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    Terms of Service

    Last Updated: August 25, 2026

    Introduction and Acceptance

    These Terms of Service ("Terms") govern access to and use of the Thyra websites, applications, and services (collectively, the "Services") provided by Endo Mind, Inc. ("Endo Mind," "Thyra," "we," "us," or "our").

    By accessing or using the Services, you agree to these Terms. If you are using the Services on behalf of an organization, you represent that you have authority to bind that organization and you agree to these Terms on its behalf.

    If you do not agree to these Terms, do not use the Services.

    These Terms apply to visitors to our public websites and to end users who access the Services outside of a separate signed Customer Agreement. Customers using the platform under a Customer Agreement may be subject to additional terms.

    Our Privacy Policy is incorporated by reference and describes how we collect and use information.

    Definitions

    • "Customer" means the healthcare organization or business entity that contracts with Endo Mind to access the platform.
    • "Authorized User" means an individual authorized by a Customer to access the Services under the Customer's account.
    • "Patient" means an end user who interacts with a Customer's patient facing workflows, such as a portal or messaging experience, where enabled.
    • "Content" means information, data, text, audio, images, and other materials submitted to, stored in, or processed by the Services.
    • "Customer Content" means Content submitted by or on behalf of a Customer or Authorized Users, including PHI where applicable.
    • "PHI" has the meaning given by HIPAA.
    • "Order Form" means an ordering document, statement of work, or online checkout that specifies subscription details and fees.
    • "Documentation" means user guides, help materials, and other documentation we provide for the Services.
    • "Aggregate Data" means data derived from use of the Services that has been aggregated or de-identified so it cannot reasonably be used to identify an individual or a Customer.

    Eligibility

    You must be at least 18 years old and capable of forming a binding contract to use the Services.

    The Services are intended for use in the United States. Use may be restricted in other jurisdictions.

    Changes to These Terms

    We may update these Terms from time to time. We will post the updated Terms and update the last updated date on the page.

    Your continued use of the Services after an update constitutes acceptance of the updated Terms. If you do not agree, you must stop using the Services.

    The Services

    Thyra provides software intended to support clinical and administrative workflows. Features may include documentation support, task management, analytics, telehealth, and integrations.

    The Services do not provide medical advice and are not intended for emergency use. Customers remain responsible for clinical decision making and for complying with applicable law.

    Some features may be available only in certain environments or subject to configuration, approvals, or third party dependencies.

    We may release new features, modify features, or discontinue features. We will try to provide reasonable notice for material changes that impact Customers.

    Beta or preview features may be offered for evaluation purposes and may change or be discontinued. Beta features may not be appropriate for production use.

    Account Registration and Security

    You are responsible for safeguarding credentials and for all activities that occur under your account. You must promptly notify us of any unauthorized use of your account or suspected security incident by contacting support@thyrahealth.com.

    We may require multi factor authentication and other security controls to protect the Services.

    Customer Administration and Authorized Users

    Customers control who is an Authorized User, what permissions they have, and what Customer Content they can access.

    Customers are responsible for ensuring that Authorized Users comply with these Terms and applicable policies.

    Customers are responsible for maintaining appropriate administrative, clinical, and operational policies for use of the Services, including protocols and escalation pathways.

    Subscriptions, Pilots, and Fees

    Subscription terms, pricing, and any pilot period are described in an order form or written agreement between Endo Mind and the Customer (the "Customer Agreement"). If there is a conflict between these Terms and the Customer Agreement, the Customer Agreement controls for the Customer's use.

    Fees, Taxes, and Payment Terms. Fees, taxes, and payment terms are set out in the Customer Agreement. Customers are responsible for all applicable taxes except taxes based on our net income. Unless otherwise stated, fees are non refundable. We may provide credits or refunds in our discretion or where required by law.

    Auto Renewal. Unless an Order Form states otherwise, subscriptions renew automatically for successive terms of equal length. Customers may opt out of auto renewal by providing notice as specified in the Customer Agreement.

    Payment. If payment is made by credit card or ACH, you authorize us to charge the payment method for fees and applicable taxes. Late payments may result in suspension.

    Price Changes. We may change pricing for future subscription terms by providing notice prior to renewal.

    RCM and Other Optional Services

    Revenue cycle management and other optional services may be offered under separate terms, statements of work, or service agreements.

    If a Customer enrolls in an optional program, the applicable program terms govern that program. The platform subscription may be included or priced differently as described in the program terms.

    Third Party Services and Integrations

    The Services may support integrations with third party products or services. Third party services are not controlled by us and may be governed by separate terms and privacy policies.

    Customers are responsible for enabling integrations and for complying with third party terms. We are not responsible for third party outages, changes, or data handling outside our systems.

    Acceptable Use

    You may use the Services only for lawful purposes and in accordance with these Terms and applicable law.

    You must not:

    1. access the Services to build a competing product,
    2. reverse engineer the Services except where prohibited by law,
    3. interfere with or disrupt the Services,
    4. attempt to gain unauthorized access,
    5. upload malware or harmful code,
    6. use the Services to transmit unlawful, infringing, or abusive content, or
    7. use the Services to make clinical claims that you cannot support.

    We may suspend or terminate access for violations or to protect the Services.

    You must comply with all applicable laws and regulations, including HIPAA, state privacy laws, and professional standards.

    You must not use the Services to store or transmit data that you do not have the right to use, including data obtained unlawfully.

    SMS/Text Messaging Terms

    Program. Medical practices that use Thyra may send text messages to patients who have opted in. The practice named at the time you opted in is the sender of those messages; Endo Mind, Inc. ("Thyra") transmits them on that practice's behalf as its service provider.

    Consent. You are enrolled only if you affirmatively opt in — by checking an unchecked box, completing a form, or giving verbal or written consent recorded by the practice. Consent to receive text messages is not a condition of receiving care, of purchase, or of creating an account. Email and the secure patient portal are always available instead.

    Message types. Appointment reminders and confirmations, cancellation and reschedule handling, patient-portal invitations, and account and security notifications. These are transactional messages. The program does not send marketing or promotional messages and does not use purchased or rented lists.

    Frequency. Message frequency varies and depends on your appointments and account activity.

    Cost. Message and data rates may apply. Thyra and the practice do not charge for the messages themselves; your mobile carrier's standard rates apply.

    Opt-out and help. Reply STOP to any message to stop receiving texts from that practice; you will receive one confirmation and then no further messages. Reply START to resume. Reply HELP for help, or use the support contact shown in the message.

    Carriers. Mobile carriers are not liable for delayed or undelivered messages. Delivery is not guaranteed and depends on your carrier and device. Do not rely on text messages for urgent or emergency medical needs — call the practice, or 911 in an emergency.

    Privacy. Mobile opt-in information and consent are never sold, rented, or shared with third parties or affiliates for their own marketing purposes, and are not shared with any third party for any purpose other than delivering the messaging service you requested. See our Privacy Policy.

    Questions. Contact the practice that sent the message using the support details it provides, or reach Thyra at privacy@thyrahealth.com.

    Intellectual Property

    We and our licensors own the Services, including software, interfaces, and documentation, and all related intellectual property rights. Customers and users retain their rights in Customer Content. Customers grant us a limited, non-exclusive license to host, process, transmit, and display Customer Content solely to provide and improve the Services and as permitted by the Customer Agreement and applicable law. Nothing in these Terms transfers ownership of intellectual property rights to you.

    Feedback

    If you provide suggestions, ideas, or feedback, you grant us the right to use them without restriction or compensation, and without any obligation to you.

    Confidentiality

    Confidential information includes non-public business, technical, or product information disclosed by one party to the other. Each party will use the other party's confidential information only to perform under the agreements and will protect it using reasonable care. Confidentiality obligations do not apply to information that is publicly known, independently developed, or rightfully obtained without restriction.

    Health Data, HIPAA, and BAA

    If Customer Content includes PHI, the parties will enter into a BAA where required by HIPAA. Customers are responsible for determining whether they are a Covered Entity under HIPAA and whether a BAA is required for their use case. When a BAA applies, it governs our use and disclosure of PHI and may supplement these Terms. Customers remain responsible for providing patients with required notices and obtaining any consents required for their workflows.

    Security

    We maintain a security program designed to protect the confidentiality, integrity, and availability of the Services and Customer Content. Security controls may include access controls, encryption in transit, audit logs, backups, and monitoring. No system is 100 percent secure. Customers are responsible for configuring their environment and managing user access appropriately.

    Customers are responsible for maintaining administrative safeguards within their organization, including user provisioning, role management, and appropriate training. Customers should promptly remove access for users who no longer require it and should review audit trails periodically.

    Support and Maintenance

    Support levels, response times, and maintenance windows may be described in the Customer Agreement. We may perform maintenance and upgrades that result in temporary downtime. Where feasible, we will provide notice.

    Disclaimers

    THE SERVICES ARE PROVIDED "AS IS" AND "AS AVAILABLE". TO THE MAXIMUM EXTENT PERMITTED BY LAW, WE DISCLAIM ALL WARRANTIES, INCLUDING IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, AND NON INFRINGEMENT. WE DO NOT WARRANT THAT THE SERVICES WILL BE UNINTERRUPTED, ERROR FREE, OR THAT CONTENT WILL BE ACCURATE OR COMPLETE.

    CLINICAL USERS MUST EXERCISE PROFESSIONAL JUDGMENT. Clinical decision support and documentation assistance tools are intended to support, not replace, professional judgment. Customers and clinicians remain responsible for reviewing outputs before acting on them. We do not guarantee reimbursement outcomes, collections, or clinical outcomes. Any examples, calculators, or estimates are illustrative.

    Limitation of Liability

    TO THE MAXIMUM EXTENT PERMITTED BY LAW, IN NO EVENT WILL ENDO MIND BE LIABLE FOR INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL, OR PUNITIVE DAMAGES, OR FOR LOSS OF PROFITS, REVENUE, DATA, OR GOODWILL, EVEN IF ADVISED OF THE POSSIBILITY. TO THE MAXIMUM EXTENT PERMITTED BY LAW, OUR TOTAL LIABILITY ARISING OUT OF OR RELATED TO THE SERVICES WILL NOT EXCEED THE AMOUNTS PAID BY THE CUSTOMER TO US FOR THE SERVICES IN THE 12 MONTHS BEFORE THE EVENT GIVING RISE TO THE CLAIM. Some jurisdictions do not allow certain limitations. In those cases, limitations apply to the greatest extent permitted by law.

    Indemnification

    You will indemnify and hold Endo Mind harmless from claims arising out of your use of the Services, your Content, or your violation of law, except to the extent caused by our gross negligence or willful misconduct.

    Suspension and Termination

    We may suspend or terminate access if we reasonably believe there is a security risk, a violation of these Terms, or a legal requirement. Customers may terminate according to the Customer Agreement. Upon termination, access will end and we will handle Customer Content as described in the Customer Agreement and, if applicable, the BAA.

    Governing Law and Dispute Resolution

    These Terms are governed by the laws of the State of Delaware, excluding its conflict of laws rules. Before filing a claim, the parties agree to try to resolve disputes informally by contacting support@thyrahealth.com. Any legal action must be brought in state or federal courts located in Delaware, unless a Customer Agreement provides a different dispute resolution process. Nothing in this section prevents either party from seeking injunctive or equitable relief to protect its confidential information or intellectual property.

    Export and Sanctions

    You may not use the Services if you are located in a country subject to U.S. embargo or if you are prohibited under U.S. export control or sanctions laws.

    Miscellaneous

    If any provision of these Terms is found unenforceable, the remaining provisions remain in effect. You may not assign these Terms without our prior written consent. We may assign these Terms in connection with a merger, acquisition, or sale of assets. These Terms, together with any Customer Agreement, constitute the entire agreement regarding the Services for the relevant parties.

    Force majeure. Neither party is liable for delays or failures caused by events beyond reasonable control, such as natural disasters, internet outages, or government actions.

    Electronic communications. You consent to receive notices and communications electronically, including by email and through the Services.

    Contacting Us

    Questions about these Terms should be sent to support@thyrahealth.com.

    Endo Mind, Inc. Delaware, United States.