Chutes and Ladders w/o 9 Feb: Biofourmis’ ex-CEO faces 7 major Singapore fraud charges (updated), Doximity’s 17% drop; Devoted Health’s big $366M raise, Garner Health garners $118M, Synthpop’s $15M Series A

Chutes go first…

The worst kind of Chute to go down is one that lands in a coal-scuttle full of fraud and criminal charges–in a country known for its punishments. Biofourmis’ former CEO is facing seven counts in Singapore. Rajput Kuldeep Singh, one of the founders and former CEO, has been charged in Singapore with three counts of abetting the falsification of accounts, three charges of fraud by false representation or abetment thereof, and one charge of forgery for the purpose of cheating. These are connected to the Singaporean company, Biofourmis Holdings Pte Ltd., between 2021 and 2022. Headquarters moved to Boston after its Series B in 2019.

Mr. Rajput (surname is first) is accused of falsely invoicing US$16.5 million to Singapore’s Ministry of Health (MOH), and later false representations such as inflated revenue figures, falsified financial statements, a misrepresentation on payment by the MOH, and subsequently a forged employee stock option plan offer letter. This was purportedly intended to deceive DBS Bank into transferring funds from the bank.

The penalties are high in a country that canes offenders for spitting on the sidewalk. The Singapore Police Force announced the charges in a 3 Feb release. Each fraud charge against Mr. Rajput carries a maximum 20 years plus a fine. Falsifying accounts and forgery max out at 10 years plus a fine. Even if convicted of one charge, Mr. Rajput is looking at perhaps a decade of time in a Singapore prison–on multiple charges, perhaps the rest of his adult life. Mr. Rajput is a 34-year-old Indian national. Presently, he is out on bail of S$600,000 (US$475,000) and through his legal representation Eugene Thuraisingam Asia, indicated in court on Feb 4 that he intends to claim trial. Singaporean law moves fast–the pre-trial scheduled to start on 1 April. The Online Citizen (Singapore) Here’s the original article in the Straits Times.

Update on extradition: Should Mr. Rajput remove himself to the US and try to evade extradition, his attorneys will tell him that it may be futile, but will string out things. Extradition is covered by a foundational 1931 bilateral treaty that originated with the UK (as Singapore was a colony then) and has been honored since with modifications and expansions (e.g. the Extradition Act of 1968 and Amendments 2022). The mechanism is straightforward. A request has to be made by the Singapore ministry for law and subsequently heard in a US Federal court. The charges must be valid under existing bilateral laws and meet the requirement that the charges carry a sentence of 2 years+. The extradition back to Singapore must then be approved by the Secretary of State. Fraud, embezzlement, and the taking of money under false pretenses are all covered. Singapore is also an active cooperator with the US whereas many countries with treaties are not. Another complicating factor is that Mr. Rajput is an Indian national and may hold multiple passports.

What about Biofourmis? It merged in October 2024 with CopilotIQ, a smaller RPM/nursing company in home health that took over Biofourmis’ business in in-home delivery of complex care for health systems, payers, and pharmaceutical companies. It was announced by CopilotIQ. This oddity didn’t square with other financial reporting indicating that Biofourmis was the acquiring party, yet was reasonable considering that CopilotIQ’s CEO and his management were running the combined company. Yet Biofourmis was a much larger company, a unicorn with over $400 million acquired in 10 rounds of financing.  Another oddity: Mr. Rajput transferred his 96.6 million shares (!!) in Biofourmis to 19 existing investors immediately prior to the merger, according to filings with ACRA, Singapore’s Accounting and Corporate Regulatory Authority. Today, the single company runs as two separate brands. In 2024, Mr. Rajput returned to Singapore (and Boston) to found a new company, OutcomesAI, an AI-enabled nurse assistant and voice agent which raised $10 million last October. To be continued….

Doximity, a/k/a LinkedIn for doctors plus virtual visit capability, took a 17% crack on Friday after a wild overnight ride. This is despite the company clocking a decent Q4 2025 beating analysts’ revenue expectations. Sales were up 9.8% versus Q4 2024 to $185.1 million. EBITDA guidance for 2025 is in line at $356 million at the midpoint. What was the problem? Q1 2026. The company guidance is $143.5 million at midpoint, which is below analyst estimates of $151.3 million. It doesn’t seem like much, but the volatility indicates that Doximity has growing competition for the 80% of US doctors who are members. Epocrates and Medscape have for years been the main competition for partner dollars, but the new kid on the block, OpenEvidence, which just clocked a healthy Series D for its medical info search engine, is putting all three in the shade. The pie is also shrinking. Pharma companies are overall spending less and Doximity is spending more on a suite of new tools: DocsGPT, Doximity Dialer, and Doximity Scribe. Share price has stayed flat since Friday. Considering it once traded over $80…. Yahoo Finance, TIKR

Now for the Ladders…climbing them with a ‘barbell’…

Devoted Health raked in $366 million of Series F and post-F funding. This insurtech survivor, a combination of Medicare Advantage (MA) plans with in-house telehealth and in-home care, raised a split Series F: $48 million in November 2025 and at the end of January a Series F-Prime of $317 million. These very late rounds are rare in this constrained funding market. Both were led by long time investor The Space Between (TSB) [TTA 3 Jan 2024], in partnership with Centricus, a London-based global investment firm. This Editor counted 18 additional investors, which is a tell–even when you’re “redefining how healthcare is experienced and delivered” and they are 466,000 members strong, up 121 percent and across 29 states, with 98% of members in 4+ Star plans, they had to knock on a lot of doors for the raise. This raise is also about half of what it would have been in the 2020-22 Silly Money days. One wonders if an IPO is next. Devoted Health release

Garner Health’s latest raise is a $118 million Series D today (Tuesday). The employer-focused provider of health data analytics incentives to guide employees to the best-performing doctors in the employer’s existing health plans now has a total raise of $200 million and a valuation topping $1.3 million. The round was led by Kleiner Perkins with participation from Redpoint, Maverick, Kaiser Permanente Ventures, Mercy, Plus Capital, and other existing investors. Garner is claiming revenue increasing over 130% versus their prior year. Release

On the other end of the barbell, Cambridge MA-based Synthpop (not a music genre) had an early raise of $15 million that closed last week. The new Series A brought their total funding to $23 million. It was led by Ansa Capital, with Defy.vc and Peterson Ventures participating in the round with Storm Ventures and strategic investor Bruce Broussard. Marco DeMeireles, co‑founder and managing partner at Ansa Capital will be joining Synthpop’s board. Synthpop uses AI processes to coordinate document intelligence, payer-aware reasoning, and conversational voice agents to automate up to 80% of healthcare business processes, integrating directly with EHR, billing, and e-prescribe platforms. It was founded in 2023 by CEO Elad Ferber and CTO Jan Jannink, PhD, who have considerable previous founder experience. Release

News roundup: Cano Health gets 2nd NYSE delisting warning; Veradigm acquires Koha Health RCM, faces class-action lawsuit; Bright Health-Molina sale closes; Devoted Health’s $175M Series E (updated)

Cano Health gets another billet-doux from the NYSE. Spoiling the confetti and champagne, tech-based primary care provider Cano Health was notified on 29 December that it faced delisting from the NYSE, this time not for the share price (which is above $1 at $5.23) but for its total market capitalization. The NYSE has a pesky rule (Section 802.01B) that a company’s total market capitalization must be above $50 million over a 30 trading-day period and its stockholders’ equity must be above $50 million. The timeline: Cano has 10 business days from the 29th to respond to the NYSE to state intent to cure the deficiencies, and 45 days from that time to submit a business plan to regain compliance within 18 months. If accepted, shares will continue to trade. In its release, Cano announced accelerating its ‘transformation plan’ to further cut costs, divesting operations and terminating underperforming affiliate operations to save approximately $290 million by the end of 2024, which includes the $65 million of previously planned cost reductions. They will also need to pay $30 million in pre-tax charges to resolve exiting leases and staff termination charges. Earlier in December, Cano appointed two independent directors, Patricia Ferrari and Carol Flaton, both with strengths in restructuring companies and their financials. It also established a three-person finance committee, to assist in trimming down the company and exploring a sale. Release

Veradigm buys Koha Health, which specializes in orthopedic/musculoskeletal (MSK) revenue cycle management (RCM). Acquisition cost and management transitions were not disclosed. The purchase of Koha adds to Veradigm’s RCM portfolio in ambulatory health. Koha, based in Merrimack, New Hampshire, was still owned and run by younger members of the founding family.  Veradigm is still working out over a year of trouble with its Nasdaq listing and has changed out its CEO and CFO recently [TTA 14 Dec]. Release. Also HIStalk 1/3/24   

Updated  Veradigm faces a shareholder class-action lawsuit on its share price. As is typical in these cases, there is a lead plaintiff (John M, Erwin) represented by a law firm (in this case Robbins Geller Rudman & Dowd LLP of San Diego) which is filed on behalf of a class, in this case individuals who bought shares between 26 February 2021 and 13 June 2023 and suffered losses. It charges Veradigm as well as certain of its current and former top executive officers with violations of the Securities Exchange Act of 1934.  This centers around Veradigm’s ongoing problems in stating its financials from Q3 2021 and overstating its earnings from there through 2023, negatively affecting the share price. The lawsuit was filed 22 November 2023 in the US District Court for the Northern District of Illinois. Robbins Geller is now seeking other plaintiffs to join in the suit. Release, Justia Dockets & Filings, Mobihealthnews

Wrapping up another continuing story, Bright Health closed the sale of its California plans to Molina Healthcare on New Year’s Day. With the proceeds, reduced to $425 million [TTA 20 Dec 23], Bright as predicted cleared what was owed on its credit facility with JP Morgan, reduced on Friday by $30 million to approximately $298 million. The remaining funds will go to their cash position ($90 million in unregulated cash plus approximately $155 million in excess cash surplus after reserving for expenses) and $110 million from escrow, and now on its sole continuing value-based primary care business, NeueHealth. Cash reserves do not include CMS Repayment Agreements which come due on or before 14 March 2025, sufficiently far in the future (?). No mention of repayments to their lender New Enterprise Associates (NEA) or the Texas Department of Insurance clawing back money owed out of its insolvent Texas plan. You have to hand it to Bright Health. They’ve managed to play multiple ends against the middle and tie masterful Gordian knots (pick your analogy) to stay alive until, they hope, 2025.  [TTA 5 Dec].  Release 29 Dec. Release 2 Jan   FierceHealthcare

Updated  And one more bright spot: $175 million raised by Devoted Health. Devoted is a combination of Medicare Advantage (MA) plans with in-house telehealth and in-home care delivered by Devoted Medical. The Series E was funded by a lead syndicate composed of The Space Between (TSB), Highbury Holdings, GIC, Stardust Equity, Maverick Ventures, and Fearless Ventures with an arms-length list of other participants. Devoted was started by two brothers, former athenahealth and government IT leaders Ed and Todd Park, CEO and executive chairman respectively. Devoted release, Becker’s. Fierce Healthcare, Mobihealthnews

What a difference a little over two years makes. At the time of their hefty $1.15 billion Series D, raised in the heady days of October 2021, they were considered one of the smaller, more specialized ‘insurtechs’ along with Alignment Health. Now they are walking tall in a field of damaged or expired payers: Bright Health, Oscar, and Clover among the survivors, and Friday Health Plans deceased. Devoted now states that its MA plans serve 140,000 members in 299 counties across 13 states, as of December 2023. Most impressively, 94% of their members in Star-eligible plans are in 4 to 5 Star plans. Their HMO plans in Florida and Ohio were all 5 Star plans. 

Some thoughts on the insurtechs, why the hype didn’t quite pan out, and the damage they may have done [TTA 7 July 2023].

News and deal roundup: Babylon’s $200M raise, Best Buy buys Current Health, Virgin Pulse-Welltok, Devoted Health’s $1bn raise, Withings watch gains FDA ECG clearance

Babylon Health adds $200 million to the accounts–in advance of its SPAC. Babylon’s raise of $200 million (€173M) in a ‘sustainability-linked investment’ came from the strategic capital investment firm, Albacore Capital Group. With the SPAC and PIPE, Babylon will now have access to over $800 million in capital [TTA 7 Oct]. Whew! Mobilhealthnews, Babylon release 

A score for Edinburgh. Current Health, a biosensor-based monitoring and home care management/remote patient monitoring system based in Edinburgh and Boston, sold itself to US retailer Best Buy. The company recently raised $43 million in an April Series B, which makes its quick sale somewhat unusual. Terms were not disclosed other than it was a cash deal and that Current’s CEO Christopher McCann will be remaining with the company. Best Buy extends its reach into digital home health, following on their 2019 buys of GreatCall, Critical Signal Technologies for RPM, and partnership with Tyto Care.

Current had achieved FDA Class II clearance in early 2019 [TTA 7 Feb 2019], had piloted with Mount Sinai Brooklyn and in the UK, Dartford and Gravesham NHS Trust for a post-discharge monitoring program, and recently had created a “Community” initiative to build diverse longitudinal datasets for decentralized clinical trials [TTA 18 Feb]. Current Health announcement, Best Buy release, Mobihealthnews, Healthcare Dive

The wellness app-employee/health plan engagement program area continues to consolidate with Virgin Pulse’s acquisition of Welltok. In recent years, Welltok has concentrated more on data analytics and predictive capabilities in its member experience and patient acquisition/retention platforms for health plans and systems, after a start in employee wellness programs. Virgin Pulse, which exited the Richard Branson universe (despite the logo) when sold to Morgan Equity Partners in 2018, is now backed by Marlin Equity Partners. Terms and leadership were not disclosed. Virgin Pulse release, HISTalk

‘Insurtech’ Devoted Health raised a hefty $1.15 billion Series D led by Uprising and Softbank Vision Fund 2, along with a long list of returning and new investors. Icing on the cake is that they are closing in on an additional $80 million in funding to accommodate an investor. Devoted is led by former athenahealth and government IT leaders Ed and Todd Park. It’s one of the smaller in footprint tech-based Medicare Advantage providers but combines their plans with health coverage via Devoted Medical, a telehealth and in-home care provider, and partner providers. FierceHealthcare

The ECG monitoring space is now a little more crowded. Withings finally received FDA clearance for their ScanWatch’s ECG and SpO2 monitoring, nearly two years after its introduction in January 2020. It received clearance in Europe a year ago. The cleared features are atrial fibrillation detection alerts, which advises users to take a 30-second ECG readings, and SpO2 blood oxygen monitoring for detection of respiratory issues. Withings joins the Apple Watch, Fitbit, Samsung, and the grandaddy of them all, AliveCor’s KardiaMobile, for ECG monitoring–but packs this monitoring into a good-looking watch. Mobihealthnews