This is a cloud based application and the pricing includes software license, cost of hosting, backups and support. Also, many other vendors have other business models that consider monetizing of patient data by providing a consumer service. This enables them to subsidize the cost of the software itself. We request you to read their terms and conditions carefully and check if they have any consumer facing services. If that is the case, it is likely your data may be used to generate revenue for the company at your cost. Our pricing considers all costs of running a secure software application giving you complete ownership of data. Our customers have benefitted immensely from the automation and consider this as an investment that results in significant cost savings and much better patient experience and hence higher patient retention.