Hazel Health

What Hazel Health does

Hazel Health is a K-12 school-based telehealth provider founded in 2015 and headquartered in Irving, Texas (Delaware-incorporated), operating as the largest dedicated school telehealth platform in the United States. Through partnerships with more than 200 K-12 school districts across 21 states, the company delivers virtual mental health therapy (weekly 45-60 minute 1-on-1 sessions using CBT, art therapy, play therapy, and mindfulness) and on-demand physical health care for common pediatric conditions, accessible via tablet, desktop, or smart devices at school or at home. Approximately 40% of clinicians are bilingual across 30+ languages, and services are HIPAA, FERPA, and SOPPA compliant with third-party outcome validation from Clemson University.

Hazel operates a B2B2C go-to-market model: school districts and health plans contract with Hazel to provide access, parents provide consent for student participation, and the company bills insurance (including Medicaid) to offset visit costs so that families pay no out-of-pocket fees. Revenue has historically been driven by school district contracts but is undergoing a structural pivot toward Medicaid and private insurance billing following the expiration of federal COVID relief funds. The company has scaled to serve over 5 million students across 6,000+ schools and reported impact metrics including 8 of 10 children experiencing reduced anxiety/depression within 6 sessions, 90% return-to-class rates, and 11+ additional school days attended per student per year.

In October 2025, Hazel acquired Little Otter (pediatric mental health) and appointed Iyah Romm as CEO; the company has since executed two rounds of layoffs cutting 135 staff (approximately half clinicians), reduced headcount to roughly 500, lost its largest customer (Los Angeles County Office of Education at $28M+ annually), and abandoned its MAIA AI project. The company is now restructuring around three stated priorities: increasing kids served, improving care efficiency, and securing payment from health insurers rather than schools.

Name

Hazel Health

Legal name

Hazel Health, Inc.

Website

https://hazel.co

Company type

Private

Founded year

2015

Operating status

Operating

Headcount range

101–250 employees

Short description

Hazel Health is a K-12 school-based telehealth provider delivering virtual mental health therapy and physical health care to over 5 million students across 200+ districts in 21 states via district partnerships and insurance billing.

Ownership category

akta.pro rank

Product category

K-12 Telehealth Services

NAICS

Offices of Mental Health Practitioners (except Physicians) (621330), Offices of Physicians, Mental Health Specialists (621112), Offices of Other Health Practitioners (6213)

SIC

Services-Health Services (8000), Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Educational Services (8200)

akta.pro primary industry

Telehealth & Digital Wellness Services (EDALAFAM)

akta.pro secondary industries

Pediatric Primary Care Telehealth (well-child, minor illness, developmental screening) (HLALAHAF), Mental Health Counseling & Therapy Services (K–12) (EDAJALAG), Multi-Specialty Telehealth Provider Marketplaces (HLALALAA)

Keywords

• K-12 telehealth services
• School-based mental health
• Pediatric virtual care
• Student online therapy
• School district healthcare

Headquarters

HQ city

San Francisco

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Insurance Billing: Hazel Health submits claims to students' health insurance (including Medicaid) to offset the cost of visits. Families pay no out-of-pocket costs and students are never turned away based on insurance status. Depending on insurance plans, families may be responsible for co-pays or co-insurance amounts.
2. School District Contracts: Services are made possible by local school districts or health plans. Districts pay for services through contracts with Hazel Health. The company is restructuring to shift toward billing Medicaid and private insurance as alternative funding sources following expiration of federal COVID relief funds.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels4 records

Core offering

Hazel Health provides K-12 school-based telehealth services through two core offerings: (1) Mental Health Services (Online Therapy) — evidence-based 1-on-1 weekly 45-60 minute sessions delivered by licensed pediatric therapists using CBT, art therapy, play therapy, and mindfulness techniques; and (2) Physical Health Services (Online Medical Care) — on-demand pediatric telehealth for common childhood illnesses (cold/flu, allergies, earaches, skin conditions, minor injuries) with rapid onsite testing and treatment recommendations. Services are delivered via the Hazel telehealth platform accessible at school or home through tablets, desktops, or smart devices, and are made available to students through partnerships with school districts and health plans at no out-of-pocket cost to families.

Product overview

Hazel Health is a K-12 school-based telehealth platform offering two core services: Mental Health (Online Therapy) and Physical Health (Online Medical Care). The platform provides evidence-based, personalized care delivered by licensed pediatric clinicians through virtual visits accessible at school or home. In October 2025, Hazel Health acquired Little Otter (a pediatric mental health company) and expanded offerings through a BeMe Health partnership. Services are available to students in partner school districts across 21 states, with ~40% of providers being bilingual speaking 30+ languages. The company bills insurance and offers services at no out-of-pocket cost to families.

Differentiator

Problem solved

Functional benefit

Products and services

• Hazel Health Mental Health Services (Online Therapy) Evidence-based, personalized online therapy program for K-12 students delivered by licensed therapists specializing in child and teen development. Includes cognitive behavioral therapy, art therapy, play therapy, and mindfulness techniques. Students receive weekly 45-60 minute 1-on-1 sessions matched with their own licensed therapist.
• Hazel Health Physical Health Services (Online Medical Care) On-demand pediatric telehealth medical care for common childhood illnesses and health concerns including cold/flu, earaches, headaches, skin irritations, allergies, and minor injuries. Provides rapid onsite testing and treatment recommendations within minutes of request, available to K-12 students at school or at home.
• Little Otter (Pediatric Mental Health) Pediatric mental health offering acquired by Hazel Health in October 2025, providing integrated mental health services for children and families as part of the unified Hazel Health platform.

Quantifiable outcome

• 8 of 10 children and teens experience reduced anxiety and depression within 6 Hazel therapy sessions
• +6 more outcomes

Named customers8 records

Segments1 record

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

Nine partnerships are on record, tiered regional, minor and core.

• The Children's Trust (Miami-Dade County)regionalChannel Partner/ Reseller/ Distributor · 16 January 2026Partnership providing $25.8 million annual investment for comprehensive school-based health services at 283 schools through HealthConnect in Our Schools initiative.
• Health Foundation of South FloridaminorChannel Partner/ Reseller/ Distributor · 16 January 2026Contributed $1.5 million over five years to support mobile unit services at charter schools in Miami-Dade County.
• United Way MiamiminorChannel Partner/ Reseller/ Distributor · 16 January 2026Co-contributor to mobile unit services funding for charter schools in Miami-Dade County.
• Little OttercoreStrategic or Co-development Partner · 14 October 2025Hazel Health acquired Little Otter, a pediatric mental health company. Iyah Romm was appointed as new CEO as part of this acquisition. The companies have since merged to provide integrated mental health services for children and families.
• Clemson University Center for Behavior AnalysiscoreStrategic or Co-development Partner · 19 March 2024Third-party clinical validation partnership. Clemson University conducted independent analysis of Hazel Health's teletherapy program using GAD-7 (anxiety) and PHQ-9 (depression) screening tools, finding that 75% of students showed reduced symptom severity.
• BeMe HealthcoreStrategic or Co-development PartnerHazel Health expanded Tier 1 offerings for students across the country through BeMe Health partnership, enhancing behavioral health services for K-12 students.
• ESC Region 1 SchoolsregionalChannel Partner/ Reseller/ DistributorHazel Health was awarded as Mental Health Services Provider for ESC Region 1 Schools, expanding service to educational service center region.
• Georgia Department of EducationregionalChannel Partner/ Reseller/ DistributorHazel Health was named an Approved Vendor by Georgia DOE for Student Mental Telehealth Services (eRFI 41400-DOE0000094).
• Pivotal VenturesminorGTM or Marketing PartnerHazel Health mentioned at HLTH 2025 panel on trends reshaping women's health investing (indirect reference)

Scale indicators20 records

Recent moves6 records

Expansion highlights5 records

Emerging players

• InStride Health: InStride Health specializes in pediatric anxiety, OCD, and anxiety-related disorders through virtual therapy and coaching. Comparable in pediatric mental health focus but narrower in clinical scope than Hazel.

Direct peers

• Brightline: Brightline is a pediatric and family mental health company offering therapy, psychiatry, and coaching through employer and payer partnerships. Comparable to Hazel's pediatric mental health focus and the Little Otter-acquired family therapy offering.
• Cartwheel Care: Cartwheel provides K-12 school-based mental health services including teletherapy, psychiatric care, and on-demand crisis support to students. It is one of the closest direct competitors to Hazel Health in the school-based mental health category.
• Daybreak Health: Daybreak Health provides online therapy and psychiatry specifically for adolescents and young adults, with school district partnerships. Directly comparable to Hazel's pediatric mental health therapy product.
• Charlie Health: Charlie Health provides virtual intensive outpatient (IOP) and mental health treatment programs for adolescents and young adults. Comparable in target population and virtual delivery model, though focused on higher-acuity care.
• Mantra Health: Mantra Health partners with colleges and K-12 districts to deliver telemental health services including therapy, psychiatry, and crisis support. Overlaps directly with Hazel's school-based mental health offering and targets similar district buyers.

Broad incumbents

• Teladoc Health: Teladoc Health is a large, multi-specialty virtual care provider offering general medical, mental health, and chronic condition management. Overlaps with Hazel as a telehealth incumbent but does not specialize in K-12 or school-embedded care.
• Amwell: Amwell operates a large telehealth platform connecting patients with providers across multiple specialties. Functions as an infrastructure incumbent comparable to Hazel on technology but not on K-12 specialization or district GTM motion.

Market position

Strengths5 records

Weaknesses2 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/hazelhealthinc

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Subsidiaries1 record

Funding overview

Funding rounds6 records

Investors13 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A3 records

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Hazel Health