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M&A: Oura Acquires Counsel Health for $625M: Scaling Continuous Biometrics into On-Demand Medical Care

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M&A: Oura Acquires Counsel Health for $625M: Scaling Continuous Biometrics into On-Demand Medical Care

The deal, one of the largest pure-play acquisitions in digital health this year, signals an ambitious transformation. ŌURA is no longer content to sell jewelry that monitors slumber; it is assembling a licensed, full-stack clinical delivery network. By integrating Counsel’s team of board-certified physicians and specialized clinical language models directly into its mobile application, the company intends to offer its six million members round-the-clock medical triage, diagnostic evaluations, prescription fulfillment, and specialist referrals without leaving the ecosystem.

The transaction is underpinned by a surge in ŌURA’s balance-sheet power. For the fiscal quarter ending September 30, the company saw its revenue leap 153 percent year-over-year to $533M, delivering $87M in adjusted earnings before interest, taxes, depreciation, and amortization. For the full 2026 fiscal year, revenues approached $1.75 billion, nearly doubling the business in twelve months. That commercial momentum gave leadership the liquidity to bypass traditional debt financing and execute an all-cash acquisition that dramatically broadens its reach.

At the core of the merger is an effort to re-engineer how primary care begins. Traditional telemedicine visits—the staple of late-stage digital health—remain fundamentally reactive and ungrounded. A patient logs on feeling ill, and an unfamiliar clinician spends precious minutes compiling a medical history from scratch.

Counsel Health , founded by Dr. Muthu Alagappan, was designed to upend that dynamic. The platform uses a clinical harness of specialized artificial intelligence agents trained on medical literature, guideline retrieval, and diagnostic intake. In the combined experience, a member chatting with the AI about sudden fatigue or an elevated baseline temperature does so while the software draws on weeks of continuous biometric data, alongside connected health records.


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