What is Eleos Health?
Eleos Health is an ambient AI platform that listens to therapy sessions and automatically generates clinical documentation. Founded in 2020 in Israel by Alon Joffe, Dror Zaide, and Shai Kushnir — a team combining clinical psychology, data science, and cybersecurity expertise — Eleos addresses what surveys consistently identify as the number one driver of therapist burnout: documentation. The American Psychological Association reports that therapists spend an average of 7-9 hours per week on clinical documentation, much of it in the evenings after sessions ("pajama time"). Eleos's core promise: the therapist conducts the session as normal, Eleos's AI listens and analyzes the conversation (with client consent), and within 2-3 minutes of the session ending, Eleos generates a complete, compliant draft progress note — SOAP format, DAP format, or whatever template the organization uses. The therapist reviews, edits as needed, and signs — typically in 2-4 minutes rather than the 10-15 minutes of manual note-writing. As of 2026, Eleos has raised over $100 million in venture capital and serves behavioral health organizations across the United States, including partnerships with major community mental health centers, substance use treatment programs, and integrated healthcare systems.
Beyond note generation, Eleos provides a layer of clinical analytics: it identifies which therapeutic techniques were used during the session (cognitive restructuring, behavioral activation, motivational interviewing skills, etc.), measures the distribution of therapist versus client talk time, tracks session themes (anxiety, depression, relationships, substance use, trauma), and flags clinical risk indicators. This analytics layer serves two purposes: for individual therapists, it provides insight into their own practice patterns that they can use for self-reflection and professional development. For clinical supervisors and organizational leadership, it provides visibility into what is actually happening across hundreds or thousands of therapy sessions — which evidence-based practices are being used, whether high-risk clients are being identified and managed appropriately, and whether documentation quality meets audit standards. Eleos is fundamentally different from Lyssn: Eleos focuses on documentation automation and session analytics for practicing clinicians; Lyssn focuses on fidelity measurement and clinical supervision for training and quality assurance.
Key Features
Automated Progress Note Generation
This is Eleos's flagship feature and the primary reason organizations adopt it. The workflow: the therapist starts the Eleos session recorder before the session (with client consent), conducts the session naturally, and stops the recorder when the session ends. Eleos's AI transcribes and analyzes the session audio, extracts clinically relevant content, and generates a structured progress note in the organization's preferred format (SOAP, DAP, BIRP, or custom). The generated note includes: Subjective — the client's reported symptoms, concerns, and direct quotes; Objective — the therapist's observations of client appearance, mood, affect, and behavior; Assessment — clinical impressions, progress toward goals, risk assessment; and Plan — next session focus, between-session activities, and any referrals or coordination. Within 2-3 minutes of the session ending, the therapist receives a notification that their draft note is ready. They review it in the Eleos interface (which typically occupies one screen side-by-side with the EHR), make any edits — the AI sometimes misses nuances or over-emphasizes certain themes — and sign. The signed note is then pushed to the EHR (Eleos integrates with major behavioral health EHRs). The total therapist time for documentation drops from 10-15 minutes to 2-4 minutes per session, translating to approximately 4-6 hours reclaimed per week for a full-time therapist seeing 30 clients.
Clinical Risk Identification
Eleos analyzes session content for clinical risk indicators and flags them for therapist review. The system is trained to identify linguistic markers associated with: suicidal ideation (both explicit statements and more subtle indicators like hopelessness, perceived burdensomeness, and thwarted belongingness), self-harm, violence risk, substance use escalation, and clinical deterioration (worsening symptoms, reduced functioning, treatment disengagement). When Eleos identifies potential risk content, it surfaces it prominently in the generated note and on the therapist's dashboard — not as a definitive determination, but as a flag that says "review this — the system detected language consistent with elevated risk." This does not replace the therapist's clinical judgment — it is an assistive alert that helps ensure risk content discussed in session is captured in the documentation and addressed in the clinical plan. For organizations, aggregated risk data provides system-level visibility into which clients are at highest risk, whether risk is being documented appropriately, and whether follow-up protocols are being followed. In value-based care models where suicide attempt and hospitalization rates affect reimbursement, this risk surveillance capability has direct financial implications.
Session Analytics & Therapeutic Technique Tracking
Eleos classifies therapeutic interventions used during each session, providing therapists with objective data about their clinical practice. The system recognizes evidence-based techniques including: CBT interventions (cognitive restructuring, behavioral activation, exposure, problem-solving), MI skills (open-ended questions, affirmations, reflective listening, summaries), DBT skills (mindfulness, distress tolerance, emotion regulation, interpersonal effectiveness), and supportive therapy elements (validation, encouragement, psychoeducation). For each session, Eleos provides a breakdown: "This session: 35% CBT techniques, 20% supportive elements, 15% assessment, 30% other content." It also measures the talk-time ratio (therapist vs. client) and the session's thematic content (what topics were discussed and for how long). Over time, the therapist can see patterns: "I use cognitive restructuring more frequently in the first 3 sessions with new clients, then shift toward behavioral activation. My talk time has decreased from 45% to 30% as I have become more experienced. My clients with depression spend an average of 40% of session time discussing work-related stressors." This data supports self-reflection and can be used in supervision to ground discussions in behavioral evidence rather than therapist self-report.
EHR Integration
Eleos integrates with major behavioral health EHRs to create a seamless documentation workflow. Supported EHRs include: Netsmart (myAvatar, CareRecord), Qualifacts (CareLogic, InSync), Streamline Healthcare Solutions (SmartCare), Core Solutions (Cx360), and others commonly used by community mental health centers and behavioral health organizations. The integration works as follows: the therapist opens the client's chart in their EHR, starts the Eleos session from within their workflow (Eleos appears as an embedded widget or a side-by-side screen), the AI listens and generates the note, the therapist reviews and edits, and the completed note flows into the EHR's clinical documentation. This eliminates the copy-paste workflow that plagues non-integrated AI note tools. Eleos also supports SSO integration, so therapists log in once and access both systems. For organizations using EHRs that Eleos does not yet directly integrate with, the generated note can be exported as text and pasted into the EHR — functional but less seamless. Eleos's integration roadmap includes expanding to additional EHRs, with a focus on the platforms used by the largest behavioral health providers and federally qualified health centers (FQHCs).
Supervisor Dashboard & Organizational Analytics
For clinical supervisors and organizational leaders, Eleos provides aggregate dashboards that offer visibility into clinical operations at scale. The supervisor dashboard shows: documentation compliance (percentage of sessions with completed notes within 24 hours, 48 hours, and beyond), therapist productivity (sessions conducted, average documentation time, note completion rates), evidence-based practice utilization (which therapeutic techniques are being used and at what frequency across the organization), risk indicator frequency (how many sessions contain risk-related content, whether risk was documented and addressed), and client engagement patterns (session attendance, no-show rates, treatment duration). This data enables data-driven clinical operations management: identifying therapists who are struggling with documentation timeliness (and providing support before it becomes a compliance issue), understanding which EBPs are actually being delivered versus what is written in treatment plans, monitoring risk documentation quality across the organization, and preparing for audits or accreditation reviews with comprehensive documentation of clinical activity. Eleos's organizational analytics are designed to support value-based care contracting — providing the data that behavioral health organizations need to demonstrate clinical quality, EBP utilization, and risk management to payers and regulators.
HIPAA Compliance & Data Security
Eleos is HIPAA-compliant with a Business Associate Agreement (BAA) provided to all organizational clients. Session audio is encrypted in transit (TLS 1.3) and at rest (AES-256). The platform's data processing pipeline is designed to minimize data exposure: audio is transcribed and analyzed, then the raw audio recording is deleted according to the organization's retention policy (configurable — some organizations delete audio immediately after processing; others retain it for a specified period for supervision or quality assurance). Eleos does not use client session data to train its general AI models — each client organization's data is siloed and used only for that organization's analytics. Access controls are role-based: therapists see their own sessions and notes; supervisors see their supervisees' data; administrators see aggregate analytics without individual session content (configurable). All data access is logged for audit purposes. Eleos's consent management system supports state-specific recording consent requirements — one-party and two-party consent states are handled differently, and the consent workflow ensures compliance with the relevant state law. The platform's security architecture has undergone third-party penetration testing and security audits, with results available to organizational clients under NDA. For organizations with additional security requirements, Eleos supports deployment within the organization's cloud environment for enhanced data residency control.
Eleos Health Pricing (2026)
| Plan | Pricing Model | What You Get |
|---|---|---|
| Individual Practitioner | Not publicly available (inquire) | Eleos does not currently offer a self-service individual practitioner plan. The platform is primarily sold to organizations (group practices, community mental health centers, healthcare systems). Individual therapists interested in Eleos should inquire about availability — Eleos has indicated plans to expand to individual practitioners but has not launched a public individual tier as of mid-2026. |
| Group Practice / Organization | Custom (typically $200-$400/clinician/month est.) | Automated note generation, session analytics, technique tracking, risk identification, supervisor dashboard, EHR integration, SSO, organization-level analytics. Pricing based on clinician count, expected session volume, and integration complexity. |
| Enterprise / Health System | Custom (annual contract) | Everything in Organization plus: dedicated implementation team, custom analytics, API access, advanced security configuration, value-based care analytics suite, priority support with SLAs. For large behavioral health systems with 100+ clinicians. |
Pricing estimates verified June 2026. Eleos does not publish pricing publicly; all plans are custom-quoted. Industry estimates place Eleos at approximately $200-$400 per clinician per month for organizational deployments — comparable to Nuance DAX Copilot pricing. Organizations should request a formal quote based on clinician count, expected monthly session volume, and EHR integration requirements.
Eleos Health vs Competitors
| Feature | Eleos Health | Lyssn | Nuance DAX Copilot | DeepScribe |
|---|---|---|---|---|
| Primary Function | Ambient AI → progress note generation + session analytics | Uploaded recordings → EBP fidelity analysis for supervision | Ambient AI → clinical note generation for medical/mental health | Ambient AI → clinical note generation for medical specialties |
| Mental Health Focus | ✅ Purpose-built for behavioral health | ✅ Purpose-built for psychotherapy fidelity | ⚠️ Medical-first; mental health capabilities expanding | ⚠️ Medical-first; limited behavioral health features |
| Note Generation | ✅ Automatic SOAP/DAP/BIRP notes from session audio | ❌ Does not generate notes — fidelity analysis only | ✅ Automatic clinical notes from conversation | ✅ Automatic SOAP notes from conversation |
| EBP Fidelity | ⚠️ Technique tracking but not formal fidelity scoring | ✅ Formal fidelity scores benchmarked to CTRS, MITI | ❌ No fidelity measurement | ❌ No fidelity measurement |
| Risk Identification | ✅ Flags SI, self-harm, violence risk, clinical deterioration | ❌ Not designed for risk surveillance | ⚠️ Basic risk indicators for medical contexts | ❌ Not designed for behavioral health risk |
| Supervisor Tools | ✅ Documentation compliance, EBP utilization, risk dashboards | ✅ Fidelity progress tracking, cohort benchmarking | ⚠️ Basic productivity metrics | ⚠️ Basic productivity metrics |
| EHR Integration | ✅ Netsmart, Qualifacts, Streamline, Core Solutions | ❌ No EHR integration | ✅ Epic, Cerner, and major EHRs | ✅ Epic, Cerner, athenahealth |
| Real-Time Use | ✅ Ambient listening during session; note available in 2-3 min after | ❌ Post-session upload and analysis | ✅ Ambient listening; note available after session | ✅ Ambient listening; note available after encounter |
| Individual Practitioner Access | ❌ Organization-only as of mid-2026 | ✅ $99/month individual tier | ⚠️ Available through Nuance enterprise sales | ⚠️ Enterprise-focused |
| Best For | Behavioral health organizations that want documentation automation + clinical analytics in one platform | Training clinics and organizations prioritizing EBP fidelity measurement and clinical supervision quality | Large healthcare systems with both medical and behavioral health that want a unified ambient AI solution | Medical practices that also provide behavioral health services and want a single documentation platform |
Comparison verified June 2026. Eleos and Lyssn are complementary: Eleos for documentation automation, Lyssn for fidelity measurement. Some organizations use both — Eleos for daily documentation and Lyssn for periodic fidelity assessment.
Pros & Cons
Pros
- Reduces documentation time by 60-75%: The core value proposition is real and measurable. Therapists report that Eleos reduces progress note writing from 10-15 minutes to 2-4 minutes per session — reclaiming 4-6 hours per week. This addresses the number one driver of therapist burnout.
- Notes are generated from actual session content, not therapist memory: Manual notes rely on the therapist's post-session recall, which is inevitably incomplete and influenced by recency bias. Eleos captures what was actually discussed, ensuring the note reflects the full session content rather than what the therapist remembers best.
- Session analytics provide objective insight into clinical practice: Seeing that you use cognitive restructuring in 30% of sessions with anxiety clients but only 10% with depression clients — and that your depression outcomes are lower — provides actionable clinical insight. This data-driven self-reflection is difficult without objective session measurement.
- Risk identification serves as a safety net: In a busy community mental health practice with high caseloads, risk indicators discussed in session can sometimes not make it into the documentation. Eleos flags risk content, helping ensure it is documented and addressed. This has both clinical and liability implications.
- Organizational analytics support value-based care and accreditation: The ability to demonstrate EBP utilization, risk management practices, and documentation quality at the organizational level is increasingly valuable for payer contracting and accreditation (CARF, Joint Commission, state audits).
Cons
- Expensive — $200-$400/clinician/month is a significant investment: For a 50-clinician community mental health center, Eleos could cost $120,000-$240,000 per year. The ROI case requires demonstrating that reclaimed documentation time translates to increased clinical capacity (more clients seen), reduced burnout and turnover (lower recruitment and training costs), or improved documentation quality (fewer audit findings, better payer reimbursement). Organizations should build a detailed ROI model before committing.
- Not available to individual practitioners: As of mid-2026, Eleos is sold exclusively to organizations. Solo practitioners and small private practices cannot purchase Eleos directly. This is a strategic choice (enterprise sales are more efficient) but excludes the therapists who might benefit most from documentation relief — solo practitioners who handle all their own documentation.
- AI-generated notes still require therapist review and editing: Eleos's notes are drafts — typically 80-90% accurate, meaning the therapist still spends 2-4 minutes reviewing and correcting each note. AI-generated notes can over-emphasize certain themes, miss nuanced clinical judgments, or produce generic assessments. The therapist must treat the AI note as a draft that requires their clinical expertise to finalize.
- Client consent is required — and not all clients will consent: Recording therapy sessions is a significant request. Eleos requires explicit informed consent for audio recording and AI analysis. Consent rates in community mental health settings are estimated at 50-70% — meaning 30-50% of sessions cannot use Eleos. Organizations must maintain parallel documentation workflows for consented and non-consented sessions.
- Limited to the EHRs and behavioral health settings it integrates with: Eleos's EHR integrations are focused on behavioral health-specific platforms (Netsmart, Qualifacts, etc.). Therapists using general-purpose EHRs or small-practice platforms like SimplePractice, TheraNest, or TherapyNotes are not currently supported. The platform is also designed for behavioral health workflow — medical settings with both behavioral and physical health documentation may find Nuance DAX Copilot a more unified solution.
Frequently Asked Questions
How accurate are Eleos's auto-generated progress notes?
Eleos reports that its generated notes are approximately 80-90% clinically accurate based on internal validation studies — meaning the note correctly captures the major clinical content of the session but requires therapist review and editing for full accuracy. Common areas requiring correction: (1) Clinical nuance — the AI may correctly capture that a client talked about their relationship with their mother, but may not capture the therapist's clinical judgment that this reflects a pattern of intergenerational trauma rather than current relationship conflict. (2) Emphasis — the AI may give equal weight to all topics discussed, whereas the therapist knows certain topics are more clinically significant. (3) Risk assessment — Eleos flags risk language but does not make the clinical determination of risk level; the therapist must assess and document their clinical judgment about risk severity and management. (4) Technical jargon vs. plain language — Eleos's notes tend toward formal clinical language; therapists often edit for a more natural, client-centered tone. (5) Billing-required elements — Eleos includes required billing elements (diagnosis codes, CPT codes, session duration, modifiers), but the therapist must verify they are correct for each specific session and payer. The therapist review and editing process should take 2-4 minutes per note for routine sessions — substantially less than writing from scratch, but not zero. Therapists who sign AI-generated notes without review are both clinically and legally responsible for any errors, omissions, or misrepresentations in the documentation.
How does Eleos handle client consent for recording?
Eleos provides a structured consent workflow that addresses both ethical and legal requirements. During intake (or before the first recorded session), the therapist presents the Eleos consent form to the client, which explains: (1) the session will be audio-recorded, (2) the recording will be analyzed by AI to generate the therapist's clinical note, (3) the recording will be securely stored and will not be shared outside the clinical team, (4) the client can withdraw consent at any time for any reason — future sessions will not be recorded, but previously generated notes from recorded sessions will remain in the clinical record, (5) declining to record will not affect the quality of care. Clients sign the consent form electronically. The form can be customized to include state-specific language — for example, in two-party consent states, the form must explicitly state that both parties consent to recording; in one-party consent states, the legal requirement is satisfied by the therapist's consent, but Eleos recommends obtaining client consent as an ethical best practice regardless of legal requirement. The consent status is tracked in Eleos and linked to each session. Before each recorded session, the therapist should verbally confirm the client's ongoing consent — "Just confirming, is it still okay that I record today's session for my note?" — as consent is an ongoing process, not a one-time checkbox. Organizations should review their state's recording consent laws with legal counsel and configure Eleos's consent workflow accordingly. Eleos does not provide legal advice about recording consent — the organization is responsible for ensuring legal compliance.
What happens to session audio after Eleos processes it?
Eleos's data handling policy for session audio is configurable by the organization. The default configuration (and Eleos's recommendation): audio is uploaded to Eleos's HIPAA-compliant cloud, transcribed and analyzed by the AI, and then the raw audio file is deleted immediately after processing is complete — typically within 2-3 minutes of the session ending. The transcript is retained for the duration of the note-generation process and then may be retained or deleted based on organizational policy. Eleos recommends deleting the transcript after the note is signed, keeping only the final signed note in the EHR. Alternative configurations that some organizations choose: (1) Retain audio for a specified period (e.g., 30 days) for quality assurance or supervision review, then auto-delete. (2) Retain transcripts (but not audio) for a longer period for analytics purposes. (3) Delete all raw data immediately after processing — the most privacy-protective option, but limits subsequent analytics and supervision capabilities. Audio data is encrypted throughout — during upload, during processing, and while stored (if retained). Eleos's SOC 2 Type II certification audit verifies these data handling processes. Organizations should define their audio retention policy based on clinical needs (do supervisors need to review session audio?), legal requirements (does state law specify retention periods for session recordings?), and privacy principles (minimizing data retention reduces breach risk). This policy should be documented in the organization's policies and procedures and communicated to clients in the consent form.
Is Eleos a replacement for Lyssn, or do they serve different purposes?
Eleos and Lyssn serve different — and potentially complementary — purposes. The simplest distinction: Eleos solves the documentation problem; Lyssn solves the supervision and training quality problem. Eleos: ambient AI that listens during sessions and generates progress notes, tracks therapeutic techniques at a high level, identifies risk indicators, and provides organizational analytics on documentation and EBP utilization. It is designed for practicing clinicians who need documentation automation. Lyssn: post-session analysis of uploaded recordings that measures fidelity to specific evidence-based practices using formal fidelity scales (CTRS for CBT, MITI for MI). It is designed for clinical supervisors and training programs that need rigorous fidelity measurement. Some organizations use both: Eleos for daily documentation automation across all therapists, and Lyssn for periodic fidelity assessment — recording a sample of sessions (e.g., 2 sessions per therapist per quarter) and analyzing them through Lyssn to measure EBP fidelity for quality improvement and supervision. The two platforms are not competitive in the sense that choosing one does not preclude using the other — they address different points in the clinical workflow. Organizations should evaluate their primary need: if documentation burden is the pain point, Eleos. If supervision quality and EBP fidelity measurement is the priority, Lyssn. If both are priorities, the two platforms can coexist.