Startup Diligence
Diligence report Healthcare & Life Sciences Private unicorn / growth-stage digital health

Spring Health

Spring Health Diligence Research Report

Spring Health has credible public traction signals in employer/health-plan mental health, major-logo references, and late-stage financing; the diligence case turns on whether revenue quality, retention, provider capacity, ROI claims, AI governance, and privacy/security controls support the valuation.

Company profile

Spring Health Diligence Research Report

Eligible private-unicorn screen: public evidence supports Spring Health as an active, private U.S. healthcare unicorn valued at $3.3B, but investment underwriting should pause on private financials, cap table, customer concentration, outcome substantiation, and HIPAA/provider-network diligence.

Website
www.springhealth.com
Sector
Healthcare & Life Sciences
Geography
United States
Stage
Private unicorn / growth-stage digital health
Known aliases
Spring Care, Inc., Spring Health™, Spring Care™
Report version
1.0
Timezone
America/New_York

Executive summary

Strengths

  • $100M Series E at $3.3B and CB Insights $3.3B unicorn row are publicly supported.
  • Product scope as EAP+/connected mental-health platform is supported by company product pages.
  • Major customer/logo and case-study leads are public, though customer economics are not.

Risks

  • Audited financials, revenue quality, ARR, burn, and runway are not public.
  • PHI/privacy/security and provider-network regulatory exposure is central to the business.
  • Direct and adjacent competitors create intense pricing, feature, and ROI-proof pressure.

Gaps

  • Audited financials, management accounts, ARR, gross margin, cash runway, and AR aging
  • Fully diluted cap table, preferences, debt/notes, option pool, and investor rights
  • Top-25 customer revenue, active lives, utilization, NRR/GRR, churn, and renewal schedule
  • Provider-network capacity/credentialing, clinical outcomes methodology, AI validation, and safety records
  • SOC 2/HITRUST/HIPAA artifacts, BAAs, subprocessors, breach logs, litigation/regulatory schedules

Recommended next steps

  • Run founder/company data-room request list before valuation work.
  • Conduct customer reference calls with at least five top customers and one payer/channel partner.
  • Have counsel run HIPAA/privacy, provider licensure, AI claims, litigation, IP, and material-contract reviews.
  • Benchmark Spring Health pricing and win/loss against Lyra, Modern Health, Headspace, Included Health, Teladoc, and BetterUp.
  • Reconcile public scale claims (5M/10M/20M lives) to dated internal KPI definitions.

Risk register

high high likelihood

R-001: Financial statements and revenue quality are not public

Public evidence supports valuation and funding history but not audited revenue, ARR, gross margin, burn, backlog, AR aging, or cash runway.

Diligence request: Request audited financials, monthly management accounts, cohort ARR, gross margin, cash/burn, AR aging, and backlog.

high high likelihood

R-004: Competitive pricing and feature pressure

Lyra, Modern Health, Headspace, BetterUp, Included Health, and Teladoc create direct and adjacent competition for employer mental-health budgets.

Diligence request: Benchmark win/loss, net revenue retention, pricing by segment, and competitive displacement data.

high medium likelihood

R-003: Outcome and ROI claims need independent substantiation

ROI, engagement, clinical outcomes, and fast-access claims are mostly company-hosted and require independent customer/claims validation.

Diligence request: Request study designs, customer claims analyses, third-party validation reports, and reference calls.

high medium likelihood

R-006: PHI/privacy/security regulatory exposure

Spring Health handles health information and relies on healthcare-grade security/privacy controls across apps, providers, service providers, and global markets.

Diligence request: Review SOC 2/HITRUST/HIPAA artifacts, BAAs, DPIAs, breach logs, subprocessors, and global privacy compliance.

high medium likelihood

R-007: Provider network quality and licensed-care capacity

Therapy, medication management, crisis, and global-provider claims depend on provider availability, credentialing, QA, and state/country licensure.

Diligence request: Request provider-network roster, credentialing files, utilization/capacity reports, quality metrics, and adverse-event reviews.

high unknown likelihood

R-002: Preference stack and cap table complexity

Multiple large preferred rounds imply possible liquidation preferences, option-pool expansion, and investor rights that materially affect common-equity economics.

Diligence request: Request pro forma cap table, stock ledgers, option plan, debt/SAFE/note schedules, and financing documents.

high unknown likelihood

R-005: Customer concentration and renewal risk are opaque

Major logos and case studies are public, but revenue by customer, concentration, term lengths, utilization, and renewal health are not public.

Diligence request: Request top-25 customer schedule, NRR/GRR, churn, renewal pipeline, and consented customer calls.

medium high likelihood

R-008: AI clinical safety, bias, and explainability

AI is a public product/positioning theme, but model cards, validation sets, bias testing, clinical safeguards, and human oversight are not public.

Diligence request: Request AI inventory, model risk assessments, clinical governance minutes, bias testing, and incident reports.

Chapter 01

01Financial Information

Spring Health remains eligible as a private unicorn based on CB Insights and company financing announcements, but core financial statements, revenue quality, runway, cap table, and debt terms are not publicly verifiable.

I.A Annual and quarterly financial information for the past three years

not publicly verifiable confidence: high

Public evidence provides financing and directional growth signals, not financial statements.

Evidence gaps

  • Audited financials, management reports, revenue by product/channel/geography/customer, backlog, AR aging.

Hidden risks

  • Valuation cannot be underwritten without revenue quality, gross margin, burn, and cash runway.

Follow-up questions

  • Provide audited and unaudited monthly financials for FY2023-FY2026 YTD with revenue bridge and gross margin detail.
Public revenue, ARR, and unit-economic signals
metricpublic signalverification statusdiligence request
Revenue growthSeries C announcement says approximately 6x revenue growth over the prior year.partially_verifiedRevenue by month, product, channel, and cohort; auditor support.
ARR/revenue dollarsNo audited revenue, ARR, gross margin, EBITDA, or cash balance found in public sources reviewed.not_publicly_verifiableAudited statements, management accounts, ARR bridge, and bookings-to-revenue reconciliation.
Covered lives/customersCompany pages claim 20M+ covered lives; Series E page claims 10M+ lives, 400+ employers, and 27,000 channel-partner groups.partially_verifiedEligible lives, activated lives, utilization, and customer-by-customer contract schedule.
ROI/engagementEmployer page claims 10x engagement than traditional EAPs and validated ROI methodology.partially_verifiedCustomer-level ROI models, claims-data methodology, guarantee exposure, and refund/credit history.
Backlog/AR aging/unit economicsNot public.not_publicly_verifiableBacklog by customer, AR aging, CAC/payback, LTV/churn, provider cost per session, gross margin.

Do not infer revenue dollars from valuation or covered lives.

I.B Financial Projections

not publicly verifiable confidence: medium

Growth drivers are public; projections, assumptions, and financing needs are private.

Evidence gaps

  • Forecast model, assumptions, pipeline, renewal/churn, capex/working capital, external financing assumptions.

Hidden risks

  • Employer-benefit budgets and utilization guarantees may pressure projections.

Follow-up questions

  • Provide board-approved three-year plan with downside cases, pipeline conversion, retention, and financing runway.

I.C Capital Structure

partially verified confidence: medium

Named investors and founders are public; ownership, preferences, options, warrants, and debt are private.

Evidence gaps

  • Stock ledger, cap table, SAFEs/notes, debt, warrants, option plan, investor rights.

Hidden risks

  • Preference stack or debt terms could materially change proceeds waterfall.

Follow-up questions

  • Provide fully diluted cap table and financing documents for all rounds, including debt and side letters.
Capital structure and ownership snapshot
stakeholderpublic positionverification statusdiligence caveat
Founders: April Koh and Adam ChekroudCEO/co-founder and President/co-founder identified publiclyverifiedFounder shares, vesting, transfer restrictions, and option grants are private.
Preferred investorsGeneration, Kinnevik, Guardian Life, Tiger Global, Northzone, RRE, Rethink Impact, Work-Bench and others publicly named across roundsverifiedOwnership percentages, preferences, pro-rata rights, and protective provisions not public.
Board/investor governanceKinnevik board participation noted in Series C; Dipak Golechha board news card appears on about pagepartially_verifiedRequest board roster, observer rights, voting thresholds, and minutes.
Employee equity/option poolCareers page says equity begins vesting after first yearpartially_verifiedRequest equity incentive plan, option pool size, exercise prices, and 409A valuations.
Debt/notes/off-balance sheetSeries C source says the round included both equity and debt; detailed debt terms not publicnot_publicly_verifiableRequest all credit facilities, convertible notes, warrants, guarantees, and off-balance-sheet commitments.

I.D Other financial information

partially verified confidence: high

Public financing history is well supported for Series B/C/E; tax and accounting policies are private.

Evidence gaps

  • Tax positions, revenue-recognition memo, debt schedule, historical financing basis and investor rights.

Hidden risks

  • Accounting-policy and tax diligence may reveal revenue-recognition or nexus exposures not visible publicly.

Follow-up questions

  • Provide tax returns, revenue-recognition policy, equity/debt financing history, and 409A valuations.
Public funding-round history
dateroundamount usdlead or participantspost money or valuationverification statusdiligence caveat
2020-01Series A referenced in Series B release$22MNorthzone referenced as Series A investorNot disclosedpartially_verifiedRequest Series A documents and cap-table impact.
2020-11-18Series B$76MTiger Global; GingerBread Capital, Operator Partners, Northzone, Rethink Impact, William K. Warren Foundation, Work-Bench and othersNot disclosedverifiedNo valuation/preferences public.
2021-09-16Series C$190MKinnevik led; Guardian Life, Tiger Global, Northzone, RRE, Rethink Impact, Work-Bench and others$2B valuation; $300M total investment to dateverifiedRound included equity and debt; terms private.
2025-05-20Series E$100MGeneration Investment Management led; Kinnevik, William K Warren Foundation, RRE, Northzone$3.3B valuationverifiedNo share count, liquidation preferences, or option pool public.
2026-06-06 accessedUnicorn tracker statusNot a financing amountCB Insights row names Rethink Impact, Work-Bench, RRE Ventures$3.3B valuationverifiedTracker is secondary and may lag current marks.

Series D and other bridge financings should be verified directly from company financing records.

Public funding timeline Timeline of publicly verified Spring Health funding milestones.
Public valuation trajectory Line chart of disclosed private valuation anchors.
Chapter 02

02Products

Spring Health publicly presents a broad EAP+/precision mental-health platform with digital onboarding, care plans, provider matching, coaching, therapy, medication management, and AI. Pricing, technical architecture, service levels, and clinical validation require private diligence.

II.A Description of each product

partially verified confidence: medium

Public pages support a comprehensive platform claim but do not disclose full SKU packaging, pricing, margins, or release economics.

Evidence gaps

  • SKU contract definitions, pricing sheets, utilization limits, provider capacity, SLAs, gross margin by module, roadmap.

Hidden risks

  • Feature breadth may mask module-specific adoption, profitability, and service-level variation.

Follow-up questions

  • Provide product-level ARR, utilization, gross margin, roadmap, service-level history, and pricing schedules.
Product and SKU matrix
product or moduleaudiencepublic featuresverification statusdiligence caveat
EAP+Employers and employees/familiesMore targeted than traditional EAPs; comprehensive support, measurement-based care, care navigation.verifiedContracted scope/session limits and SLA private.
Spring Care member platformMembersDigital sign-up, comprehensive care plan, curated provider list, tailored recommendations.verifiedProduct usage, conversion, and uptime data private.
Coaching/therapy/medication managementMembers needing clinical or subclinical carePublic pages reference coaching, therapy, medication management, and provider network.verifiedProvider capacity, credentialing, prescribing protocols, and adverse events private.
AI / GuideMembers, providers, employersAI positioned to support people across mental-health journey and reduce provider burdens.partially_verifiedModel inventory, validation, privacy impact, and clinical safety evidence required.
SpringWorks / organizational support / Global / Community CareEmployers, health plans, global teamsSeries E page references product expansions including Global, Community Care, and SpringWorks.partially_verifiedPipeline dates, revenue attachment, and adoption metrics private.
Public pricing and packaging comparison
vendorpublic pricing signallikely modelverification statusdiligence request
Spring HealthRequest demo/contact sales flow; consultant page claims no hidden technology fees and data-backed pricing assumptions.Enterprise quote / PEPM or bundled employer/plan contractpartially_verifiedPricing schedules, PEPM/session fees, guarantees, implementation fees, renewal escalators.
Lyra HealthWorkforce mental health positioning; no list price captured in this public pass.Enterprise quoteunverifiedCompetitive pricing from win/loss and broker benchmarks.
Modern HealthWorkforce mental health positioning; no list price captured in this public pass.Enterprise quoteunverifiedCompetitive price/feature benchmark.
Headspace for OrganizationsOrganization product menu includes EAP/Care/Core; no full employer list price captured.Enterprise quote plus SMB tiers possiblepartially_verifiedBroker/consultant benchmark by segment.
Included Health / Teladoc / BetterUpAdjacent virtual care, navigation, and coaching vendors generally sell enterprise products publicly positioned without full prices.Enterprise quote / PMPM / utilization-basedinconclusiveRFP win/loss, displacement, and pricing elasticity.
Public product and data-flow architecture Conceptual architecture based on public product, privacy, and trust pages.
Chapter 03

03Customer Information

Public customer evidence includes recognizable logos, company-hosted case studies, payer/channel relationships, and scale claims. Customer concentration, active contract status, revenue by customer, churn, and supplier spend are not public.

III.A Top customers by application

partially verified confidence: medium

Spring Health publicly names large employers and hosts case studies, but top-15 customer schedules are private.

Evidence gaps

  • Top-15 customers by revenue/lives/application for FY2024-FY2026 YTD.

Hidden risks

  • Logo evidence may be stale or non-material; case studies may be selectively positive.

Follow-up questions

  • Provide customer list with ARR, renewal date, product modules, active lives, utilization, and reference contacts.
Public customers and case-study leads
customer or logosource evidenceuse caseverification statusconcentration caveat
MicrosoftNamed as a global brand in Series E announcement; logo shown on homepage.Employer mental-health benefitpartially_verifiedActive contract and revenue share not public.
TargetNamed in Series E announcement; logo shown on homepage.Employer mental-health benefitpartially_verifiedActive contract and revenue share not public.
J.P. Morgan ChaseNamed as global brand in Series E announcement.Employer mental-health benefitpartially_verifiedActive contract and revenue share not public.
Delta AirlinesNamed as global brand in Series E announcement.Employer mental-health benefitpartially_verifiedActive contract and revenue share not public.
General MillsCompany-hosted case study says General Mills chose Spring Health for precision/personalized care delivery.Culture change and employee mental healthpartially_verifiedContract economics and renewal status not public.
Moda HealthCompany-hosted case study for health plan behavioral-health access.Health-plan member behavioral healthpartially_verifiedLives/revenue by plan not public.
PepsiCo, Bain, InstacartNamed in Series C announcement as global companies/customers.Employer/family mental-health benefitpartially_verifiedCurrent status not verified in this run.

III.B Strategic relationships

partially verified confidence: medium

Guardian, health-plan, channel-partner, consultant/broker and scientific-advisor relationships are public, but economics are not.

Evidence gaps

  • Partner names, contracts, exclusivity, revenue contribution, termination rights, referral economics.

Hidden risks

  • A single large channel partner or payer could create hidden concentration.

Follow-up questions

  • Provide strategic-partner contract schedule and revenue by partner/channel.
Strategic relationships and partnerships
partner or channelnaturepublic evidenceverification statusgap
Guardian LifeStrategic investor/provider collaboratorSeries C announcement calls Guardian a new investor and first strategic provider collaborator.verifiedContract terms, revenue contribution, exclusivity, and product scope.
Health plansBuyer/channel segmentDedicated health-plan page; Moda case study.partially_verifiedPlan contracts, covered lives, claims integration, performance guarantees.
Channel partnersDistribution/contracting channelChannel page says clients can contract directly with partners to offer Spring Health.verifiedPartner names, take rates, concentration, termination rights.
Consultants/brokersReferral/influence channelConsultant page positions Spring as a global mental-health partner for clients.verifiedBroker influence, rebate/commission arrangements, RFP win/loss data.
Scientific advisorsClinical credibilityAbout page lists scientific advisory board members.verifiedAdvisor agreements, meeting cadence, clinical governance authority.

III.C Revenue by customer

not publicly verifiable confidence: high

No revenue share by customer is public.

Evidence gaps

  • Revenue by customer, top customers over 5%, renewal terms, utilization and gross margin by customer.

Hidden risks

  • Customer concentration could be material despite many logos.

Follow-up questions

  • Provide top-25 customer revenue and margin schedule with renewal/churn status.
Public customer concentration evidence gap Bar chart showing that revenue share by named customer is not public.

III.D Significant relationships severed within the last two years

not publicly verifiable confidence: medium

No public churn or severed-relationship schedule was found.

Evidence gaps

  • Lost customers, non-renewals, terminated partner/supplier contracts, disputes.

Hidden risks

  • Undisclosed loss of strategic customers or partners could invalidate growth and ROI claims.

Follow-up questions

  • Provide churn, lost-deal, non-renewal, and terminated-contract logs for the last 24 months.

III.E Top suppliers

partially verified confidence: medium

Public supplier evidence points to provider network, digital platform, service providers/subprocessors, analytics, and third-party materials, but spend and concentration are private.

Evidence gaps

  • Top supplier spend, provider contracts, cloud/hosting vendors, subprocessor list, DPAs/BAAs, service levels.

Hidden risks

  • Provider or subprocessor disruption could affect availability, compliance, and trust.

Follow-up questions

  • Provide supplier and provider spend schedules, vendor contracts, subprocessor exports, and incident history.
Supplier, provider, and infrastructure dependency snapshot
supplier or dependencyrolepublic evidenceriskverification status
Care-provider networkTherapy, coaching, medication management and care deliverySeries E page says 10,000+ care providers; product pages describe curated provider lists.Credentialing, availability, quality, malpractice, retention.partially_verified
Technology/app platformMember onboarding, assessments, care plans, provider matchingConnected platform and app/privacy-policy disclosures.Security, uptime, privacy, data accuracy.partially_verified
Subprocessors/service providersHosting, communications, analytics, support, and other servicesPrivacy policy references service providers; trust center says subprocessor list available.Vendor concentration, DPA/BAA flow-down, breach exposure.partially_verified
Google Analytics and analytics providersWebsite/app analyticsPrivacy policy references Google Analytics.Sensitive-data tracking and consent/privacy compliance.verified
Third-party materials/licensorsPotential content/data/materials in servicesTerms discuss third-party materials and licensors.License, quality, and warranty limitations.verified
Chapter 04

04Competition

Spring Health competes directly with workforce mental-health platforms and adjacent virtual care, coaching, and navigation vendors. Public positioning supports intense feature and pricing pressure; win/loss and price data are private.

IV.A Competitive landscape by market segment

verified confidence: medium

Direct competitors include Lyra, Modern Health, and Headspace; adjacent pressure comes from BetterUp, Included Health, and Teladoc.

Evidence gaps

  • Win/loss by competitor, pricing benchmarks, churn reasons, product gaps, RFP pipeline.

Hidden risks

  • Enterprise quote pricing and bundled competitors may compress margins or win rates.

Follow-up questions

  • Provide competitive displacement data, segment pricing, and broker/consultant feedback.
Competitor comparison matrix
competitorsegmentpublic positioningproduct overlaprisk to springsource ids
Lyra HealthDirect workforce mental healthLeading global workforce mental health careEmployer mental-health care and provider networkDirect enterprise benefits competitionSRC-026
Modern HealthDirect workforce mental healthGlobal standard in mental health / designed for workforceSelf-guided tools, crisis care, global workforce supportFeature and pricing pressureSRC-027
HeadspaceDirect/adjacent EAP and mental healthEnd-to-end mental health care for organizations; EAP, Care, CoreEAP, care, meditation/mindfulness, organizationsBrand strength and broader consumer footprintSRC-028
BetterUpAdjacent coaching/performanceWorkforce performance and AI coachingCoaching and resilience budgetsCompetes for HR benefits/coaching spendSRC-029
Included HealthAdjacent virtual care/navigationVirtual care and navigation for employers and health plansNavigation, employer/plan buyer, behavioral health adjacencyBundling with broader healthcare navigationSRC-030
Teladoc HealthPublic virtual care and mental healthMedical care, mental health, chronic condition managementVirtual mental health and whole-person-care benefitsPublic-scale vendor can bundle servicesSRC-031
Basis-of-competition scoring
axisspring public positioncompetitive contextrisk levelneeded private evidence
Access and provider availabilityClaims curated providers, fast access, 10,000+ providersLyra/Headspace/Modern also emphasize care networksHighAppointment wait times by geography/specialty and provider capacity.
Clinical outcomes/ROIClaims JAMA/Validation Institute-backed impact and ROICompetitors also market evidence-based outcomesHighMatched cohort studies, claims analyses, and guarantee history.
Global coverageClaims 20M+ lives globally and over 200 regions historicallyLyra/Modern/Headspace all use global workforce positioningMediumCountry-by-country coverage, licensure, language and provider density.
AI and precision matchingAI and precision mental-healthcare narrative backed by founder-linked researchLyra and Headspace also market AI/care modelsMediumModel validation, algorithm performance, bias testing, clinical governance.
Pricing/procurementSales-led with no hidden technology fees claimEnterprise quotes make buyer comparisons opaqueHighRFP win/loss and segment price benchmarks.
Employer mental-health competitive market map Qualitative map by buyer breadth and mental-health specialization.
Chapter 05

05Marketing, Sales, and Distribution

Spring Health’s public GTM spans direct employers, health plans, channel partners, and consultants/brokers, supported by scale, outcome, ROI, access, and funding messages. Sales productivity, channel mix, pipeline, budget, and marketing ROI are private.

V.A Strategy and implementation

partially verified confidence: medium

Public strategy emphasizes global, employer/plan, measurable-outcome positioning.

Evidence gaps

  • Marketing budget, CAC, pipeline attribution, sales/marketing funnel, claim substantiation files.

Hidden risks

  • Outcome-heavy marketing can create claims-substantiation and renewal pressure.

Follow-up questions

  • Provide recent marketing plans, campaign performance, CAC/payback, and claim substantiation.
Public marketing-signal summary
signalpublic valuesourceverification statusdiligence test
Covered lives20M+ globally on homepage/employer pages; 10M+ in Series E text.Company pagespartially_verifiedTie active/eligible lives to customer contracts and dates.
Engagement10x engagement than traditional EAPs.Employer pagepartially_verifiedReview methodology and customer cohorts.
AccessModa case study cites 1.3-day average wait time for next available care among engaged members.Moda case studypartially_verifiedVerify denominator, dates, regions, appointment type.
Funding/valuation PR$100M Series E at $3.3B valuation.Series E announcement and CB InsightsverifiedReview purchase agreements and latest 409A/financing marks.
Hiring/culture82 open role links and hypergrowth/culture claims.Careers/open roles/culture pagespartially_verifiedReview headcount plan, attrition, recruiting funnel, offer acceptance.

V.B Major Customers

partially verified confidence: medium

Major-customer relationships are indicated by logos and case studies; status, trends, and pipeline are private.

Evidence gaps

  • Customer health scores, pipeline by major customer, expansion opportunities, renewal risk.

Hidden risks

  • Large-logo dependency could be concealed without revenue concentration schedules.

Follow-up questions

  • Provide major-customer account plans and renewal/expansion pipeline.

V.C Principal avenues for generating new business

verified confidence: medium

Public GTM channels are direct employers, health plans, channel partners, and consultants/brokers.

Evidence gaps

  • Revenue/bookings by channel, channel partner contracts, consultant/broker economics.

Hidden risks

  • Opaque channel economics can hide take-rate, concentration, and attribution risk.

Follow-up questions

  • Provide bookings/revenue by channel and partner for the last eight quarters.
Distribution channels and GTM motions
channelpublic evidencelikely sales motionverification statusgap
Direct employersEmployer page and enterprise logos/case studies.Enterprise benefits sale via HR/benefits/procurement.verifiedPipeline, sales cycle, ACV, quota attainment.
Health plansHealth-plan page and Moda Health case study.Plan partnership / member behavioral-health solution.partially_verifiedPlan economics, integration cost, claims risk, utilization.
Channel partnersChannel partner page says clients can contract directly with partner.Indirect/channel resale or embedded benefit.verifiedPartner identity, take rate, revenue concentration.
Consultants and brokersDedicated consultant page emphasizes client trust and pricing transparency.Influencer/RFP channel.verifiedBroker relationships, commissions, RFP win/loss.
ProvidersProvider solution/careers pages and care network references.Provider recruiting/network development.partially_verifiedProvider acquisition cost, churn, credentialing cycle.
GTM channel mix evidence gap Bar chart of public channels with undisclosed revenue weights.

V.D Sales force productivity model

not publicly verifiable confidence: medium

Open roles and enterprise sales channels are public; quota, sales cycle, conversion, and productivity are private.

Evidence gaps

  • Quota, attainment, ramp time, sales cycle, pipeline conversion, headcount plan, compensation plans.

Hidden risks

  • Aggressive valuation may require sales productivity not visible publicly.

Follow-up questions

  • Provide sales productivity model by segment and sales team.

V.E Ability to implement marketing plan with current and projected budgets

not publicly verifiable confidence: medium

Budget capacity cannot be assessed from public sources.

Evidence gaps

  • Marketing budget, hiring plan, runway, board-approved operating plan.

Hidden risks

  • Budget underfunding or overspend could impair growth targets and runway.

Follow-up questions

  • Provide current FY budget, YTD actuals, and projected GTM spend by channel.
Chapter 06

06Research and Development

Spring Health’s public R&D story combines founder-linked machine-learning research, scientific advisors, AI/product pages, and product-expansion announcements. Production models, IP ownership, validation, roadmap costs, and team structure require private diligence.

VI.A Description of R&D organization

partially verified confidence: medium

Public sources identify founders, advisors, and research provenance but not complete R&D org, spend, or IP assignments.

Evidence gaps

  • R&D org chart, model governance, IP assignments, research budget, advisor agreements.

Hidden risks

  • R&D may rely on key individuals, advisors, or trade secrets without visible patent protection.

Follow-up questions

  • Provide R&D org, model inventory, advisor agreements, and IP assignment schedule.
Key R&D, clinical, and advisory personnel
name or rolepublic rolebackground signalverification statusdiligence request
Adam ChekroudPresident, Co-founderFounder and peer-reviewed ML depression-treatment outcome publication.verifiedConfirm current operating scope, IP assignments, and employment agreement.
April KohCEO, Co-founderFounder narrative and public CEO role.verifiedConfirm equity/vesting, succession, and key-person risk.
John Krystal, MDScientific advisory boardYale psychiatry/neuroscience role described on about page.verifiedAdvisor agreement, active involvement, conflicts.
Myrna M. Weissman, PhDScientific advisory boardColumbia/NYSPI epidemiology and IPT expertise described publicly.verifiedAdvisor agreement and clinical-governance role.
Product/AI/engineering leadersNot fully public in this passAI and platform pages describe technology, but org depth not public.not_publicly_verifiableR&D org chart, key technical leaders, retention plans, IP assignments.
R&D and clinical-governance public org view Publicly inferable R&D/clinical/advisory structure.

VI.B New Product Pipeline

partially verified confidence: medium

Public pipeline signals include AI/Guide, Global, Community Care, SpringWorks, and quality/crisis accreditation; timing, costs, adoption, and risks are private.

Evidence gaps

  • Roadmap, development budget, release plans, model validation, adoption metrics, post-market monitoring.

Hidden risks

  • AI or clinical-product failures could create safety, regulatory, or reputational harm.

Follow-up questions

  • Provide product roadmap, release gate criteria, validation reports, and development spend by initiative.
Public product and research pipeline
projectpublic statusexpected dateverification statusdiligence request
Guide / AI supportAI page and navigation announce AI support across mental-health journey.Current public page; rollout details not publicpartially_verifiedModel inventory, release roadmap, clinical safety and adoption metrics.
Global offering expansionSeries E page cites expansion of Global offering.Referenced in Series E announcementpartially_verifiedCountry roadmap, regulatory approvals, local provider supply, revenue by region.
Community CareSeries E page cites Community Care launch.Referenced in Series E announcementpartially_verifiedProduct scope, customer uptake, reimbursement/payment model.
SpringWorks enhancementSeries E page cites SpringWorks enhancement for employer cultures of mental health.Referenced in Series E announcementpartially_verifiedProduct-market fit, attach rate, roadmap and development cost.
Precision-care algorithm/research translationFounder-linked Lancet Psychiatry ML paper supports research provenance.Research published 2016; production use not publicpartially_verifiedEvidence linking research to production algorithms and outcomes.
Chapter 07

07Management and Personnel

Public evidence verifies the founders and several leadership/governance signals, with strong hiring/culture signals. Exact headcount, org chart, compensation, attrition, employee-relations issues, and turnover are not publicly verifiable.

VII.A Organization Chart

partially verified confidence: medium

Only a partial public org chart can be inferred.

Evidence gaps

  • Current org chart, reporting lines, board and committee roster.

Hidden risks

  • Stale public titles or missing leaders can obscure key-person risk.

Follow-up questions

  • Provide current org chart by function/geography and board roster.
Senior management and governance roster
nameroletenure signalverification statusdiligence request
April KohCEO, Co-founderAbout page founder story; company founded in May per narrative.verifiedEmployment agreement, board approvals, equity, succession.
Adam ChekroudPresident, Co-founderAbout page founder story and peer-reviewed research background.verifiedCurrent responsibilities, IP assignment, clinical/research oversight.
Arielle MortimerChief Operating Officer per public news cardAbout page links news item welcoming COO.partially_verifiedConfirm current title, responsibilities, start date, compensation.
Dr. Mill BrownChief Medical Officer per public news cardAbout page links news item for CMO joining C-suite.partially_verifiedConfirm current title, licensure, quality/governance scope.
Dipak GolechhaBoard director per public news cardAbout page links board appointment news.partially_verifiedConfirm board composition, committees, observer rights.
Public management and governance org chart Publicly known leadership/governance nodes.

VII.B Historical and projected headcount by function and location

partially verified confidence: medium

Public data shows hiring activity and remote culture, not actual headcount by function/location.

Evidence gaps

  • Monthly headcount, projected hiring, locations, contractor/provider count, attrition.

Hidden risks

  • Hiring pace without corresponding retention/productivity data can hide execution risk.

Follow-up questions

  • Provide historical/projected headcount by function/location and recruiting funnel.
Headcount and hiring signals
signalpublic evidenceverification statusdiligence interpretationrequest
2020 headcount growthSeries B page says Spring tripled headcount after Series A.verifiedEarly hypergrowth signal.Monthly headcount by function/geography since inception.
Open rolesOpen roles page exposed 82 unique Greenhouse job links during this run.partially_verifiedActive hiring across sales/customer/clinical/network/other functions.Hiring plan, budgeted headcount, offer acceptance and time-to-fill.
Remote workforceCareers page says team members can be found in almost all U.S. time zones and describes remote flexibility.verifiedDistributed-work operating model.Entity map, payroll jurisdictions, remote-work compliance.
Culture/ERGCulture page says 10 employee-led ERGs and an Inclusion Taskforce.verifiedPeople-process maturity signal.Engagement survey, DEI metrics, employee-relations matters.
Scale-copy inconsistencyCareers says over five million members; homepage/employer pages say over 20M covered lives.inconclusiveMay reflect different dates/definitions; should reconcile.Dated scale KPI definitions and reporting controls.
Public personnel scale signals Chart of point-in-time public hiring/headcount signals.

VII.C Senior management biographies

partially verified confidence: medium

Founders and selected leadership cards are public, but full biographies and tenure are incomplete.

Evidence gaps

  • Executive CVs, references, background checks, employment agreements, board materials.

Hidden risks

  • Incomplete public bios make succession and key-person risk hard to assess.

Follow-up questions

  • Provide full executive biographies, tenure, role scope, and references.

VII.D Compensation arrangements

partially verified confidence: medium

Benefits/equity language is public; executive and employee compensation arrangements are private.

Evidence gaps

  • Executive employment agreements, compensation bands, equity grants, retention bonuses.

Hidden risks

  • Compensation misalignment could drive attrition in competitive healthcare/AI markets.

Follow-up questions

  • Provide compensation arrangements and benefit-plan details.

VII.E Incentive stock plans

not publicly verifiable confidence: medium

Equity is referenced publicly, but incentive stock plan details are private.

Evidence gaps

  • Equity incentive plan, option pool, grants, 409A, refresh and acceleration terms.

Hidden risks

  • Overhang or underwater options could affect retention and capitalization.

Follow-up questions

  • Provide stock plan, grants, 409A history, and option pool analysis.

VII.F Significant employee relations problems, past or present

inconclusive confidence: medium

No significant employee-relations problems were publicly verified in this pass; private records are required.

Evidence gaps

  • HR complaints, investigations, settlement agreements, employment litigation/arbitration, wage-hour audits.

Hidden risks

  • Non-public employment claims, arbitration, or wage-hour issues may exist.

Follow-up questions

  • Provide two-year employee-relations and employment-claims schedule.

VII.G Personnel Turnover

not publicly verifiable confidence: medium

Turnover data is not public.

Evidence gaps

  • Attrition by function/location/manager, regretted losses, exit interview themes, retention plan.

Hidden risks

  • High turnover could undermine provider network, sales execution, and product delivery.

Follow-up questions

  • Provide monthly attrition and regretted-loss data for the last 24 months.
Departures, compensation, and turnover signals
areapublic signalverification statusriskrequest
Turnover by functionNo public turnover data found in reviewed sources.not_publicly_verifiableHidden attrition in clinical, sales, or engineering teams could impair execution.Two-year monthly attrition, regretted losses, exits by manager/function.
Leadership departuresNo comprehensive public leadership departure list found; about page has current/linked news cards only.not_publicly_verifiableStale public titles and unannounced departures.Current executive roster, departures, separation agreements.
CompensationCareers page mentions benchmarked salary, incentive pay, equity vesting after first year, and 401(k) match.partially_verifiedRetention and compensation competitiveness unknown.Comp bands, equity refresh history, retention bonuses, compensation committee minutes.
Employee relationsNo significant public employee-relations problems identified in reviewed sources.inconclusivePrivate claims/arbitrations may not be public.HR complaints, investigations, litigation/arbitration, wage-hour audits.
Chapter 08

08Legal and Related Matters

Public materials support a healthcare privacy/security posture and product/legal surface area, but litigation clearance, IP ownership, regulatory correspondence, insurance, and material contracts require counsel-led private diligence.

VIII.A Pending lawsuits against the Company

inconclusive confidence: medium

No exact-match public CourtListener opinion results for Spring Care, Inc. were identified in this run, but this is not full docket clearance.

Evidence gaps

  • Counsel litigation schedule, PACER/state docket searches, arbitration/demand letters.

Hidden risks

  • State, federal docket, arbitration, and sealed matters may not appear in public opinion searches.

Follow-up questions

  • Provide pending/threatened litigation schedule and counsel docket-search memo.
Pending lawsuits against the company
case or searchcourt or sourcefiled datestatusverification statusfollow up
Exact “Spring Care, Inc.” opinion searchCourtListener APISearch accessed 2026-06-06Zero exact opinion results returnedinconclusiveRun PACER, state courts, arbitration, demand letters, and counsel litigation schedule.
Broad “Spring Health” public searchPublic web/CourtListener broad searchSearch accessed 2026-06-06Broad results included unrelated entities such as Green Spring Health; not a reliable clearance.inconclusiveSearch legal names, subsidiaries, founders, provider entities, and DBA variants.
Customer/provider/employment claimsNot public in reviewed sourcesNot publicly verifiablenot_publicly_verifiableRequest litigation/claims schedule, arbitration matters, subpoenas, indemnity claims.

Absence of public exact-match opinions is not legal clearance.

VIII.B Pending lawsuits initiated by Company

not publicly verifiable confidence: medium

Affirmative litigation is not publicly verifiable from reviewed sources.

Evidence gaps

  • Plaintiff-side litigation, TTAB/domain disputes, demand-letter log.

Hidden risks

  • Unseen IP, contract, or collection disputes could affect customers or brand.

Follow-up questions

  • Provide affirmative claims/litigation schedule.
Pending lawsuits initiated by the company
case or searchcourt or sourcefiled datestatusverification statusfollow up
Exact “Spring Care, Inc.” as plaintiffCourtListener exact searchSearch accessed 2026-06-06No exact public opinion results in this run.inconclusiveCounsel docket search for IP, contract, provider, employment, and collection matters.
IP/trademark enforcementNot fully searchedNot publicly verifiable in this pass.not_publicly_verifiableUSPTO TTAB, federal docket, demand-letter log, domain disputes.

VIII.C Environmental and employee safety issues and liabilities

inconclusive confidence: low

Environmental issues appear less central for a digital-health platform; employee safety, remote work, clinical care, and crisis workflows require private policies.

Evidence gaps

  • OSHA/workplace safety, clinical crisis protocols, adverse events, remote-work compliance.

Hidden risks

  • Remote workforce and clinical crisis support can create safety obligations not visible publicly.

Follow-up questions

  • Provide safety policies, adverse-event logs, and crisis escalation procedures.

VIII.D Material patents, copyrights, licenses, and trademarks

partially verified confidence: medium

Public terms assert proprietary rights; patent/trademark ownership and license clearance are incomplete publicly.

Evidence gaps

  • USPTO/TSDR, patent assignments, open-source SBOM, contractor assignments, third-party licenses.

Hidden risks

  • IP ownership gaps or license restrictions could undermine defensibility.

Follow-up questions

  • Provide full IP schedule and counsel clearance memo.
Material IP and license snapshot
assetpublic evidencejurisdiction or scopeverification statusdiligence request
Spring Health / Spring Care brandsCompany uses Spring Health and Spring Care marks on website; terms assert proprietary rights.Trademark/brandpartially_verifiedPull USPTO/TSDR and international trademark portfolio, assignments, oppositions, licenses.
Website, questionnaires, app, servicesTerms say Spring and licensors own website, questionnaires and services; app is licensed not sold.Copyright/software/databaseverifiedIP assignment agreements, open-source inventory, contractor assignment records.
Precision-care algorithms / AI modelsCompany AI pages and founder-linked research; patents not verified in this pass.Trade secret/patent/copyrightpartially_verifiedPatent search, invention assignments, model documentation, trade-secret controls.
Third-party materials and licensorsTerms disclose third-party materials and licensors.Licenses/vendor contentverifiedVendor contracts, license restrictions, sublicensing rights, data provenance.

VIII.E Insurance coverage and material exposures

not publicly verifiable confidence: medium

Insurance coverage is not public.

Evidence gaps

  • Cyber, E&O, malpractice, D&O, EPLI policies; claims history; coverage exclusions.

Hidden risks

  • Coverage gaps could be material for PHI, clinical care, AI, and provider-network operations.

Follow-up questions

  • Provide insurance schedule and claims history.

VIII.F Material contracts

not publicly verifiable confidence: medium

Enterprise/customer/vendor contracts are private; public terms include broad disclaimers and third-party-material provisions.

Evidence gaps

  • Customer MSAs, BAAs, SLAs, partner agreements, supplier/vendor contracts, guarantees and indemnities.

Hidden risks

  • Enterprise contract terms may include guarantees, indemnities, privacy obligations, or termination rights not visible publicly.

Follow-up questions

  • Provide material contract list and copies for top customers, partners, providers, and vendors.

VIII.G Regulatory agency problems

partially verified confidence: medium

No public enforcement finding was verified in this pass, but HIPAA/privacy/security/provider-regulatory surface area is substantial.

Evidence gaps

  • Regulator correspondence, audits, complaints, breach logs, provider licensure, global privacy/telehealth memos.

Hidden risks

  • Public trust badges do not prove no breaches, complaints, or regulator inquiries.

Follow-up questions

  • Provide regulatory correspondence, privacy/security audits, breach logs, and provider-licensure compliance matrix.
Regulatory and agency action summary
agency or areapublic evidencestatusriskdiligence request
HIPAA / health informationPrivacy policy references health information and HIPAA-permitted uses.Public compliance posture, no enforcement conclusion.PHI handling, BAAs, breach-notification, minimum necessary, employer data boundaries.HIPAA risk assessment, policies, BAAs, breach log, training records.
SOC 2 / HITRUST / securityTrust center displays HIPAA/HITRUST and SOC2 audit-period signals.Partially verified public badges.Audit scope may not cover all systems or geographies.SOC 2 Type II, HITRUST certificate, pen tests, VDP reports.
State provider licensure/telehealth/prescribingProduct pages reference therapy, coaching, medication management and providers.Not publicly verifiable by state/country.Licensure, supervision, prescribing, malpractice, adverse events.Provider roster, licensure checks, credentialing audits, malpractice coverage.
FTC/state privacy/consumer protectionAI, outcomes, ROI, and privacy claims are public marketing/regulatory surface area.No public action verified in this pass.Claims substantiation, sensitive-data tracking, AI disclosures, unfair/deceptive practices.Claims substantiation files, privacy impact assessments, regulator correspondence.
Global privacy and cross-border operationsCompany claims global covered lives and over 200 regions historically.Publicly claimed; controls not public.GDPR/local telehealth, cross-border data transfer, local provider rules.Country matrix, DPAs/SCCs, local counsel memos, regulatory registrations.
Legal and regulatory public timeline Timeline of public legal/regulatory posture signals.
Risk heatmap Heatmap of top diligence risks by severity and likelihood.

Evidence

Evidence claims
IDClaimStatusSources
EC-001 CB Insights lists Spring Health as a United States Healthcare & Life Sciences unicorn valued at $3.3B. verified high SRC-001
EC-002 Spring Health announced a $100M Series E at a $3.3B valuation led by Generation Investment Management. verified high SRC-002
EC-003 Spring Health announced a $190M Series C at a $2B valuation and disclosed a 6x revenue-growth signal. verified high SRC-003
EC-004 Spring Health announced a $76M Series B led by Tiger Global and referenced a prior $22M Series A. verified high SRC-004
EC-005 Spring Health’s current homepage claims more than 20M covered lives globally and shows enterprise customer logos. partially verified medium SRC-005
EC-006 Spring Health markets employer ROI, global reach, and higher engagement than traditional EAPs. partially verified medium SRC-006
EC-007 Spring Health positions EAP+ as broader and more targeted than traditional EAPs. verified medium SRC-007
EC-008 Spring Health describes a connected digital platform with care plans and curated providers. verified medium SRC-008
EC-009 Spring Health publicly describes AI use and responsible-AI principles for mental health care. partially verified medium SRC-009
EC-010 General Mills is presented as a Spring Health customer case study focused on mental-health culture and outcomes. partially verified medium SRC-011
EC-011 Moda Health is presented as a health-plan customer with fast access and access-improvement claims. partially verified medium SRC-012
EC-012 Spring Health sells through employers, health plans, channel partners, brokers, and consultants. verified medium SRC-013SRC-014SRC-015
EC-013 Public pricing is sales-led; no public list-price schedule was found, while consultant pages emphasize transparent pricing and no hidden technology fees. partially verified medium SRC-015SRC-016
EC-014 Spring Health discloses use of service providers/subprocessors and third-party analytics in handling personal information. verified medium SRC-022SRC-023
EC-015 Spring Health collects health information and references HIPAA-permitted uses. verified high SRC-023
EC-016 Spring Health publicly displays HIPAA, HITRUST, and current SOC 2 audit-period badges/claims through its trust center. partially verified medium SRC-021SRC-022
EC-017 Spring Health identifies April Koh as CEO/co-founder and Adam Chekroud as President/co-founder. verified high SRC-017
EC-018 Spring Health publicly lists a scientific advisory board including John Krystal and Myrna Weissman. verified medium SRC-017
EC-019 Adam Chekroud is linked to peer-reviewed machine-learning research on depression-treatment outcome prediction. verified high SRC-025
EC-020 Public personnel signals show active hiring and hypergrowth/culture positioning, but exact headcount and turnover are not public. partially verified medium SRC-018SRC-019SRC-020
EC-021 Lyra, Modern Health, and Headspace directly compete for employer/workforce mental-health benefit budgets. verified medium SRC-026SRC-027SRC-028
EC-022 BetterUp, Included Health, and Teladoc create adjacent competition around coaching, navigation, virtual care, and behavioral health. verified medium SRC-029SRC-030SRC-031
EC-023 A public CourtListener exact search for “Spring Care, Inc.” returned zero opinion results in this run. inconclusive medium SRC-032
EC-024 Spring Health terms assert proprietary rights in the website, questionnaires, app, and services and disclose third-party materials. verified medium SRC-024
EC-025 Spring Health publicly names major enterprise customers and states 10M+ lives/400+ employers/27,000 groups in the Series E announcement. partially verified medium SRC-002SRC-005
EC-026 Public sources do not disclose audited financial statements, ARR, revenue, gross margin, burn, AR aging, or backlog. not publicly verifiable high SRC-002SRC-003SRC-004
EC-027 Spring Health’s care model and data categories create regulated provider-network, clinical-quality, and privacy exposure. verified medium SRC-007SRC-008SRC-023
EC-028 Spring Health claims global operating reach, including over 200 regions in 2020 and later 20M covered lives globally. partially verified medium SRC-004SRC-005SRC-006
EC-029 Guardian Life was announced as a strategic investor/provider collaborator in the Series C financing. verified medium SRC-003
EC-030 Spring Health’s about page surfaces public leadership/board-news cards beyond the founders. partially verified medium SRC-017
EC-031 Spring Health publicly describes product expansions including Global, Community Care, SpringWorks, and quality/crisis accreditation. partially verified medium SRC-002
EC-032 Spring Health terms include liability limitations and third-party-material disclaimers relevant to customer and regulatory diligence. verified medium SRC-024
Sources
IDPublisherTitleAccessed
SRC-001 CB Insights The Complete List Of Unicorn Companies 2026-06-06
SRC-002 Spring Health Spring Health Announces $100 Million Series E Funding to Accelerate Growth and Expand Global Access to Mental Healthcare 2026-06-06
SRC-003 Spring Health Spring Health Reaches $2B Valuation and Launches Family Mental Health Solution Globally 2026-06-06
SRC-004 Spring Health Spring Health raises $76 million in Series B financing 2026-06-06
SRC-005 Spring Health Mental Healthcare That's Right For You - Spring Health 2026-06-06
SRC-006 Spring Health Comprehensive Mental Health Solutions for Employers 2026-06-06
SRC-007 Spring Health Our Employee Assistance Program (EAP+) Solution 2026-06-06
SRC-008 Spring Health One Connected Mental Health Platform 2026-06-06
SRC-009 Spring Health Ethical AI Built for Better Mental Health Care 2026-06-06
SRC-010 Spring Health Customer Stories & Case Studies 2026-06-06
SRC-011 Spring Health How General Mills is Embracing Mental Health 2026-06-06
SRC-012 Spring Health From Vision to Impact: How Moda Health Transformed Behavioral Health Access 2026-06-06
SRC-013 Spring Health Spring Health for Health Plans 2026-06-06
SRC-014 Spring Health Spring Health for Channel Partners 2026-06-06
SRC-015 Spring Health Spring Health for Consultants 2026-06-06
SRC-016 Spring Health Request a Demo 2026-06-06
SRC-017 Spring Health About Us 2026-06-06
SRC-018 Spring Health Spring Health Careers 2026-06-06
SRC-019 Spring Health Open Roles 2026-06-06
SRC-020 Spring Health Our Culture of Thriving at Spring Health 2026-06-06
SRC-021 Spring Health Spring Health Trust Policy 2026-06-06
SRC-022 Spring Health / Conveyor Spring Health Trust Center 2026-06-06
SRC-023 Spring Health Privacy Policy 2026-06-06
SRC-024 Spring Health Terms of Service 2026-06-06
SRC-025 PubMed / The Lancet Psychiatry Cross-trial prediction of treatment outcome in depression: a machine learning approach 2026-06-06
SRC-026 Lyra Health Leading Global Workforce Mental Health Care 2026-06-06
SRC-027 Modern Health Modern Health: Mental Health Care Designed For Your Workforce 2026-06-06
SRC-028 Headspace End-to-End Mental Health Care for Organizations 2026-06-06
SRC-029 BetterUp Powering performance-ready workforces in the AI era 2026-06-06
SRC-030 Included Health Included Health - Personalized Virtual Care & Navigation for Employers and Health Plans 2026-06-06
SRC-031 Teladoc Health Telehealth & Telemedicine Provider 2026-06-06
SRC-032 Free Law Project / CourtListener CourtListener exact-search query for "Spring Care, Inc." 2026-06-06
SRC-033 Spring Health Spring Health sitemap 2026-06-06

Disclaimer

This report is a public-evidence diligence snapshot, not investment advice. Important financial, legal, technical, and contractual facts remain non-public and should be verified directly with management and primary documents before any investment decision.