Highmark Interactive

What Highmark Interactive does

Highmark Interactive (legal entity Highmark Innovations Inc.) is a Toronto/Oakville-based digital health company that has built and commercializes an FDA-cleared, gamified brain function assessment and remote patient monitoring platform branded as EQ (including EQ Active / EQ Brain Performance, EQ Remote Monitoring, EQ for Emergency, and EQ Elite). The platform delivers patient-led and clinician-led assessments across seven brain performance domains (balance, visual function, executive function, verbal memory, working memory, attention, reaction) plus six mental wellness subdomains, drawing on clinically validated activities such as trailmaking and digits backwards. It is sold to orthopedic surgeons, emergency rooms, NCAA athletic programs, and clinical practices, and is deployed in 350+ health organizations globally, with regulatory clearances in the U.S. (FDA 510(k)), Europe (CE), Canada, and Oceania, plus HIPAA and PHIPA compliance.

The product portfolio extends beyond the core EQ platform through wholly-owned subsidiaries: BrainFx (digital neurofunctional cognitive assessments), Complex Injury Rehab (multi-disciplinary rehabilitation clinics for brain/spinal cord injuries, chronic pain, and complex trauma), and Highmark Health (concussion management, sports medicine, and "Collision Medicine" clinics). The THINK AHEAD Pathways Program, launched in mid-2022, combines an in-ER digital assessment with virtual physician follow-up and remote neurological monitoring for head-injury patients discharged from the Emergency Room.

The business model combines SaaS subscription revenue from EQ Remote Monitoring (USD$60/patient/year with a minimum two-month monitoring window, targeted to scale to 75–85% of revenue by end of 2023), per-patient implementation fees, usage-based RPM reimbursement enabling physicians to bill under CPT codes 99453/99454/99457/99458, and revenue share from clinical services through partner clinics. Go-to-market is hybrid: enterprise field sales targeting orthopedic surgeons, ERs, and hospital systems alongside self-serve app-store distribution (Apple App Store and Google Play) with a 30-day free trial. The company became public in November 2021 via a Qualifying Transaction with Stormcrow Holdings Corp. and trades on the TSX Venture Exchange (HMRK); in November 2023 it announced a strategic review process, signaling potential evaluation of strategic alternatives.

Name

Highmark Interactive

Legal name

Highmark Innovations Inc.

Website

https://highmark.tech

Company type

Public

Founded year

2019

Operating status

Operating

Headcount range

1–10 employees

Short description

Highmark Interactive is a publicly-traded Canadian digital health company offering an FDA-cleared gamified brain function assessment and remote monitoring platform (EQ) sold to orthopedic surgeons, emergency rooms, NCAA programs, and clinical practices across 350+ health organizations globally.

Ownership category

akta.pro rank

Product category

Digital Health Neurological Assessment Software

NAICS

Scientific Research and Development Services (5417)

SIC

Services-Prepackaged Software (7372)

akta.pro primary industry

Neurology RPM (epilepsy, Parkinson’s, MS monitoring) (HLALAFAJ)

akta.pro secondary industry

Decentralized/Hybrid Trial Enablement (DCT) Platforms (HLACAOAL)

Keywords

• Brain function assessment
• Remote patient monitoring
• Digital neurological testing
• Concussion management software
• Cognitive assessment platform

Headquarters

HQ city

Toronto

HQ country

Canada

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. SaaS Subscription Revenue: Recurring SaaS revenue from EQ Remote Monitoring platform. Highmark earns minimum of two months monitoring per patient at USD$60/patient/year. Hybrid model with additional per-patient use and implementation fees. Phase 1 anticipated to be equal mix of SaaS and clinical services, scaling to 75-85% SaaS by end of 2023.
2. Clinical Services Revenue: Revenue from clinical services component of THINK AHEAD Pathways Program and rehabilitation services through network of treating clinics. Revenue share with partner clinics for patient rehabilitation services.
3. RPM Reimbursement Codes: Physicians bill using standard CPT codes for Remote Physiologic Monitoring: 99453 ($19.03), 99454 ($55.72), 99457 ($50.18), 99458 ($50.18). Creates additional revenue stream for orthopedic practices while generating SaaS fees for Highmark.

Pricing tiers

Go-to-market motion3 records

Distribution channels4 records

Marketing channels6 records

Core offering

Highmark Interactive sells an FDA-cleared, gamified digital health platform that assesses and monitors brain function and mental wellness across seven core neurological domains and six mental-wellness subdomains. Its primary commercial products are EQ Active / EQ Brain Performance (patient-led assessments), EQ Remote Monitoring (clinician-led balance RPM), BrainFx cognitive assessments, and the THINK AHEAD Pathways Program for emergency-room head-injury follow-up. Revenue is generated through SaaS subscriptions per monitored patient, implementation fees to orthopedic practices, RPM billing enablement for physicians, and clinical services delivered through its CIR and Highmark Health subsidiaries.

Product overview

Highmark Interactive offers a platform-plus-modules architecture centered on digital health tools for brain and mental wellness assessment and monitoring. The core product family includes EQ Active/EQ Brain Performance (FDA-cleared gamified neurological assessments), EQ Remote Monitoring (RPM) for balance monitoring, and BrainFx (comprehensive cognitive assessments). These digital solutions integrate with clinical services including Complex Injury Rehab and Highmark Health clinics. The company also operates the THINK AHEAD Pathways Program for ER follow-up care. The technology portfolio spans patient-led assessments, clinician-led assessments, and remote monitoring capabilities, used across 350+ health organizations globally.

Differentiator

Problem solved

Functional benefit

Brands

• EQ (also marketed as EQ Active, EQ Brain Performance, EQ for Emergency): FDA-cleared gamified brain function assessment and remote monitoring platform covering 7 core areas of brain performance and mental wellness
• BrainFx
• Complex Injury Rehab (CIR)
• HighMark Health
• THINK AHEAD Pathways Program

Products and services

• EQ Active / EQ Brain Performance FDA-cleared, gamified mobile brain-function assessment platform evaluating seven core brain performance areas (balance, visual function, executive function, verbal memory, working memory, attention, reaction) and six mental-wellness subdomains (general, social, physical, emotional, conflicts and pressure, fatigue). Used by healthcare providers for virtual, in-person, and hybrid care and by individuals for self-directed assessment via Apple App Store and Google Play.
• EQ Remote Monitoring (RPM) Remote Patient Monitoring software designed specifically for balance monitoring and fall-risk reduction in pre- and post-surgical orthopedic patients. Enables physician customers to bill standard RPM CPT codes (99453, 99454, 99457, 99458) for set-up, device/data transmission, and care management time, generating approximately USD$200,000 in additional annual practice revenue per orthopedic surgeon at scale.
• BrainFx Comprehensive digital neurofunctional cognitive assessment platform designed to detect mild to moderate cognitive dysfunction that other tests may miss. Uses interactive function-based activities with automated, personalized reporting for targeted treatment planning, primarily sold to clinicians and rehabilitation providers.
• THINK AHEAD Pathways Program Emergency-room follow-up program providing physician follow-up and remote neurological monitoring for patients aged 12 and older discharged from the ER after suspected mild head injury. Bridges gaps in post-discharge care and targets 15 Ontario ERs by end of 2023.
• Complex Injury Rehab (CIR) Multi-disciplinary, specialized rehabilitation clinic service providing assessment and treatment for individuals with acquired brain injury, spinal cord injury, chronic pain, orthopedic injuries, amputations, burns, and other complex trauma. Operated as a wholly owned subsidiary of Highmark Interactive.
• Highmark Health Clinical service subsidiary specializing in concussion management and sports medicine, pioneering 'Collision Medicine' — an approach integrating Sports Medicine, Physical Medicine, and Emergency Medicine for diagnosis, intervention, and rehabilitation of injuries from acceleration/deceleration of the human body. Operated as a wholly owned subsidiary of Highmark Interactive.

Quantifiable outcome

• Reduces assessment time by up to 95%
• +6 more outcomes

Named customers10 records

Segments5 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

Ten partnerships are on record, tiered minor and core.

• MedworksminorStrategic or Co-development Partner · 24 November 2022Emerging leader in on-demand healthcare partnering with Highmark for integrated care delivery solutions.
• Global Concussion Care NetworkcoreStrategic or Co-development Partner · 6 October 2022Strategic partnership with global concussion care network for expanded access to brain health services through EQ platform.
• Greater Toronto Area Hospital GroupcoreStrategic or Co-development Partner · 4 October 2022Partnership with multiple GTA hospitals for THINK AHEAD Pathways Program deployment. Target of 15 ERs by end of 2023 across Ontario.
• Renal Research InstituteminorStrategic or Co-development Partner · 20 June 2022Collaboration to identify potential biomarkers of brain injury in hemodialysis patients. Research partnership exploring new clinical applications for EQ assessment technology.
• Joseph Brant HospitalcoreStrategic or Co-development Partner · 14 June 2022Greater Toronto Area hospital, first deployment site for THINK AHEAD Pathways Program. Program offers physician follow-up and remote monitoring of neurological function to patients discharged from ER with head injury. Live deployment as of July 2022.
• Urgent Orthopedic Care Inc. (UOC)coreStrategic or Co-development Partner · 8 June 2022Multi-clinic orthopedic organization managing 10,000+ patients annually. Partnership for EQ Remote Monitoring (RPM) platform deployment for pre and post-surgical monitoring. UOC partnership live as of August 2022 with initial roll-out to 15 surgeons.
• Ball State UniversityminorStrategic or Co-development Partner · 7 December 2021Competitive proposal win for NCAA athletic program brain function assessment platform. Addition to growing network of NCAA university accounts.
• State University of New York at AlbanyminorStrategic or Co-development Partner · 7 December 2021SUNY Albany addition to NCAA university network using EQ platform for athletic brain health monitoring.
• Mayo CliniccoreStrategic or Co-development Partner · 5 October 2021Collaboration to assess impact of Long COVID on cognitive function using EQ platform. Major academic medical center partnership validating clinical applications of Highmark technology.
• University of Florida GatorsminorStrategic or Co-development Partner · 29 July 2021NCAA athletic program using EQ Elite Brain and Mental Health Performance Platform. Part of ongoing expansion of university athletic program partnerships.

Scale indicators10 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• ImPACT Applications: ImPACT Applications is the dominant FDA-cleared computerized neurocognitive testing platform for concussion assessment, used widely across sports medicine and clinical settings. It is the most direct competitor to Highmark's EQ platform in the brain function assessment category.
• BrainCheck: BrainCheck provides digital cognitive assessment tools used by clinicians to detect and monitor cognitive impairment. It competes directly with Highmark's EQ Brain Performance and BrainFx products in the digital neurofunctional assessment market serving healthcare providers.
• SyncThink: SyncThink offers FDA-cleared eye-tracking based concussion assessment technology used in athletic and clinical settings. It targets the same sports concussion and brain injury assessment market as Highmark's EQ Elite platform for NCAA programs.
• C3 Metrics: C3 Metrics (now part of broader concussion care networks) provides clinical concussion assessment tools and is positioned in the same head injury evaluation market as Highmark's THINK AHEAD Pathways Program for emergency rooms.
• Sway Medical: Sway Medical offers FDA-cleared mobile balance and cognitive assessment for concussion and mild traumatic brain injury, used in athletic and clinical contexts. It directly overlaps with Highmark's balance monitoring and concussion assessment capabilities.

Emerging players

• HeadCheck Health: HeadCheck Health provides concussion recognition and management tools used by sports organizations and clinicians. It addresses overlapping use cases with Highmark's NCAA and emergency room deployments, focused on the athletic concussion segment.
• Quadrant Biosciences: Quadrant Biosciences develops epigenetic and microbiome-based diagnostics and digital assessments for neurological conditions including concussion and autism. Its research-oriented approach to brain health assessment is comparable to Highmark's Mayo Clinic and Renal Research Institute collaborations.
• NeuroCatch: NeuroCatch provides a rapid, objective neurological assessment device measuring brain function through ERP technology. It targets the same objective brain function assessment category as Highmark's EQ platform but with a hardware-clinic deployment model.
• Oculogica: Oculogica offers FDA-cleared eye-tracking based concussion and brain injury diagnostic technology. It addresses the same neurology diagnostic market as Highmark's EQ for Emergency and concussion-related products.

Broad incumbents

• Posit Science (BrainHQ): Posit Science's BrainHQ is an established brain training and cognitive assessment platform with broad clinical and consumer adoption. It operates in the broader cognitive performance and brain health market that overlaps with Highmark's mental wellness tracking capabilities.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/highmarkint
• Facebookfacebook.com/highmarkinteractive
• LinkedInlinkedin.com/company/highmark-interactive
• Instagraminstagram.com/highmarkinteractive

Compliance8 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Subsidiaries4 records

Funding overview

Funding rounds1 record

Investors

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

M&A2 records

Investments

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

Frequently asked questions about Highmark Interactive