CADENCE
The Care Continuity System for Clinical Practices The System That Keeps Care Moving.
The window opens when they're ready.
Not when you're available.
Call the CADENCE demo line. No form. No commitment. Just the system.
It is a systems problem. And you have been solving it with people.
The world stopped operating on 9 to 5.
Your care system didn't
get the memo.
Everyone in clinical practice knows this. When someone is ready to seek help, that is the window. It is not scheduled. It does not arrive during business hours. It does not wait for Monday.
The crisis call at 2am. The inquiry after the Sunday meeting. The family member who finally decided to reach out and got a voicemail that said call back between 8 and 5. The client who discharged three months ago and is starting to slip and doesn't know who to call at 11pm.
The window opens. If nothing is there, it closes.
CADENCE is what sits in the gap.
Three windows.
Every clinical practice has all three.
Before they're your client.
The referral that comes in after hours. The person who found you on Google at midnight. The family member calling from a parking lot because they don't know what else to do. This is the window that fills your census, your caseload, your schedule. It is also the window most practices are least equipped to handle.
CADENCE answers it. Every time. 24/7.While they're in your care.
The no-show that nobody followed up on. The client who missed two sessions and then three and then stopped returning calls. The appointment sequence that sends one reminder and goes quiet. Ongoing engagement is not just retention. It is clinical.
CADENCE runs the touchpoints. Automatically.After they leave your care.
Discharge is not the end of the clinical relationship. It is the beginning of the part most programs have no system for. The person who completed your program is statistically most vulnerable in the months that follow. They do not call you at 9am on a Tuesday when they're struggling. They feel it at 11pm. If nothing is there, the window closes.
CADENCE keeps the thread open.The gaps nobody talks about.
The window problem gets named. What does not get named is the infrastructure underneath it — the reason the window stays open even when your team is trying to close it.
98% of texts are read. Most programs can’t send one compliantly.
The channel your clients actually respond to is the one you’re not using.
Calls go unanswered. Emails land in spam. Compliant texting requires A2P 10DLC registration and a HIPAA-enabled environment — setup most programs skip. CADENCE handles it during onboarding. From day one, your program reaches people the way people actually respond.
If it’s not in the system, it doesn’t exist when that person leaves.
The conversation that lived in a personal phone just walked out the door.
Every staff member using their own channel creates a program with no memory. No thread to follow. No way to hand off. CADENCE puts SMS, phone, chat, and email in one place — every staff member, every conversation, visible to anyone who needs it.
The average behavioral health program loses a key staff member every 12–18 months.
When they leave, every active relationship goes with them.
The context lived in her head, her personal phone, and the voicemails she was the only one checking. CADENCE closes that gap. Every conversation logged. Every follow-up running automatically. The next person picks up exactly where the last one stopped.
By practice type.
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Treatment programs & residential
One client who doesn’t complete intake because nobody followed up within the window is an admission that did not happen. One discharged client with no follow-up sequence is a data point missing from your outcomes story and a person who may not have made it. The window was open. Nothing was there.
-
ARMHS & IRTS providers
Your revenue is per-unit. A client who disengages between sessions without an automated touchpoint to pull them back is unbillable hours and an incomplete episode of care. When contact drops, re-engagement gets harder and authorization gets harder to maintain. CADENCE keeps the contact continuous.
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Outpatient & mental health clinics
No-shows without a reminder sequence are unfilled slots and unbillable hours. Clients who fall off between sessions without follow-up are the ones who tell you later they stopped coming because they felt forgotten. Ongoing automated sequences address both.
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Private pay practices
One client is $800 to $2,000 per month. At that margin, one dropped ball is a real number. The follow-up call that didn’t happen because you were running everything else is not a small thing. CADENCE makes it automatic.
-
PI chiropractic & clinical specialty
The patient who called after hours and got voicemail called someone else. The one who finished a treatment plan with no re-engagement sequence is not coming back for maintenance care. The referral partner who sent you three patients this quarter wants to know the outcomes.
-
Nonprofits
Your grant renewal depends on being able to say what happened to the people you served. Not what you believe. What happened. Where they went. Whether they came back. Whether they’re stable. CADENCE builds the outcomes data infrastructure that turns that question from a scramble into a report.
CADENCE keeps care moving.
- A chatbot. → The window opens at 11pm. CADENCE answers it.
- An EHR replacement. → The client discharges on Friday. CADENCE follows up on Saturday.
- A $65/month intake bot with a BAA checkbox and a support ticket queue. → The outcomes survey goes out at 30 days. The response comes back. The data exists.
It is the operational layer your practice has been missing. Built on enterprise-grade automation infrastructure inside a HIPAA-compliant environment. BAA executed at setup. Risk assessments completed. Policies and training documentation included in every tier.
You focus on clinical work. CADENCE handles the part that drops.
The market built a lot of documentation tools.
Nobody built
care continuity.
One system.
Not seven subscriptions.
Most programs are already paying for the pieces CADENCE replaces. They just bought them separately, from different vendors, none of which talk to each other, none of which were built for behavioral health.
Here is what that typically costs:
And that is before you account for the answering service covering after-hours calls. The staff hours spent manually logging contacts across disconnected systems. The conversations that fell through because they lived in someone’s personal inbox.
CADENCE replaces all of it. One system. One login. One monthly fee. Built and configured for your program by someone who has been inside it.
| Separate Tools | CADENCE Core | CADENCE Clear | CADENCE Complete | |
|---|---|---|---|---|
| Monthly cost | $1,177+/mo | $497/mo | $697/mo | $997+/mo |
| HIPAA-enabled | Varies | Yes | Yes | Yes |
| Built for behavioral health | No | Yes | Yes | Yes |
| Configured for your program | No | Yes | Yes | Yes |
| Runs without staff managing it | No | Yes | Yes | Yes |
| Everything in one place | No | Yes | Yes | Yes |
The cost of staying in chaos is not just the monthly subscriptions. It is the clinical staff searching for a sticky note when they should be with a client. It is the program director who cannot take a day off because everything runs through her. It is the referral partner who stops sending people because nobody ever followed up. It is the coordinator who burns out and leaves — and takes every active relationship with her. It is the person who called last week, reached a human who wrote it down, and never heard back because the note got lost.
That is not a systems failure anyone planned for. It is what happens when the infrastructure requires people to hold it together manually. People are expensive. People leave. People run out of energy. The system should not depend on them for things the system can do.
The math is not close. The decision is whether to keep paying for disconnected tools that require your team to hold them together — or one system that holds itself together and handles the parts that keep dropping.
Choose the system that fits how your
program actually runs.
Every tier is built and configured for you. You don't touch the tech.
Every tier runs on the same foundation: CRM, pipelines, and task management. Unified conversations inbox across SMS, email, phone, and chat. Intake funnels and forms. Calendars. Base workflows for referral follow-up, appointment reminders, no-show follow-through, and a basic post-discharge ladder. Standard reporting. Foundational client and family welcome resources.
Then $497/mo
Includes up to $20/month in SMS, phone, and AI usage. Additional usage billed at standard rates.Core has one job. When someone is ready to reach out, something is there.
- Every call answered, 24/7
- Missed call triggers an immediate text-back
- Every inquiry logged automatically
- Every channel in one place
- Structured follow-up runs automatically after first contact
- Intake forms and pre-screeners configured for your program
- Client and family onboarding materials delivered from day one
- Referrer communication templates
- Full intake pipeline visibility
- 30-day tweak period after launch
- 24/7 platform support
Then $697/mo
Includes up to $30/month in SMS, phone, and AI usage. Overages billed at pass-through rates.Everything in Core, plus:
- Your team communicates with who they have permission to reach
- Referral sources always hear back
- Touchpoints run during active care so nobody goes quiet between sessions
- Discharge triggers a coordinated handoff
- Automated check-ins at 7, 30, and 90 days post-discharge
- Long-term alumni outreach
- Post-discharge surveys sent automatically
- Education hub for clients and families
- Workshop, webinar, and private pay group infrastructure
- Educational content calendar
- Automated communication sequences for clients, families, and referring providers
- AI handles intake logistics and FAQ
- Contacts automatically organized and re-engaged when they go dark
- Full referral source tracking and multi-channel reporting
Then $997+/mo
Includes up to $50/month in SMS, phone, and AI usage. High-volume programs should expect overages. We'll scope estimated usage during onboarding.Everything in Clear, plus:
- AI handles first contact across web, SMS, and social
- Calls answered after hours and overflow
- The right workflow fires to the right person at the right time
- Every location runs its own intake logic
- Referral source outreach runs automatically
- Alumni groups and peer spaces
- Advanced infrastructure for workshops, webinars, and private pay programming across locations
- Feedback collection configured for behavioral health
- Weekly ops summary delivered automatically
- Full reporting dashboard
- Your EHR and CADENCE stay in sync
Add-Ons
Available across tiers where noted. All add-ons are configured by Vibe Align. You don't touch the tech.| Add-On | Notes |
|---|---|
| Additional phone lines | $25/line per month. |
| Additional seats | Core includes 3 seats. Clear includes 8. Complete includes 15. Additional seats beyond your tier: $40/seat per month. |
| Same-location expansion | $500 setup fee + $200–$300/month. |
| New level of care | Full tier onboarding fee applies. Scoped at time of engagement. |
| EHR integration | $500–$1,000 setup fee + $100–$150/month. Scoped per system. |
| Custom workflow builds | $150/hour. Scoped before work begins. |
| Additional language configuration | Contact for pricing. |
What is the gap actually costing you?
The questions you are already asking.
Is this HIPAA-compliant?
Yes. CADENCE is built inside a HIPAA-compliant environment with a signed BAA, completed risk assessments, and policies and training documentation included at every tier. If your compliance officer wants documentation, it exists.
We already have an EHR.
CADENCE is not your EHR. It does not document clinical care. It handles the operational layer your EHR was never built for: the pre-engagement window, intake continuity, ongoing communication, post-discharge follow-up, outcomes data collection, and referral management. EHR integration is available as an add-on if you want the systems to talk directly.
Our staff already does follow-up.
When they're there. When they're not burned out. When they didn't take another job in March. When it's not 11pm. And when they're following up by phone to a number most clients won't answer. Ninety-eight percent of texts get read. Most programs follow up by call or email. Most clients in behavioral health are more likely to respond to a text than pick up an unknown number. The channel matters as much as the timing. CADENCE does not replace the clinical relationship. It handles the contact volume that was already falling through the gaps — on the channel that actually works, at the hour it actually matters.
We can't afford it.
You cannot afford the referral that called someone else at 11pm.
You cannot afford three months without intake coverage. You cannot
afford twelve months of discharged clients with no follow-up and
no outcomes data. You cannot afford the payer negotiation you walk
into without documentation when value-based contracts arrive.
CADENCE is not a software subscription. It is the system that
sits in the gap your practice cannot afford to leave
open.
Any agency can configure a workflow. Not every agency has stood in your programs. That is not a feature difference. That is the difference.
Setup fee. Three ways to pay.
Monthly fees are non-negotiable full pay. AI usage passed through at cost plus margin, disclosed fully in the sales conversation and contract. Work begins when first payment clears.
| Option | Structure |
|---|---|
| Pay in Full | 100% at signing |
| 2-Pay | 50% at signing · 50% at delivery |
| 3-Pay | 30% at contract · 30% at delivery · 30% within 30 days |
Available across all tiers.
Not baked into base pricing because not everyone needs them.
| Add-On | Fee |
|---|---|
| Additional phone lines | $25/line per month |
| Additional seats | $40/seat per month (Core: 3 included · Clear: 8 · Complete: 15) |
| Same-location expansion | $500 setup + $200–$300/mo |
| New level of care | Full tier onboarding fee applies |
| EHR integration | $500–$1,000 setup + $100–$150/mo |
| Custom workflow builds | $150/hour |
| Additional language configuration | Contact for pricing |
Not a demo video.
Not a free trial.
A real conversation with someone who has been inside your practice type and built the system to fix the gap.
No pitch deck. No retainer commitment. Just the conversation.
The window opens when they're ready.CADENCE is there when you're not.