The Health Alliance

What The Health Alliance does

The Health Alliance is a national value-based healthcare company that owns and operates an integrated platform spanning advanced primary care, pharmacy and pharmacy benefit management (PBM), clinical laboratory services, pathology and oncology, biobanking, clinical research, and behavioral health. Founded in March 2022 in Raleigh, North Carolina, it has scaled via an explicit inorganic growth strategy to over 3,000 team members, more than 550 full-service primary care clinic locations, a proprietary PBM covering 12,000+ pharmacy locations nationwide, and over 600,000 square feet of dedicated laboratory space running a fully robotic, automated facility capable of performing 5,700+ test types and having processed 290 million tests cumulatively.

The company generates revenue through a mix of value-based care contracts (capitation and performance-based reimbursement), enterprise on-site clinic subscriptions with national employer groups, pharmacy benefit management subscriptions across the national pharmacy network, transaction-based clinical laboratory testing for thousands of medical practices, professional services revenue from phase 1-4 clinical research and biobanking for pharmaceutical customers, and government contracts including 22 statewide primary care agreements and a direct CDC contract for emerging variant detection. Customer segments are diversified across enterprise employers, city/town/state governments, healthcare providers and hospital systems, and pharmaceutical companies.

Go-to-market is direct enterprise and government field sales, supported by a centralized back office (Finance, IT, HR, Compliance, Supply Chain) and exclusive GPO contracts that drive unit-economics advantages; payer relationships cover more than 98% of claims in-network. Pricing is not publicly disclosed and contracts are custom-quoted. The stated three-year vision is to create the largest integrated healthcare company with dedicated access points and locations in every U.S. state, supported by ongoing product expansion into biobanking, clinical research, behavioral health, and Data/IT/AI distribution services.

Name

The Health Alliance

Legal name

The Health Alliance

Website

https://thehealthalliance.co

Company type

Private

Founded year

2022

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

The Health Alliance is a national value-based healthcare company operating over 550 on-site primary care clinics, a proprietary PBM covering 12,000+ pharmacy locations, automated clinical labs, and pathology services for enterprise employers, state and local governments, healthcare providers, and pharmaceutical companies.

Ownership category

akta.pro rank

Product category

Integrated Value-Based Healthcare Services

NAICS

Medical and Diagnostic Laboratories (62151), Offices of Physicians, Mental Health Specialists (621112)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Medical Laboratories (8071), Services-Health Services (8000)

akta.pro primary industry

Occupational & Employer-Sponsored Primary Care Clinics (HLAFAGAJ)

akta.pro secondary industry

Pharmacy Benefit Management (PBM) & Pharmacy Network Administration (HLAFALAI)

Keywords

• Value-based care
• Primary care services
• Pharmacy benefit management
• Clinical laboratory services
• Integrated healthcare delivery

Headquarters

HQ city

Raleigh

HQ country

United States

HQ region

North America

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Supply Chain, Technology or R&D

Revenue model

1. Value-Based Care Contracts: Population health and value-based care contracts that align provider incentives with patient outcomes, generating revenue through capitation and performance-based reimbursement models.
2. Clinical Laboratory Testing Services: Processing over 5,700 different lab tests for thousands of medical practices around the country. Revenue generated from test volume and comprehensive test menu services.
3. Pharmacy Benefit Management (PBM): Proprietary PBM software managing over 12k pharmacy locations for cost tracking, prescription management, and utilization analysis.
4. On-Site Employer Clinic Services: Over 550 full-service advanced primary care locations with dedicated doctors and care navigators managing employer-sponsored healthcare.
5. Clinical Research Services: Central lab processing and site management operations for landing clinical trials and phase 1-4 studies with pharmaceutical companies.

Go-to-market motion1 record

Distribution channels4 records

Marketing channels1 record

Core offering

The Health Alliance is a national value-based healthcare company that owns and operates its own primary care locations, pharmacy network, PBM, clinical laboratories, pathology groups, behavioral health centers, and research centers. It delivers integrated healthcare services to enterprise employers via 550+ on-site clinics, manages 12,000+ pharmacy locations through a proprietary PBM, and operates 600,000+ sqft of robotic clinical laboratory capacity processing over 5,700 test types.

Product overview

The Health Alliance is a national value-based healthcare company operating as an integrated healthcare platform combining multiple distinct products and services. The unified platform includes: Advanced Primary Care / On-Site Employer Clinics (over 550 locations with dedicated physicians and care navigators), Full Pharmacy Services with proprietary PBM (over 12,000 locations), Clinical Laboratory Services (over 600,000 sqft, 5,700+ tests, fully robotic and automated), Biospecimen Procurement services, Clinical Research Services (phases 1-4 trials), Biobanking Storage & Data Management (cold storage facilities), Pathology/Oncology Services (medical director and tissue processing), and Behavioral Health Centers. These components work together to deliver comprehensive value-based healthcare solutions to employers, health systems, government entities, and pharmaceutical companies across a national network.

Differentiator

Problem solved

Functional benefit

Products and services

• Advanced Primary Care / On-Site Employer Clinics Over 550 full-service advanced primary care locations with dedicated doctors and care navigators managing every aspect of patient care at employer on-site clinics; supports value-based primary care delivery for employer-sponsored healthcare.
• Full Pharmacy Services with Proprietary PBM Over 12,000 pharmacy locations nationwide managed by The Health Alliance's proprietary pharmacy benefit management (PBM) software that tracks prescriptions, costs, utilization, and more.
• Clinical Laboratory Services Over 600,000 square feet of dedicated laboratory space providing around-the-clock care and support to millions of patients; fully robotic and automated facility capable of performing over 5,700 different types of tests.
• Clinical Research Services Central lab processing and site management operations responsible for landing clinical trials and phase 1-4 studies with pharmaceutical companies.
• Biospecimen Procurement Connects needed human specimens with pharmaceutical and research organizations.
• Biobanking Storage and Data Management Dedicated cold storage facilities responsible for long-term specimen storage and data management.
• Pathology / Oncology Services Medical director services for health systems around the country; processing thousands of tissue samples for hospitals.
• Behavioral Health Centers Behavioral health center services integrated within the value-based care model.

Quantifiable outcome

• 290 million total tests performed
• +3 more outcomes

Named customers5 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Scale indicators10 records

Recent moves5 records

Expansion highlights6 records

Direct peers

• Everside Health: Everside Health provides advanced primary care, mental health, and pharmacy services directly to employers and unions via on-site and shared clinics, closely mirroring The Health Alliance's employer-sponsored primary care model and value-based care approach.
• Premise Health: Premise Health operates the largest network of employer-sponsored on-site and near-site primary care clinics in the U.S., serving large enterprises with dedicated physicians and care navigators—directly comparable to The Health Alliance's 550+ on-site employer clinics.
• Crossover Health: Crossover Health runs employer-sponsored primary care clinics with integrated care navigation and behavioral health for large self-insured employers, comparable to The Health Alliance's on-site clinic and value-based care delivery.

Broad incumbents

• Express Scripts (Cigna): Express Scripts is one of the largest U.S. PBMs, administering prescription benefits for millions of members via a national pharmacy network and proprietary software—directly comparable to The Health Alliance's 12k+ pharmacy location PBM operations.
• Laboratory Corporation of America (LabCorp): LabCorp operates a national clinical diagnostics and laboratory network with thousands of patient service centers, directly comparable to The Health Alliance's clinical laboratory business serving thousands of medical practices.
• Oak Street Health: Oak Street Health (acquired by CVS Health) operates value-based primary care clinics focused on Medicare populations with integrated pharmacy, lab, and specialty services—similar integrated model but serving a different payer mix than The Health Alliance's employer/government focus.
• CVS Health (Caremark / Aetna): CVS Health operates one of the largest U.S. PBMs (Caremark), pharmacy retail network, and value-based primary care (Oak Street/Signify), giving it overlapping capabilities with The Health Alliance's PBM, pharmacy, and primary care verticals at much greater scale.
• OptumRx (UnitedHealth Group): OptumRx is the PBM arm of UnitedHealth Group and operates a national pharmacy and clinical care platform; comparable to The Health Alliance's PBM and integrated clinical services in scope and scale.
• Quest Diagnostics: Quest Diagnostics is one of the largest U.S. clinical reference laboratories, processing hundreds of millions of routine and specialty tests annually for providers and employers—comparable to The Health Alliance's 290M-test robotic lab operations.

Emerging players

• Privia Health Group: Privia Health builds and operates value-based care physician networks across multiple states with multi-specialty groups and population health infrastructure—comparable to The Health Alliance's primary care and value-based contract strategy, though Privia partners rather than owns clinics.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/thehealthalliance

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

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 The Health Alliance