Pediatric behavioral health provider Hazel Health announced its second acquisition this year. The San Francisco, California-based company has acquired fellow youth mental health startup Little Otter. This comes just one month after the provider closed a deal to purchase youth mental health startup BeMe Health in September 2025.
Little Otter is a youth mental health startup headquartered in San Francisco, California. Little Otter provides coaching, therapy and psychiatric services for children with mental health challenges and their families It was founded in 2020 by mother-daughter team Dr. Helen Egger, a child psychiatrist, and Rebecca Egger, a technology and product development professional. Helen is the chief medical and scientific officer for the company, while Rebecca is the CEO.
Hazel Health offers school-based telehealth services for K-12 students. The company partners with school districts and health plans nationally to provide mental and physical health services in the school and home.
According to a Hazel Health spokesperson, the deal to acquire Little Otter “will unite the two organizations, broaden capabilities and deepen the impact we can have on the children and families we serve.” The spokesperson said that Hazel Health is now focused on the integration of Little Otter.
As a result of the transaction, Hazel Health will also have a new CEO: board member and Cityblock Health founding CEO Iyah Romm. Financial terms of the deal were not disclosed.
According to data captured in the LevinPro HC database, this transaction represents the 253rd eHealth acquisition of 2025, and the 42nd in the telehealth specialty. There were 42 telehealth transactions reported in 2024. Telehealth is the second most active eHealth specialty of the year, following only revenue cycle management with 46 deals. The telehealth specialty makes up approximately 17% of all eHealth deals announced since January.
