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Included Health

All-in-one healthcare navigation and virtual care platform for employers and health plans, formed from the Grand Rounds / Doctor On Demand merger

Virtual Care & NavigationCare Navigation & Virtual CareFounded 2011 (as Grand Rounds; rebranded Included Health in 2021) · San Francisco, CA, USAWebsite

Updated 3d ago

Valuation

$1.3B

as of Sep 2020

Total raised

$344M

Series E

Est. revenue

$1.0B

~2025

Momentum

7/10

Maturity

8/10

Headcount

~1.7K

Valuation trajectory
Disclosed post-money valuation at each round
Business focus

Integrated healthcare navigation plus virtual care delivery for employers, health plans, and public-sector purchasers. Combines Grand Rounds' care navigation/expert medical opinion, Doctor On Demand's 50-state telehealth medical group (primary, urgent, behavioral health), specialty virtual clinics, and communities-focused care (LGBTQ+, Black health), increasingly fronted by the Dot AI assistant with employed clinicians in the loop, Provider Connect AI steerage, and a new alternative health plan design offering.

Revenue model

B2B per-member-per-month (PMPM) subscription fees paid by self-insured employers and health plans (navigation, virtual care, and integrated tiers, reportedly ~$2-$10 PMPM), plus visit/case-based fees for telehealth and expert medical opinion services (~75% of revenue is subscription per third-party analysis); the January 2026 alternative plan design pushes toward larger plan-level economics, and current Billing Specialist hiring signals continued fee-for-service claims volume.

No audited figures public since the 2022 S-1 was shelved. Business Insider (2025) reported the company is profitable (since end-2023) with growing sales; third-party analyses place annual run-rate 'north of $1B' as of 2025 — treat as a directional press/analyst estimate, not a disclosed number. Serves 300+ employer and health-plan clients covering roughly a third of the Fortune 500 and ~10M members. Fact-check note (2026-07-05): total raised corrected from $346M to $344M per Crunchbase (7 rounds); PitchBook reports $331M and Forge $529M (likely including Doctor On Demand rounds) — figures vary by tracker. Series E ($175M, Sep 2020, Carlyle lead, $1.34B valuation), CEO Owen Tripp, headcount ~1,726 (Revelio Labs, May 2026), no primary raise since 2020, and no IPO/acquisition as of July 2026 all independently confirmed.

Strategy

Stated: become the single 'front door' for healthcare — 'All-Included Care' blending AI efficiency with human clinicians ('AI + EQ'), guiding members to high-quality, cost-effective care. Inferred: move up-stack from point solution to plan-level infrastructure — the January 2026 alternative plan design (now backed by dedicated client-facing APD Director hiring at $205K-$245K) positions Included Health as a quasi-health-plan replacement for self-insured employers; Dot (member-facing AI) and Provider Connect (AI provider steerage, 45B data points / 140M patients, ~$700 year-1 savings per converted referral) attack cost-of-care directly; a nationwide RCT with Google Research builds gold-standard evidence for clinical AI; distribution into payers continues via Doctor On Demand network deals (e.g., BCBS Minnesota); IPO optionality kept alive via profitability and an Optum-pedigree CFO.

Moat

Longitudinal member data (claims + benefits + clinical records + navigation interactions) fused with an employed 50-state medical group — competitors have either the data/navigation layer or care delivery, rarely both. Enterprise switching costs are high once navigation is wired into a benefits ecosystem; the clinician-in-the-loop AI governance framework plus RCT-grade evidence generation with Google Research gives it a trust and evidence advantage over consumer AI entrants in regulated employer channels, and an internal GenAI platform (Wordsmith) lets it ship AI features across the stack.

Future bets

Dot as the AI front door to all care

high

18 months of development, >10B tokens processed, launched Dec 2025 across ~300 clients, won a 2026 BIG Innovation Award, and now hosts Provider Connect flows (find doctor, cost estimate, book) — exec framing is explicitly that it must out-personalize Big Tech chatbots.

Becoming an alternative to the traditional health plan

high

January 2026 'alternative plan design' launch moves Included Health from benefits add-on to plan-level architecture, and July 2026 hiring of a dedicated client-facing APD Director (15+ yrs, sales/solution-consulting, $205K-$245K) shows the company is building a commercial motion around it — a much larger revenue pool per member.

AI-driven provider steerage and cost containment

high

Provider Connect (May 2026) matches members to high-quality, cost-effective providers using 45B data points across 140M patients, with claimed 92% lift in top-quartile clinician connections and ~$700 year-1 savings per converted referral — directly monetizing employers' #1 problem, cost trend.

Owning the 'safe, evidence-based clinical AI' standard for enterprise healthcare

medium

June 2026 publication of a clinically governed AI framework, a buyer-facing 'four-part framework for buying health AI' op-ed, and a nationwide randomized controlled trial of conversational AI run with Google Research on its real-world virtual care population — a play to make trust and RCT-grade evidence the buying criterion where it beats pure AI startups.

Deepening integrated care quality and clinical operations at scale

medium

Current hiring for an Associate Clinical Director of Integrated Care Quality (NP/MD) plus billing operations roles signals continued build-out of the employed clinical organization and quality governance underneath the AI layer — the human infrastructure the clinician-in-the-loop model depends on.

IPO when the window reopens

medium

Prior S-1 (2022, withdrawn), reported profitability since end-2023, an ex-OptumHealth CFO hired in 2024, and active pre-IPO secondary trading (NPM-priced) all point to a re-attempt; timing depends on market conditions and no new signals in 1H 2026 suggest imminence.

Recent moves

Jul 5, 2026

Actively hiring an Alternative Plan Design (APD) Director — a client-facing solution-consulting role to commercialize the APD offering — plus integrated care quality and billing roles (Lever postings)

Jun 17, 2026

Published a framework for safe, clinically governed AI in healthcare, staking out an enterprise AI-trust position

Jun 10, 2026

Named to Newsweek's America's Greatest Workplaces in Health Care 2026

May 12, 2026

Launched Provider Connect, an AI-powered solution embedded in Dot steering members to high-quality, cost-effective in-network providers (45B data points, 140M patients; ~$700 year-1 savings per converted referral)

Feb 3, 2026

Google Research announced a nationwide randomized controlled study of conversational AI in real-world virtual care in collaboration with Included Health — a first-of-its-kind evidence effort for medical AI

Jan 28, 2026

Announced expansion of its integrated model with a new alternative health plan design focused on quality and affordability — a step toward replacing traditional plan constructs

Jan 15, 2026

Dot by Included Health named winner of a 2026 BIG Innovation Award

Jan 13, 2026

Blue Cross and Blue Shield of Minnesota added Doctor On Demand virtual primary care to its provider network

Dec 11, 2025

Launched Dot, a personalized AI health assistant with clinician-in-the-loop escalation, positioned against Verily, Google, and OpenAI consumer health AI

Jun 2025

Business Insider reported the company is profitable and growing three years after shelving its 2022 IPO filing

Aug 8, 2024

Hired Mark Flakne (ex-CFO of OptumHealth) as CFO, widely read as IPO preparation

Jun 12, 2024

CalPERS partnered with Included Health to bring all-in-one healthcare service to its members — a marquee public-sector win

Key people

Owen TrippCo-founder & CEO

Co-founded Grand Rounds in 2011 and has led the company through the Doctor On Demand merger and rebrand; previously co-founded Reputation.com.

Dr. Lawrence 'Rusty' HofmannCo-founder

Stanford interventional radiologist who co-founded Grand Rounds with Tripp to scale expert medical opinions.

Robin GlassPresident

Former Doctor On Demand president; leads commercial and client organization; named a Top 25 Digital Health Executive in 2025.

Mark FlakneCFO

Joined August 2024 after 11 years at UnitedHealth Group, most recently CFO of OptumHealth; widely read as an IPO-readiness hire.

Nupur SrivastavaChief Operating Officer

Longtime Grand Rounds/Included Health product executive driving the Dot AI assistant; named to Modern Healthcare's 2026 Leading Women list (March 2026).

Dr. Ami ParekhChief Health Officer

Physician executive (formerly UCSF) responsible for clinical quality and the clinician-in-the-loop AI model; Fierce Healthcare influential executive honoree 2025.

Strengths
  • Full-stack model: owns both the navigation layer and an employed 50-state clinician workforce, so it can act on guidance rather than just refer
  • Enterprise scale and distribution: 300+ employers/health plans, roughly a third of the Fortune 500, and marquee public-sector wins like CalPERS
  • Reportedly profitable since end-2023 with double-digit revenue growth since 2021 — rare among digital-health unicorn peers
  • Deep proprietary data (claims, benefits design, clinical records; Provider Connect draws on 45B data points across 140M patients) powering personalized AI like Dot that generic chatbots cannot match
  • Credible AI safety and evidence posture: clinician-in-the-loop escalation, a published clinical AI governance framework (June 2026), and a nationwide randomized controlled trial of conversational AI with Google Research (announced Feb 2026)
  • Experienced leadership bench with payer-side depth (CFO ex-OptumHealth) and long-tenured product/clinical executives; repeat best-workplace recognition (Newsweek 2026, Built In 2026) supports talent retention
Weaknesses
  • No primary fundraise since September 2020; last disclosed valuation ($1.34B) is stale and secondary-market pricing (NPM estimate ~$1.63/share as of May 2026) suggests muted appetite
  • Navigation/advocacy is a crowded, commoditizing category (Transcarent-Accolade, Quantum Health, payer-owned navigators) with heavy RFP price pressure
  • Core telehealth visit business is low-margin and mature, diluting the higher-value navigation story
  • Complexity from stitching together three merged companies (Grand Rounds, Doctor On Demand, Included Health) across products, brands, and tech stacks
  • Revenue concentration in self-insured employer benefits budgets, which are under the worst cost pressure in 15 years
  • Alternative plan design is early-stage commercially — the company is still hiring its first dedicated client-facing APD sales/consulting leaders as of July 2026, so plan-level revenue is largely unproven
Risks
  • Consumer health AI from OpenAI, Google/Verily, and other Big Tech could commoditize the guidance layer Dot monetizes — management itself frames Dot as a defense against this, and its Google Research collaboration is double-edged (evidence partner today, potential competitor tomorrow)
  • Transcarent's merger with Accolade created a larger, aggressively priced direct competitor in employer navigation
  • Employer benefits budget cuts and point-solution fatigue amid the steepest healthcare cost trend in 15 years could compress PMPM pricing and win rates
  • Regulatory and liability exposure for AI chatbots giving health guidance (state telehealth and AI clinical-use rules are tightening); the nationwide AI RCT could also surface unflattering results
  • Prolonged private status without new capital limits M&A firepower and could pressure employee retention if the IPO window stays shut
  • Moving to plan-level 'alternative plan design' economics puts it in more direct conflict with the carriers and TPAs it must still work through
Ecosystem

Technologies

LLM personal health assistant (Dot)clinician-in-the-loop AIAI provider matching / steerage (Provider Connect)internal GenAI/LLM platform (Wordsmith)telehealth platform (Doctor On Demand)claims + benefits data integrationclinical AI governance frameworkcare navigation platformrandomized controlled trial infrastructure for clinical AI (with Google Research)

Partnerships

Google Research (nationwide RCT of conversational AI in virtual care)CalPERSBlue Cross and Blue Shield of Minnesota300+ employer and health-plan clients (~one-third of the Fortune 500)The Carlyle Group (lead investor)
Change history
Jul 8, 2026 · news

Council Bluffs Community Baby Shower addresses gaps in maternal and infant healthcare in Iowa - KMTV 3 News Now (KMTV 3 News Now)

Jul 5, 2026 · metric-change

Total raised updated after full re-research.

Jul 5, 2026 · seed

Intelligence profile re-researched for Included Health.

Jul 5, 2026 · news

Hiring: Associate Clinical Director, Integrated Care Quality (NP/MD) — Remote (Lever)

Jul 5, 2026 · news

Mercy Helps Position St. Louis as Global Gateway for Healthcare Innovation - mercy.net (mercy.net)

Jul 5, 2026 · seed

Initial intelligence profile created for Included Health.