Behavioural Health Practice Software
The buyer population — Offices of mental health practitioners (except physicians)
Base industry report for 621330 →- Establishments · CanadaA
- 2,173
- Under 10 employeesA
- 92%
- Establishments · USA
- 40,885
- Employment · USA
- 218,860
- Payroll · USA
- $9.5B
Of 2,173 Canadian establishments with employees, 92% have fewer than ten — an industry of very small operators. Each of those is one potential account, before any filter for size or fit.
Entry signal — what decides who wins here
One thing must be trueEntry turns on a single condition that can be named and tested before much is spent. Clear it and this becomes an execution question; fail it and no amount of operating skill helps.
Displace an incumbent the screen found well defended — payments attached to the workflow, data that does not leave, a contract that renews itself. Share here means giving a buyer a reason to break something that currently works, which is a higher bar than being better.
Measured, not forecast: the share of US establishments opening in one year that were still active later. It counts good operators and bad ones together, which is exactly why it is the honest answer to “what are the odds”. It is for the whole sector rather than this market, and the ten-year figure comes from an older cohort because no younger one has reached ten years.
This is not a probability of success, and it is not a verdict on you. No survival probability is published per market, and inventing one would be worse than saying so. What the bar reads is how much of the outcome sits inside an operator's control: green means the hurdles are ones a better operator clears, red means the binding constraint is capital, an asset or a permission rather than execution. Someone arriving with an advantage this screen did not assume can win a market shown in red.
Companies named in this market · 11
The binding constraint — incumbent vulnerability
SimplePractice has the solo and small-group therapist market at scale and sits behind EQT's balance sheet, but the harder problem is the payer-network model: Headway and Alma give practice software away because they earn on the claim. Competing with free-plus-revenue against a buyer who is also being offered patient flow is not a wedge. Nothing is disclosed here. Every vendor named on this record is private, or sits inside a parent that does not break the line out, so no revenue floor can be built and the market size is genuinely unknown rather than estimated.
The incumbent
Who owns this market and who is coming for it. Fields a screen never reached say so rather than guessing.
The field
Every vendor named on this record, and what each one discloses. Most disclose nothing, which is why the market is not sized.
Competitor set · 4 named · 0 disclose revenue
| Name | Revenue | Share | Note |
|---|---|---|---|
| SimplePracticeC | not disclosed | — | Private (EQT) |
| TherapyNotes / Valant / AllevaC | not disclosed | — | Private |
| Jane App (Canadian — Victoria BC)C | not disclosed | — | Private |
| Headway / AlmaC | not disclosed | — | Private payer networks that bundle the software free |
Nobody here publishes revenue. The market is not sized for that reason — an estimate built on nothing would only look like knowledge.
Startups & challengers
Newer and smaller vendors going at the incumbent — funded challengers first. Named, not researched to the depth of the field above; a company with a page here links to it.
| Company | Stage | What it does | Raised |
|---|---|---|---|
| Osmind | Funded challenger | EHR and research platform for psychiatry and mental health practices | — |
| Therapy Brands | Funded challenger | EHR and practice software for behavioral, physical and speech therapists. | — |
| Heard | Startup | Bookkeeping, tax and payroll for private-practice therapists. | — |
| Passage Health | Startup | Clinical data collection and practice management for ABA therapy providers | — |
Evidence
Evidence. UNVERIFIED — screened on analyst judgment. Incumbent names and positions are from general market knowledge and were NOT independently researched for this record; no financials are attached because none were sourced. Verify before acting.
Where the industry talks
The associations, forums and events where people in this trade actually talk shop — where to listen before entering, and where the first customers are found. Each link was opened on the date shown.
National bilingual body for counsellors and psychotherapists, including private practice; certification and insurance programs. No member count on site.
'over 7,000 members and affiliates' per its About page; Canada's largest psychology association.
'More than 60,000 members' per its Who We Are page (another line says 62,000); largest US counsellor body.
'more than 3,200 mental health and substance use treatment organizations' per its About page; count is of member organizations.
Long-running podcast and site on starting, growing and scaling a private therapy practice; also runs a Group Practice Conference.
Magazine for practising therapists with CE training; its Symposium site (psychnetworker.org) blocked automated access.
Trade news for behavioural-health executives and practice owners.
Behavioral Health Business's conference on value-based care for behavioural-health executives; 2026 sponsors listed.
r/therapists, the busiest online venue for private-practice therapists, could not be verified from this network and is not listed.
The businesses it sells to
Operating-business records filed along the same branch of NAICS — the customers of this software, screened as businesses in their own right.
No operating-business record has been written along this branch yet. The base industry report says what the subsector typically runs on.