Pricing · a different deal

Software is cheap now.
So we charge for outcomes, not seats.

The cost of building software is collapsing toward zero — renting it per seat is a legacy habit, not a law. CareOS Aligned is $0 per provider: we take 2% only of revenue you actually collect through the platform. When you grow, we earn. When you don't, we don't.

How much does CareOS cost? Two ways to pay. Aligned: $0/provider, unlimited seats, 2% of revenue collected through CareOS — first $10k/month fee-free, capped at $299/provider/month. Flat: classic plans at $119–$399/provider/month, month-to-month with no annual contract (optional annual prepay saves ~17%). Create your workspace self-serve — pick a model at signup and switch anytime.

Aligned · pay on results

Aligned

$0/provider/mo
+ 2% of revenue collected through CareOS

The full platform, free. We earn a small share of what we help you collect — nothing else.

  • Unlimited providers & staff — no seat fees, ever
  • Every Care feature: protocols, labs & biomarkers, memberships, AI charting, portal
  • First $10,000 collected each month is fee-free
  • Capped at $299/provider/mo — never more than classic SaaS
  • A slow month costs you almost nothing
  • Free white-glove migration & priority support
  • Growth Guarantee for founding practices
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Flat

$229/provider/mo
month-to-month — Launch $119 · Growth $229 · Scale $399

Prefer a fixed, budgetable number? The traditional model is still here.

  • Launch $119 — core EHR for solo & new practices
  • Growth $229 — adds protocols, labs, memberships, AI charting
  • Scale $399 — adds the 50-state eligibility engine, API, SSO
  • Month-to-month, cancel anytime: $119 / $229 / $399 — no annual contract, ever
  • Optional annual prepay saves ~17% ($99 / $189 / $329) — a discount, not a lock-in
  • Unlimited free admin & front-desk seats
  • Switch to Aligned (or back) once per quarter
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Aligned fees apply to revenue collected through CareOS Payments (standard card processing rates apply separately). Cash/external payments recorded in CareOS carry no fee.

Do the math for your practice

Aligned vs Flat, on your numbers

Aligned
$700
2% after the first $10k
Flat (Growth)
$567
$189 × providers (annual-prepay rate)

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Aligned is capped at $299/provider/mo, so it can approach Flat Scale but never exceed it. Starting out or seasonal? Aligned means your software bill breathes with your revenue.

Provider Ops · pay per outcome

Compliance priced like a result, because it is one

$199 per provider-state activation

Charged only when a provider actually becomes bookable in a new state — licensing tracked, DEA verified, credentialing pipeline completed, calendar unlocked. No base subscription. Ongoing license/DEA monitoring and eligibility gating included for every active state.

Why this beats enterprise credentialing contracts

Incumbents charge five-figure annual platform fees whether or not anyone gets credentialed. With CareOS Ops you pay when the outcome lands: a 10-provider group entering 3 states pays ~$5,970 — once — instead of an annual enterprise contract. Available standalone if you already have an EHR.

The Growth Guarantee (founding practices): if your membership MRR hasn't grown at least 20% within 6 months of going live on CareOS, we waive platform fees until it has. We price on outcomes because we're confident in them.

Why we price this way

The end of paying rent on software

For twenty years, health-tech pricing has been a rent bill: per seat, per month, whether the software made you money or not. That made sense when software was expensive to build and run. It isn't anymore — AI has pushed the marginal cost of software toward zero, and pricing that reflects vendor cost instead of customer outcome is now just margin hiding in your P&L.

CareOS is built around the metric your practice actually sells — recurring membership revenue, funded by protocols and biomarker results. So that's what we charge on. If the platform grows your collections, we share 2%. If it doesn't, your software bill rounds to zero. The incentive alignment is the point: our roadmap gets pulled toward whatever grows your revenue, because that's the only way ours grows.

We keep Flat plans because some practices genuinely prefer a fixed line item — and because an honest outcomes model needs a published benchmark to be measured against. Pick either. Switch quarterly. The setup work is the same both ways.

Pricing FAQ

The fine print, in plain English

What exactly does the 2% apply to?
Revenue you collect through CareOS Payments: memberships, program fees, packages, visit charges, and deposits. The first $10,000 collected each calendar month is fee-free. Payments recorded in CareOS but collected outside it (cash, external processors, legacy billing) carry no platform fee. Standard card-processing rates apply separately, as with any processor.
Can Aligned ever cost more than Flat?
No — Aligned is capped at $299 per provider per month, below Flat Scale ($329). For a 3-provider practice, Aligned is cheaper than Flat Growth (at the $189 annual-prepay rate) below roughly $38k/month in collections and capped at $897/month no matter how big you get.
Who counts as a "provider"?
Anyone who charts and carries a patient panel — physicians, NPs, PAs, coaches with their own caseload. On Aligned this only matters for the fee cap; seats themselves are free and unlimited on both models.
Can I switch between Aligned and Flat?
Yes, once per quarter, effective the next billing cycle. Practices with heavy seasonality often run Aligned; practices with stable volume sometimes prefer Flat. Your data and setup are identical either way.
How does the $199 provider-state activation work?
You pay when the outcome completes: the provider's licensing and DEA status verified, credentialing pipeline done, and the calendar actually unlocked for that state. In-progress work costs nothing. Ongoing monitoring, renewal tasks, and real-time eligibility gating are included for every active provider-state.
What are the Growth Guarantee terms?
For founding practices: go live, run your memberships through CareOS for 6 months; if membership MRR hasn't grown ≥20% vs your documented baseline at migration, platform fees (the 2% or your flat fee) are waived until it has. Card-processing costs excluded. One goal: we only win when you do.
Is there a contract?
No. Every plan is month-to-month — no annual contract, no early-termination fee, ever. Annual prepay exists only as an optional ~17% discount. Low commitment is deliberate: you should stay because the platform earns it each month, not because a contract makes leaving expensive. Full data export is available on every plan, anytime.
Do I need a credit card to start? What about migration and my data?
No card is required for the trial or live demo. White-glove migration from Healthie, OptiMantra, Practice Better, Cerbo, SimplePractice, or spreadsheets is included on every model. Your data is yours — full structured export (CSV + PDF), any plan, anytime. Cancel anytime.

Map the pricing model to your clinic

Bring your current workflow and revenue model. We will show whether Aligned, Flat, or Ops-only is the cleanest starting point.

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