Compare / Spring Health vs Pinterest
SPRING HEALTH
April Koh was a Yale undergrad doing depression research when she realized the mental health system was matchi…
Ben Silbermann built a virtual pinboard for collecting pretty pictures and accidentally created one of the mos…
AT A GLANCE
FUNDING HISTORY
Spring Health
BUSINESS MODEL
Spring Health
B2B employer benefit — similar model to Lyra Health but with a sharper focus on precision matching. Companies pay Spring Health a per-employee-per-month fee.
Employees take an initial assessment and Spring Health's algorithm recommends a care pathway: therapy, medication management, coaching, digital self-care, or a combination. The key differentiator is the precision — the algorithm claims to reduce treatment time by 50% by getting the right match first instead of cycling through options.
Spring Health also provides a therapist network, psychiatric services, and crisis support. Revenue scales with employer contracts and employee utilization.
Pinterest makes money through advertising — specifically through "Promoted Pins" that look nearly identical to organic content. This is the magic of Pinterest's business model: ads don't interrupt the experience because the experience IS discovering products and ideas.
A promoted pin for a kitchen knife set appears right alongside organic pins of kitchen designs. The user doesn't distinguish between "ad" and "content" because both serve the same purpose.
Shopping ads are the fastest-growing segment. Brands upload their product catalogs, Pinterest matches products to user searches and boards, and users can buy directly through the platform or click through to the retailer's site.
Pinterest gets paid per click or per thousand impressions.
Revenue reached $3.65 billion in 2024, up from $3.05 billion the year before, and 2024 was its first genuinely profitable year. Average revenue per user is growing but still well below Meta's — the upside is enormous if Pinterest can close that gap.
HOW THEY STARTED
Spring Health
April Koh was studying computational neuroscience at Yale when she encountered research on precision medicine for depression — the idea that you could use data to predict which patients would respond to therapy versus medication versus a combination. The existing system was essentially trial and error: try an antidepressant for six weeks, and if it doesn't work, try another one.
Meanwhile, patients suffer. Koh co-founded Spring Health in 2016 with Adam Chekroud, a Yale neuroscience PhD, to build a platform that uses machine learning to match employees to the right mental health treatment on the first try.
They started by publishing peer-reviewed research showing their algorithms could predict treatment response better than chance, then turned that research into a product that employers would pay for.
Ben Silbermann was a former Google ad operations employee who quit in 2008 to build apps. His first attempt was an iPhone app called Tote — essentially a mobile catalog that let women browse and bookmark products from fashion retailers.
Nobody downloaded it. But Silbermann noticed something in the data: users were saving products obsessively.
The collecting behavior was more interesting than the shopping behavior.
He teamed up with Paul Sciarra, a classmate from Yale, and Evan Sharp, a designer who was studying architecture at Columbia. Together they built Pinterest — a visual bookmarking tool that let people "pin" images from around the internet to organized boards.
Think of it as a digital mood board that anyone could make.
Pinterest launched as an invite-only beta in March 2010. Growth was painfully slow at first.
Silbermann personally wrote to the first 5,000 users, giving them his phone number and asking what they wanted. The early community was overwhelmingly women interested in home decor, fashion, recipes, and DIY projects.
By 2011, Time magazine named Pinterest one of the 50 best websites. By 2012, it was the fastest site in history to reach 10 million unique monthly visitors.
HOW THEY GREW
Spring Health
Enterprise sales to large employers, competing directly with Lyra Health, Headspace Health, and traditional EAP providers. Spring Health leads with outcomes data — publishing research showing faster recovery times and higher clinical improvement rates than industry benchmarks.
Celebrity advisor Apolo Ohno and high-profile board members gave early credibility. Series C at $2.5 billion valuation generated press coverage that opened doors.
International expansion to serve global workforces. Strategic investment from Kinnevik gave European distribution relationships.
Partnership with health plans to offer Spring Health as the behavioral health component within existing benefits.
Pinterest grew organically through women sharing boards with each other. The weddings use case was the killer app — brides-to-be would create boards for dresses, venues, flowers, and invitations, then share them with their wedding parties.
That viral loop drove millions of signups.
SEO is the secret weapon. Pinterest pages rank extremely well in Google Image Search.
Someone searching "modern living room ideas" often sees Pinterest results on page one. That drives a large stream of organic traffic from people who were not looking for Pinterest at all.
Unlike other social platforms, which compete with Google for attention, Pinterest quietly benefits from it.
The shopping pivot has been the growth unlock. Under CEO Bill Ready (former Google and PayPal executive who took over in 2022), Pinterest aggressively invested in shopping features — catalog integrations, buyable pins, merchant verification, and visual search for products.
The thesis: Pinterest users are already in a shopping mindset, so removing friction between "I like this" and "I bought this" is the straightforward path to revenue growth.
THE HARD PART
Spring Health
Direct competition with Lyra Health, which is larger and better-funded. The employer mental health benefit space is crowded and increasingly commoditized — every startup claims better outcomes and faster ROI.
Therapist supply is the binding constraint across the entire industry. Proving that ML-driven matching actually produces better outcomes than simply having a good therapist network is a difficult clinical claim to substantiate at scale.
Employee engagement is everything — if employees don't take the initial assessment, the precision matching engine can't work. And the macro headwind: employer benefits budgets are under pressure, and mental health benefits are easier to cut than medical benefits when money gets tight.
Pinterest's demographics are both an advantage and a limitation. The platform skews heavily female (over 60% women) and is strongest in home, fashion, food, and weddings.
Expanding beyond these categories to attract male users, younger demographics, and different use cases has been slow.
Competition for ad dollars is fierce. Pinterest competes with Meta, Google, TikTok, and Amazon for advertising budgets.
Most advertisers allocate the bulk of their spend to Meta and Google first, then consider others. Pinterest needs to prove its return on ad spend is competitive to win larger budget allocations.
Creator economy is underdeveloped. While Instagram, TikTok, and YouTube have massive creator ecosystems with monetization tools, Pinterest has historically been about content discovery, not content creation.
Users pin other people's content — the original creators often don't even know their work is on Pinterest. Building a creator program and driving original content creation on the platform has been a recent focus but lags far behind competitors.
THE PRODUCTS
Spring Health
Precision mental health platform — ML-driven assessment that predicts optimal treatment pathway for each individual. Therapist matching engine connecting employees to the right provider by specialty, approach, and predicted fit.
Spring Health Moments — bite-sized digital exercises based on CBT for mild symptoms. Medication management through in-house psychiatric providers.
Manager and HR tools for supporting teams without violating privacy. Work-life coaching for non-clinical needs like stress and work-life balance.
Family support extending benefits to dependents. Crisis support including 24/7 access for emergencies.
Pinterest Home Feed — the core discovery surface showing personalized pins based on user interests, boards, and search history. Pinterest Lens — visual search technology that lets users take a photo of any object and find similar items to buy on Pinterest.
Pinterest Shopping — integrated e-commerce allowing users to browse and purchase products directly from pins linked to retailer catalogs. Pinterest Boards — the organizing system where users save and categorize pins into collections, used for wedding planning, home renovation, recipes, fashion, and more.
Pinterest Shuffles — a collage-making app for Gen Z users to create aesthetic mood boards, driving younger user adoption.
WHO BACKED THEM
Spring Health
Investors include Tiger Global Management, Kinnevik, Northzone, William K. Warren Foundation, and Able Partners.
Series C in 2022 valued the company at $2.5 billion.
Bessemer Venture Partners, FirstMark Capital, and Andreessen Horowitz were early investors. Fidelity and Valiant Capital participated in later rounds.
Rakuten invested strategically. The April 2019 IPO raised $1.4 billion at a $12.7 billion valuation.
Elliott Management, the activist investor, took a large stake in 2022 and pushed for operational improvements that contributed to the company's path to profitability.