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Customer Success Story
Published September 21, 2026 · Updated September 21, 2026
Two Chairs Built a Clinical Experience for 500+ Therapists in 4 months on Healthie
Two Chairs is a behavioral health company operating at scale. After evaluating more than 15 EHR solutions, they chose Healthie and went live in four months -- building a clinical experience purpose-built for their care model and saving $250K–$500K in annual development costs.
$250K–$500K
Annual development cost savings
Savings realized by leveraging Healthie's self-service functionality and API instead of building and maintaining custom infrastructure.
4 months
Time to go live
From selecting Healthie to a fully configured, integrated clinical environment running across 500+ therapists.
15
EHR solutions evaluated
Two Chairs ran a rigorous evaluation before selecting Healthie, and the criteria that disqualified every other vendor became the foundation of what they built.
At a Glance
After evaluating more than 15 EHR solutions, Two Chairs chose Healthie and went live in four months. The deciding factors: a full API that could connect with their proprietary technology, charting configurable enough to match their exact clinical workflows, and a support team that operates like a true partner. Today, 500+ licensed therapists rely on a clinical experience built specifically for how Two Chairs delivers care -- running on Healthie's charting, care plans, auditing tools, data APIs, E-Labs, and E-Prescribing. And by building on Healthie's infrastructure rather than maintaining their own, Two Chairs saves $250K–$500K in annual development costs, with engineering effort pointed at differentiation instead of EHR plumbing.
“Working with Healthie is a true partnership and deeply collaborative. It includes quarterly and yearly roadmaps that show their commitment to continuous improvement and transparency. Having the opportunity to contribute to Healthie’s roadmap is incredibly beneficial—it ensures our needs are heard and helps us grow together as partners.”
The Challenge
Why does pediatric behavioral health need different tooling?
Scaling a behavioral health practice across states and therapists is a different operational problem than launching one. As Two Chairs grew, so did the specificity of what they needed from their infrastructure: deeper API capabilities for integration with proprietary technology, charting flexible enough to match their exact clinical workflows, and a partner with the reliability and roadmap transparency to support a business that wasn't done building. They approached the search deliberately, evaluating more than 15 solutions across the market. Their criteria were clear: a platform that could flex to their care model, not one they'd have to flex around. Most vendors met some of what Two Chairs needed. Healthie met all of it.
“After a couple of years on our previous solution, we wanted something that would suit us at all future stages of the company.”
Inside the build
Building a scalable, integrated clinical experience on Healthie
Charting is the most important feature in a therapy practice. Get it right and every downstream workflow benefits: documentation accuracy, clinician experience, care quality, and administrative efficiency. Two Chairs configured multiple chart note types specifically for their clinical needs, with a side-by-side care plan and charting view that keeps everything a clinician needs visible in one place -- a change that compounds across hundreds of providers at scale.
Two Chairs relies on four capabilities do the heavy lifting:
- Full API access Healthie's API connects directly with Two Chairs' proprietary technology, enabling efficient workflows and room for continued innovation without redundant engineering. The same API Healthie's own team builds on. Configurable charting
- Multiple chart note types configured specifically for Two Chairs' clinical model. Clinicians spend less time on documentation and more time with patients, and that efficiency scales across every therapist on the platform.
Collectively, these give Two Chairs a clinical experience purpose-built for their care model, running on Healthie's infrastructure, without having to build that infrastructure from scratch
The clinical tool behind the care
Charting drives everything downstream — accuracy, efficiency, clinician experience, and ultimately, care quality. Two Chairs configured multiple chart note types tailored to their specific clinical needs, which means clinicians spend less time on documentation and more time with patients. The side-by-side care plan and charting view keeps everything a clinician needs visible in one place, a small change that makes a significant difference across hundreds of providers at scale.
BUILT ON HEALTHIE
What did they build on Healthie?
The specific Healthie capabilities behind that build, grouped by type:
Extensions
0
Healthie API
Gives developers full, backward-compatible access to Healthie's GraphQL API — the same API Healthie's own team uses to build its web and mobile apps.
Care Plans
Package treatment recommendations, goals, documents, and journaling settings into one Care Plan that clients can revisit anytime from their portal or mobile app. Save any plan as a reusable Template to apply consistent protocols across clients or groups, and pull specific details straight from a client's chart note when building a recommendation. Only one Care Plan is active per client at a time, keeping what they see current and uncluttered.
Integrations
0
E-Rx
Sends electronic prescriptions to any pharmacy directly from a client's profile, with Healthie managing the DoseSpot connection so no separate vendor account is required.
E-Labs Direct
Connects your existing Quest, LabCorp, or Bioreference lab account directly into Healthie, so providers can order labs and receive results without leaving the platform.
Results
What changed with a fully customized clinical workflow?
500+ therapists running on workflows built for how Two Chairs delivers care Configurable chart note types and side-by-side care plans reduce documentation friction at every session, across every provider, every day.
$250K-$500K in annual development cost savings
By building on Healthie's API instead of maintaining custom infrastructure, engineering effort goes to differentiated care, not EHR plumbing.
Clinical data flows where it needs to go
APIs connect Healthie directly to Two Chairs' proprietary technology, eliminating redundant work and keeping records accurate across a multi-state team.
Room to keep building
E-labs, e-prescribing, and AI-powered charting are already in the pipeline, built on the same flexible foundation.