The company quietly rewiring how care at home gets ordered, delivered, and paid for.
Somewhere right now, a patient is being discharged. The doctor signs off. The family exhales. And then the hard part begins - not the recovery, but the scavenger hunt. Who delivers the oxygen? Will insurance cover the wheelchair? Which supplier has the wound-care kit in stock, and will it arrive before Friday?
This is the part of healthcare that happens after the lights of the hospital fade. It is enormous, it is growing, and for decades it ran on fax machines and crossed fingers. Tomorrow Health is the company betting that it does not have to.
Headquartered in New York, Tomorrow Health is a health-technology firm that connects three groups who rarely speak the same language - the providers who write orders, the health plans who pay, and the durable medical equipment (DME) suppliers who deliver. It sits in the middle and translates. Quietly. The kind of infrastructure you only notice when it is missing.
“The least glamorous corner of healthcare is the one most likely to fail a patient on their first day home.”
- The premise Tomorrow Health was built onDurable medical equipment - the beds, the CPAP machines, the oxygen concentrators, the mobility aids - is a multi-billion-dollar slice of American healthcare. It is also, charmingly, run like it is still 1998. A single order can require answering 40 to 50 insurance questions, routed by fax, chased by phone, and rejected for reasons nobody explains until week three.
The result is a system that is slow where it should be fast and complicated where it should be simple. Patients wait. Families improvise. Suppliers drown in paperwork. Health plans overpay and under-see. Everyone agrees it is broken; almost nobody has tried to fix the whole chain at once.
“Doctors send the order. Insurance says maybe. The patient waits. Somewhere, a fax machine hums.”
- Home-based care, before the software showed upTomorrow Health looked at that mess and saw not a nuisance but an architecture problem. If the pieces could talk to each other, the chaos would mostly evaporate. That is a much harder thing to build than to say.
Vijay Kedar did not arrive at home-based care through a spreadsheet. He arrived through his mother. After a stage 3 cancer fight that put her in intensive care for months, she came home needing a year of intensive care there - portable oxygen, mobility support, wound-care supplies, respiratory therapy. His family, by his own account, was unprepared for how hard simply getting that equipment would be.
Kedar had spent time at Goldman Sachs and then as an early employee at Oscar Health, working alongside Josh Kushner and Mario Schlosser. He knew the insurance machine from the inside. So he made a bet that the home was the next frontier of care - and that it deserved real software.
He brought in Gabriel Flateman, co-founder and former CTO of Casper, who traded the world of direct-to-consumer mattresses for the considerably less photogenic world of medical supply logistics. The two founded Tomorrow Health in 2018 and launched it publicly in April 2020 - timing that, thanks to a pandemic, made “care at home” the most urgent phrase in healthcare overnight.
Ex-Goldman Sachs, early Oscar Health. Built the company after watching his own family struggle to bring his mother's care home.
Co-founder and former CTO of Casper. Brought e-commerce and logistics infrastructure instincts to medical supply chains.
“He left mattresses for medical equipment. She survived cancer and inspired a company. Healthcare startups rarely have origin stories this human.”
- On why this one stuckPeople kept calling Tomorrow Health “the Amazon of home healthcare equipment,” and the comparison is lazy in exactly the way that makes it useful. The core idea is that ordering a hospital bed should feel less like filing a tax return and more like ordering anything else online.
The platform is a HIPAA-compliant marketplace. A provider sends an order. Tomorrow Health matches it to the right supplier based on what is actually in stock and who can actually deliver, navigates the insurance maze on the patient's behalf, and keeps a human Care Advocate on the line for the questions software cannot answer. Three parties, one workflow.
In January 2026 the company shipped its sharpest version of the idea yet: the Horizon Suite. For providers, you can drag a patient's file out of an EMR and drop it in; proprietary AI parses it, auto-answers those 40-to-50 insurance questions, and recommends products and suppliers. A task that historically took about 90 minutes collapses to under 60 seconds, producing orders that are 95% clean and compliant on submission. For health plans, the same system manages spend across more than 100,000 product types with analytics and automated referral management.
“Ninety minutes to sixty seconds. The fax machine never stood a chance.”
- On the Horizon Suite, launched January 2026Vision is cheap; adoption is the receipt. Tomorrow Health reports partnerships with more than 100 health plans and hospital systems - some accounts put the figure at 125+ - plus thousands of referring providers and hundreds of suppliers. The flagship example is Geisinger Health Plan, which has used the platform since 2021 to coordinate home-based care for 550,000 members, 5,000-plus referring providers, and 180-plus DME suppliers.
Fig. 1 - The classic startup staircase, except every step funds someone's grandmother getting her oxygen on time. Series B alone outweighs the first two rounds combined.
The backer list reads like a who's-who of people who do not write checks lightly: BOND led the Series B, with Andreessen Horowitz, Obvious Ventures, BoxGroup, and Ashton Kutcher and Guy Oseary's Sound Ventures along for the ride. Third-party estimates put annual revenue around $70M, though the company has not confirmed it.
“One health plan. 550,000 members. 180 suppliers. All coordinated through software that did not exist a decade ago.”
- The Geisinger Health Plan rolloutStrip away the funding rounds and the AI, and the mission is stubbornly simple: make it easy for every person to receive high-quality, affordable care at home. Not as a luxury, not as an exception - as the default.
That is a bigger claim than it sounds. The American population is aging, hospitals are expensive, and value-based care keeps pushing treatment out of the building and into the living room. The home is where healthcare is heading whether the supply chain is ready or not. Tomorrow Health is trying to make sure it is ready.
“The home is becoming the default place to receive care. Someone has to build the plumbing. They volunteered.”
- On why this matters beyond healthcare nerdsReturn to the patient being discharged. The doctor signs off. The family exhales. Only now the order does not vanish into a fax queue - it routes itself to a supplier who has the equipment and can deliver it. The insurance questions answer themselves in seconds. A Care Advocate is a phone call away. The hospital bed arrives before the patient does.
That is the whole point. Tomorrow Health is not trying to be the most visible company in healthcare. It is trying to be the one you never have to think about - the infrastructure that makes the hardest day a little less hard. If they get it right, the most radical thing about getting care at home will be how unremarkable it feels.
The company is young, the market is vast, and the fax machines are not extinct yet. But the direction is set. Care is coming home. Tomorrow Health is laying the road.
“The goal was never to be noticed. It was to make the oxygen show up. On time. Every time.”
- Tomorrow Health, in one sentence