora Telehealth
- Ensora Payments
- Ensora Clearinghouse
- Ensora eRx
- AI Session Assistant
Products and services
- TheraNest Cloud-based mental and behavioral health EHR and practice management platform for solo and group therapy practices, supporting clinical notes, scheduling, billing, telehealth, and client engagement.
- Fusion
- Revenue Cycle Management
- Payments
- Telehealth
- ePrescribing (eRx)
- Clearinghouse
- Professional Services
- Customer Education
- Customer Support
Companies that use The Echo Group
Customer profileNamed customers10 records
Segments3 records
Ideal customer profiles3 records
The Echo Group technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability2 records
Feature8 records
The Echo Group partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- Vision SourceminorVision Source, a network of independent eye care professionals, uses Ensora Payments for streamlined billing and payment collection. Featured as a customer case study with positive outcomes around faster payments.
Scale indicators3 records
Recent moves5 records
Expansion highlights5 records
The Echo Group competitors and assessment
Company assessmentDirect peers
- SimplePractice: Leading all-in-one practice management and EHR platform built specifically for solo and small-group mental health and wellness practitioners. Directly competes with TheraNest in the same behavioral health SMB segment.
- TherapyNotes: Behavioral health EHR and practice management software targeting mental health solo and group practices. Competes head-to-head with TheraNest for therapy and counseling practice customers.
- WebPT: EHR and practice management platform purpose-built for physical, occupational, and speech therapists. Directly competes with Fusion in the rehab therapy vertical with comparable documentation, scheduling, and billing workflows.
- Valant: Behavioral health EHR specifically designed for outpatient mental health clinics and group practices. Overlaps with TheraNest's mental health group practice segment.
- Therapy Brands: Portfolio of practice management and EHR solutions (TherapyAppointment, AccuPoint, etc.) serving mental health, applied behavior analysis, and therapy providers. A scaled competitor across overlapping verticals.
Broad incumbents
- Tebra (Kareo): Practice management, EHR, billing, and patient engagement suite serving independent practices broadly including mental and behavioral health. A larger incumbent with overlapping RCM and telehealth capabilities.
- DrChrono: Cloud-based EHR and practice management platform with telehealth, billing, and patient engagement modules. Operates across multiple specialties including behavioral health.
- Epic Systems: Dominant enterprise EHR vendor for large health systems and academic medical centers. Sets the upper bound of competition and could expand down-market or via partner channels.
Emerging players
- ClinicSource: Therapy practice management software for speech, occupational, and physical therapists with scheduling, documentation, and billing features. Competes with Fusion in the smaller rehab therapy segment.
Others
- Office Ally: Healthcare clearinghouse and revenue cycle management service provider. Operates in an adjacent layer to Ensora's Clearinghouse and RCM add-ons and could either partner or compete for billing workflows.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat4 records
Key risks5 records
Key highlights6 records
Customer concentration
The Echo Group social profiles
Digital presenceThe Echo Group financial estimates
Financial estimateRevenue estimate
Valuation estimate
The Echo Group leadership team
Management profileNumber of profiles
Profiles1 record
The Echo Group funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
The Echo Group M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about The Echo Group
What does The Echo Group do?
The Echo Group develops and sells cloud-based Electronic Health Record (EHR) and practice management software for mental, behavioral, and rehabilitative therapy practices. Its two core platforms — TheraNest for mental/behavioral health and Fusion for physical, occupational, and speech therapy — are sold as subscription products with integrated add-on modules for revenue cycle management, payments, telehealth, ePrescribing, and clearinghouse. The company also offers professional services, customer education, and customer support to its base of more than 28,000 practices and 200,000 providers.
Is The Echo Group a public or private company?
The Echo Group is a private company. It is classified as unknown and is currently operating.
When was The Echo Group founded?
The Echo Group was founded in 1981. It employs 51 to 100 people.
Where is The Echo Group based?
The Echo Group is headquartered in Conway, United States, in the North America region.
How does The Echo Group make money?
Three revenue lines are on record. EHR Software Subscriptions are the primary driver. The others are product Add-ons and professional Services.
Who are The Echo Group's main competitors?
Direct peers on record are SimplePractice, TherapyNotes, WebPT, Valant and Therapy Brands. Broad incumbents are Tebra (Kareo), DrChrono and Epic Systems. ClinicSource is listed as an emerging player. Office Ally is listed as an others.
Does The Echo Group have an API?
No public API is recorded for The Echo Group.
What industry is The Echo Group in?
The Echo Group's product category is Mental Health & Therapy Practice Management Software. Its primary akta.pro industry code is HLACAAAL, EHR Implementation, Optimization, Training & Managed Services, with a secondary code of HLALABAA, Virtual Visit & Scheduling Platforms (EHR-integrated). Its NAICS code is 54151 and its SIC code is 7372.