Shearwater Health

What Shearwater Health does

Shearwater Health is a clinician-led clinical outsourcing solutions provider headquartered in Nashville, Tennessee, founded in 1973 and operating privately. The company delivers services through a global team of more than 6,000 clinicians and process experts, organized around three solution areas: Payers, Providers, and Workers' Compensation and Disability organizations. Its core offering is Clinical Process Outsourcing (CPO®), a trademarked methodology that provides clinical decision support via remote and on-site clinicians who integrate into client teams, with stated use cases including utilization management, prior authorization, case management, and clinical operations support. The company's stated value proposition is enabling nurses and clinical staff to operate at the top of their licenses by absorbing administrative and process burdens, addressing the US nursing shortage crisis (cited as a 62% hospital vacancy rate above 7.5%, 18.7% average turnover, and 610,000 nurses projected to leave the profession by 2027).

Shearwater generates revenue through managed-services clinical outsourcing contracts sold via a consultative enterprise sales motion targeting healthcare organizations. Pricing is quote-based and not publicly disclosed, with contracts structured as tailored engagements. The go-to-market relies on direct enterprise sales, content marketing, case studies, press releases, and a multi-channel social presence. The company holds a three-year NCQA Utilization Management Accreditation achieved with a perfect 100% score in February 2026, and operates a wholly-owned Philippines subsidiary (Shearwater Health Philippines) that was recognized at the HIMAP Awards 2025, supporting its global delivery model.

Leadership includes Thomas Kendrot (CEO), Todd Silmon (President of Payer Services), Vandana Rahadwa (Senior Vice President, Provider Vertical), and Chris Sullivan (Executive Vice President). No parent company, private equity sponsor, or venture funding is disclosed in the available data, suggesting an independent, privately held ownership structure with no recorded funding rounds to date. The company does not disclose revenue, customer logos, or pricing in public sources.

Name

Shearwater Health

Legal name

Shearwater Health

Website

https://swhealth.com/

Company type

Private

Founded year

1973

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Shearwater Health is a clinician-led clinical outsourcing provider headquartered in Nashville, Tennessee, delivering trademarked Clinical Process Outsourcing (CPO®) services to US healthcare payers, providers, and workers' compensation organizations through a global team of more than 6,000 clinicians.

Ownership category

akta.pro rank

Product category

Healthcare Clinical Outsourcing Services

NAICS

Water, Sewage and Other Systems (2213), Support Activities for Oil and Gas Operations (213112), Environmental Consulting Services (54162)

SIC

Oil & Gas Field Machinery & Equipment (3533), Services-Help Supply Services (7363)

akta.pro primary industry

Water, Wastewater & Hydraulics Engineering Consulting (BPAHAIAD)

Keywords

• Clinical process outsourcing
• Healthcare clinical staffing
• Utilization management services
• Remote clinical decision support
• Workers compensation case management

Headquarters

HQ city

Nashville

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. Clinical Outsourcing Services: Provides clinical process outsourcing services to healthcare payers, providers, and workers' compensation organizations. Services include utilization review, prior authorization, clinical decision support, and case management. Revenue is generated through contracted clinical services, likely on a per-engagement or managed services basis.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels6 records

Core offering

Shearwater Health provides clinical outsourcing solutions for healthcare payers, providers, and workers' compensation and disability organizations. Its core offering is Clinical Process Outsourcing (CPO®), a trademarked methodology that delivers clinical decision support via a global team of 6,000+ clinicians and process experts, combining remote and on-site clinical support with process expertise to expand capacity, reduce administrative burden, and improve care outcomes.

Product overview

Shearwater Health is a clinician-led clinical outsourcing solutions provider offering a unified platform of services organized around three customer segments: Payers, Providers, and Workers' Compensation. At its core is Clinical Process Outsourcing (CPO®), a trademarked methodology that provides clinical decision support through a global team of over 6,000+ clinicians. The company integrates remote and on-site clinicians to help healthcare organizations streamline clinical processes, improve quality of care, reduce costs, expand capacity, and improve nurse quality of life.

Differentiator

Problem solved

Functional benefit

Products and services

• Payers

Quantifiable outcome

• 62% of hospitals in the U.S. report having a nursing vacancy rate higher than 7.5%
• +3 more outcomes

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Scale indicators3 records

Recent moves5 records

Expansion highlights5 records

Direct peers

• AGS Health: Specializes in medical coding, revenue cycle management, and clinical outsourcing for healthcare providers and payers. Comparable to Shearwater in targeting similar enterprise healthcare customers with a mix of clinical and operational services.
• Omega Healthcare: Provides clinical and revenue cycle outsourcing services to healthcare payers and providers, with significant offshore delivery in India. Directly comparable to Shearwater's clinician-led payer/provider outsourcing model and offshore cost structure.
• Hinduja Global Solutions (HGS Healthcare): Healthcare CX, clinical support, and BPO services for payers and providers, with a global delivery footprint. Comparable to Shearwater in targeting payer/provider clients and operating a large clinical workforce.
• Access Healthcare: Provides revenue cycle management and clinical process outsourcing to hospitals, physician groups, and payers. Closely comparable to Shearwater in serving enterprise healthcare customers with clinically-augmented process services.
• GeBBS Healthcare Solutions: Offers healthcare BPO including coding, billing, clinical documentation, and utilization management services. Directly competes with Shearwater in the payer/provider outsourcing space, particularly in utilization management and clinical decision support.
• Firstsource Solutions: Provides business process management and clinical outsourcing services to US and UK healthcare payers and providers. Comparable to Shearwater in serving payer-side utilization management and case management workflows.

Broad incumbents

• Optum (UnitedHealth Group): Massive healthcare services and innovation company serving payers and providers with clinical, analytical, and operational services. Comparable to Shearwater as a broad incumbent in utilization management and clinical operations at far greater scale.
• Cognizant (Healthcare): Large global IT and BPO services provider with a sizable healthcare practice covering payers, providers, and life sciences. Comparable to Shearwater as a broader incumbent that competes in clinical outsourcing and UM services as part of a much larger portfolio.
• Wipro (Healthcare & Life Sciences): Global IT services and BPO provider with a healthcare practice serving payers, providers, and pharma. Comparable to Shearwater as a broad incumbent offering clinical and operational outsourcing as part of a wider services portfolio.
• NTT DATA Healthcare: Global IT and BPO services provider with a healthcare division serving payers, providers, and government health agencies. Comparable to Shearwater as a broad incumbent competing for clinical outsourcing and managed services deals.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/shearwaterhlth
• YouTubeyoutube.com/c/ShearwaterHealth
• Facebookfacebook.com/shearwaterhealth
• LinkedInlinkedin.com/company/shearwaterhealth
• Instagraminstagram.com/shearwaterhealth

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Subsidiaries1 record

Funding overview

Funding rounds1 record

Investors1 record

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

M&A

Investments

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

Frequently asked questions about Shearwater Health