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Pivotal Health

Pivotal Health

Private
Santa Monica, CaliforniaHealthcare & Life Scienceshttps://pivotalhealth.ai

Last Round

VC Round

Dec 4, 2025

Total Funding Raised

$1.3M

Momentum

Top 5%

of companies Caplight tracks

Company Overview

Pivotal Health operates in Healthcare & Life Sciences and is based in Santa Monica, California. Its latest recorded funding round was a VC Round in December 2025.

Pivotal Health is a healthcare technology company that provides an end-to-end Independent Dispute Resolution (IDR) platform designed to help healthcare providers manage claims and secure fair reimbursement through data intelligence and automation.

Sector

Healthcare & Life Sciences

Verticals

Revenue Cycle, Compliance & Risk, Vertical SaaS, NLP & Conversational AI, Workflow Automation

Business Model

B2B

Customer Profile

Revenue Share

AI Layer

Application

Historical Pricing

Historical view of private secondary pricing and transaction trends.

Pricing history

Caplight clients see full MarketPrice™ history and secondary transactions.

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Caplight Momentum Score

Proprietary index based on bid/ask volume and sentiment.

Momentum history

Caplight clients track how buyer interest and sentiment change over time.

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Pivotal Health Comparables

Compare Pivotal Health with similar companies based on industry and business-model similarity.

Pivotal Health comparables — related companies by embedding similarity
CompanySimilarityMarket Cap
Zelis
79%
RevGuard
78%
SmarterDx
75%
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Pivotal Health Funding Rounds

Historical fundraising activity

Data table
RoundDateAmount RaisedValuationInvestorsSources
VC RoundDec 4, 2025
SeedNov 19, 2021
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Key People

Founding team and executive leadership

Josh Folds

Co-Founder & COO

Founding Team

Felix Lung

Chief Technology Officer

Executive Team

Jonathan Crawley

Chief Financial Officer

Executive Team

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Pivotal Health Investors

Notable investors and investment history

Pivotal Health investors
InvestorRounds
Comeback CapitalVC Round, Seed
Tundra AngelsVC Round, Seed
Afore CapitalVC Round
Bessemer Venture PartnersVC Round
Skypoint VenturesVC Round, Seed
SymphonyAlpha VenturesVC Round, Seed
Alumni VenturesVC Round

Market signals

Structured signals derived from secondary market and firmographic data.

  • Aug 26, 2026

    Named a top 10 participant in the government's IDR process.

  • Aug 16, 2026

    Grew 55% QoQ, from 66 to 102 employees.

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Recent news

Latest coverage and updates

  • partners_withSep 24, 2026

    Pivotal Health and MHA partner to bring specialized, responsible IDR expertise and solutions to more than 75 hospital members in Massachusetts, supporting fair reimbursement under the No Surprises Act on Sep 28th '26.

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Pivotal Health Filings

Explore SEC and related filing metadata, where available.

Pivotal Health filings preview — column headings only; records require access
TypeDateAmount OfferedAmount SoldFilingPagesDownload

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Frequently Asked Questions

Common questions about Pivotal Health's valuation, stock price, and market status.

Is Pivotal Health a public or private company?

Pivotal Health is a private company.

What is the current stock price of Pivotal Health?

Pivotal Health is a private company, so its shares have no public market price. Caplight tracks Pivotal Health's secondary market activity and provides MarketPrice™ estimates of its share price to Caplight users.

How much is Pivotal Health worth (valuation)?

Valuation information for Pivotal Health is not publicly available.

Can I buy Pivotal Health stock?

Pivotal Health shares may be available on secondary markets subject to transfer restrictions. Caplight facilitates secondary market transactions for accredited investors.

When was Pivotal Health's last funding round?

Pivotal Health's most recent funding round was VC Round on December 4, 2025.

Who are the main investors in Pivotal Health?

Key investors in Pivotal Health include Bessemer Venture Partners.

Will Pivotal Health IPO soon?

No public IPO plans have been announced for Pivotal Health.

How can I track Pivotal Health secondary market activity?

Caplight tracks bids, offers, and trades in Pivotal Health's shares on secondary markets.

Firmographic Details

HeadquartersSanta Monica, California
Employee Range87
Year Founded2022
Last FundingDec 4, 2025

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