OnTarget

What OnTarget does

OnTarget is the software brand of Aymira Healthcare Technologies, LLC, a privately held healthcare IT company founded circa 2000 and headquartered in Charlotte, North Carolina. The company builds and sells an integrated, web-based Electronic Health Record (EHR) platform purpose-built for Intellectual and Developmental Disabilities (IDD) and Mental Health (MH) provider agencies — a deliberately narrow vertical rather than a horizontal healthcare EHR. The platform is delivered as a unified suite of modules covering clinical management (scheduling, residential services, progress notes, treatment planning, incident tracking, ePrescribe with EPCS), billing and accounts receivable (837/835 electronic claims, utilization management, aging reports, rebilling), payroll (geofenced timeclock, direct deposit, tax compliance), accounting (general ledger, AP with check writing, bank reconciliation), and webforms/digital signatures. All modules share a single database with real-time posting, eliminating duplicate data entry across clinical and financial workflows. A mobile companion app supports offline functionality and field-based caregivers, with built-in geofencing that feeds directly into Electronic Visit Verification (EVV) integrations with Sandata and HHAeXchange aggregators, plus NC HealthConnex HIE certification.

The business operates as a quote-based subscription SaaS with annual billing cadence; pricing is not publicly disclosed but a case study implies EHR cost of approximately 1% of agency billing revenue (e.g., ~$300K on $30M of agency billing). Go-to-market is direct enterprise sales with Regional Sales Managers, Implementation Specialists, and a VP of Sales and Implementation, supplemented by a referral program offering $500 credits to both referring and referred agencies. The customer base consists of Medicaid-funded HCBS providers, IDD service agencies, and behavioral health/mental health providers, with active operations and EVV compliance across 13+ states and approved third-party vendor status in NJ, NC, PA, and CO. OnTarget is closely tied to Abound Health, its parent/sister organization and one of North Carolina's largest IDD providers, which serves as both a flagship customer and product validation partner. The company is bootstrapped, with no disclosed institutional funding, and has operated continuously for over 20 years.

Name

OnTarget

Legal name

Aymira Healthcare Technologies, LLC

Website

https://ontargetconnect.com

Company type

Private

Founded year

2000

Operating status

Operating

Headcount range

11–50 employees

Short description

OnTarget is an integrated, web-based EHR SaaS platform built specifically for IDD and Mental Health provider agencies, combining clinical, billing, payroll, accounting, and EVV compliance in a single subscription solution.

Ownership category

akta.pro rank

Product category

Healthcare EHR Software (IDD and Behavioral Health)

NAICS

Social Assistance (624), Services for the Elderly and Persons with Disabilities (62412)

SIC

Services-Health Services (8000), Services-Computer Programming, Data Processing, Etc. (7370)

akta.pro primary industry

EHR Implementation, Optimization, Training & Managed Services (HLACAAAL)

akta.pro secondary industries

Data Aggregation, Interoperability & APIs for RPM (FHIR/IoMT Gateways) (HLACAFAO), HIE Platforms & Network Services (Community/Regional/National) (HLACABAB)

Keywords

• Behavioral health EHR
• IDD provider software
• Electronic visit verification
• Clinical documentation software
• Medicaid billing platform

Headquarters

HQ city

Charlotte

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, Marketing or Sales, Infrastructure, Operations

Revenue model

1. EHR Software Subscription: OnTarget operates as a SaaS platform providing integrated EHR software for IDD and mental health providers. The platform includes clinical, billing, payroll, accounting, and webforms modules. Pricing is quote-based and subscription-style, with agencies paying for access to the integrated platform.

Pricing tiers

Go-to-market motion2 records

Distribution channels1 record

Marketing channels5 records

Core offering

OnTarget provides a web-based, integrated Electronic Health Record (EHR) platform designed specifically for Intellectual and Developmental Disabilities (IDD) and Mental Health provider agencies. The platform combines clinical documentation, billing and accounts receivable, payroll, accounting, webforms, ePrescribe, and mobile Electronic Visit Verification (EVV) within a single shared database, with EVV integrations to state Medicaid aggregators such as Sandata and HHAeXchange and integration with the NC HealthConnex health information exchange.

Product overview

OnTarget is an integrated EHR (Electronic Health Record) platform designed specifically for Intellectual and Developmental Disability (IDD) and Mental Health provider agencies. The platform operates as a unified system with multiple integrated modules: Clinical (for scheduling, documentation, treatment planning, and incident tracking), Billing and AR (for claims management, electronic billing, and revenue collection), Payroll (with timeclock, tax services, and direct deposit), Accounting (general ledger, accounts payable, and financial reporting), and Webforms (custom forms and electronic signatures). All modules share a single database, eliminating duplicate data entry and enabling real-time visibility across clinical and administrative operations. Additional capabilities include ePrescribe for electronic medication prescribing, Mobile EHR for field-based caregivers with offline functionality, and Electronic Visit Verification (EVV) for compliance with the 21st Century Cures Act. The platform also integrates with state health information exchanges (NC HealthConnex) and EVV aggregators (Sandata, HHAeXchange) to meet payer and regulatory requirements.

Differentiator

Problem solved

Functional benefit

Products and services

• OnTarget Clinical Web-based clinical documentation and EHR module that captures IDD- and Mental Health-specific assessments, plans, notes, and progress tracking within the integrated OnTarget platform for provider agency users.
• OnTarget Billing and Accounts Receivable Integrated billing and accounts receivable module that generates claims, manages denials, and processes remittances, designed to handle state Medicaid reimbursement workflows for IDD and Mental Health providers.
• OnTarget Payroll Payroll module built on the same shared database as clinical and billing, allowing provider agencies to process payroll using data already captured in the EHR without manual re-entry.
• OnTarget Accounting Accounting module that integrates with OnTarget Billing and Payroll to provide consolidated financial management for IDD and Mental Health provider agencies.
• OnTarget Webforms Configurable web-based data capture module that lets provider agencies replace paper forms with digital forms whose data flows directly into the OnTarget clinical and billing database.
• OnTarget ePrescribe Integrated ePrescribe module with EPCS (Electronic Prescribing of Controlled Substances) capability, allowing prescribers to send prescriptions electronically from within the OnTarget clinical workflow.
• OnTarget Mobile with EVV Mobile application enabling field staff to capture visits with GPS/geofencing-based Electronic Visit Verification (EVV), offline data capture, and integration with state Medicaid EVV aggregators including Sandata and HHAeXchange.
• NC HealthConnex Health Information Exchange Integration Integration that connects OnTarget clinical records to the NC HealthConnex health information exchange, enabling clinical data sharing with the North Carolina state HIE.

Quantifiable outcome

• OnTarget users average over 99% collection rates versus industry average of 90%
• +2 more outcomes

Named customers1 record

Segments4 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature8 records

Partnerships

Five partnerships are on record, tiered core and flagship.

• NC HealthConnex (NC HIEA)coreTechnology or Integration · 14 March 2018NC HealthConnex is North Carolina's state-designated health information exchange. OnTarget achieved certification for transfer of Continuity of Care data including client demographics, encounters, problems, medications, allergies, social history, and order results. Collaboration with NC HIEA and SAS Institute Inc.
• SandatacoreTechnology or IntegrationSandata is an EVV aggregator required by the 21st Century Cures Act. OnTarget integrates directly with Sandata for states including Colorado and Pennsylvania, transmitting required EVV data to meet compliance mandates. OnTarget is an approved third-party vendor sending EVV data to Sandata per state/aggregator technical requirements.
• HHAeXchangecoreTechnology or IntegrationHHAeXchange is an EVV aggregator used by LME/MCOs in North Carolina and New Jersey. OnTarget integrates with HHAeXchange to ensure providers can clock in, document, manage records, and bill directly to MCOs within the OnTarget system. OnTarget is an approved third-party vendor in NJ and NC sending EVV data to HHAeXchange.
• North Carolina LME/MCOscoreTechnology or IntegrationSix LME/MCOs in North Carolina (Alliance Health, Partners Health Management, Eastpointe, Trillium Health Resources, Sandhills Center, Vaya Health) require EVV data submission via HHAeXchange. OnTarget enables providers to bill to all six LME/MCOs from one integrated system.
• Abound HealthflagshipStrategic or Co-development PartnerAbound Health is the parent company and sister organization providing behavioral health provider services. OnTarget is the software platform developed by Abound Health Group to serve the I/DD community. Abound Health uses OnTarget as one of the largest statewide providers in North Carolina.

Scale indicators4 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Therap Services: Therap is the leading IDD-specific EHR and documentation platform for HCBS providers, with electronic visit verification, incident reporting, and case management. It is the closest direct competitor to OnTarget, serving the same IDD/MH provider agencies with comparable workflow depth.
• Foothold Technology (Activate Care): Foothold Technology, now part of Activate Care, provides EHR and outcomes-tracking software for behavioral health and I/DD providers, with care coordination and referral management. It targets the same IDD/MH vertical with comparable documentation and billing workflows.
• Eccovia: Eccovia (formerly ClientTrack) provides care coordination, behavioral health, and human services management software used by state agencies, MCOs, and HCBS providers. It overlaps with OnTarget's Medicaid-billing and IDD/MH provider workflows.
• MediSked: MediSked offers an integrated EHR and care management platform purpose-built for I/DD, aging, and behavioral health HCBS providers, including EVV, billing, and person-centered planning tools. It competes head-to-head with OnTarget for state-funded HCBS and IDD agencies.
• Plan of Care: Plan of Care delivers cloud-based EHR, scheduling, billing, and mobile documentation software for HCBS, I/DD, and behavioral health providers. It directly overlaps with OnTarget's IDD/MH go-to-market and module set.

Others

• Sandata Technologies: Sandata is the dominant EVV aggregator with whom OnTarget integrates. While not a direct EHR competitor, Sandata's open platform and its own caregiver-management features make it an adjacent ecosystem participant that could disintermediate aspects of OnTarget's offering.
• HHAeXchange: HHAeXchange is a leading EVV and homecare management platform used by state MCOs and providers. It is both an integration partner and adjacent competitor whose broader caregiver-management functionality could compete with parts of OnTarget's mobile EVV module.

Broad incumbents

• Netsmart Technologies: Netsmart is a large, established health IT vendor serving behavioral health, IDD, post-acute, and human services providers with the CareFabric platform. It overlaps with OnTarget across IDD, behavioral health, and EVV-integrated billing workflows.
• Qualifacts Systems (CareLogic): Qualifacts offers the CareLogic behavioral health EHR suite used by medium-to-large behavioral health agencies. While broader than OnTarget's IDD specialty, it directly competes for mental health provider deals OnTarget also targets.

Emerging players

• Core Solutions: Core Solutions provides the Cx360 behavioral health EHR and care management platform focused on behavioral health and human services agencies. It is an emerging competitor to OnTarget in the MH portion of OnTarget's customer base.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• YouTubeyoutube.com/channel/UCwL1ow1jMJoc3mNDS5DVcpg
• LinkedInlinkedin.com/company/ontargetbyaboundhealth
• Facebookfacebook.com/OnTargetbyAbound

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

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

M&A

Investments

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

Frequently asked questions about OnTarget