firsthand, founded in 2021 and based in New York, provides care for people with serious mental illness using a peer support model that places individuals with lived experience to engage patients at home. The company emphasizes payer partnerships—particularly within Medicaid—where it aims to address total cost of care rather than relying solely on fee-for-service arrangements. foremost among its partnerships is one with Carelon to tackle SMI needs from a total-cost lens. firsthand used its $28.1 million Series B to expand its patient population and coverage. In March 2025 the company cut a majority of staff across five states after losing a major Medicaid contract with UnitedHealthcare. As of the latest filing the company has raised about $52.9 million across three rounds, and it recently reported a $10 million tranche of a proposed $32 million round, though the specific use of that new capital has not been disclosed.

Total raised

$10M

Funding rounds

1

Latest round

Equity

Latest activity

Jul 2026