Avel eCare

What Avel eCare does

Avel eCare is a private, PE-backed telemedicine company founded in 1993 and headquartered in Sioux Falls, South Dakota. The company operates a Virtual Health System delivering clinician-to-clinician telemedicine across 10 integrated service lines — Emergency, ICU/Critical Care, Hospitalist, Pharmacy, Behavioral Health, Crisis Care, EMS, School Health, Senior Care, and Specialty Clinic — serving hospitals, health systems, EMS agencies, K-12 schools, senior care facilities, law enforcement agencies, and tribal health organizations across 46 states. Avel is Joint Commission accredited as a virtual hospital, treats over 3 million patients annually through 800+ partner sites, and has built its go-to-market around documented customer outcomes (e.g., $3.5M in Emergency partner cost savings, $11.2M in Critical Care cost savings, 96% Senior Care transfer avoidance).

The core technical foundation is eSync, a proprietary clinical workflow and care coordination platform that integrates across all 10 service lines and connects to partner EMRs. The platform is delivered via secure high-definition video and audio, with additional specialized hardware including a rugged telemedicine-enabled tablet deployed in ambulances for EMS Telemedicine in Motion. Recent technology moves include the May 2026 integration of HealthBook+'s PaiGE Agentic Medical Partner into eSync, adding AI-powered clinical intelligence to clinician workflows, and predictive analytics capabilities within the Tele-ICU service. Service delivery is staffed by board-certified physicians, advanced practice providers, nurses, pharmacists, and behavioral health specialists operating 24/7/365 from the Sioux Falls Clinical Hub and remote workstations, credentialed as part of partner medical staffs.

Avel generates revenue through recurring, quote-based subscription service agreements with healthcare organizations, structured as multi-year enterprise contracts customized to facility type, service lines selected, and scope of coverage. Go-to-market is exclusively direct enterprise sales targeting hospital C-suite, clinical leadership, and operations buyers, supplemented by consortium relationships with regional health networks and state-level Rural Health Transformation Program awards. The company has been actively consolidated through acquisitions since 2023 — Fident Health (Sept 2023), Horizon Virtual (May 2024), Hospital Pharmacy Management (Dec 2024), and Amwell Psychiatric Care (Jan 2025, ~$21M) — backed by private equity sponsor Aquiline Capital to accelerate hospitalist, pharmacy, and behavioral health capability, alongside organic geographic expansion (Washington State, April 2025) and large partnership-led distribution plays (Global Medical Response 911 REACT, June 2026).

Name

Avel eCare

Legal name

Avel eCare

Website

https://avelecare.com

Company type

Private

Founded year

1993

Operating status

Operating

Headcount range

251–500 employees

Short description

Avel eCare is a PE-backed virtual hospital delivering clinician-to-clinician telemedicine across 10 service lines to 800+ hospitals, EMS agencies, schools, and senior care facilities across 46 states, treating 3M+ patients annually.

Ownership category

akta.pro rank

Product category

Telemedicine Services

NAICS

Offices of Physicians (except Mental Health Specialists) (621111), Ambulatory Health Care Services (621), Services for the Elderly and Persons with Disabilities (624120), Ambulance Services (62191)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Virtual Specialty Care Platforms (tele-stroke, tele-ICU, tele-derm, tele-cardiology) (HLALABAD)

akta.pro secondary industries

Tele-ER / Emergency Department Virtual Triage & Diversion Platforms (HLALAJAJ), Acute Episodic Care Telehealth Platforms (non-emergent conditions) (HLALAJAI), Virtual Urgent Care & On-Demand Teletriage Services (HLAFADAJ)

Keywords

• Telemedicine services
• Virtual healthcare platform
• Clinician-to-clinician telemedicine
• Rural health telemedicine
• Tele-ICU monitoring

Headquarters

HQ city

Sioux Falls

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Telemedicine Services Subscription and Service Agreements: Avel eCare generates revenue through recurring service agreements with healthcare organizations (hospitals, health systems, EMS agencies, schools, senior care facilities). Services are delivered via subscription-style contracts with hospitals and care facilities paying for ongoing access to Avel's virtual clinical teams across multiple service lines. The model is characterized by recurring revenue from long-term partnerships, with flexibility to cover vacancies, vacations, overnight shifts, and permanent staffing gaps.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels9 records

Core offering

Avel eCare delivers clinician-to-clinician telemedicine services across ten integrated service lines (Emergency, ICU, Hospitalist, Pharmacy, Behavioral Health, Crisis Care, EMS, School Health, Senior Care, and Specialty Clinic), connecting local healthcare providers at partner facilities with Avel's board-certified remote clinicians via secure high-definition video and audio. Services are delivered through the proprietary eSync clinical workflow platform on a subscription basis to hospitals, health systems, EMS agencies, schools, senior care facilities, tribal health organizations, and law enforcement agencies across 46 U.S. states.

Product overview

Avel eCare operates as a comprehensive Virtual Health System offering ten distinct telemedicine service lines designed to support hospitals, clinics, schools, EMS agencies, and senior care facilities across the United States. The portfolio includes Emergency, ICU/Critical Care, Hospitalist, Pharmacy, Behavioral Health, Crisis Care, EMS, School Health, Senior Care, and Specialty Clinic services—all powered by the proprietary eSync clinical workflow platform. The company provides clinician-to-clinician telemedicine, enabling local caregivers to connect with board-certified specialists 24/7/365. Avel eCare also offers AVELearn, an ACCME-accredited education platform, and has expanded through strategic acquisitions including Amwell Psychiatric Care, Horizon Virtual, and Hospital Pharmacy Management.

Differentiator

Problem solved

Functional benefit

Products and services

• Avel eCare Behavioral Health Telepsychiatry services providing emergency departments and inpatient units with 24/7 access to licensed behavioral health professionals for evaluation, consultation, and support through secure video connections.
• Avel eCare Crisis Care Virtual co-responder program providing law enforcement with 24/7 access to behavioral health experts via cellular-enabled tablets for real-time de-escalation, stabilization, and safety assessments.
• Avel eCare Emergency Emergency telemedicine services providing hospitals with 24/7 access to board-certified emergency medicine physicians and nurses for rapid support during critical situations including stroke, heart attack, and trauma.
• Avel eCare EMS Emergency Medical Services telemedicine providing EMS agencies with peer-to-peer emergency support in the field through board-certified emergency physicians and experienced paramedics via rugged telemedicine tablets in ambulances.
• Avel eCare Hospitalist Virtual hospitalist services delivering 24/7 access to board-certified hospitalists and registered nurses for inpatient management, admissions support, and overnight coverage for patients 18 years and older.
• Avel eCare Critical Care (ICU) Tele-ICU services providing 24/7 monitoring and support from board-certified intensivists and critical care nurses with continuous remote monitoring, rapid intervention, and real-time consultation.
• Avel eCare Pharmacy Remote pharmacy services providing 24/7 access to licensed, hospital-trained pharmacists for medication review, prospective order verification, therapy monitoring, and medication consultation.
• Avel eCare School Health Virtual school nursing services providing rapid access to experienced school nurses via secure video for illness assessment, chronic condition management, medication administration support, and behavioral health sessions.
• Avel eCare Senior Care Senior care telemedicine providing skilled nursing facilities and long-term care facilities with 24/7 access to geriatric-trained providers, nurses, and behavioral health specialists for urgent care, clinical support, and medical directorship.
• Avel eCare Specialty Clinic Virtual specialty clinic services providing access to board-certified specialists across 15+ disciplines including psychiatry, cardiology, dermatology, endocrinology, and rheumatology through secure two-way video technology.

Quantifiable outcome

• Avel Emergency partners experienced $3.5 million in cost savings, 700+ transfers avoided, 7,700+ video encounters, and a 21-minute reduction in door-to-physician time within the past year
• +6 more outcomes

Named customers8 records

Segments6 records

Ideal customer profiles6 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Partnerships

13 partnerships are on record, tiered flagship, core and minor.

• Global Medical Response (GMR)flagshipStrategic or Co-development Partner · 8 June 2026Partnership to launch 911 REACT (Rural Emergency Access, Care & Telehealth), an integrated 911-to-clinical-care access model for rural America. GMR — the country's largest fully integrated air and ground EMS provider serving 60%+ of the U.S. population — combines with Avel's virtual care platform to create a coordinated front door to healthcare. The model connects 911 callers to nurse navigators and real-time virtual care, reducing unnecessary emergency department utilization and improving outcomes in rural communities.
• Great Plains Health Alliance (GPHA)flagshipStrategic or Co-development Partner · 4 June 2026Collaborative partnership through the Kansas Rural Health Transformation Program to expand telemedicine-enabled care delivery across rural hospitals throughout Kansas. GPHA is a non-profit hospital network established in 1950 committed to strengthening rural healthcare. Avel eCare serves as the key clinical and operational partner in delivering virtual care capabilities across GPHA's member hospitals, focusing on emergency, inpatient, and behavioral health settings.
• Pioneer Health Network (PHN)flagshipStrategic or Co-development Partner · 4 June 2026Collaborative partnership with Avel eCare and Great Plains Health Alliance through the Kansas Rural Health Transformation Program. PHN leads a coordinated, network-based approach to rural healthcare transformation with Avel as the key clinical partner. The partnership is deploying telemedicine across 31 Critical Access Hospitals in Kansas, enhancing emergency, behavioral health, and hospitalist telehealth services. Supported by a $5 million Rural Health Transformation Program award.
• Kansas Department of Health and Environment (KDHE)flagshipOthers · 27 May 2026State agency leading the Kansas Rural Health Transformation Program, which awarded $5 million to a partnership between Great Plains Health Alliance and Pioneer Health Network deploying Avel eCare telemedicine services to 31 rural Kansas hospitals. Avel is positioned as a key implementation partner for state-level rural health transformation initiatives.
• HealthBook+coreTechnology or Integration · 11 May 2026Strategic partnership to integrate HealthBook+'s PaiGE (Agentic Medical Partner) into Avel's eSync platform. PaiGE transforms complex medical and lifestyle data into clinical guidance, embedding actionable insights directly into the workflows clinicians already use. The integration enhances Avel's core platform with advanced clinical intelligence, supporting more informed decisions, personalized care, and continuous patient-care team connections.
• Seven Corners HealthcareflagshipStrategic or Co-development Partner · 11 March 2026Strategic partnership announced March 2026 to expand virtual healthcare access and strengthen continuity of care across the United States. Avel extends its Virtual Health System to support Seven Corners Healthcare's clinical initiatives, providing patients with virtual access to board-certified physicians, nurses, and behavioral health specialists. Both organizations aim to build scalable healthcare models by combining Seven Corners' care coordination expertise with Avel's 30-plus years of telemedicine leadership. Focus areas include access to care, continuity of care, and strategic growth.
• East Adams Rural Healthcare (EARH)coreStrategic or Co-development Partner · 3 April 2025Avel eCare's first Emergency telemedicine partner in Washington State, with the service going live on April 3, 2025 at EARH in Ritzville, WA. The critical access hospital serves a town of 1,700 people and a broader service area of 20,800 residents. Avel's emergency telemedicine technology is positioned to provide direct visibility to the most critical patient areas, supporting approximately 100 ED visits per month.
• Arrowhead EMS AssociationcoreImplementation/ SI/ Consulting Partner · 25 November 2024Arrowhead EMS Association received a $5 million federal grant to implement Avel eCare's EMS telemedicine services in 20 ambulances across 15 agencies in northeast Minnesota. The program aims to improve post-crash care and reduce fatalities in rural and tribal areas, with program data to be evaluated over five years.
• South Dakota State University (SDSU) Police DepartmentcoreStrategic or Co-development Partner · 1 January 2023First-of-its-kind partnership launched in 2023 supporting SDSU's University Police Department. Officers responding to student mental health concerns have direct access to Avel's behavioral health experts for real-time assessments and next steps — ranging from next-day follow-up to immediate counselor involvement. Addresses rising mental health challenges among college students.
• South Dakota Department of HealthflagshipStrategic or Co-development Partner · 1 October 2022Avel eCare was selected through a competitive RFP process in October 2022 as the telemedicine provider for the State of South Dakota's 'Telemedicine in Motion' EMS program. Avel's emergency medicine experts based in Sioux Falls provide real-time support to EMS crews in ambulances across South Dakota via rugged telemedicine-enabled tablets. This first-of-its-kind statewide program is designed to sustain the future of EMS in the state.
• South Dakota Unified Judicial SystemflagshipStrategic or Co-development Partner · 1 January 2020Founding partner in the Crisis Care virtual co-responder program, launched in 2020 as a partnership between Avel eCare, the Unified Judicial System of South Dakota, and the Helmsley Charitable Trust. The program began as a limited pilot and quickly grew into a statewide program serving more than 40 counties in South Dakota, helping law enforcement respond to hundreds of behavioral health crisis calls.
• Cone HealthminorStrategic or Co-development PartnerCone Health is cited as a health system using smart exam technology (TytoCare) in partnership with Avel eCare to reduce unnecessary emergency visits, keep more students in class, and improve care equity in school-based health settings.
• University of MinnesotaminorOthersPartnered with the $9.9 million Biden-Harris Administration telehealth grant to assess the life-saving value and long-term sustainability of Avel eCare's EMS telemedicine system deployed in southwestern Minnesota ambulances. The University of Minnesota will evaluate outcomes over the coming years.

Scale indicators13 records

Recent moves7 records

Expansion highlights7 records

Emerging players

• Zipnosis / Bright.md: Bright.md operates an asynchronous virtual care platform focused on low-acuity urgent and primary care triage. It addresses adjacent urgent-triage and on-demand care use cases that partially intersect with Avel's emergency and acute episodic service lines.
• Vivify Health: Vivify Health provides remote patient monitoring and virtual care platforms for chronic and post-acute populations. It overlaps with Avel's senior care and chronic-condition management surface area through connected-care delivery into hospitals and home settings.
• TelePharm / PipelineRx: PipelineRx and similar tele-pharmacy providers offer remote order entry verification and pharmacist coverage to hospitals. They overlap with Avel eCare Pharmacy and Hospital Pharmacy Management's remote medication review services.
• Pulsara: Pulsara provides a real-time telehealth and care coordination platform purpose-built for EMS, hospitals, and stroke/STEMI teams. It is directly comparable to Avel's EMS Telemedicine in Motion service line and broader emergency coordination workflow.

Direct peers

• Access TeleCare: Access TeleCare (formerly SOC Telemed) is a direct competitor in specialty tele-hospitalist, tele-ICU, tele-stroke, tele-psychiatry, and inpatient teleconsults to hospitals and health systems. It is highly comparable to Avel eCare's Provider-Integrated Virtual Care Platform model.
• Hicuity Health: Hicuity Health is one of the largest U.S. tele-ICU and acute care telemedicine providers serving hundreds of hospitals. Its tele-ICU, tele-hospitalist, and inpatient specialty focus make it one of the closest direct competitors to Avel eCare's Critical Care and Hospitalist service lines.
• Equum Medical: Equum Medical delivers tele-ICU, tele-hospitalist, and acute care telehealth services to hospitals and health systems. It competes head-to-head with Avel's Critical Care, Hospitalist, and Emergency service lines and is one of the closest clinical peers in the virtual hospital category.
• Specialist TeleMed (STM): Specialist TeleMed provides on-demand tele-emergency, tele-hospitalist, tele-ICU, and tele-stroke coverage to rural and community hospitals. Its specialist coverage model and rural-hospital focus closely mirror Avel eCare's service structure and target buyer.

Broad incumbents

• Amwell (American Well): Amwell is a broad telehealth platform offering provider, patient, and payer solutions across urgent care, behavioral health, and specialty consults. It is comparable to Avel as a fellow full-stack telehealth provider and was the counterparty in the $21M Amwell Psychiatric Care divestiture to Avel in 2025.
• Telehealth Solutions / Teladoc Health: Teladoc Health is one of the largest U.S. telehealth operators, providing virtual urgent care, behavioral health, and chronic care across employers, health plans, and health systems. It is comparable to Avel as a competing virtual care platform with overlapping hospital and behavioral health service lines.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/@avelecare
• Facebookfacebook.com/AveleCare
• LinkedInlinkedin.com/company/avel-ecare
• Instagraminstagram.com/avelecare

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles20 records

Subsidiaries4 records

Funding overview

Funding rounds

Investors

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

M&A4 records

Investments

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

Frequently asked questions about Avel eCare