What Somatus does

Somatus is a value-based kidney and cardiovascular care company founded in 2016 and headquartered in McLean, Virginia. The company partners with Medicare Advantage, Medicaid, commercial health plans, self-funded employers, nephrology practices, primary care groups, and health systems to deliver integrated care management for patients with or at risk of chronic kidney disease (CKD), end-stage renal disease (ESRD), congestive heart failure (CHF), and related cardiovascular-kidney-metabolic conditions. As of July 2025, Somatus manages care for over 500,000 patients across all 50 states and DC, with over $14 billion in healthcare costs under management, contracted with more than 5,500 specialty and primary care providers (including approximately 15% of all U.S. nephrologists) and 1,500+ self-funded organizations.

The core technology is RenalIQ®, a proprietary AI-driven platform with patent-pending machine learning models that ingests billions of lines of patient and claims data to drive predictive analytics, patient identification, clinical workflow automation, and real-time executive reporting. RenalIQ sits atop in-home multidisciplinary care delivery (nurses, dietitians, patient health advocates), telehealth services delivered through Somatus Medical Group (SMG), and two owned-and-operated dialysis centers in Virginia. Supporting products include the mySomatus patient portal, the Somatus Healthy Living Program, and the Somatus Transition Concierge service. The company was the first value-based kidney care provider to achieve NCQA Health Equity Accreditation (August 2024) and holds NCQA Population Health Management and Case Management accreditations and HITRUST CSF certification.

Somatus earns revenue primarily through multi-year value-based care contracts with health plans and provider partners, taking financial accountability for quality outcomes and total cost of care on shared savings, capitation, or at-risk arrangements. Supplemental revenue streams include provider partnership services (managed services), self-funded employer program delivery through health plan partners, SMG telehealth services, and payment integrity solutions tied to risk adjustment and coding accuracy. Somatus has raised approximately $465 million in disclosed funding across multiple rounds, with the most recent being a $325 million oversubscribed Series E led by Wellington Management in February 2022. The company was acquired by Elevance Health (formerly Anthem) in November 2025 according to third-party reporting referenced in the source materials.

Name

Somatus

Legal name

Somatus Inc.

Website

https://somatus.com

Company type

Private

Founded year

2016

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Somatus is a value-based kidney and cardiovascular care company that partners with health plans, providers, and self-funded employers to deliver AI-enabled, in-home care management for CKD, ESRD, and CHF patients across all 50 states.

Ownership category

akta.pro rank

Product category

Value-based kidney and cardiovascular care management

NAICS

Kidney Dialysis Centers (621492), Ambulatory Health Care Services (621)

SIC

Services-Home Health Care Services (8082), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Kidney & Dialysis Remote Care (CKD/ESRD monitoring, home dialysis support) (HLALAFAC)

Keywords

• Value-based kidney care
• Renal care management
• Cardiovascular care services
• In-home care delivery
• Health plan partnerships

Headquarters

HQ city

Mclean

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Value-Based Care Contracts with Health Plans: Somatus earns revenue through value-based care contracts with health plans (Medicare Advantage, Medicaid, commercial). The company is financially accountable for both quality outcomes and total cost of care, operating on shared savings, capitation, or at-risk arrangements where performance on quality and cost metrics determines financial success.
2. Provider Partnership Revenue: Somatus partners with nephrology practices, primary care groups, and health systems in value-based care arrangements. These partnerships align incentives between Somatus, providers, and payers, with revenue tied to improved patient outcomes, reduced hospitalizations, and total cost of care performance.
3. Employer Self-Funded Plans: Somatus delivers its care management program to employees and beneficiaries of self-funded employer health plans through partnerships with health plans, generating revenue on a per-member-per-month or value-based arrangement basis.
4. Somatus Medical Group (SMG) Telehealth Services: SMG provides a safety-net telehealth solution connecting patients who lack access to care with nephrologists and internists for episodic care and transitions of care support, generating revenue through payer contracts for telehealth services.
5. Payment Integrity Services: Somatus deploys payment integrity solutions to ensure appropriate premium payments for payer partners, a supplementary revenue stream tied to accuracy of risk adjustment and coding for patient populations.

Pricing tiers

Go-to-market motion3 records

Distribution channels6 records

Marketing channels9 records

Core offering

Somatus delivers integrated value-based kidney and cardiovascular care management through a proprietary AI-driven platform (RenalIQ®) and local in-home multidisciplinary care teams. The company contracts with health plans, providers, and self-funded employers on at-risk arrangements to identify high-risk patients, deliver personalized clinical and social support, and reduce total cost of care. Core offerings include predictive analytics-enabled care management, in-home assessments and coaching, telehealth, transition coordination, and owned dialysis centers.

Product overview

Somatus is a value-based kidney and cardiovascular care company offering an integrated care platform. The core product is RenalIQ®, a proprietary AI-driven technology platform with patent-pending machine learning models. Supporting the platform are patient-facing tools including mySomatus portal and the Somatus Healthy Living Program. The company also provides direct care services through in-home multidisciplinary care teams, Somatus Medical Group telehealth services, Somatus Transition Concierge care coordination, and owned dialysis centers. These components work together to deliver comprehensive kidney and heart care management, combining predictive analytics technology with hands-on clinical care delivery.

Differentiator

Problem solved

Functional benefit

Brands

• RenalIQ: Proprietary AI-driven technology platform that ingests billions of lines of data to create a complete picture of the patient and applies analytics to deliver insights for care management. Features predictive analytics and machine learning algorithms to identify patients rapidly progressing toward kidney failure.
• Somatus Medical Group (SMG)

Products and services

• RenalIQ® A proprietary AI-driven technology platform that uses patent-pending machine learning models to analyze billions of lines of patient data, enabling predictive analytics to identify high-risk patients and deliver actionable insights for care intervention across the kidney and cardiovascular care continuum.
• mySomatus Patient Portal Online patient portal providing access to health information, care plans, health support team contact details, tools and tips for healthy living, and condition education in one convenient location for enrolled members.
• Somatus Healthy Living Program A comprehensive support program for people with or at risk of developing chronic conditions affecting kidneys or heart, providing one-on-one health coaching, 24/7 nurse availability, healthy eating tips, and community support services at no additional cost to eligible members.
• Somatus Medical Group (SMG) A safety-net telehealth solution connecting patients who lack access to care with nephrologists and internists for episodic care and transitions of care support.
• Somatus Transition Concierge A service where Somatus nurses and patient health advocates partner with hospitals to ensure timely patient transitions of care, reducing avoidable hospitalizations and supporting continuity of care.
• Somatus Care Management Program A comprehensive care management program for patients with chronic kidney disease (CKD) and end-stage renal disease (ESRD), providing customized kidney and cardiovascular condition support services to health plan members.
• In-Home Multidisciplinary Care Teams Locally-based multidisciplinary care teams delivering personalized, whole-person care at patients' homes, including in-home assessments, medication reconciliation, chronic condition education, and social determinants of health support.
• Somatus Dialysis Centers Somatus-owned dialysis centers designed with emphasis on home-based dialysis solutions, providing personalized care with personal space, privacy, and transplant coordination services. Currently located in Falls Church, VA and Mount Vernon (Alexandria), VA.

Quantifiable outcome

• 13% relative reduction in mortality for patients with kidney disease (p<0.001, propensity-matched study of 165,000+ patients)
• +25 more outcomes

Named customers6 records

Segments4 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability5 records

Feature7 records

Partnerships

Eight partnerships are on record, tiered major, core and minor.

• WellcaremajorStrategic or Co-development Partner · 11 October 2025Wellcare partnered with Somatus to offer a new Care Management Program for patients with CKD/ESRD. The partnership integrates Somatus's specialized kidney care management services into Wellcare's benefits, providing personalized in-home care and care coordination for Wellcare members with chronic kidney disease and end-stage renal disease.
• Health Plans and Employer Partnerships (Multiple)coreStrategic or Co-development Partner · 24 October 2024Somatus partners with leading health plans and employers to deliver its value-based care model to members and employees across Medicare Advantage, Medicaid, commercial, and self-funded segments. Partnerships include more than 20,000 physicians under contract, over 100 nephrology practices, and 1,500+ self-funded organizations. These partnerships are the core GTM channel and revenue driver for Somatus's care management program.
• CMS (Medicare & Medicaid Data Access)coreStrategic or Co-development Partner · 24 October 2024In 2020, Somatus was awarded access to the CMS Office of Minority Health Virtual Research Data Center, providing access to years of Medicare and Medicaid beneficiary data. This access enables Somatus to examine how race, ethnicity, location, and access to specialty care impact outcomes for CKD and ESKD patients, supporting its health equity initiatives and predictive analytics capabilities.
• Sun LifemajorStrategic or Co-development Partner · 6 February 2024Sun Life partnered with Somatus in February 2024 to provide comprehensive services for late-stage kidney disease and cardiovascular care. The partnership extends Somatus's reach into Sun Life's member base, offering integrated care management for members with kidney disease and CHF. This represents a significant commercial partnership with a major health insurance provider.
• Health Evolution ForumminorStrategic or Co-development Partner · 24 October 2023Somatus signed the Health Evolution Forum's Health Equity Pledge in October 2023, joining over 50 healthcare organizations in an ongoing commitment to accelerate health equity. The pledge commits Somatus to collecting race, ethnicity, language, and sex data for at least 50% of its patient population, stratifying quality metrics by demographics, and sharing health equity data and insights with the broader healthcare community.
• KCC (Kidney Care)coreStrategic or Co-development PartnerKCC (Kidney Care) partners with Somatus to deliver whole-person care addressing social determinants of health needs for their patient community. The Somatus care team supports KCC's local care team to extend the reach of the practice into patients' homes, enabling patients to live healthier lives at home. This is described as an incredible partnership with synergy between the two organizations.
• Regional Kidney CarecoreStrategic or Co-development PartnerRegional Kidney Care partnered with Somatus to move toward care models that promote treating the whole person, not just the disease. The partnership enables Regional Kidney Care to do more for patients by giving them access to more support, education, and resources whenever and wherever needed, extending beyond the four walls of the practice.
• Lynchburg NephrologyminorStrategic or Co-development PartnerLynchburg nephrology practice partnered with Somatus, with the Somatus team integrating seamlessly into the office and partnering closely with staff. The data and support Somatus brings has been deeply impactful to the practice, helping patients achieve better health outcomes.

Scale indicators17 records

Recent moves6 records

Expansion highlights7 records

Direct peers

• Strive Health: Strive Health is a direct competitor offering value-based kidney care to health plans and providers, with proprietary analytics, in-home care teams, and risk-bearing contracts across multiple states. It competes head-to-head with Somatus for the same MA/Medicaid VBC contracts and nephrology partnerships.
• Monogram Health: Monogram Health delivers in-home, value-based kidney and polychronic care via nurse practitioner-led teams partnered with health plans and PCPs. Like Somatus, it is a scaled, venture-backed kidney VBC operator pursuing capitation and shared-savings contracts with national payers.
• InterWell Health: InterWell Health was formed from Fresenius Medical Care, InterWell, and Cricket Health to provide value-based kidney care across the CKD-to-ESRD continuum, including nephrology practice enablement. It is one of the largest scaled competitors to Somatus, anchored by Fresenius's dialysis footprint and network of nephrologists.
• Healthmap Solutions: Healthmap Solutions is a value-based kidney care management company serving health plans and providers with proprietary analytics, care navigation, and clinical programs. It is a direct, slightly smaller VBC kidney peer competing for similar payer contracts.
• Renalogic: Renalogic provides value-based kidney care management, including dialysis claims cost containment and clinical programs, primarily to self-funded employers and health plans. It overlaps with Somatus's self-funded employer channel and risk-bearing contract model.

Broad incumbents

• DaVita: DaVita is one of the two largest U.S. dialysis operators and a major provider of integrated kidney care, increasingly moving into value-based arrangements with health plans. As a scaled incumbent with both facility dialysis and care management capabilities, it competes with Somatus on payer contracts and nephrology relationships.
• Fresenius Medical Care: Fresenius Medical Care operates the largest global network of dialysis facilities and, through InterWell Health, is a major value-based kidney care player. It is a broad incumbent competing with Somatus on payer contracts, nephrology enablement, and integrated care for CKD/ESRD patients.
• Optum (UnitedHealth Group): Optum is a vertically integrated health services platform within UnitedHealth Group with value-based care, analytics, and provider enablement capabilities across many specialties. Optum Ventures is also an existing Somatus investor; Optum competes broadly in kidney VBC via Optum Health and risk-bearing provider groups.

Emerging players

• Aledade: Aledade partners with independent primary care practices in risk-bearing arrangements across MA, Medicaid, and commercial populations. While focused on primary care rather than kidney specifically, it overlaps with Somatus's provider enablement model, value-based contracts, and population health analytics approach.
• Cricket Health (now part of InterWell Health): Cricket Health pioneered a multidisciplinary, technology-enabled kidney care model before merging into InterWell Health. It is an emerging/now-integrated peer whose kidney VBC approach closely mirrors Somatus's in-home, ML-driven model.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/SomatusKidneyCare
• LinkedInlinkedin.com/company/somatus
• Instagraminstagram.com/somatuscare

Revenue estimate

Valuation estimate

Number of profiles

Profiles15 records

Subsidiaries2 records

Funding overview

Funding rounds5 records

Investors12 records

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

M&A1 record

Investments

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

Frequently asked questions about Somatus