Market Focus Foothold Technology serves residential and I/DD behavioral health agencies with an integrated EHR that combines clinical, housing, and billing data, presenting an opportunity to cross-sell to agencies needing unified platforms for compliance, efficiency, and audit readiness.

Care Coordination Foothold Care Management powers care coordination for over 120,000 New Yorkers monthly and is the widely adopted Health Home solution, indicating potential upsell to existing users of Foothold’s EHR for care management integrations and expanded CMS program participation.

Expansion Potential Recent partnerships and acquisitions, including Skyward Health collaboration and Alpine Investors acquisition, suggest a period of growth and integration activity, creating doors for strategic partnerships, channel partnerships, and enterprise deals with larger networks seeking integrated behavioral health tech.

Compliance and Audit Built-in compliance and audit readiness are highlighted as differentiators, presenting sales angles around regulatory readiness, Medicaid/Health Home eligibility, and reduced audit risk for agencies facing increasing reporting requirements.

Tech and Security A tech stack featuring Google Cloud and KnowBe4 alongside security and analytics tools signals potential to position Foothold as a secure, cloud-based platform for scalable growth, appealing to mid-market buyers seeking modern, reliable infrastructure and vendor risk mitigation.