Illustration for: OpenEvidence Raises $250M Led By Andreessen Horowitz

OpenEvidence Raises $250M Led By Andreessen Horowitz

OpenEvidence, the Miami-based clinical search platform for physicians, raised a new $250 million round led by hospital systems and Andreessen Horowitz.

By the Numbers

$250M
Round size
a16z + hospitals
Lead investors
$700M+
Total funding tracked
Miami, FL
HQ
TC
By the Funding Desk
Edited by Trace Cohen · Early-stage VC & angel · Founder, New York Venture Partners
2 min read
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THE RUNDOWN

1

OpenEvidence has now raised roughly $700 million across three rounds in under a year, an unusually fast pace even by 2026 AI-health standards, with this round notably led by hospital systems themselves alongside Andreessen Horowitz.

2

The Miami-based company is one of the more visible AI-health startups tied to South Florida's growing tech scene, adding to a run of regional raises tracked in our South Florida funding tracker.

3

Hospital systems investing directly in a clinical-decision tool they may also use raises the kind of conflict-of-interest questions that have dogged other health-tech vendor financing arrangements, even as it can speed adoption.

4

The round lands as ADARx, Teal Health and Precision Neuroscience are all raising or going public in the same stretch, reinforcing that health is one of the few non-infrastructure AI categories still commanding mega-round-adjacent checks.

TC

The VC Read · Trace's Take

Trace Cohen

Hospital systems writing the check is the tell here -- that's a customer-investor structure, and it can pull adoption forward faster than a pure financial round would, but diligence has to ask whether OpenEvidence's clinical accuracy claims have been validated by anyone other than the same systems now on its cap table. Compare this to Teal Health and ADARx also raising the same week: health AI is one of the few categories still pulling real mega-round-adjacent capital outside pure infrastructure plays.

Analysis

OpenEvidence, the Miami-based clinical search platform used by physicians, has raised a new $250 million round led by hospital systems and Andreessen Horowitz, according to Refresh Miami. The round adds to a financing pace that has made OpenEvidence one of the fastest-scaling AI-health startups of the past year.

The Miami-based startup's rapid growth adds to the region's run of raises tracked in our South Florida funding tracker, reinforcing Miami's position as more than a satellite office market for AI-health and fintech startups.

A Fast, Unusual Capital Stack

This is OpenEvidence's third disclosed round in under a year. Pulse has tracked OpenEvidence through the run:

  • Series C, Oct 2025 -- led by Google Ventures.
  • Series D, Jan 2026 -- led by Thrive Capital and DST Global.
  • This round, Sep 2026 -- led by hospital systems and Andreessen Horowitz.

Total disclosed funding is now roughly $700 million against an investor base that also includes Blackstone's Tech Hub, Bond, Coatue and Craft Ventures.

OpenEvidence competes for physician mindshare with tools like UpToDate (owned by Wolters Kluwer) and a growing field of AI clinical-search products, but its edge has been positioning itself as a free, ad-supported layer physicians use at the point of care rather than a subscription research tool. Hospital systems investing directly -- rather than just licensing the product -- can accelerate institutional adoption, but it also means some investors are simultaneously evaluating OpenEvidence as a customer, a dynamic that deserves more scrutiny than a standard financial round.

However, none of these rounds disclose a post-money valuation for this specific raise, leaving the actual repricing difficult to verify independently. The round does land in a stretch where AI-health and biotech financing broadly has been unusually active, with several other health names raising or pricing within days of each other:

  • ADARx Pharmaceuticals -- $535.3M total haul, including its Nasdaq IPO pricing and a concurrent AbbVie private placement: San Diego biotech developing RNA-editing and siRNA therapeutics.
  • Teal Health -- $22M Series A: San Francisco startup building an at-home HPV cervical cancer screening device.
  • Precision Neuroscience -- $250M Series D backed by Bill Ackman's Pershing Square: brain-computer interface maker (covered elsewhere in this issue).

That clustering suggests investor appetite for health-adjacent AI remains strong even as some pure AI-infrastructure valuations draw more skepticism.

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