Kaigo Health

What Kaigo Health does

Kaigo Health is a San Francisco-based, privately held company founded in 2025 that sells an AI-powered care operations platform to skilled nursing facilities (SNFs) and Programs of All-inclusive Care for the Elderly (PACE). The platform is organized around two product lines: a Referral Review product that ingests 75+ page referral packets and produces a single admissions recommendation covering clinical risk, behavioral flags, medication-cost exposure, missing information, payer authorization, and PDPM signals, and a Geographic Zoning product that optimizes home care, social work, shuttle, and care-team scheduling for PACE programs without requiring changes to existing scheduling workflows. Underlying capabilities include natural language processing of unstructured clinical documents, recommendation and anomaly detection for admissions decisions, and combinatorial optimization for care-team routing, all unified under a stated "AI-powered transition management" theme.

The company monetizes via a SaaS subscription model sold through a direct enterprise field sales motion, with prospects booking 30-minute consultation calls via a Calendly link tied to a named sales lead. The company does not publicly disclose pricing tiers, and one product surface references a "$15K risk" figure that appears to be a clinical or financial risk metric rather than a price point. There are no named customers, no disclosed revenue, and no disclosed funding amount, though the company lists Rebel Fund and Y Combinator as backers.

Kaigo has assembled a six-person advisory board spanning healthcare operations (former CEOs of Sierra Nevada Memorial Hospital, Dignity Health, Stanford Healthcare), clinical practice (Stanford, Sutter Health, VA), gerontology (Johns Hopkins, Stanford), and consumer product (ex-MyFitnessPal CPO, ex-Google and eBay PM). The founding leadership consists of a CEO, COO, and CTO, and the company is headquartered in San Francisco with 1-10 employees.

Name

Kaigo Health

Website

https://kaigohealth.ai

Company type

Private

Founded year

2025

Operating status

Operating

Headcount range

1–10 employees

Short description

Kaigo Health is a San Francisco-based AI care operations platform that helps skilled nursing facilities review referral packets and PACE programs optimize care-team scheduling for elderly populations. The company sells a SaaS subscription via direct enterprise sales and is backed by Y Combinator and Rebel Fund.

Ownership category

akta.pro rank

Product category

Post-Acute Care Coordination Software

NAICS

Nursing Care Facilities (Skilled Nursing Facilities) (62311), Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (62331)

SIC

Services-Skilled Nursing Care Facilities (8051), Services-Health Services (8000)

akta.pro primary industry

Transitions of Care Management (Hospital/SNF/Home) (HLADALAD)

akta.pro secondary industries

Care Coordination & Navigation (Multi-Provider) (HLADALAB), Care Management & Coordination Platforms (case/disease management workflows) (HLACAHAD)

Keywords

• Care coordination software
• Post-acute care management
• Skilled nursing admissions
• PACE care optimization
• AI clinical decision support

Headquarters

HQ city

San Francisco

HQ country

United States

HQ region

North America

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. Software Platform Subscription: SaaS-based care operations platform for skilled nursing facilities and PACE programs. The platform is sold as a solution for coordinating care transitions, admissions, and scheduling - indicating a recurring software subscription model.

Go-to-market motion2 records

Distribution channels1 record

Marketing channels2 records

Core offering

Kaigo Health provides an AI-powered care operations platform that helps post-acute and PACE care teams coordinate high-stakes transitions of care, admissions, scheduling, and follow-up for older adults across skilled nursing, post-acute, long-term care, and independent living settings. The platform offers two primary product lines: (1) Referral Review for Skilled Nursing Facilities, which processes 75+ page referral packets in seconds and surfaces clinical risk, behavior flags, med-cost exposure, payer authorization, and PDPM signals as a single recommendation; and (2) Geographic Zoning for PACE Care Coordination, which optimizes home care, social work, shuttle services, and care-team schedules around location, participant needs, staff capacity, and changing daily constraints.

Product overview

Kaigo Health offers a care operations platform designed for post-acute care and PACE (Program of All-inclusive Care for the Elderly) organizations. The platform consists of two primary product lines: (1) Referral Review for Skilled Nursing Facilities, which processes referral packets and provides AI-powered clinical decision support and admissions recommendations, and (2) Geographic Zoning for PACE Care Coordination, which optimizes scheduling, routing, and care-team coordination for PACE programs. Both product lines are unified by AI-powered transition management technology that coordinates high-stakes transitions of care, admissions, scheduling, and follow-up for older adults across skilled nursing, post-acute, long-term care, and independent living settings.

Differentiator

Problem solved

Functional benefit

Products and services

• Referral Review for Skilled Nursing Admissions
• Geographic Zoning for PACE Care Coordination

Quantifiable outcome

• 75+ page referral packets processed in seconds
• +2 more outcomes

Segments2 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability6 records

Feature6 records

Partnerships

Six partnerships are on record, tiered minor.

• Dr. Scott Neeley, MD, MBAminorOthersAdvisory board member with background as CEO of Sierra Nevada Memorial Hospital, Dignity Health, and Stanford Healthcare. Provides strategic healthcare industry guidance.
• Dr. Kenneth Allen, PHDminorOthersHealthcare executive advisor with experience at Summit Healthcare and Innovation Care Partners. Provides strategic healthcare innovation guidance.
• Sonia WongminorOthersAdvisory board member with background as Ex. CPO MyFitnessPal, Director of Product Management at Google & eBay, and Stanford Venture Studios Advisor. Provides product and venture guidance.
• Joan Slagle, DNP, RN, CNLminorOthersClinical advisor with experience at Stanford Healthcare and Sutter Health. Provides clinical operations and nursing perspective guidance.
• Dr. Imran Mohiuddin, MDminorOthersMedical advisor with experience at Stanford Healthcare, UMiami Internal Medicine, and VA. Provides physician-level clinical guidance.
• Hanna Kiani, MPHminorOthersGerontology advisor with experience at Stanford Healthcare and Johns Hopkins. Provides specialized expertise in elderly care and gerontological services.

Scale indicators2 records

Recent moves5 records

Expansion highlights5 records

Emerging players

• Suki AI: Suki builds an AI-powered clinical assistant and ambient documentation platform for clinicians across acute and post-acute settings. It is an emerging AI-native peer whose healthcare AI capabilities intersect with Kaigo's AI-driven workflow automation for SNFs and PACE.
• Aiva Health: Aiva Health is an AI voice-first care platform used by senior living, home health, and post-acute operators for resident engagement, scheduling, and staff coordination. It overlaps with Kaigo's PACE care-team scheduling and broader elder-care operating layer as an emerging AI-native competitor.

Broad incumbents

• Oracle Health (Cerner): Oracle Health (formerly Cerner) operates the dominant hospital EHR and is expanding into care transitions, post-acute coordination, and clinical decision support. As a broad incumbent, it competes for the upstream acute-to-SNF transition workflow where Kaigo's referral-review product sits.
• WellSky: WellSky offers analytics, EHR, and care coordination software spanning hospital, post-acute, and home health settings, including the CarePort referral management platform. It overlaps with Kaigo on SNF/PACE care transitions and referral review, but serves a much broader customer base across the continuum.
• Netsmart Technologies: Netsmart provides EHR, care coordination, and analytics across post-acute, behavioral health, and human services including PACE programs. It is a broader incumbent in the same SNF/PACE workflow space Kaigo targets, with established enterprise sales motions.

Direct peers

• AlayaCare: AlayaCare is a cloud-based home care and community-based services platform used by PACE programs, home health agencies, and senior care providers. It is directly comparable to Kaigo's PACE scheduling, route optimization, and care-team coordination modules.
• CarePort Health: CarePort Health (a WellSky company) operates the leading referral and care coordination platform connecting hospitals, post-acute providers, and payers. It directly competes with Kaigo's referral-review and admission-decision-support functionality for skilled nursing.
• Bamboo Health: Bamboo Health (formerly Collective Medical) provides real-time care transition notifications, care coordination, and behavioral health insights across acute and post-acute settings. It is comparable to Kaigo because both focus on AI/predictive analytics for SNF referrals and cross-setting transitions of care.
• PointClickCare: PointClickCare is the dominant cloud EHR and care coordination platform for skilled nursing facilities and the broader post-acute market. It is directly comparable to Kaigo because both target SNF admissions, care transitions, and clinical workflow automation for the same buyer persona.
• MatrixCare: MatrixCare is an EHR and clinical platform purpose-built for skilled nursing, senior living, and home- and community-based services including PACE programs. It competes head-to-head with Kaigo for the same SNF and PACE buyers on care coordination and clinical workflow automation.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Funding overview

Funding rounds1 record

Investors3 records

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 Kaigo Health