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Articles by Nick
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Instructure is Utah's newest $Billion Company
Instructure is Utah's newest $Billion Company
Last week one of our LP's sent us the snapshot you see above when Instructure closed at $34.05 and a market cap as…
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6K followers
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Nick Efstratis shared thisWorkday VNDLY came out of Cincinnati. Cloud vendor management for the extended workforce — contractors, SOWs, the people who aren't on the W-2 roster. Shashank Saxena and Narayana Surabhi co-founded it. Shashank was CEO. EPIC was in from the seed. Workday acquired them in 2021. Workday's own announcement put the deal at about $510 million. We're still working with that team on Pantomath — Shashank, Somesh Saxena, Narayan, Chuck Mobley, and others from VNDLY. More on that later. Proud of that group. Great to have been invested. https://lnkd.in/eqX4Yexg
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Nick Efstratis shared thisWe seeded Mozy in 2005. Online backup, before there was a real cloud backup product. Josh Coates founded it and was CEO. He was uniquely qualified. He'd already been building internet-scale storage at Berkeley, Scale Eight, and the Internet Archive. Zach Wily ran engineering. Vance Checketts was COO. Keith Tanaka ran sales. A handful of the early team: Dave Robinson, Patrick Bozeman, Jared Wilks, Jonathan Elliss, and Devin Knighton, Ph.D., APR. Twenty-seven months later we sold it to EMC, now Dell. TechCrunch put the deal at $76 million. That deal didn't leave Utah. Vance later said the Utah team grew by a thousand people, to about 1,300. Mozy itself scaled to about $100M ARR. Josh and Zach went on to build Instructure. I wrote about that here: https://lnkd.in/ercc_XZr Seeded and sold. Proud of that team. Great to have been invested. https://lnkd.in/eEWpfsmPKKR and Dragoneer Complete Acquisition of InstructureKKR and Dragoneer Complete Acquisition of Instructure
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Nick Efstratis shared thisiovation came out of Portland. Device reputation for fraud, before most people had a word for it. Greg Pierson, Jon Karl, and Molly O'Hearn co-founded it, with Greg as CEO. Scott Waddell as CTO, Doug Shafer as CFO, and Brian Walter running technology and product engineering. By the time TransUnion acquired them in 2018, they were covering nearly 5 billion devices for more than 35,000 brands in over 50 countries. That's from TransUnion's own announcement. EPIC made 14x. We're still writing checks in Oregon. Two recent ones: GetWhys with Philippe Boutros, and Knapsack with Chris Strahl. More on those in another post. Proud of that iovation team. Great to have been invested. https://lnkd.in/g9WVE9UKTransUnion Announces Agreement to Acquire iovation to Strengthen Fraud and Identity SolutionsTransUnion Announces Agreement to Acquire iovation to Strengthen Fraud and Identity Solutions
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Nick Efstratis shared thisI still remember the early Canvas board decks. A handful of customers. It was not obvious. Then it was. About 200 million learners now, more than 100 countries. When KKR and Dragoneer closed, they put Instructure at about $4.8 billion. EPIC wrote the first institutional check. I stayed on the board through the IPO in 2015, when the market was ugly and we went anyway. Brian Whitmer and Devlin Daley founded it. Josh Coates ran it. A handful of the early team that drove the breakout: Matt Kaminer, Jeff Weber, Steve Kaminsky, Marc Maloy, Misty Frost (now sadly deceased), Zach Wily, Cade Krueger, Mitch Macfarlane, Mitch Benson, heather kane, Davis Bell, Melissa Loble, Tara Gunther, Sunny Washington, and Jared Stein. Proud of that group. Great to have been invested. https://lnkd.in/gBWfgzN3KKR and Dragoneer Complete Acquisition of InstructureKKR and Dragoneer Complete Acquisition of Instructure
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Nick Efstratis shared thisThis is the first in a few posts about legacy EPIC investments that are still thriving. EPIC was a seed investor in Ancestry. First institutional check. I sat on the board up until the IPO. Look at it today. 3.8 million subscribers. 29 million people in the DNA network. 71 billion records. Ancestry’s own team page puts 2024 revenue at more than $1.3 billion. We’re still close with Tim Sullivan, who led the company as CEO and later as Chairman, and with Howard Hochhauser, now President and CEO. Grateful for both of them, and for what that team has built. Great to have been invested. Ancestry: https://www.ancestry.com/ | https://lnkd.in/gBReiMCf Howard Hochhauser: https://lnkd.in/g93jWPsx Ancestry’s 2025 impact report: https://lnkd.in/gT3BUqGx Revenue figure: https://lnkd.in/gBNwbe22
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Nick Efstratis shared thisCheck out Nate Walkingshaw’s latest from Torus. Nate’s been calling Torus the shock absorber for the grid. Hybrid inertia plus firm storage, built in Salt Lake at GigaOne, taking congestion off the line instead of waiting years for new transmission. GigaOne is already setting production records six months in. That’s the company we backed at seed. Proud of Nate, Gilbert Lee, and the team. Great to be invested. Nate Walkingshaw: https://lnkd.in/gY9wPNXh Torus: https://www.torus.co/ | https://lnkd.in/gaqvBvjX Nate on Energy Empire: https://lnkd.in/gVq8jGG9 GigaOne: https://lnkd.in/g_8RqcJvTorus GigaOne Sets Production Records Six Months After Coming OnlineTorus GigaOne Sets Production Records Six Months After Coming Online
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Nick Efstratis shared thisCheck out Mike Kadin’s latest from RedCircle. Spotify wants podcasts. YouTube wants podcasts. Everybody wants the next big show. Mike’s been asking the question that actually matters: who owns the audience? Distribution is a rental. The tools to build, understand, and monetize that audience, on your terms, wherever they listen, that’s the business. Proud to be on the board. Great to be invested. Mike Kadin: https://lnkd.in/gjU5H7Ni RedCircle: https://redcircle.com/ | https://lnkd.in/gteUP6qQ His post: https://lnkd.in/gmyuz7gqNick Efstratis shared thisI'm the co-founder of the #1 platform for podcast advertising. Spotify wants podcasts. YouTube wants podcasts. Everyone wants the next big show. And when the biggest platforms start fighting for creators and their audiences, it changes the game. But I think creators should be asking a bigger question: Who actually owns the audience? Distribution matters. But building an audience you can take with you matters more. The future of podcasting isn't just about being everywhere. It's about having the tools to build, understand, and monetize your audience wherever they choose to listen.
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Nick Efstratis posted thisCheck out the latest from CIONIC. Fast Company just named them one of the World's Most Innovative Companies of 2026. Jeremiah Robison and the team shipped Neural Sleeve 2 last fall. FDA-cleared to improve walking and reduce muscle spasms. Proud to be on the board. Amazing team. Great to be invested.
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Nick Efstratis posted thisSewerAI is breaking out. Congrats to Matthew Rosenthal, Billy Gilmartin and the amazing team on the strategic growth round led by JMI Equity. Excited to keep working alongside Innovius Capital, Bentley Systems and the new partners at JMI. Proud that EPIC Ventures is continuing in this one. 2,000+ cities and 850,000+ inspections through AutoCode. This is AI going to work on infrastructure that actually matters. Great to be invested.
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Nick Efstratis liked thisNick Efstratis liked thisShow, not Tell Series. I have noticed a lot of my feed is big round announcements, hero valuations, and very few announcements about delivering real value. So, moving forward, my goal is to show you our intention. Torus is to build big, build smart, and deploy as much infrastructure to get us out of this capacity and power bind as much as possible. More importantly, it shows the amazing work of a collective group of folks aligned around building America's first flexible grid at scale. Project Feedmill: Connecting 10mw of Torus Stations to existing solar and enrolling units into grid stabilization events, whether that be demand response or long-duration firming for load. We build the hardware, software, and firmware to manage the entire stack! More to come. #shownottell #energystorage #grid Enjoy!
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Nick Efstratis liked thisNick Efstratis liked thisEvery 100 days, we gather as a company during “Demo Days.” It’s a time to review our progress, share our work, align on priorities, recommit to our core values and guiding principles, and plan for the next 100 days. While it’s always wonderful to get the team together in one space, this past 100 days was particularly special because we invited family and friends to experience GigaOne and see our products coming off the line. It’s a massive accomplishment to manage almost 600,000 square feet of production, and I am so grateful to our team and those who support them for helping us get to where we are today: - 76% increase in production since the beginning of 2026 - Opening a new production line every 21 days - Support for thousands of local families across small business vendors and Tier One suppliers In July, we invited our team members’ families and friends to see what we’re building at GigaOne. I can’t thank our crew and their loved ones enough for getting us to where we are today.
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Nick Efstratis liked thisNick Efstratis liked thisPatients may compare reviews before they ever call. For multi-location groups, that creates a challenge: one location may have fresh reviews and timely responses while another falls behind. Those gaps can make the same brand feel very different from one location to the next. This guide shows how to create a more consistent review process across locations, strengthen patient trust, and get a clearer view of your reputation at scale. 👉 See how to close reputation gaps across locations: https://bit.ly/4y4HOc0 #HealthcareReputationManagement #PatientReviews #MultiLocationHealthcare #PatientExperience #PracticeGrowth #Solutionreach
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Nick Efstratis liked thisNick Efstratis liked thisTorus builds infrastructure that makes power more reliable and affordable. Demand keeps climbing, and we're scaling to meet it. Everyone on our team plays a direct role in strengthening energy resilience for communities across the country. If that sounds like your kind of work, we want to hear from you. Check out our open roles 👀 - Senior Sourcing Manager – Strategic Accounts - Supplier Quality and Reliability Engineer - Sourcing Contract Administrator - Real Estate/Land Use Paralegal (Commercial) - Electrical Test Engineer - Senior Network Engineer Application links posted in comments ⬇️
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Nick Efstratis liked thisNick Efstratis liked thisFinding the problem early costs a lot less than fixing it after it fails. Two very different teams are putting that into practice with the same five-step approach to turn CCTV inspection data into a capital plan they can stand behind. 👉 Take a look: https://lnkd.in/gG-Ckr6M
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Nick Efstratis liked thisNick Efstratis liked thisJust the founders talking. September 22 at 11am MDT, Chris Strahl & Evan Lovely sit down for an unfiltered conversation about AI in design systems. What's working, what's not, and what they're thinking about next. No panel. No marketing speak. Just real talk. Register: https://lnkd.in/gXfjgphaKnapsack Founders - Real Talk about AI in Design Systems · Zoom · LumaKnapsack Founders - Real Talk about AI in Design Systems · Zoom · Luma
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Nick Efstratis liked thisNick Efstratis liked thisOne of the most present dilemmas in how to use AI is the balance of using the tools companies provides us and ownership / control of how they work. A clear example of how this hit me in the past 30 days: I have Claude Code configured to hand off read-heavy work to subagents. Measured across 515 session transcripts, that went from ~30 calls a day the week of August 14 to zero across 3,564 turns the following week. My config never changed. The cause is two sentences compiled into the Claude CLI binary telling the model (Opus 5) not to delegate unless the user explicitly asks. The personal version of this is an annoyance. I add a clause to my prompt and move on. The company version is different. We distribute standard agent workflows to our engineers: subagents, decomposition rules, instructions authored once by a platform owner and inherited by everyone. A hardcoded directive outranks that too. Which means an organization has no supported way to standardize agent behavior for its own people, and no way to notice when it stops working except by counting tool calls after the fact. If you are standardizing agent workflows for a team, precedence is the question to ask now. After some lengthy investigation, I did find others that ran into this: https://lnkd.in/gBQ4NHXK It is a loud and clear reason to switch from the Claude application to something that can support multiple harnesses.
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Nick Efstratis liked thisReposting this from Sam Alexander because it gets at the real problem with design systems. When you run evals against a design system, you're measuring three things: - Fidelity (does it look right?) - Adoption (is the right affordance used for the right scenario?) - Cost per quality outcome (how much does quality cost?) These conflict. You can't optimize all three at once. There's no off-the-shelf factory for this. You're choosing between tradeoffs, each valid, none perfect. Designers are trained for exactly this problem. Give them evals and give them the framework to own the decision. Knapsack Evals are live. Capacity is full right now, but demand tells us this is real. Join the waiting list if you want in. Link in comments.Nick Efstratis liked thisWhen running evals against a Design System, you're looking for metrics that fall within 3 general metric families: - Fidelity (does it look right?) - Adoption (is the right affordance used for the right scenario?) - Cost per Quality Outcome (how much does quality cost?) These objectives can conflict. A system might produce higher-fidelity results by writing its own components or improve adoption through spending 20 turns rooting through node_modules or fetching web pages. You can't solve this with an off-the-shelf factory or agent. Choosing between conflicting objectives creates a Pareto Frontier of possible, non-optimal solutions - all with tradeoffs. Designers are trained in this kind of problem. Equipping your designers with Evals just gives them additional superpowers.
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2CarrotsVC | Healthcare
269 followers
GenHealth.ai has raised $16.5M in a Series A led by Flare Capital Partners (Victor Lanio), with participation from Craft Ventures (Bryan Rosenblatt, Jeff Fluhr), Obvious Ventures, Eniac Ventures, InHealth Ventures, Epsilon Health Investors, LLC and ARTIS. The round brings the company’s total funding to $29.5M. Founded in 2023 by Ricky Sahu and Ethan Siegel, GenHealth.ai builds AI agents that run healthcare back-office workflows including intake, eligibility, prior authorization, billing, and denials inside existing EHRs and payer systems. Led by CEO Ricky Sahu, the company’s agents are powered by a Large Medical Model trained on data from 140M+ patients. GenHealth.ai works with medical groups, DME suppliers, and health plans, with customers reporting 30%+ higher payments. The new funding will support the expansion of GenHealth.ai’s engineering and go-to-market teams, extend its AI agents into more workflows for provider groups and health plans, and further develop the underlying medical AI model. The company has also grown to 20+ employees since its seed round. #HealthTech #DigitalHealth #HealthcareAI #AI #RevenueCycleManagement #VentureCapital #Fundraising #HealthcareInnovation #HealthTechStartups
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Times of Startups
4K followers
Greater Good Health, a premier partner to risk-bearing organizations in managing total cost of care, announced today a $20.5 million Series B financing led by Allumia Ventures, along with up to $12.5 million in a venture debt facility from HSBC Innovation Banking. Participation came from new investors DaVita Venture Groupand Granite Financial Holdings, the investment affiliate of Blue Cross of Idaho, as well as existing investors Flare Capital Partners, Optum Ventures, LRVHealth, Health Velocity, Martin Ventures, and Epsilon Ventures. “As the country’s population ages, the traditional primary care model simply isn’t keeping up, clinically or financially,” said Sylvia Hastanan, Founder and CEO at Greater Good Health. “Healthcare is facing two very real challenges at the same time – a growing shortage of physicians and medical costs that continue to rise faster than outcomes. We built Greater Good Health to be practical and outcomes-focused" #funding #greatergoodhealth #startupfunding https://lnkd.in/gE5zCEBJ
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Coggili Thailand
274 followers
Naver D2SF has announced a new investment in Gravity Labs, a healthcare startup focused on helping users build sustainable healthy habits. Last month, Gravity Labs secured ₩18B (approx. $13M) in funding led by Atinum Investment, and with Naver D2SF’s participation, the company has officially closed its Series A round. The company operates “MoneyWalk,” a reward-based global healthcare platform that encourages users to record and maintain health activities. In just two years since its launch, the service has exceeded 1.3 million monthly active users (MAU) across 111 countries, highlighting its strong global traction. By offering rewards for health-related actions, MoneyWalk promotes consistent user engagement while collecting valuable health data. Unlike many wellness platforms that struggle with retention, Gravity Labs reports an average daily usage time of over 30 minutes, reflecting active and sustained participation. The platform’s key innovation lies in its AI-driven health camera, which allows users to easily measure blood pressure, heart rate, and HRV (heart rate variability) directly through their smartphones. Recently, Gravity Labs integrated data from the National Health Insurance Service, enhancing the reliability and comprehensiveness of its health monitoring features. Naver D2SF noted that Gravity Labs demonstrates a strong commitment to its mission of fostering healthy habits and making users’ daily progress more tangible, adding that the partnership is expected to create meaningful synergy with Naver’s future healthcare services. Source: AI Times #HealthcareStartup #HealthTech #DigitalHealth #AIHealth #WellnessApp #UserEngagement #HealthData #FitnessTech #AIHealthcare #HealthHabits
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TechNews180
4K followers
Midi Health Hits $1B Valuation with $100M Series D Key Points 👇 ❶ Midi Health raised $100 million in Series D funding led by Goodwater Capital, with participation from Foresite Capital, Serena Ventures, and existing investors. ❷ The women's telehealth company now exceeds a $1 billion valuation while serving over 45 million women through insurance-covered care in all 50 states. ❸ Midi's AI-powered platform demonstrates measurable outcomes including 28% higher breast cancer screening rates and up to 13% lower total healthcare costs. “This is validation for the movement we’re leading to provide women better healthcare. Women’s health has been treated like an afterthought for too long. This funding gives us the resources to rewrite that story at scale.” - Joanna Strober, co-founder and chief executive officer of Midi Health. “Goodwater is committed to Midi Health’s long-term mission to fundamentally transform women’s healthcare. Midi’s rise as the fastest-growing women’s health platform in the world is a testament to their entire care team, patient-centric approach, and AI advancements that deliver highly personalized care and scalable growth.” - Eric J. Kim, co-founder and managing partner at Goodwater Capital. “When women founders and women customers are heard, entire systems change. We have been following Joanna and the team for years and are impressed by the scale they have achieved. They are delivering care that’s critical for every woman to have access to, in a space that represents billions of dollars of healthcare spend.” - Serena Williams, managing partner at Serena Ventures. #HealthTech #WomensHealth #Telehealth #DigitalHealth #HealthcareInnovation https://lnkd.in/gHZGZxSi
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BYTE51data
2K followers
Arbiter, a New York City–based digital health company, has emerged from stealth with $52M in seed financing led by TriEdge Investments and MFO Ventures, with additional participation from leading private equity firm WindRose Health Investors. Arbiter has built an AI-powered care orchestration platform designed to unify the people and systems that drive every care decision. By bringing patients, providers, and payers onto a single intelligent infrastructure, Arbiter eliminates fragmentation and ensures individuals receive the right care, in the right place, at the right time. The platform streamlines coordination across the entire care journey, enabling seamless movement from detection to resolution. Arbiter’s leadership team includes Michelle Carnahan (CEO), Anjali Jameson (CPO), Hannah Heider (Chief of Staff), Julian Nagler (Head of Strategy and Operations), Peter Schaefer (Chief Architect), and Tyler Halpern Crane (Head of Commercial Partnerships). Board members include Simcha Hyman (TriEdge Investments), Eric Moskow (MFO Ventures), and Robert Wachter (WindRose Health Investors). Stay ahead of the curve in life science investments—subscribe now for the latest updates and insights: https://lnkd.in/e77bfv_e #DigitalHealth #HealthcareIT #HealthTech #AIDriven #ArtificialIntelligence #HealthcareInnovation #Seed
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Tracy Poole
4K followers
Couldn’t agree more with the sage advice Adam J. Bruggeman, MD, MHA, FAAOS, FAOA gave to startups in this month’s rendition of The IndicaXn by PhyCap Fund. “Build companies that solve a real clinical problem.” These are the companies that will last and better yet truly improve lives for patients, practitioners, and our country. Listen to more great advice from Adam and our partner Paul Slosar, MD, MHCDS on how to navigate CMS’s proposed Physician Fee Schedule for 2027 and on how to use your voice to affect change or risk being caught unaware. https://lnkd.in/gv6nQWKE
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Eran Lerer
Shoni Health Ventures • 3K followers
The business models that built digital health over the last decade won't look the same in the AI era. We’re moving from paying for access to software to paying for measurable outcomes powered by software. That shift could fundamentally change how digital health companies build, sell, and create value. I shared a few thoughts on this transition in my latest interview with LSI. 🎥 Watch the full discussion: https://lnkd.in/dfAsVCww Thank you to The Mullings Group, Ido Hadari and Caty Pearl for driving this important conversation. #DigitalHealth #AIinHealthcare #HealthTech #LSI #HealthTechVC Ran Goshen, Ofir Hazut, Saar liraz
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DevCuration
1K followers
Talkiatry just secured $130M in Series D funding, and if you think this is just another telehealth headline drifting through your feed, slow down for a second. This is mental health infrastructure getting capitalized like it matters. Andreessen Horowitz and Perceptive Advisors led the round, with support from Left Lane Capital and blisce/, plus debt financing from Banc of California. That is not tourist money. That is long-term conviction capital backing a model that is built to last. Respect where it is due. Congratulations to Robert Krayn, Co-Founder and CEO, and Georgia Gaveras, DO, DO, Co-Founder and CMO. Building a national psychiatry practice is not for the faint of heart. It is regulated, clinician-constrained, payer-entangled, and emotionally charged. The easy route was another marketplace. Talkiatry chose the harder road and built a full-stack, in-network practice employing psychiatrists and therapists as W-2 clinicians. Talkiatry launched in 2020 out of New York City with a simple but sharp thesis: serious mental health care requires serious alignment. Not gig work. Not random referrals. Real doctors, employed, accountable, measured. Fast forward and the company operates across 43 states with more than 300 psychiatrists, working inside national insurance contracts that cover over 200M lives. In a world where out-of-network bills feel like jump scares, Talkiatry leaned into being in-network. They did not chase vanity growth. They built payor relationships. They invested in measurement-based and value-based care. They made access less of a luxury item and more of a standard benefit. The name says it all. Talk-iatry. Conversation meets clinical rigor. Not just talk therapy, but psychiatry with teeth. Diagnosis, medication management, structured care pathways. The kind of platform that understands the difference between feeling off and being clinically depressed, and treats both with respect. So what does $130M really signal? It says the market believes behavioral health is not a side quest. It is core infrastructure. It says investors see a physician-led model that can scale without losing its soul. It says there is room for companies that respect both the clinician and the balance sheet. For founders watching this from the sidelines, there is a lesson hiding in plain sight. Pick the hard model if it creates durable alignment. Build with regulators and payors in mind from day 1. Hire operators who understand that healthcare is a marathon run in steel-toe boots. #MentalHealth #BehavioralHealth #HealthcareInfrastructure #ValueBasedCare #DCTalks
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SC Moatti
Mighty Capital • 39K followers
I’m excited to share that Angle Health, founded by former Palantir Technologies execs Tylon (Ty) W. and Anirban Gangopadhyay, has announced an oversubscribed Series B bringing total funding to nearly $200M. I’m proud to be an early investor and to have led this competitive round with the amazing team at Portage. Why we keep leaning in: - 26x revenue growth since the Series A - Serving 3,000+ employers across 44 states - 80%+ renewal rates Angle Health is rebuilding the healthcare benefits infrastructure for SMBs, who employ nearly half of America’s workforce but have historically been shut out of enterprise-grade coverage. Their AI-native platform helps predict risk and deliver better care at a sustainable cost. This is exactly the kind of product-driven, AI-native company we’re proud to support at Mighty Capital.
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Verdence/RIA+
165 followers
https://hubs.la/Q03YT-660 In the latest Alternate View episode, Matt Hellauer of PTX Capital explains why discipline matters in healthcare investing, especially in an environment where fundamentals are back in focus. The conversation highlights how some healthcare innovators are being built differently today: prioritizing revenue, operational execution, and sustainable growth alongside innovation. A thoughtful perspective for anyone following private markets, venture capital, or healthcare innovation. 🎧 Watch the full episode: 👉 https://hubs.la/Q03YT-660 🎙️ Explore the podcast archive: 👉 https://hubs.la/Q03YT_hT0 #HealthcareInnovation #PrivateMarkets #VentureCapital #AlternativeInvestments #HealthcareTrends #HealthTech #CashFlowDiscipline #AlternateViewPodcast #Verdence
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