Strengths
- Unicorn valuation/date is supported by CB Insights row and Series D announcement.
- Series C and Series D amounts and investor participation are publicly supported.
- FDA 2018 De Novo authorization and product IFU boundaries are public.
Viz.ai Startup Diligence Report
Proceed to confirmatory diligence only if Viz.ai can prove that regulated AI care coordination converts large hospital and life-science footprint into durable, profitable ARR while maintaining FDA/PHI/AI-governance compliance and differentiation against other clinical AI platforms.
Viz.ai Startup Diligence Report
Viz.ai has credible public support for unicorn status, major financing, FDA-regulated product milestones, broad product/partner footprint and visible leadership. Public evidence is not sufficient to conclude investment quality because financials, customer ARR/retention, cap table, contracts, IP, detailed regulatory files and HR data are private.
The $1.2B valuation is public, but financials, cash, debt, ARR and cap table are not.
Diligence request: Request financials, KPI pack, forecast, cap table and financing documents.
IFUs limit products to triage/notification support; model updates or marketing beyond cleared scope could create exposure.
Diligence request: Obtain FDA matrix, labeling, QMS, validation and post-market surveillance.
Viz.ai processes PHI at scale and launches agentic AI workflows; audit artifacts were not reviewed.
Diligence request: Review SOC 2, ISO, HIPAA, subprocessors, incidents and AI monitoring.
FDA, CMS, privacy and AI governance requirements could affect adoption and economics.
Diligence request: Review reimbursement history, CMS exposure, regulatory roadmap and international readiness.
Hospital counts and logos do not disclose ARR concentration, renewal terms, NRR, churn or deployment depth.
Diligence request: Request customer ARR, contracts, renewal cohorts, usage and references.
RapidAI, Aidoc, Qure.ai and Brainomix market overlapping clinical AI and imaging workflow solutions.
Diligence request: Run win/loss, price and implementation benchmark.
2,000 hospitals, 230M lives, profitability and outcomes are primarily company-reported.
Diligence request: Reconcile customer master, telemetry, financials and references.
Life-science partnerships may add revenue and compliance complexity, but terms and concentration are not disclosed.
Diligence request: Request partner contracts, revenue by partner, data rights and compliance review.
Public evidence supports unicorn/financing history but not financial quality, cap table or valuation support.
not publicly verifiable confidence: high
No audited financial statements, management reports, backlog or AR aging are public.
| Metric | Public evidence | Status | Request |
|---|---|---|---|
| Healthcare profitability | Company-reported 2025 | partially_verified | Audited P&L/cash-flow |
| Life-sciences growth | Doubled over 18 months; 13 partnerships | partially_verified | Revenue by partner |
| ARR/NRR/gross margin/pricing | Not public | not_publicly_verifiable | KPI pack, price book, cloud cost model |
not publicly verifiable confidence: medium
Forecasts are not public; public growth drivers include hospitals, partnerships and product expansion.
not publicly verifiable confidence: high
Investors and valuation are public; shares, preferences, warrants, debt and off-balance-sheet liabilities are private.
| Stakeholder | Public position | Evidence | Diligence caveat |
|---|---|---|---|
| Founders | Mansi/Golan founded Viz.ai in 2016 | Our Story / leadership | Ownership and IP assignments private |
| Growth investors | Tiger/Insight led Series D; Scale, Kleiner, Threshold, CRV participated | Financing releases/CB row | Share classes private |
| HCA Healthcare | Customer and investor named | Series D | Related-party terms unknown |
partially verified confidence: high
Series C and Series D are publicly supported; tax, accounting policies and complete financing history are private.
| Date | Round/event | Amount | Valuation | Investors | Caveat |
|---|---|---|---|---|---|
| 2021-03-17 | Series C | $71M | Not disclosed | Scale, Insight, Greenoaks, Kleiner, Threshold, CRV, Innovation Endeavors, Susa | Terms private |
| 2022-04-07 | Series D | $100M | $1.2B | Tiger Global, Insight, Scale, Kleiner, Threshold, GV, Sozo, CRV, Susa | Preferences/cap table private |
| 2026-06-03 | CB Insights row | n/a | $1.20B latest known | Kleiner Perkins, CRV, Threshold | Market database value |
Viz.ai has broad public product and regulatory claims, but pricing, module economics and full clearance inventory require diligence.
partially verified confidence: medium
Public materials support the platform, suites and IFU limitations; architecture, pricing and product economics are private.
| Product | Audience | Public claim | Status | Need |
|---|---|---|---|---|
| Viz.ai One | Health systems | One platform, EHR/PACS workflows | partially_verified | Architecture/SLA review |
| Neuro suite | Stroke/neuro teams | LVO, CTP, hemorrhage, aneurysm, subdural | partially_verified | FDA/performance review |
| Vascular/Pulmonary | Vascular/pulmonary teams | Aortic, PE, COPD, nodules, Pulmonary Suite | partially_verified | Clinical evidence |
| Cardio/HCM | Cardiology | ECG HCM workflow | partially_verified | FDA/BMS files |
| Life Sciences/Agent Studio | Pharma/admins | Patient identification and custom AI care pathways | partially_verified | Contracts/AI governance |
| Vendor | Scope | Public pricing | Status | Request |
|---|---|---|---|---|
| Viz.ai | Enterprise platform | No public price list | not_publicly_verifiable | Price book/ACV |
| RapidAI | Clinical AI | No public price in fetched page | not_publicly_verifiable | Matched quote |
| Aidoc | Clinical AI/aiOS | Book demo; no public price | not_publicly_verifiable | Matched quote |
| Qure.ai / Brainomix | Imaging AI | No public price in snippets | not_publicly_verifiable | Benchmark |
| Module | Role | Key limitation | Risk |
|---|---|---|---|
| Viz LVO | CTA brain LVO notification | Not diagnostic beyond notification | Labeling/use risk |
| ICH/SDH/Aneurysm | CT triage/notification | Preview images informational | False positives/negatives |
| RV-LV / PE & AD | Measurement/chest CTA triage | Use with professional judgment | Performance/provenance |
| HCM | ECG screening/follow-up | Does not confirm diagnosis | Bias/validation |
Public evidence shows large adoption claims, named customers and partners, but ARR, concentration, churn and supplier economics are private.
partially verified confidence: medium
Named customers and implementation examples exist publicly, but top-15 customers and purchase timing are private.
| Customer | Use case/source | Status | Caveat |
|---|---|---|---|
| Mount Sinai/Thomas Jefferson/Banner/CommonSpirit | Named customers in Series D | partially_verified | ARR unknown |
| HCA Healthcare | Customer/investor; HCM research facilities | partially_verified | Related-party terms unknown |
| Piedmont Healthcare | 11-hospital implementation | partially_verified | Contract not public |
| Cooper University Health Care | Public quotes | partially_verified | Economics unknown |
partially verified confidence: medium
Microsoft, Salesforce, BMS and life-science partnerships are public; economics and exclusivity are private.
| Partner | Nature | Evidence | Caveat |
|---|---|---|---|
| Microsoft | Precision Imaging Network | 48+ models, 13 Viz algorithms, 17,000 facilities | Terms private |
| Salesforce | Workflow activation | Strategic partners page | Customers/terms private |
| BMS | HCM agreement | BMS and HCM releases | Economics private |
| Sanofi/Regeneron/Novartis/Guardant | Life-science partners | 14 companies claim | Revenue private |
not publicly verifiable confidence: high
Revenue by customer and 5 percent concentration are not public.
not publicly verifiable confidence: medium
No public severed customer/partner/supplier schedule was found.
partially verified confidence: medium
Public evidence identifies cloud/integration dependencies but not supplier spend or agreements.
| Dependency | Role | Evidence | Risk | Request |
|---|---|---|---|---|
| Amazon/cloud tools | Cloud/monitoring | Trust center | Uptime/PHI/margin | Cloud contracts |
| Microsoft Azure/PowerShare | Channel/infrastructure | Microsoft release | Partner dependence | Contract/SLA |
| EHR/PACS vendors | Clinical integration | Viz.ai One/Pulmonary | Implementation friction | Integration matrix |
| Drata/trust center | Audit artifacts | Trust center | Scope risk | Access reports |
Clinical AI competition is intense; public competitor pages show overlap but not market share or price advantage.
partially verified confidence: medium
RapidAI, Aidoc, Qure.ai and Brainomix publicly market overlapping clinical AI capabilities.
| Company | Overlap | Positioning | Risk |
|---|---|---|---|
| RapidAI | Clinical AI/neurovascular | Enterprise platform | Stroke workflow competition |
| Aidoc | Clinical AI/radiology | aiOS / IT integration | Enterprise AI budget competition |
| Qure.ai | Lung/TB/stroke AI | Accelerated healthcare | Global/disease overlap |
| Brainomix | Stroke/lung biomarkers | Imaging biomarkers | Stroke imaging competition |
| Axis | Viz.ai position | Pressure | Need |
|---|---|---|---|
| Workflow breadth | 50+ algorithms, multi-suite | Aidoc/RapidAI platforms | Module attach benchmark |
| Evidence/regulatory | FDA/publication claims | Qure and others cite clearances | Normalize by indication |
| Distribution | 2,000 hospitals plus Microsoft | Global/direct channels | Win/loss |
| Pricing/ROI | No public price | No matched public prices | TCO/ROI benchmark |
GTM appears to combine direct health-system sales, life-science partnerships and Microsoft/Salesforce channels; sales productivity is private.
partially verified confidence: medium
Public strategy emphasizes enterprise care coordination, clinical evidence, awards and partner channels.
| Channel | Evidence | Buyer/user | Gap |
|---|---|---|---|
| Direct health-system sales | Nearly 2,000 hospitals | CIO/CMIO/service-line leaders | CAC/quota/cycle |
| Life-sciences partnerships | 13-14 partners | Pharma/med-device | Revenue/compliance terms |
| Microsoft/PowerShare | 17,000 facilities | Health systems using Microsoft/Nuance | Attach rate/reseller economics |
| Salesforce/Agentforce | Strategic partners page | Health systems/life sciences | Customer count/terms |
| Signal | Evidence | Implication | Caveat |
|---|---|---|---|
| Clinical evidence | 120+ publications/abstracts claimed | Clinical credibility | Quality review needed |
| Awards/rankings | Black Book #1, TIME, Edison cited | Sales credibility | Methodology unknown |
| Product launches | Assist/Oncology/Agent Studio/Pulmonary | Platform expansion | Adoption unknown |
| Partner PR | Microsoft/Salesforce/BMS/pharma | GTM leverage | Economics unknown |
not publicly verifiable confidence: medium
Major-customer relationship trends, growth prospects and pipeline quality are not public.
partially verified confidence: medium
New business avenues include health-system sales, life sciences, Microsoft/PowerShare and Salesforce workflows.
not publicly verifiable confidence: high
Sales compensation, quota, cycle length and new-hire productivity are not public.
not publicly verifiable confidence: medium
Marketing budget sufficiency cannot be assessed from public PR cadence alone.
Public R&D signals include leadership, algorithms, publications and new launches; roadmap cost and validation files are private.
partially verified confidence: medium
R&D, clinical and governance leaders are visible; detailed org, budget and staffing are private.
| Name/role | Function | Evidence | Request |
|---|---|---|---|
| Oded Cohen, VP R&D and Israel GM | R&D leadership | Leadership page | R&D org/roadmap |
| Timothy Showalter, CMO | Clinical strategy | Leadership and Pulmonary release | Validation governance |
| Andrew Ibrahim, Chief Clinical Officer | Clinical adoption | Leadership page | Advisory process |
| David Kizner / Tom Vaknin | Legal/privacy/security/AI governance | Leadership and ISO release | Governance artifacts |
partially verified confidence: medium
Pipeline includes HCM, Viz Assist/Oncology, Agent Studio and Pulmonary Suite; cost, adoption and model performance are private.
| Initiative | Status/date | Evidence | Risk |
|---|---|---|---|
| Viz HCM | BMS 2023; De Novo 2023 | BMS/HCM releases | Partner economics/regulatory scope |
| Viz Assist/Oncology | 2025 company-reported launches | Record-scale release | Adoption/monetization |
| Viz Agent Studio | 2026-03-26 | Agent Studio launch | Agentic AI safety/liability |
| Viz Pulmonary Suite | 2026-05-14 | Pulmonary launch | Evidence generalizability |
| Anchor | Public value | Status | Caveat |
|---|---|---|---|
| 2018 Contact De Novo | FDA marketing authorization | verified | Decision summary needed |
| 2021 LVO study cited | 96% sensitivity, 94% specificity, 2,544 patients, 139 hospitals | partially_verified | Review full paper |
| 2023 HCM status | Twelve algorithms, 1,400+ hospitals claimed | partially_verified | FDA file review |
| 2026 evidence scale | 120+ publications; 50+ algorithms claimed | partially_verified | Reconcile inventory |
Leadership and workforce signals are public, but HRIS, compensation, attrition and references are private.
partially verified confidence: medium
Executives and board are public, but full organization chart is not.
| Name | Role | Evidence | Request |
|---|---|---|---|
| Chris Mansi | CEO and Co-Founder | Leadership/Our Story | References/employment/IP |
| Jieun Choe / Oded Cohen | COO / VP R&D Israel GM | Leadership | Ops/R&D references |
| Jallel Harrati / Mike Herring | CRO / CFO | Leadership | Sales productivity/finance controls |
| Andrew Ibrahim / Timothy Showalter | Chief Clinical Officer / CMO | Leadership | Clinical governance |
| David Kizner / Dawn Sprague / Steve Sweeny | GC & CPO / VP People / CBO | Leadership | Legal/HR/BD controls |
partially verified confidence: medium
A 2022 headcount anchor is public; current function/location headcount is private.
| Period | Public signal | Function/location | Gap |
|---|---|---|---|
| 2021-2022 | Grew from 180 to >350 | San Francisco, Tel Aviv, Portugal, Amsterdam | Detailed mix private |
| 2022 plan | Planned nearly 200 more hires | Clinical, product, engineering, business | Actual attainment private |
| 2026 pages | Fully remote, benefits, open positions link | Remote; U.S./Israel benefits | Current HRIS private |
partially verified confidence: medium
Senior management names and roles are public; full bios, compensation and references were not reviewed.
not publicly verifiable confidence: medium
Benefits are public; key employment agreements and compensation are private.
| Topic | Public signal | Status | Request |
|---|---|---|---|
| Executive appointments | Current roster visible | partially_verified | Tenure/predecessor departures |
| Employee relations | Remote work and benefits described | partially_verified | Attrition/claims |
| Compensation/equity | Benefits only; comp/equity private | not_publicly_verifiable | Employment agreements/option plan |
not publicly verifiable confidence: high
No public incentive stock plan, option pool or grant schedule was found.
not publicly verifiable confidence: low
No employee-relations issue schedule was public.
not publicly verifiable confidence: medium
Turnover data are not public; benefits are public but insufficient.
Public regulatory/compliance milestones are meaningful; legal/IP/contracts/insurance require counsel-led diligence.
inconclusive confidence: medium
CourtListener searches found no indexed Viz.ai results but are not comprehensive.
| Source | Scope | Result | Limitation |
|---|---|---|---|
| CourtListener | "Viz.ai" | count 0 | Not comprehensive |
| CourtListener | Viz.AI / Viz AI / Viz.ai Inc variants | count 0 in workstream | Variants/subsidiaries may be missed |
| Public company pages | Obvious litigation disclosure | None located | Private company no 10-K |
inconclusive confidence: medium
No initiated-litigation results were found in limited public search.
| Source | Scope | Result | Request |
|---|---|---|---|
| CourtListener | Viz.ai party variants | No indexed results found | Counsel PACER/state search |
| IP/trademark search attempts | Official disputes/oppositions | Not fully extracted | TTAB/PTAB/WIPO search |
| Data-room need | Demand letters/arbitration | Not public | Legal claims schedule |
not publicly verifiable confidence: low
No public environmental or workplace-safety liabilities were found; software and clinical safety policies still require review.
not publicly verifiable confidence: low
Product marks are public but official IP ownership, assignments and licenses were not verified.
| Asset | Public evidence | Status | Request |
|---|---|---|---|
| Viz.ai / Viz.ai One | Brand/product pages | not_publicly_verifiable | USPTO/EUIPO/WIPO exports |
| Viz LVO/ICH/CTP/ANEURYSM/SDH/RV-LV/HCM | IFU headings use TM marks | not_publicly_verifiable | Trademark schedule |
| AI algorithms/source code/models | 50+ algorithms claimed | not_publicly_verifiable | Patent/assignments/SBOM/data lineage |
| Viz Pulmonary / Agent Studio | 2026 launch pages | not_publicly_verifiable | FTO and roadmap IP review |
not publicly verifiable confidence: high
Cyber, E&O/product liability, D&O and claims history are not public.
not publicly verifiable confidence: high
Customer, partner, cloud, BAA, data-use and supplier contracts are not public.
partially verified confidence: medium
Public evidence includes FDA and compliance milestones; no public enforcement problem was found, but full agency history is incomplete.
| Date | Agency/standard | Action | Caveat |
|---|---|---|---|
| 2018-02-13 | FDA De Novo | Contact marketing authorization | Decision summary needed |
| 2022 reference | CMS NTAP | Company says first AI software with NTAP approval | CMS rule history needed |
| 2023-08-15 | FDA De Novo | Viz HCM approval announced | FDA file needed |
| 2026-05-05 | ISO/IEC 42001 | AI management-system certification announced | Certificate scope needed |
| Current | SOC 2/HIPAA/ISO privacy/security | Trust center lists certifications | Audit artifacts needed |
| ID | Claim | Status | Sources |
|---|---|---|---|
| EC-001 | CB Insights row lists Viz.ai with latest known valuation $1.20B, joined 2022-04-07, San Francisco, Healthcare & Life Sciences, investors Kleiner Perkins, CRV and Threshold. | verified high | SRC-001 |
| EC-002 | Viz.ai announced a $100M Series D at a $1.2B valuation led by Tiger Global and Insight Partners with Scale, Kleiner Perkins, Threshold, GV, Sozo, CRV and Susa participating. | verified high | SRC-002 |
| EC-003 | Viz.ai announced a $71M Series C led by Scale Venture Partners and Insight Partners and said total funding exceeded $150M since inception. | verified high | SRC-003 |
| EC-004 | Audited financials, ARR, gross margin, cash/debt, cap table, backlog, AR aging and full financing terms are not public. | not publicly verifiable high | SRC-001SRC-002SRC-003SRC-008 |
| EC-005 | Viz.ai publicly claims a care-coordination platform driven by more than 50 FDA-cleared AI algorithms across CT, EKG, echocardiogram and other data. | partially verified medium | SRC-004 |
| EC-006 | Viz.ai One is marketed as an AI-powered care coordination platform with real-time alerts, mobile/desktop workflow and EHR/PACS integration. | partially verified medium | SRC-005 |
| EC-007 | Viz.ai IFUs repeatedly limit modules to notification, triage or analysis support and warn that clinicians remain responsible for diagnosis and full patient evaluation. | verified high | SRC-006 |
| EC-008 | FDA permitted marketing of Viz.AI Contact in 2018 through De Novo pathway for stroke-alerting clinical decision support software. | verified high | SRC-007 |
| EC-009 | Viz.ai reported nearly 2,000 U.S. hospitals, majority of 50 largest health systems, more than 230M lives, healthcare-business profitability, 13 life-science partnerships and 120+ publications/abstracts. | partially verified medium | SRC-008 |
| EC-010 | Viz.ai says Chris Mansi and David Golan founded the company in 2016 to use AI to make healthcare faster and smarter. | verified medium | SRC-023 |
| EC-011 | Viz.ai publicly lists executives including Chris Mansi, Jieun Choe, Oded Cohen, Jallel Harrati, Mike Herring, Andrew Ibrahim, David Kizner, Timothy Showalter, Dawn Sprague and Steve Sweeny plus board members from Kleiner Perkins, UCSF Health, Threshold and Scale. | verified medium | SRC-009 |
| EC-012 | Viz.ai public workforce signals include fully remote work, benefits and a 2022 statement that headcount grew from 180 to more than 350 with plans to add nearly 200. | partially verified medium | SRC-010SRC-002 |
| EC-013 | Viz.ai trust center claims SOC 2 Type II, HIPAA, ISO 27001/27701/27799/27017/27018/22301/27035 and PHI processing across 2,000 hospitals, with Amazon/cloud tools and Drata artifact access. | partially verified medium | SRC-011 |
| EC-014 | Viz.ai announced ISO/IEC 42001 AI management-system certification in May 2026 after an independent audit by an accredited certification body. | partially verified medium | SRC-012 |
| EC-015 | Viz.ai describes Salesforce, Microsoft and 14 life-science company partnerships including Sanofi, Regeneron, Novartis and Guardant Health. | partially verified medium | SRC-013 |
| EC-016 | Viz.ai announced Microsoft collaboration through Precision Imaging Network with 48+ AI models, 13 Viz algorithms, Azure, PowerShare and 17,000 connected healthcare facilities. | partially verified medium | SRC-014 |
| EC-017 | Viz.ai announced a multi-year BMS agreement for HCM workflow and later announced FDA De Novo approval for Viz HCM. | partially verified medium | SRC-015SRC-016 |
| EC-018 | Viz HCM reviews routine ECGs for suspected HCM and notifies cardiologists; company said it was one of twelve FDA-cleared algorithms on a platform used across 1,400+ hospitals. | partially verified medium | SRC-016 |
| EC-019 | Public customer evidence includes Mount Sinai, Thomas Jefferson, Banner, CommonSpirit, HCA, Piedmont Healthcare and Cooper-related public quotes. | partially verified medium | SRC-002SRC-017SRC-004SRC-025 |
| EC-020 | CourtListener public API searches returned zero results for Viz.ai variants in this workstream. | inconclusive medium | SRC-018 |
| EC-021 | RapidAI publicly positions as a clinical AI platform with enterprise workflow and neurovascular solutions. | verified medium | SRC-019 |
| EC-022 | Aidoc publicly positions as clinical AI solutions and an AI platform integrated into facility IT infrastructure. | verified medium | SRC-020 |
| EC-023 | Qure.ai publicly positions medical-imaging AI across lung cancer, TB and stroke and references FDA clearances. | verified medium | SRC-021 |
| EC-024 | Brainomix publicly positions AI-powered imaging biomarkers for stroke and lung care. | verified medium | SRC-022 |
| EC-025 | Viz.ai launched Viz Pulmonary Suite in May 2026 for COPD, lung nodules and PE workflows, with a single-center PE evidence caveat. | partially verified medium | SRC-024 |
| EC-026 | Viz.ai launched Viz Agent Studio in March 2026 for health systems to build and deploy AI care pathways using natural language. | partially verified medium | SRC-025 |
| EC-027 | Public pricing, discounts, realized ACV, gross margin by product, cloud cost and sales productivity are not disclosed. | not publicly verifiable high | SRC-004SRC-005SRC-013 |
| EC-028 | Official patents/trademarks, source-code ownership, assignment records and license obligations were not fully publicly verified; company pages show product marks. | not publicly verifiable low | SRC-004SRC-006SRC-024 |
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.