Developer docs
API playgroundTry for free, no card

Search company profiles

Elixia

Full company profile

uuid000c7xd

Namestring
Elixia
Legal namestring
Empathx
Company typeenum
Private
Founded yearint
2018
Descriptiontext

Elixia, operating commercially under the Empathx brand, is a private, U.S.-based multi-specialty clinical research network founded in 2018 with 101-250 employees and headquarters in Hollywood, United States. The company delivers end-to-end clinical trial management and site operations for pharmaceutical sponsors and Contract Research Organizations across cardio-renal, cardio-metabolic (MASH, MASLD, diabetes, obesity), CNS/neurology/psychiatry, and infectious disease indications. Its operational model combines centralized clinical trial management systems and processes with local "embedded" site locations embedded within treating Nephrology practices, Dialysis units, and a distributed provider network structured as "Central Partners. Local Providers."

Core service offerings are organized around an End-to-End Solution for sponsors and CROs and a Patient Recruitment & Diversity program that the company reports consistently achieves >44% racial and 36%+ ethnic diversity enrollment across its sites. Therapeutic expertise is delivered through three productized programs: a Cardio-Metabolic program supporting 21 trials and 1,000+ randomized patients in obesity with complex comorbidities; a Cardio-Renal Network with over 30 years of combined investigator experience embedded in treating nephrology and dialysis settings; and a CNS/Neurology/Psychiatry program run in partnership with Beacon Health Partners' nationwide network of clinical psychiatrists. An Infectious Disease program targets immunocompromised and comorbid populations through dedicated researchers and treating physician investigators.

Commercial revenue is generated through professional-services contracts (clinical trial management, site operations, patient recruitment, diversity programs, and regulatory support) under a quote-based B2B enterprise model that is not publicly priced. Go-to-market is direct enterprise field sales to pharmaceutical sponsors and CROs, supplemented by digital channels (corporate website, LinkedIn, Facebook, YouTube, Instagram), industry events, and a patient participation portal. Pricing, contract values, and revenue figures are not disclosed; ownership, investor backing, and detailed leadership information are also not present in the source data, limiting visibility into capitalization and governance.

Short descriptiontext

Elixia (operating as Empathx) is a U.S. multi-specialty clinical research network founded in 2018 that delivers centralized trial management and embedded site operations across cardio-renal, metabolic, CNS/neurology/psychiatry, and infectious disease studies for pharmaceutical sponsors and CROs, with documented industry-leading diversity enrollment outcomes.

Operating statusenum
Operating
Ownership categoryenum
Headcount rangeband
101–250
akta.pro rankint
HeadquartersHollywood, United States
HQ citystring
Hollywood
HQ countrystring
United States
HQ regionstring
North America
Markets served

Serves global market

Keyword5 values
clinical trial management, patient recruitment services, diversity enrollment programs, clinical site operations, therapeutic expertise services
Industry2 codes
1Clinical Site Start-Up & Activation (Regulatory/Ethics/Contracts)
CodeHLAGACACPrimaryYes
2Clinical Trial Pharmacy & IMP Management at Site
CodeHLAGACAKPrimaryNo
SIC code3 codes
  • Services-Specialty Outpatient Facilities, Nec8093
  • Services-Health Services8000
  • Services-Commercial Physical & Biological Research8731
Product category
Clinical Research Services
GTM motion1 record

Each record includes

Type, Description, Source

Revenue model1 record
1Clinical Research Services
TypeProfessional Services
Description

Empathx provides end-to-end clinical trial management and site operations services to pharmaceutical sponsors and CROs, generating revenue through service contracts for patient recruitment, diversity programs, clinical site management, and regulatory support across cardiology, nephrology, psychiatry, neurology, metabolic, and infectious disease studies.

empathxresearch.com
Marketing channels6 records

Each record includes

Title, Type, Stage, Description, Source

Distribution channels1 record

Each record includes

Title, Type, Scope, Target buyer, Description, Source

Cost components5 values
Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
GTM typeB2B
B2B
Offering typeServices
Services
Core offering1 text field

Elixia (operating commercially as Empathx) is a multi-specialty clinical research site network that delivers centralized clinical trial management combined with embedded, community-first site operations for pharmaceutical sponsors and CROs. Its core services span study startup acceleration, patient recruitment and diversity enrollment, and therapeutic area expertise across cardio-renal, cardio-metabolic, psychiatry/neurology, metabolic, and infectious disease indications, supported by known patient pools within treating-physician practices and dialysis/nephrology units.

Differentiator
Functional benefit
Problem solved
Quantifiable outcome1 of 4 values shown
  • >44% racial diversity enrollment and 36%+ ethnic diversity enrollment consistently achieved across sites
+3 more records
Product overview1 text field

Elixia (operating as Empathx) is a clinical research organization offering a unified platform of clinical site operations and trial management services. The portfolio consists of an End-to-End Solution for sponsors and CROs, combined with specialized Patient Recruitment & Diversity services. The company provides therapeutic expertise across key areas including CNS/Neurology/Psychiatry (via partnership with Beacon Health Partners), Metabolic conditions, Infectious Disease, and a Cardio-Renal Network. The platform leverages centralized systems and processes paired with local operations to accelerate study startup and enrollment, targeting underrepresented and underserved communities.

Product and service7 records
1End-to-End Solution
CategoryClinical trial management services
Description

Comprehensive end-to-end clinical trial management and operations service for pharmaceutical sponsors and CROs, providing study startup acceleration, centralized systems, and local operations to achieve rapid first patient in and high-quality data output across the network.

2Patient Recruitment & Diversity
CategoryPatient recruitment and diversity enrollment services
Description

Specialized patient recruitment service for sponsors and CROs with a focus on equity and inclusion, with Empathx sites consistently enrolling over 44% racial and 36%+ ethnic diversity in clinical trials across therapeutic areas.

3CNS/Neurology/Psychiatry Therapeutic Expertise
CategoryTherapeutic area clinical research services
Description

Clinical trial site and recruitment services in CNS, neurology, and psychiatry through a partnership with Beacon Health Partners' nationwide network of top clinical psychiatrists, bringing novel therapies to known patients of need across some of the most difficult-to-diagnose and enroll populations.

4Metabolic Therapeutic Expertise
CategoryTherapeutic area clinical research services
Description

Clinical trial site services in metabolic indications including MASH, MASLD, diabetes, and obesity, with documented support for dozens of programs and 1,000+ randomized patients in obesity trials including complex comorbidities.

5Infectious Disease Therapeutic Expertise
CategoryTherapeutic area clinical research services
Description

Clinical trial site services in infectious disease, delivered by dedicated researchers and treating physician investigators partnering with communities to deliver vaccines and treatments to immunocompromised and comorbid patient populations.

6Cardio-Renal Network
CategoryTherapeutic area clinical research services
Description

Clinical research site network in cardio-renal indications combining over 30 years of experience with best-in-class sites embedded within treating Nephrology practices and Dialysis units, enabling the most complex indications within communities of unmet need.

7Cardio-Metabolic Program
CategoryTherapeutic area clinical research services
Description

Clinical research services in cardio-metabolic indications built on decades of expertise and dozens of programs supported across MASH, MASLD, and diabetes, including 21 trials and 1,000+ randomized patients in obesity including complex comorbidities.

Scale indicator4 records

Each record includes

Type, Value, Description, Source

Partnership1 partner
Strategic tierCoreTypeStrategic or Co-development Partner
Description

Empathx has a partnership with Beacon Health Partners' nationwide network of top clinical psychiatrists to bring novel therapies to known patients of need across difficult-to-diagnose and enroll populations in psychiatry and neurology. This partnership extends Empathx's reach in CNS/neurology/psychiatry indications.

Recent move4 records

Each record includes

Date, Type, Title, Description, Source

Expansion highlight4 records

Each record includes

Type, Description

Peers10 records
TypeBroad incumbent
Description

Fortrea is a global CRO offering end-to-end clinical trial services post-LabCorp spin-off. Comparable as a broad incumbent that competes with Empathx for pharma sponsor contracts and site-level execution work.

TypeBroad incumbent
Description

Medpace is a mid-to-large global CRO with strong therapeutic expertise in metabolic, cardiovascular, and CNS indications. Comparable to Empathx in therapeutic mix and as a sponsor-facing CRO competing for similar trials.

TypeBroad incumbent
Description

PPD, part of Thermo Fisher, is one of the world's largest CROs with global site management operations. Comparable as a broad incumbent competing for large-scale, multi-region sponsor trials.

TypeBroad incumbent
Description

IQVIA is the largest global CRO and provides end-to-end clinical trial services including site management. Relevant as a broad incumbent competing for full-service sponsor contracts that Empathx would otherwise pursue.

TypeDirect peer
Description

Velocity is an integrated clinical research site network operating dedicated research facilities across multiple therapeutic areas. Directly comparable to Empathx as a multi-therapeutic SMO competing for the same pharma sponsor and CRO contracts.

TypeDirect peer
Description

Flourish Research operates an integrated network of clinical trial sites serving pharma sponsors across multiple therapeutic areas. Comparable to Empathx as an SMO pursuing similar patient-recruitment and diversity-led value propositions.

TypeBroad incumbent
Description

Syneos Health is a global biopharmaceutical solutions organization offering clinical development and site management services. Comparable as a broad incumbent competing for sponsor site-management and full-service contracts.

TypeBroad incumbent
Description

ICON is a global CRO offering comprehensive clinical development and site management services. Comparable as a broad incumbent competing for multi-region, full-service pharma trials that may include Empathx-style site partnerships.

TypeDirect peer
Description

CenExel is a multi-therapeutic clinical research site network with embedded principal investigators across CNS, cardiometabolic, and other complex indications. Closely comparable to Empathx in operating model, therapeutic mix, and target customer base.

TypeDirect peer
Description

Accel is an integrated clinical research site network with multi-therapeutic coverage and dedicated site operations. Directly comparable to Empathx as an SMO competing in the same enterprise sales motion to pharma sponsors.

Market position
Weaknesses5 records

Each record includes

Headline, Details, Source

Competitive moat5 records

Each record includes

Type, Details

Key risks1 record

Each record includes

Headline, Details, Source

Key highlights6 records

Each record includes

Headline, Details, Source

Customer concentration

Classification, Details

Segment3 records

Each record includes

Title, Type, Primary, Description, Pain point addressed, Use case, Source

Ideal customer profile2 records

Each record includes

Profile, Firmographic size, Sales motion, Sales cycle length, Buying structure, Purchase trigger, Buyer persona, Geography, Industry vertical, Primary use case, Description, Pain points, Evidence proof points, Target buyer

Technology focused
No
API detail
Has APIbool
No

Docs URL, Description

AI maturity
App detail

Has app

Feature4 records

Each record includes

Title, Differentiator, Description, Source

Core technology
Revenue estimate
Valuation estimate
Number of profiles
No data
No data
Funding overview

Funding stage, Last funding date, Total funding USD

Funding rounds

Each record includes

Round, Amount USD, Date, Pre money valuation, Total investors, Investors, News

Investors

Each record includes

Name, Type, Date of entry, Rounds participated, Website

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

M&A

Each record includes

Name, Acquisition type, Announced date, Completed date, Status, Website, News

Investment

Each record includes

Name, Round, Announced date, Lead investor, Website, News

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

Elixia

Clinical Research Serviceselixiahealth.com

Elixia (operating as Empathx) is a U.S. multi-specialty clinical research network founded in 2018 that delivers centralized trial management and embedded site operations across cardio-renal, metabolic, CNS/neurology/psychiatry, and infectious disease studies for pharmaceutical sponsors and CROs, with documented industry-leading diversity enrollment outcomes.

What Elixia does

Elixia, operating commercially under the Empathx brand, is a private, U.S.-based multi-specialty clinical research network founded in 2018 with 101-250 employees and headquarters in Hollywood, United States. The company delivers end-to-end clinical trial management and site operations for pharmaceutical sponsors and Contract Research Organizations across cardio-renal, cardio-metabolic (MASH, MASLD, diabetes, obesity), CNS/neurology/psychiatry, and infectious disease indications. Its operational model combines centralized clinical trial management systems and processes with local "embedded" site locations embedded within treating Nephrology practices, Dialysis units, and a distributed provider network structured as "Central Partners. Local Providers."

Core service offerings are organized around an End-to-End Solution for sponsors and CROs and a Patient Recruitment & Diversity program that the company reports consistently achieves >44% racial and 36%+ ethnic diversity enrollment across its sites. Therapeutic expertise is delivered through three productized programs: a Cardio-Metabolic program supporting 21 trials and 1,000+ randomized patients in obesity with complex comorbidities; a Cardio-Renal Network with over 30 years of combined investigator experience embedded in treating nephrology and dialysis settings; and a CNS/Neurology/Psychiatry program run in partnership with Beacon Health Partners' nationwide network of clinical psychiatrists. An Infectious Disease program targets immunocompromised and comorbid populations through dedicated researchers and treating physician investigators.

Commercial revenue is generated through professional-services contracts (clinical trial management, site operations, patient recruitment, diversity programs, and regulatory support) under a quote-based B2B enterprise model that is not publicly priced. Go-to-market is direct enterprise field sales to pharmaceutical sponsors and CROs, supplemented by digital channels (corporate website, LinkedIn, Facebook, YouTube, Instagram), industry events, and a patient participation portal. Pricing, contract values, and revenue figures are not disclosed; ownership, investor backing, and detailed leadership information are also not present in the source data, limiting visibility into capitalization and governance.

Elixia firmographics

Firmographics
Name
Elixia
Legal name
Empathx
Website
https://elixiahealth.com
Company type
Private
Founded year
2018
Operating status
Operating
Headcount range
101–250 employees
Short description
Elixia (operating as Empathx) is a U.S. multi-specialty clinical research network founded in 2018 that delivers centralized trial management and embedded site operations across cardio-renal, metabolic, CNS/neurology/psychiatry, and infectious disease studies for pharmaceutical sponsors and CROs, with documented industry-leading diversity enrollment outcomes.
Ownership category
akta.pro rank

Elixia industry classification

Industry
Product category
Clinical Research Services
SIC
Services-Specialty Outpatient Facilities, Nec (8093), Services-Health Services (8000), Services-Commercial Physical & Biological Research (8731)
akta.pro primary industry
Clinical Site Start-Up & Activation (Regulatory/Ethics/Contracts) (HLAGACAC)
akta.pro secondary industry
Clinical Trial Pharmacy & IMP Management at Site (HLAGACAK)

Keywords

  • Clinical trial management
  • Patient recruitment services
  • Diversity enrollment programs
  • Clinical site operations
  • Therapeutic expertise services

Where Elixia is headquartered

Location

Headquarters

HQ city
Hollywood
HQ country
United States
HQ region
North America

Markets served

Elixia business model

Business model
GTM type
B2B
Offering type
Services
Cost components
Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

  1. Clinical Research Services: Empathx provides end-to-end clinical trial management and site operations services to pharmaceutical sponsors and CROs, generating revenue through service contracts for patient recruitment, diversity programs, clinical site management, and regulatory support across cardiology, nephrology, psychiatry, neurology, metabolic, and infectious disease studies.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels6 records

Elixia product offering

Product offering

Core offering

Elixia (operating commercially as Empathx) is a multi-specialty clinical research site network that delivers centralized clinical trial management combined with embedded, community-first site operations for pharmaceutical sponsors and CROs. Its core services span study startup acceleration, patient recruitment and diversity enrollment, and therapeutic area expertise across cardio-renal, cardio-metabolic, psychiatry/neurology, metabolic, and infectious disease indications, supported by known patient pools within treating-physician practices and dialysis/nephrology units.

Product overview

Elixia (operating as Empathx) is a clinical research organization offering a unified platform of clinical site operations and trial management services. The portfolio consists of an End-to-End Solution for sponsors and CROs, combined with specialized Patient Recruitment & Diversity services. The company provides therapeutic expertise across key areas including CNS/Neurology/Psychiatry (via partnership with Beacon Health Partners), Metabolic conditions, Infectious Disease, and a Cardio-Renal Network. The platform leverages centralized systems and processes paired with local operations to accelerate study startup and enrollment, targeting underrepresented and underserved communities.

Differentiator

Problem solved

Functional benefit

Products and services

  • End-to-End Solution Comprehensive end-to-end clinical trial management and operations service for pharmaceutical sponsors and CROs, providing study startup acceleration, centralized systems, and local operations to achieve rapid first patient in and high-quality data output across the network.
  • Patient Recruitment & Diversity Specialized patient recruitment service for sponsors and CROs with a focus on equity and inclusion, with Empathx sites consistently enrolling over 44% racial and 36%+ ethnic diversity in clinical trials across therapeutic areas.
  • CNS/Neurology/Psychiatry Therapeutic Expertise Clinical trial site and recruitment services in CNS, neurology, and psychiatry through a partnership with Beacon Health Partners' nationwide network of top clinical psychiatrists, bringing novel therapies to known patients of need across some of the most difficult-to-diagnose and enroll populations.
  • Metabolic Therapeutic Expertise Clinical trial site services in metabolic indications including MASH, MASLD, diabetes, and obesity, with documented support for dozens of programs and 1,000+ randomized patients in obesity trials including complex comorbidities.
  • Infectious Disease Therapeutic Expertise Clinical trial site services in infectious disease, delivered by dedicated researchers and treating physician investigators partnering with communities to deliver vaccines and treatments to immunocompromised and comorbid patient populations.
  • Cardio-Renal Network Clinical research site network in cardio-renal indications combining over 30 years of experience with best-in-class sites embedded within treating Nephrology practices and Dialysis units, enabling the most complex indications within communities of unmet need.
  • Cardio-Metabolic Program Clinical research services in cardio-metabolic indications built on decades of expertise and dozens of programs supported across MASH, MASLD, and diabetes, including 21 trials and 1,000+ randomized patients in obesity including complex comorbidities.

Quantifiable outcome

  • >44% racial diversity enrollment and 36%+ ethnic diversity enrollment consistently achieved across sites
  • +3 more outcomes

Companies that use Elixia

Customer profile

Segments3 records

Ideal customer profiles2 records

Elixia technology and API

Technology

Technology focussed No

API detail

Has API
No
API docs
API detail

Core technology

AI maturity

App detail

Feature4 records

Elixia partnerships and signals

Strategic signal

Partnerships

One partnership is on record.

  • Beacon Health PartnerscoreStrategic or Co-development PartnerEmpathx has a partnership with Beacon Health Partners' nationwide network of top clinical psychiatrists to bring novel therapies to known patients of need across difficult-to-diagnose and enroll populations in psychiatry and neurology. This partnership extends Empathx's reach in CNS/neurology/psychiatry indications.

Scale indicators4 records

Recent moves4 records

Expansion highlights4 records

Elixia competitors and assessment

Company assessment

Broad incumbents

  • Fortrea (formerly LabCorp Drug Development): Fortrea is a global CRO offering end-to-end clinical trial services post-LabCorp spin-off. Comparable as a broad incumbent that competes with Empathx for pharma sponsor contracts and site-level execution work.
  • Medpace: Medpace is a mid-to-large global CRO with strong therapeutic expertise in metabolic, cardiovascular, and CNS indications. Comparable to Empathx in therapeutic mix and as a sponsor-facing CRO competing for similar trials.
  • PPD (Thermo Fisher Scientific): PPD, part of Thermo Fisher, is one of the world's largest CROs with global site management operations. Comparable as a broad incumbent competing for large-scale, multi-region sponsor trials.
  • IQVIA: IQVIA is the largest global CRO and provides end-to-end clinical trial services including site management. Relevant as a broad incumbent competing for full-service sponsor contracts that Empathx would otherwise pursue.
  • Syneos Health: Syneos Health is a global biopharmaceutical solutions organization offering clinical development and site management services. Comparable as a broad incumbent competing for sponsor site-management and full-service contracts.
  • ICON plc: ICON is a global CRO offering comprehensive clinical development and site management services. Comparable as a broad incumbent competing for multi-region, full-service pharma trials that may include Empathx-style site partnerships.

Direct peers

  • Velocity Clinical Research: Velocity is an integrated clinical research site network operating dedicated research facilities across multiple therapeutic areas. Directly comparable to Empathx as a multi-therapeutic SMO competing for the same pharma sponsor and CRO contracts.
  • Flourish Research: Flourish Research operates an integrated network of clinical trial sites serving pharma sponsors across multiple therapeutic areas. Comparable to Empathx as an SMO pursuing similar patient-recruitment and diversity-led value propositions.
  • CenExel Clinical Research: CenExel is a multi-therapeutic clinical research site network with embedded principal investigators across CNS, cardiometabolic, and other complex indications. Closely comparable to Empathx in operating model, therapeutic mix, and target customer base.
  • Accel Research Sites: Accel is an integrated clinical research site network with multi-therapeutic coverage and dedicated site operations. Directly comparable to Empathx as an SMO competing in the same enterprise sales motion to pharma sponsors.

Market position

Weaknesses5 records

Competitive moat5 records

Key risks1 record

Key highlights6 records

Customer concentration

Elixia social profiles

Digital presence

Elixia financial estimates

Financial estimate

Revenue estimate

Valuation estimate

Elixia leadership team

Management profile

Number of profiles

Elixia funding detail

Funding detail

Funding overview

Funding rounds

Investors

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

Elixia M&A and investment

M&A and investment

M&A

Investments

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

Frequently asked questions about Elixia

What does Elixia do?

Elixia (operating commercially as Empathx) is a multi-specialty clinical research site network that delivers centralized clinical trial management combined with embedded, community-first site operations for pharmaceutical sponsors and CROs. Its core services span study startup acceleration, patient recruitment and diversity enrollment, and therapeutic area expertise across cardio-renal, cardio-metabolic, psychiatry/neurology, metabolic, and infectious disease indications, supported by known patient pools within treating-physician practices and dialysis/nephrology units.

Is Elixia a public or private company?

Elixia is a private company. It is classified as unknown and is currently operating.

When was Elixia founded?

Elixia was founded in 2018. It employs 101 to 250 people.

Where is Elixia based?

Elixia is headquartered in Hollywood, United States, in the North America region.

How does Elixia make money?

One revenue line is on record: clinical Research Services.

Who are Elixia's main competitors?

Broad incumbents on record are Fortrea (formerly LabCorp Drug Development), Medpace, PPD (Thermo Fisher Scientific), IQVIA, Syneos Health and ICON plc. Direct peers are Velocity Clinical Research, Flourish Research, CenExel Clinical Research and Accel Research Sites.

Does Elixia have an API?

No public API is recorded for Elixia.

What industry is Elixia in?

Elixia's product category is Clinical Research Services. Its primary akta.pro industry code is HLAGACAC, Clinical Site Start-Up & Activation (Regulatory/Ethics/Contracts), with a secondary code of HLAGACAK, Clinical Trial Pharmacy & IMP Management at Site. Its SIC code is 8093.

Unlock the full company data

50 free credits on sign-up, no credit card required.

Contact sales
Live signals
Business Wire BlogAmerican Clinical Research Services Announces Rebranding to ElixiaAmerican Clinical Research Services rebranded to Elixia, a portfolio company of Latticework Capital Management. The company combines clinical research sites with a patient recruitment engine, having acquired CSSi and Patient Advertising Guru. Elixia will now be the name for the entire organization.FiercePharmaAmerican Clinical Research Services rebrands as Elixia following acquisitionAmerican Clinical Research Services has rebranded as Elixia following its acquisition of the multi-specialty clinical research network Elixia in early May. The rebrand unifies the entities under a single vision, expanding the company's trial sites to 12 and extending its geographic presence into Florida, Massachusetts, Michigan, and Missouri. This strategic move aims to accelerate drug development by leveraging an integrated approach across metabolic health, nephrology, neuroscience, and infectious diseases.Business Wire BlogAmerican Clinical Research Services Announces Strategic Acquisition of ElixiaAmerican Clinical Research Services (ACRS) has completed the strategic acquisition of Elixia, a multi-specialty clinical research network with operations in Florida, Massachusetts, Michigan, and Missouri. This transaction expands ACRS's capabilities in nephrology, neuroscience, and infectious diseases, bringing its total site count to 12 across the United States.ThemiddlemarketLatticework Capital's ACRS Buys ElixiaLatticework Capital Management formed American Clinical Research Services (ACRS) has acquired Elixia, a clinical research network specializing in nephrology and neuroscience with operations in Florida, Massachusetts, Michigan, and Missouri. The acquisition expands ACRS's capabilities in complex metabolic indications and geographic footprint beyond its current presence in Southern California and Texas.