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Little Otter

Telehealth pediatric mental health services

Overview

Little Otter Health provides online mental health care for children aged 0-14 and their families through telehealth, including therapy, psychiatry, and family counseling. The service uses an online platform and a proprietary family screening tool to assess needs and create a tailored, coordinated care plan, with care delivered from home and progress tracked toward remission goals. It differentiates itself with a family-centered, personalized approach led by an experienced child-psychiatry clinician and a focus on improving both child and parental mental health. Its goal is to make pediatric mental health care accessible at home and to improve outcomes for children and their families through timely, preventive care.

Significant Headcount Growth

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About Little Otter

Simplify's Rating
Why Little Otter is rated
B-
Rated B on Competitive Edge
Rated B on Growth Potential
Rated C on Differentiation

Industries

Enterprise SoftwareHealthcare

Company Size

51-200

Company Stage

Early VC

Total Funding

$35.7M

Headquarters

San Francisco, CA

Founded

2019

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Simplify's take

What believers are saying

  • Decathlon funded Little Otter on September 15, 2025 to expand services and EMR software.
  • Hazel said the October 2025 merger broadens pediatric mental health coverage across classrooms and homes.
  • Little Otter's 2025 financing supported Medicaid and commercial-insurance expansion for family care.

What critics are saying

  • Revelio showed headcount fell to 132 employees in 2026, with hiring down 134.9%.
  • Hazel's February 2026 layoffs and school-contract churn signal integration strain across the platform.
  • If district revenue weakens, Hazel absorbs Little Otter and standalone brand value disappears.

What makes Little Otter unique

  • Little Otter treats children and caregivers together, spanning therapy, psychiatry, and family counseling.
  • Hazel's October 16, 2025 merger combines school-based reach with Little Otter's family-clinic depth.
  • Its proprietary screening tool personalizes care plans for ages 0-14 across households.

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Funding

Total Funding

$35.7M

Above

Industry Average

Funded Over

3 Rounds

Notable Investors:
Early VC funding comparison data is currently unavailable. We're working to provide this information soon!
Early VC Funding Comparison Coming Soon

Benefits

  • Competitive salary
  • Equity
  • Health, dental, & medical
  • Remote-first working environment
  • Parental leave
  • PTO

Growth & Insights and Company News

6 month growth

2%

1 year growth

3%

2 year growth

11%
Silicon Legal Strategy
Oct 15th, 2025
SLS Client Little Otter is Acquired by Hazel Health

SLS client Little Otter is acquired by Hazel Health. Silicon Legal represented Little Otter as they were acquired by Hazel Health. Little Otter is a digital mental health company that offers holistic, evidence-backed care for children 0-18 and their families.

Behavioral Health Business
Oct 14th, 2025
Hazel Health Acquires Little Otter, $86M Raised

Hazel Health has acquired youth mental health startup Little Otter, following its earlier acquisition of BeMe Health. Little Otter offers mental health services for children and families. Hazel Health also appointed Iyah Romm as CEO, though the timing is unclear. The company has raised at least $86 million, with a $51.5 million Series C1 round in 2022. Despite growth, Hazel Health laid off 11% of its staff to focus on automation and scaling services, ensuring no clinical roles were affected.

PR Newswire
Sep 16th, 2025
Little Otter Health Gains Funding to Expand Effective Mental Health Care for Children, Families

DURHAM, N.C., Sept. 15, 2025 /PRNewswire/ - Little Otter Health, a trailblazer in providing mental health care to the entire family, has landed significant growth funding from Decathlon Capital Partners.

FinSMEs
Feb 5th, 2025
Little Otter Raises $9.5M in Funding

Little Otter, a San Francisco, CA-based company which specializes in digital whole-family mental health care, raised $9.5M in funding

Business Wire
Jul 21st, 2023
Little Otter Raises $22M Series A to Combat the Mental Health Crisis Plaguing Today’s Youth

Little Otter, the first digital mental health company to provide tools and treatment for both children and their families, today announced the close o

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