Top Zoobook EHR Alternatives

Opus is a comprehensive platform that integrates EHR, CRM, and RCM functionalities, designed specifically to enhance the operational efficiency of treatment centers focused on behavioral health, including clinics for addiction, mental health, and substance use disorders. This platform provides a range of cohesive features that streamline patient management, billing, appointment scheduling, and telehealth services. By implementing intelligent lead routing, insurance verification, and automating routine tasks, Opus significantly enhances operational workflows, while also offering customizable forms tailored to diverse requirements. Moreover, it includes advanced reporting tools, AI-assisted progress note generation, and seamless laboratory integrations. With a strong focus on flexibility and scalability, Opus is an ideal solution for organizations of all sizes, from small practices to expansive multi-center facilities in the behavioral health field. As a result, Opus not only adapts to the ever-changing needs of the industry but also prioritizes delivering exceptional care to patients, establishing itself as a leading choice among providers. Its commitment to innovation ensures that organizations can thrive while maintaining high standards of service and support.

More than 25 years ago, one of our founders, serving as the IT Director for a prominent behavioral health and residential services organization in New York, recognized the urgent need for improved tracking and reporting of their services, leading him to create a case management system tailored for his agency. As time passed, two additional agencies collaborated in enhancing the software, allowing it to cater to the diverse needs of almost any human services organization across the nation. Currently, Foothold’s dedicated team and innovative software support hundreds of agencies not only throughout the United States but also in Guam and Puerto Rico. By leveraging our technology expertise combined with a deep understanding of human services, we remain committed to empowering agencies to concentrate on their core missions while providing them with the tools they need to succeed. Moreover, we strive to continually innovate and adapt our solutions to meet the ever-changing landscape of human services.

TheraNest is designed to reduce the time therapists spend on administrative tasks, allowing them to focus on providing quality care. With features such as automated billing, appointment scheduling, and note-taking, TheraNest helps mental health practices run more efficiently and cost-effectively. The platform also includes integrated features like telehealth, client engagement tools, and reporting for streamlined operations and better patient outcomes. TheraNest is a powerful tool for therapists seeking to optimize their practice management while improving patient care and reducing burnout.

Sunwave Health provides an all-encompassing solution that fosters positive outcomes for providers of behavioral health and Substance Use Disorder treatment throughout the entire treatment process. In addition to standard functionalities offered by CRM, EMR, RCM, HR, and billing systems, Sunwave goes the extra mile to guarantee successful outcomes. As the sole 4th generation platform that seamlessly integrates the treatment journey, we leverage comprehensive analytics, real-time intelligence, and user-friendly reporting to enhance results. Our commitment to excellence is reflected in our status as the top-rated provider in customer satisfaction, showcasing the effectiveness of our innovative approach. This dedication to client success truly sets us apart in the industry.

AZZLY Rize stands out as the leading clinical and business platform tailored for organizations focused on addiction treatment and mental health. This innovative technology platform is designed to grow alongside your needs, allowing you to utilize a variety of features according to the specific requirements of your program and staff. For OUTPATIENT Programs, essential features include e-check-in, scheduling, appointment reminders, Zoom telehealth, treatment plans, progress notes, assessments, and surveys, while RESIDENTIAL Programs benefit from functionalities like census management, medication oversight, bed board tracking, withdrawal management, DrFirst e-prescribing, EPCS, PDMP integration, and laboratory services. Across all types of programs, users can rely on alerts, robust patient engagement tools, exceptional implementation and support services, and efficient electronic billing and claims submission. As a comprehensive all-in-one solution, AZZLY Rize empowers treatment centers to enhance their compliance, manage revenue cycles effectively, and meet reporting obligations with ease. This platform is specifically designed for mental health and substance use disorder initiatives, enabling organizations to adopt a flexible pricing model that replaces outdated technology seamlessly. Additionally, users can take advantage of our compliant Master Library of Forms, or we can customize your documentation forms to align with your current practices. With the added security of being hosted on the Microsoft Azure Private Cloud Network, we ensure HIPAA privacy standards are upheld throughout all operations. Ultimately, AZZLY Rize not only streamlines processes but also significantly enhances the overall efficiency of treatment centers.

Introducing MedEZ, the comprehensive paperless solution that has been streamlining clinical notes and practice management since 1995. With a focus on enhancing daily operations in behavioral health and substance abuse facilities, MedEZ covers crucial areas such as administration, patient management, and billing efficiently. This innovative platform provides tailored EHR products designed to improve various performance metrics, including financial, operational, and clinical outcomes for healthcare providers. MedEZ also simplifies the process of developing personalized programs and treatment plans for behavioral health centers, ensuring that all necessary documentation and reporting are handled with ease. Furthermore, it prioritizes HIPAA compliance by implementing user-defined checkpoints based on specific permissions, thus promoting a secure environment for patient data. Overall, MedEZ stands out as an essential tool for healthcare professionals aiming to optimize their practice management capabilities.

Medesk is an ideal solution for private clinics and healthcare providers, offering a cloud-based platform designed to enhance practice efficiency while attracting and retaining patients at a competitive cost. The system features video consultations integrated with an electronic health record (EHR), online appointment scheduling, timely reminders, as well as robust analytics and various payment options. Furthermore, Medesk has tailored its offerings to meet the needs of general practitioners, mental health professionals, allied health providers, and specialists in hair loss treatment. It also enables practitioners to automate patient engagement through a suite of helpful tools, including a user-friendly online booking system with adaptable time slots, direct entry of patient contact information into the EHR for quick access, and automatic confirmation notifications sent via email and text immediately upon booking. To minimize appointment cancellations and no-shows, Medesk provides customizable reminders, ensuring that both patients and practitioners stay informed and connected. Overall, this comprehensive approach not only improves operational efficiency but also enhances patient care and satisfaction.

Addiction treatment centers are leveraging ZenCharts EMR to optimize their processes and free up essential time for their clinicians. Our state-of-the-art billing software accelerates reimbursements and reduces denial rates significantly. Over the last five years, our dedicated team, in partnership with clients in behavioral healthcare, has fine-tuned the ZenCharts platform to adapt to the industry's changing needs through advanced technology. This cohesive system enables effortless information sharing, which promotes automatic data transfer. Our billing census has proven to be a valuable resource, allowing facilities to save a substantial number of hours each week, thus supporting both clinical and billing departments. With our all-encompassing CRM, EMR, and Billing platform, we have successfully streamlined numerous processes related to addiction treatment. Working closely with billing companies and consultants, we strive to enhance the effectiveness of our software. Unlike other systems that function merely as digital storage, ZenCharts has always focused on creating advanced technology specifically designed for the addiction treatment and mental health industries since its launch. Looking ahead, we remain dedicated to fostering innovation that will continue to transform the realm of behavioral healthcare, ensuring that our solutions evolve alongside the needs of the market. Our commitment to excellence sets us apart in this vital field.

Lightning Step offers comprehensive software and billing solutions tailored for a diverse range of addiction and mental health treatment facilities. By consolidating multiple platforms into a single, efficient EMR system, Lightning Step simplifies operations and enhances productivity. We equip treatment centers with the essential tools to thrive in today's challenging environment. Experience the end of data duplication with our software, which enables facilities of any size to seamlessly manage the process from client referral to discharge. This unified system empowers treatment centers to reclaim their vital role in transforming lives. Additionally, we assist these centers in navigating the complexities of invoicing and insurance claims, ensuring they can optimize admissions and significantly enhance patient outcomes. With Lightning Step, treatment facilities can focus more on providing care and less on administrative burdens.

Staff members have ongoing access to client information via Momentum EHR, whether they are delivering care in community environments or within institutional settings. This versatile software is compatible with a range of devices, such as desktops, laptops, kiosks, and tablets, guaranteeing accessibility no matter where care takes place. Tailored to meet diverse needs, Momentum EHR accommodates various settings including Residential Care Campuses, Home & Community Care Programs, Community Mental Health & Addictions Programs, Crisis Mental Health Programs, and Public Health Programs. The application is designed to be adaptable, allowing customization to address the specific requirements of any healthcare organization or program without incurring substantial setup costs. It also caters to government entities and organizations that provide both short-term and long-term care within staffed facilities or campuses, alongside programs focused on delivering healthcare services directly to clients in their homes, thus promoting effective community living. This level of adaptability not only enhances the quality of care but also empowers providers to make informed decisions, ensuring that individuals receive the best support possible in their respective environments.

The Behave Health solution combines top-tier electronic medical records software with comprehensive revenue cycle management systems. By streamlining your operations, we enable you to focus on delivering exceptional patient care. We extend our support across the entire behavioral health spectrum, which encompasses outpatient, residential, and inpatient services. Our assistance is tailored for facility providers working with patients dealing with substance abuse issues or mental health disorders. Whether you are establishing a new facility or seeking a reliable software partner for an existing one, our solution is designed to meet your needs. To ensure your satisfaction, we are pleased to offer a free trial account, allowing you to experience the benefits of our software firsthand!

With ClinicMind, enhancing the effectiveness and profitability of your practice is within reach. If you often find yourself overwhelmed by minor issues rather than concentrating on what is essential for your practice, rest assured you are not the only one facing this dilemma. Many practitioners encounter similar challenges, especially those still reliant on outdated technology or bogged down by manual tasks. Our EHR software and revenue cycle management solutions are crafted with the best practices in the industry, providing concrete answers to clinical challenges. Our knowledgeable team, which includes specialists in coding, billing, and medical compliance, brings two decades of experience and has successfully assisted over 16,000 users. ClinicMind's solutions are flexible enough to cater to any specialty or integrated practice, encompassing areas such as chiropractic and mental health care. We utilize our deep expertise in software development and industry insights to effectively address the unique operational hurdles encountered by various specialties, ensuring that every practitioner receives customized support. By choosing ClinicMind, you are not merely selecting software; you are forging a partnership dedicated to fostering the success and growth of your practice in the long run. This commitment to your needs is what sets us apart in a crowded marketplace.

Harmony Medical is recognized as a leading supplier of software solutions tailored for electronic health records, practice management, and revenue cycle management. Specifically designed for independent medical practices, their all-encompassing platform boasts full integration and adherence to HIPAA standards, with the goal of enhancing operational efficiency to improve patient care and financial outcomes. Included within this solution are numerous features that enable effortless scheduling, in-depth reporting, meticulous claims scrubbing, and streamlined management of insurance and patient billing, as well as comprehensive tracking of patient history and referrals. Furthermore, the tools provided by Harmony Medical are strategically developed to assist healthcare providers in optimizing their operations, thereby fostering better workflows and communication for both patients and practitioners. By focusing on these areas, Harmony Medical not only enhances practice functionality but also contributes to a more cohesive healthcare experience overall.

Small to medium-sized businesses, including individual practitioners, often struggle with basic billing software and miss out on advanced billing and clinical record systems that are available at a comparatively low cost, akin to those that are much pricier. Designed specifically for smaller organizations, non-profits, and private practices, Practice Management Technologies' Visual Private Office offers a comprehensive billing and clinical software solution without the stringent requirements typically enforced by larger mental health organizations or behavioral health boards. This software maintains a user-friendly interface and retains the core functionalities of our Visual CMH Office, albeit without some specialized features, ensuring practicality for users. Essentially, Visual Private Office provides all the vital tools necessary for small to mid-sized agencies or clinics in managing their billing and clinical records efficiently while remaining affordable. By choosing this option, organizations can significantly improve their operational efficiencies while avoiding hefty expenses. This makes it an attractive alternative for those seeking effective solutions tailored to their specific needs.

Enhance results, increase efficiency, and showcase performance with CareLogic, a product of Qualifacts, the leading provider of cloud-based electronic health records (EHR) and billing solutions for community mental health centers. CareLogic is designed to streamline information management across entire organizations through a cohesive and fully integrated platform. Tailored for medium to large service providers, this system boasts a wide range of features, including scheduling, intake, treatment planning, service documentation, ePrescribing, consumer engagement, telehealth, billing, and comprehensive reporting tailored to the needs of professionals within the human services and behavioral health sectors. As an ONC-certified, web-based electronic health record system, CareLogic is specifically engineered for behavioral health and human services organizations. This adaptable EHR software equips providers with an extensive array of clinical, administrative, and financial tools, enabling them to deliver superior care efficiently. Qualifacts stands out as one of the nation's largest EHR vendors specializing in behavioral health, rehabilitative, and human services, offering a trio of EHR platforms—CareLogic, Credible, and InSync—that cater to diverse market segments. The commitment to innovation and user-centric design ensures that CareLogic remains at the forefront of the industry, continually evolving to meet the needs of its users.

AccuMed Behavioral Health EHR is designed specifically for mental health practitioners operating within the behavioral health sector, including both private and non-profit organizations, substance abuse treatment facilities, mental health clinics, community health centers, and residential rehabilitation and developmental disabilities centers. These professionals aim to enhance their efficiency while minimizing expenses. The AccuMed Behavioral EHR/Electronic Medical Records (EMR) system tackles the financial and clinical management challenges you encounter. Our comprehensive Behavioral Health EHR/Practice Management Software offers top-tier performance in crucial areas, allowing you to concentrate on delivering better care for your patients and ensuring their well-being. By streamlining operations, this software ultimately contributes to a more effective healthcare delivery experience.

Our Electronic Health Record (EHR) solution, Clinical, is perfectly designed for solo practitioners and smaller healthcare facilities, offering powerful features for clinical charting and scheduling that help you manage patient care while remaining compliant with EHR regulations. Conversely, our leading practice management system, Enterprise, is tailored specifically for professionals in mental, behavioral, and chemical health, and includes integrated billing functionalities. With outstanding features and clear pricing, Enterprise provides excellent value in the market, streamlining your administrative, clinical, and financial tasks through a single interface. This unified approach gives you complete access to your clinic’s data and a diverse range of reports, ensuring you stay informed with the latest information along with Procentive’s insights and support to help you achieve your goals. Furthermore, Procentive’s client portal enables your clients and their authorized representatives to securely log in to manage appointments and retrieve essential information. You can customize your agency’s portal with your branding by adding your logo and color scheme, which enhances your clients’ overall experience. This personalization not only bolsters your agency’s identity but also cultivates a sense of trust and professionalism, ultimately leading to stronger relationships with your clients. By leveraging these features, your practice can foster enhanced communication and engagement with those you serve.

BirchNotes distinguishes itself as the most intuitive practice management and client-centered electronic health record (EHR) software tailored specifically for professionals in mental health and substance abuse treatment, allowing for effortless growth and management of your practice. This EHR platform is meticulously designed with the specific needs of behavioral health therapists in mind, integrating features and tools that cater exclusively to practitioners in mental health and substance abuse. With BirchNotes, you benefit from a unified solution where EHR, billing, insurance management, scheduling, and telehealth functionalities are interconnected, which simplifies the user experience by removing the difficulty of managing multiple systems or supplementary tools. Whether your practice is large or small, BirchNotes offers the flexibility and scalability needed to meet your distinct needs, ensuring that you can adapt as your practice evolves. Our workflows and insights are crafted to be in harmony with your practice, allowing for easier management. You can effectively oversee your operations thanks to our intelligent workflows, automation capabilities, and customizable settings that are designed to save you precious time so you can focus on what truly matters—your patients. This groundbreaking solution seeks to significantly improve your practice's outcomes, accommodating group sessions, telehealth, and recurring appointments while also providing customizable calendar views for enhanced organization. Additionally, BirchNotes equips you with the tools to make well-informed decisions that can lead to better patient care and increased satisfaction. In embracing BirchNotes, you are not just streamlining your practice; you are also investing in a brighter future for both your professional journey and your clients' well-being.

BestNotes is a comprehensive, cloud-based EHR/CRM that complies with HIPAA regulations, offering practice management solutions from start to finish while emphasizing marketing, admissions, and outcome tracking. It features fully customizable options for documentation, billing, scheduling, telehealth, electronic medication administration records, credit card processing, lab reports, patient portals, human resources management, and a variety of administrative tools. With a low monthly subscription, no initial fees, and a flexible month-to-month contract, you gain access to unlimited training and support. The user-friendly interface allows for effective organization and tracking of inquiries, referral sources, family members, and other critical information. Additionally, you can design custom assessments, treatment plans, and group notes, streamlining processes and reducing the need for redundant data entry. BestNotes enables you to automate interactions between your organization and the individuals you serve, enhancing outcome tracking and overall efficiency. It is an ideal solution for those looking to optimize their practice management while maintaining high standards of patient care.

TherapyNotes is an intuitive and all-encompassing practice management software specifically designed for professionals in the behavioral health sector. It integrates sophisticated scheduling capabilities, comprehensive patient documentation, electronic billing solutions, and a customizable patient portal. Furthermore, the platform is compliant with HIPAA and PCI regulations, which guarantees that both practice and patient data are safeguarded effectively. The challenges of overseeing a practice often result in overwhelming paperwork that can interfere with patient engagement. By offering features like efficient electronic claim submissions and streamlined ERA payment postings, users can significantly reduce errors in data entry and minimize tedious paperwork. TherapyNotes™ brings together all aspects of your practice, ultimately improving the level of care delivered to patients. Emphasizing patient-centered documentation and providing easy access to searchable diagnoses, this software empowers practitioners to spend more time with clients during sessions, ensuring that individuals receive the focused support and care they genuinely deserve. With its robust functionality, TherapyNotes not only simplifies administrative tasks but also fosters stronger therapeutic relationships.

Pysquel offers an innovative approach to insurance billing, collections, and practice management designed specifically for those in the mental health field. This powerful software not only streamlines the operations of mental health practices but also enhances their profitability through a diverse array of features. Key functionalities include claims management, appointment scheduling, Electronic Data Interchange (EDI), billing and invoicing, along with tools for developing assessment and treatment plans, progress notes, and a dedicated patient portal. Furthermore, Pysquel incorporates personnel management features, positioning it as a holistic solution for mental health providers seeking to optimize their workflows. As a result, Pysquel emerges as an indispensable asset for practitioners focused on elevating both their administrative efficiency and the quality of patient care. Its comprehensive capabilities ensure that mental health professionals can effectively navigate the complexities of their practice while fostering improved outcomes for their clients.

Take full command of your medical practice with Practice Perfect, a comprehensive EMR and practice management solution that encompasses a wide range of features such as online patient appointments, scheduling capabilities, billing processes for both private and insurance claims, clinical documentation, and insightful reporting on revenue as well as critical operational metrics. Our goal is to equip you with the essential resources needed to effectively oversee your clinic while facilitating its expansion. The innovative Practice Perfect Management & EMR application is designed to enhance clinic operations and provide key insights necessary for effective management. Recognizing that every healthcare facility has distinct needs, we believe in tailoring software to meet user requirements instead of compelling users to conform to the software's limitations. In contrast to numerous other EMR systems, each element of Practice Perfect is developed in-house, guaranteeing smooth integration and providing a single point of access for your data, along with a unified support team ready to assist you whenever needed. By selecting Practice Perfect, you are not merely opting for software; you are making a commitment to a solution that evolves alongside your clinic, ensuring long-term benefits and adaptability. This partnership allows you to focus on what truly matters: delivering exceptional care to your patients.

Sessions Health offers an electronic health record (EHR) system designed to enhance both operational efficiency and the therapeutic relationship between practitioners and their clients. Our focus is on supporting psychotherapists and mental health experts in effectively managing their private practices or clinics while fostering stronger connections with those they serve. Understanding the significance of these relationships, we have developed an EHR equipped with tailored features aimed at reinforcing these vital connections. By prioritizing the needs of both professionals and clients, we strive to create an environment where effective therapy can flourish.

PACE+ serves as an all-encompassing cloud-based electronic health record (EHR) and database management system specifically designed for behavioral health organizations and human service providers. This innovative software offers up-to-date, patient-centered digital records, ensuring easy access for users with appropriate permissions. Tailored to the needs of mental health practitioners, PACE+ includes comprehensive medical and clinical data about patients, streamlining practice management. Each appointment at a healthcare facility results in a digital record documenting the patient's health status, which helps maintain continuity in care. Furthermore, PACE+ provides a safeguarded database of medical records that can be accessed by authorized personnel and organizations, fostering collaborative care among providers. By prioritizing both security and accessibility, the platform significantly enhances the quality of healthcare services delivered to patients, ultimately benefiting their overall well-being. With its user-friendly interface and robust features, PACE+ stands out as a vital tool in the realm of behavioral health.

EchoVantage offers a unique visual Continuum of Care timeline specifically designed for the behavioral healthcare industry, aimed at improving efficiency, responsiveness, and flexibility. Understanding that behavioral health includes a wide range of issues, our strategy is crafted to reflect this intricacy. Our visual health record is an essential tool for professionals involved in various roles, whether they are supporting families, providing respite care, or meeting with clients in a professional environment. To effectively assist mental health clients, a clear and collaborative record system is crucial for all stakeholders involved. Your electronic health record must adapt continuously to align with the evolving demands of integrated care, population health, and shifting funding structures. EchoVantage not only tackles these obstacles but also offers an extensive library of assessments, a multifunctional form tool, and an intuitive clinical record that streamline training, client onboarding, and documentation, ultimately enhancing the quality of care delivered. By incorporating these innovative features, we empower providers to adeptly manage the complexities of contemporary behavioral health, thus fostering a more cohesive care experience. In doing so, we position ourselves as a leader in the field, dedicated to promoting better mental health outcomes through effective solutions.

HolCare EHR+ is a sophisticated electronic health record system hosted in the cloud, specifically designed to meet the needs of mental health organizations, telepsychiatry services, research centers, and forward-thinking care models. By implementing Measurement-Based Care (MBC), it has been shown to significantly enhance patient care, improve treatment outcomes, and aid clinicians in making informed decisions, which collectively yield better health results. However, the challenge of integrating MBC directly with an EHR can complicate its application and may reduce overall efficiency. HolCare EHR+ resolves this complication by offering comprehensive MBC integration, which allows for the smooth gathering of critical measures that improve patient care. Moreover, its native support for HL7 FHIR enables easy integration with a wide range of third-party health technologies. This standardized approach prevents the challenges associated with expensive and lengthy custom integrations, resulting in a more effective platform capable of exchanging both clinical and non-clinical data with partners, thus optimizing workflows within the healthcare landscape. In doing so, HolCare EHR+ not only promotes a more cohesive method for managing patient care but also encourages organizations to embrace innovative strategies in health service delivery. Ultimately, this positions HolCare EHR+ as a key player in transforming the way healthcare is approached and administered.

HerdmanHealth software simplifies the evaluation process by automatically creating narratives, which helps you conserve both time and financial resources. Additionally, this innovative tool enhances efficiency, allowing for quicker decision-making in healthcare assessments.

Credible is an online Electronic Health Record (EHR) system tailored for medium to large behavioral health organizations, including those with multiple sites and Comprehensive Community Behavioral Health Clinics (CCBHC). This versatile EHR allows users to meet interoperability standards, enhance operational efficiency, boost productivity, and optimize reimbursement processes. What sets Credible apart from other EHR solutions is its focus on behavioral health, user-friendly configuration tools that facilitate integrated care, and straightforward data access. Its features encompass comprehensive data collection, robust reporting, mobile functionality, scheduling, treatment planning, service documentation, advanced search capabilities, billing, inpatient care, integrated care, and business intelligence. For more than two decades, the Credible platform has empowered behavioral health and human services providers to streamline their operations and enhance organizational processes. Additionally, Qualifacts stands as one of the leading EHR vendors in the behavioral health and human services sector, offering a trio of platforms—CareLogic, Credible, and InSync—that cater to various market segments. This extensive range ensures that organizations of all sizes can find a suitable solution to meet their specific needs.

Therabill is a cloud-based software solution tailored for professionals in the fields of nutrition, mental health, and behavioral health. It combines therapy billing, scheduling, and documentation into a single, intuitive interface, allowing users to efficiently manage claims submission, calendar oversight, treatment note entry, and patient information tracking. Besides these essential features, Therabill offers a range of additional tools, including customizable client statements and invoices, automated appointment scheduling with reminders, and specialized portals for providers, all of which significantly enhance practice management. Moreover, its robust suite of tools is designed to optimize workflows, providing a crucial advantage for health specialists in their daily operations. This makes Therabill not just a software tool, but a comprehensive solution that supports the growth and efficiency of health practices.

NueMD offers an all-encompassing platform for medical billing, practice management, and electronic health records (EHR), tailored for small to mid-sized healthcare providers. Its user-friendly interface combined with powerful features allows these practices to streamline their administrative duties, enabling them to concentrate more on delivering quality patient care while expediting payment processes. Important capabilities include appointment scheduling and notifications, top-notch medical billing solutions, a patient portal, e-prescribing and e-lab functionalities, desktop synchronization, on-demand claim information, customizable reporting, and much more, all aimed at boosting operational efficiency. By incorporating these diverse features, NueMD not only simplifies everyday operations but also fosters enhanced patient satisfaction and increases the profitability of healthcare practices. Moreover, the platform's adaptability ensures that it meets the evolving needs of providers as they grow and expand their services.