Pricing · Published plans

From $5,000 a year

Plans sized by headcount. All of them include every module, every report, unlimited facilities, unlimited users, and migration.

Plans below. No per-seat fees, no implementation fee, no module upsell, and no negotiation. The published price is the price.

Find your plan

Active employees

Billing

No add-ons and no modules to buy separately. Every plan includes the whole platform. Plans are sized by employee cap. Custom work is available on Professional and above. It is quoted before work starts, with a one-time development fee if one applies. When the work also benefits other customers, the quote states what share of that fee we cover.

The plans

Plan	Up to	Per year	Monthly (+20%)
EssentialsSingle clinic, physician-owned hospital, or skilled nursing facility	500 employees	$5,000	$500 / month
ProfessionalCommunity hospital or county-run long-term care	1,500 employees	$12,000	$1,200 / month
EnterpriseCounty or public hospital, or regional health system	4,000 employees	$25,000	$2,500 / month
Enterprise+Large health systems and healthcare districts	Above 4,000	Let's talk	Let's talk

Every plan includes all 17 record modules, every report, unlimited facilities, unlimited users, and migration. No plan has fewer modules than another. Custom work is available on Professional and above and is quoted separately (see the FAQ below). Price locked for the contract term (1–3 years); maximum 5% increase at renewal. Month-to-month at +20%.

Live within 30 days of kickoff, or we credit one month's fee. Prefer to start small? A pilot is $1,500 for one department or facility of up to 50 employees, live within 30 days or refunded in full, and fully credited when you sign an annual contract.

Everything included

One price. The whole platform

Every capability below is included at every size. There are no editions, no module activation fees, and no upsells.

Employee records

Demographics, contacts, and employment details. Names, Social Security numbers, dates of birth and contact details are encrypted at the field level. Photo uploads. Bulk Excel import with a downloadable template. Full export. Employee search. Previous-name history. Family members and payment sources.

17 clinical modules

Examinations · Immunizations · Incidents · Exposures · Treatments · Health conditions · Leaves · Vitals · Education and certifications · Work restrictions · Lost time · Root cause analyses · Costs · Payment sources · Family members · Record requests · Check-ins, plus file attachments on any record.

OSHA compliance

OSHA 300 Log, 300A Annual Summary, and 301 Incident Report. Privacy-case tracking. Actual hours-worked override for accurate incidence rates. PDF and Excel export on all three.

Report library

50+ reports across absence, call-in, conditions, demographics, examinations, immunizations, incidents, roster, and schedule categories. Immunization compliance and TB screening reporting. Every report exports to PDF, Excel, and CSV.

Scheduling

Calendar-based appointment scheduling. Automatic and manual email reminders. Completion, cancellation, and no-show tracking. Schedule reporting and export.

Documents and e-signature

Upload, assign to employees, and track views, signatures, and uploads. Employee e-signature. Secure signed-link acknowledgment for employees without a portal account. Assignment notification emails.

Employee self-service portal

Employees sign in to view their own health records, sign assigned documents, upload vaccine cards and certifications, update their contact and emergency-contact details, view their appointments, and download their complete health record as a PDF. Branded portal with its own help center.

Multi-facility

Unlimited facilities on one account, each fully isolated. Central administration across all of them. Per-facility settings, code lists, roles, and reporting.

Access control

Five roles (Super Administrator, Administrator, Manager, User, and Employee) with granular per-action permissions, scoped per facility.

Security and audit

Names, Social Security numbers, dates of birth and contact details are encrypted at the field level, and searched without decryption. Password policy with history enforcement and forced rotation. Rate limiting on all authentication endpoints. Every read, change and export of a health record is logged with the user, the time and the IP address. Two-step verification for staff accounts, and automatic sign-out of idle sessions. US hosting.

Dashboards

Immunization compliance and incident-trend charts. Expiring-credentials and attention-required widgets. Live counts across all modules.

Data migration and onboarding

Included at every size. Employees, incidents, immunizations, exams, credentials, and documents from spreadsheets, CSV exports, or direct exports from a prior system, including RESPOND! and BD Protect.

All of it, at every price point. There is no edition of carefoundryESC with fewer modules.

In context

What five years costs

Our price includes the whole platform. Most of the category sells a base license and charges for the rest. Only one competitor publishes its prices; the rest are third-party analyst estimates, labeled as such. Our figures are five years at the published price, before any renewal increase (5% at most).

400-employee facility, 5 years

carefoundryESC (Essentials)	$25,000
MediTrax (published: $6,600/yr lease)	$33,000
MediTrax (published: $18,995 license + $3,500/yr support from yr 2)	$32,995, plus your own server and IT time
Typical enterprise occupational health platform (quote-only; third-party estimates)	$80,000 – $170,000

1,500-employee hospital, 5 years

carefoundryESC (Professional)	$60,000
Typical enterprise occupational health platform (quote-only; third-party estimates)	$250,000 – $600,000

Four line items you will not find on our contract

Implementation and onboarding services (commonly $5,000–$200,000 elsewhere, per third-party estimates)
Per-named-user licenses
Per-location or per-facility fees
Per-module activation

Competitor figures are either taken from the vendor's own published pricing (linked) or from third-party analyst estimates, and are shown for comparison only. They are not quotes and may not reflect what any given organization pays. Verify current pricing with each vendor.

Pricing questions, answered

Frequently asked

No. Unlimited administrators and unlimited employee-portal accounts at every size.

Employees with an active record. Terminated and archived records stay in the system for your compliance history and don’t count toward your plan.

Nothing changes mid-term. Your plan is set when you sign and reviewed once, at renewal. Growth through the year is absorbed by your current plan.

There is no per-employee overage charge, ever, and you are never moved mid-term. At renewal we look at your active headcount: if you have crossed your cap by less than 10%, you stay on your current plan. Past that, you move up one plan.

No. Migration from your existing system or spreadsheets, configuration, and onboarding are included.

One published price for every buyer. You don’t need a procurement cycle to find out what it costs.

Yes, at +20%. Annual upfront is the better value.

Your price is locked for the contract term. At renewal, a maximum 5% increase, plus any change from moving up a plan.

Included at every price point: unlimited facilities, each isolated, all centrally administered. No per-location fee.

All of them, on every plan. No plan has fewer modules than another.

Built for HIPAA-sensitive data. Employee identifiers, dates of birth, and contact details are encrypted at rest and searched through blind indexes rather than decryption. Your organization's data is isolated from every other. Reads and writes of a health record are logged with the user, the time, and the address they came from.

Yes, without needing us: code lists, roles and permissions, report parameters, per-facility settings, OSHA settings, and document workflows are all yours to configure. Every customer runs the same platform, which is how the release cadence and the price stay where they are.

It depends on the request. Tell us what you need, such as a report, a field your state requires, or a change to a workflow. If we can build it, we send a quote before any work starts. The quote states the one-time development fee, if one applies. When the work also benefits other customers, it also states what share of that fee we cover. What we build becomes part of the platform every customer uses, so it is maintained with every release. Custom work is available on the Professional, Enterprise, and Enterprise+ plans. It is not available on Essentials.

Your data is yours. Full export in standard formats, on request, at any time.

See it on your data

The published plan price is the contract price. Bring it to a demo and we walk the platform on your workflows.

See it in a 20-minute demo