Companies · Other Health Care

Main Street Rural, Inc.

NASHVILLE · Other Health Care

Diligence memoA one-page analyst read on Main Street Rural, Inc. — recommendation, valuation, rhythm, risks.
$211.2M
Total raised · real
2
Rounds
8.9×
Latest step-up
Top 3%
Sector rank · raised
Series D+
Latest stage · inferred · Fri May 19 2023 00:00:00 GMT+0000 (Coordinated Universal Time)

Main Street Rural, Inc. looks over-valued against its niche peers and is at-risk on financing cadence.

Synthesized from the figures below est. — every claim rests on a number shown on this page. Valuation uses the health care sector profile.

Analyst read est. — computed against this company's niche peers in the same era. Inputs shown; not a quoted figure.

Over-valued
  • Modeled value is 2.07× the median modeled value of Series D+ Other Health Care companies in 2022–2024 (17 peers) — value vs value, same stage and era.
At-risk
  • Last raise 3.1 yr ago; this sector typically re-raises about every 14 months.
  • Past due for a raise versus sector cadence — watch for distress or a bridge.
Leadership

No named principal in this company's public records yet — see all operators below.

Explore how these operators interlock with other companies in the operator network.

Where it sits in Other Health Care

Main Street Rural, Inc. is one of 5377 Other Health Care companies tracked from NASHVILLE. By capital raised it ranks among the largest (ahead of 98% of sector peers), and among the largest by modeled valuation est..

Ranking is computed against this company's own sector cohort — reported capital is fact; valuation tiers are modeled.

As reported in public records reported — not modeled.

US
Jurisdiction
Rule 506(b)
Reg D exemption
43
Investors (latest)
2021
Year incorporated
2023-05-19
First sale
Amount raised vs valuation, by round

Solid bars are reported offering amounts reported; hatched bars are the modeled post-money valuation est. — both on one shared scale so you can read raise-vs-worth at each round directly. Use the toggles to overlay data labels and the niche-peer / market average value lines.

Amount raised · realModeled valuation · estCumulative funded · real
$0$1.3B$2.5B$3.8B$5.0BSeries B · 2021-06-18 Raised $21M (real) Modeled valuation $352M (est)$21M$352MSeries B2021Series D+ · 2023-05-19 Raised $190M (real) Modeled valuation $2.4B (est)$190M$2.4BSeries D+2023+$190MCumulative $211M

The line shows cumulative reported funding over the period; + labels show new capital added between points when there is room. Toggle on-bar figures, plus the niche-peer and market averages, to read this company against its cohort. Benchmarks are modeled medians.

Financing ladder & sequence gaps
Series B$21.3M · 2021
Series D+$189.9M · 2023no Series C on file

Stages are modeled from round size (public records carry no series label). No record for: Pre-Seed, Seed, Series A, Series C — the company may have raised it under a different exemption, merged it into an adjacent record, or skipped it. Sequence completeness: 33%.

Modeled valuation trajectory
$2.4B
Base estimate est.
$1.0B
Conservative case
$3.8B
Upside case
$1.6B
Modeled post-money

Round size and date are reported; the stage label is inferred from round size (latest is Series D+a $100M–$400M round). Valuation is modeled from stage benchmarks scaled by the health care sector profile. Directional, not a quoted figure.

Series B · modeled $352.2M · 2021-06-182021Series D+ · modeled $2.4B · 2023-05-192023
Model inputs · modeled:benchmark-stage-stepup-v1
12%
Dilution assumption
Implied ownership sold in the financing.
80%
Survival probability
64% low · 88% high
1.23×/yr
Annual markup
1.38×/yr upside case
3.1 yr
Elapsed time used
3.1 yr actual, capped for stale marks
health care
Sector profile
Adjusts growth and survival by industry.
Financing rhythm
23 mo
Avg between rounds
$110.2M/yr
Capital velocity
5.0 yr
On record since
2021
First round
2
Rounds on file
How it compares to the market

Benchmarked against 5377 companies in Other Health Care. Each bar is a median (the middle company, not an average — outliers don't skew it). Two yardsticks: real money raised (reported on Form D) and modeled value (our estimate est.). These are whole-sector medians across all stages, except the per-stage row.

Total raised — vs sector median (real $, all stages) 87× above median
This company$211.2M
Sector median$2.4M
Latest round — vs other Series D+ rounds in sector (real $, this stage) 1.5× above median
This company$189.9M
Sector median$123.0M
Modeled value — vs sector median (estimate, all stages) 109× above median
This company$2.4B
Sector median$22.1M

Raised more than 98% of sector peers (real $). Modeled value above 99% of peers (estimate).

Niche peers — same stage & era

A tighter cohort than the sector chart above — only companies at the same stage (Series D+) that last raised in the same ~3-year era, ranked by modeled value est. (not money raised). This is the exact set the analyst read compares against, so a like-for-like cohort is what makes "over/under-valued" meaningful. This company ranks #4 of 17.

This companyCohort peer
$100.0M$1.0B$10.0B$100.0M$1.0BCapital raised (log)United Digestive Holdings, LLC · Series D+ Raised $323.3M · modeled $4.2B (est)DispatchHealth Holdings, Inc. · Series D+ Raised $578.0M · modeled $3.7B (est)Zimmer Biomet Holdings, Inc. · Series D+ Raised $216.1M · modeled $2.9B (est)Richmond Buyer L.P. · Series D+ Raised $232.6M · modeled $2.2B (est)Thirty Madison, Inc. · Series D+ Raised $255.7M · modeled $1.8B (est)Ember Management Aggregator, L.P. · Series D+ Raised $129.9M · modeled $1.8B (est)Glooko, Inc. · Series D+ Raised $221.0M · modeled $1.2B (est)Renovaro Inc. · Series D+ Raised $123.3M · modeled $1.2B (est)HistoSonics, Inc. · Series D+ Raised $308.2M · modeled $1.0B (est)Ecph, Llc · Series D+ Raised $285.4M · modeled $915.4M (est)Cortica Inc. · Series D+ Raised $210.9M · modeled $757.8M (est)Main Street Rural, Inc. (this company) Raised $211.2M · modeled $2.4B (est)Main Street Rural, Inc.
CompanyStageRaised · realValue · estvs peer med.
United Digestive Holdings, LLCSeries D+$323.3M$4.2B3.63×
DispatchHealth Holdings, Inc.Series D+$578.0M$3.7B3.17×
Zimmer Biomet Holdings, Inc.Series D+$216.1M$2.9B2.50×
Main Street Rural, Inc. this companySeries D+$211.2M$2.4B2.07×
Richmond Buyer L.P.Series D+$232.6M$2.2B1.93×
Thirty Madison, Inc.Series D+$255.7M$1.8B1.56×
Ember Management Aggregator, L.P.Series D+$129.9M$1.8B1.55×
Glooko, Inc.Series D+$221.0M$1.2B1.05×
Renovaro Inc.Series D+$123.3M$1.2B1.00×
HistoSonics, Inc.Series D+$308.2M$1.0B0.87×
Ecph, LlcSeries D+$285.4M$915.4M0.79×
Cortica Inc.Series D+$210.9M$757.8M0.65×
Full financing history

Stage is inferred from round size est., not reported on the filing — a round's dollar size maps to a bucket: Pre-Seed <$1.0M · Seed $1.0M–$4.0M · Series A $4.0M–$15M · Series B $15M–$40M · Series C $40M–$100M · Series D+ $100M–$400M · Growth/Late >$400M.

StageAmount · realAnnouncedPost-money · estValue · estConf.
Series B$21.3M2021-06-18$118.5M$352.2M90%
Series D+$189.9M2023-05-19$1.6B$2.4B90%
What happened at each round

Step-up, pace versus the sector's normal cadence, and revenue/exemption moves — read straight from the reported round facts reported.

  1. Series B$21.3M2021-06-18
    • First recorded raise — entered as Series B.
    • 26 investors on this round.
  2. Series D+$189.9M2023-05-19
    • Raised again after 23 mo — slower than the ~14 mo sector norm.
    • Round 8.9× larger than the prior — scaling up.
    • 43 investors on this round.
Intelligence
2025 ~Q2
Modeled next raise · ~23mo cadence
$569.6M
Modeled next size est.range $370.2M$911.3M
8.9×
Last step-up
$110.2M/yr
Capital velocity

Predictive signals are modeled est. from this company's own cadence and step-up, plus sector benchmarks — directional, not advice. Peer set and a CSV export live in your analyst workspace.

Key people & operators

Officers, directors and promoters named in this company's public recordsreported — the people who run it (not its investors). "Also runs" counts come from name-matching across all records, so verify before acting.

PersonRoleAlso runsTied since
William Frist9 other2021-06
Ann Lamont8 other2021-06
Brad Smith5 other2021-06
Brett Jackson4 other2021-06
Cory Brown2 other2023-05
Diane Seloff2 other2021-06
Alan Huffman2021-06
Amy Gleason2023-05
Bennett Graham2021-06
Brandon Kerns2023-05
Jake Ramsey2021-06
Sarah Chouinard2021-06
Registry & provenance

Main Street Rural, Inc. is an official record sourced from the U.S. Securities and Exchange Commission (SEC). U.S. data is aggregated from SEC Form D filings.

United States
Country of record
US
Jurisdiction
1870946
SEC CIK
2021
Incorporated
Similar companies

Nearest neighbours across the whole database — matched on sector, stage and capital scale, and on shared operators (officers or directors named at both companies in public filings). A discovery shortlist, not a valuation cohort — verify before acting, the same way modeled figures are directional.

CompanySectorStageRaised · realValue · estWhy similar
Aspire Health, Inc.HealthtechSeries B$49.9M$776.9Mnetwork4 shared operators
Cortica Inc.Other Health CareSeries D+$210.9M$757.8Msame sector · same stage
Zimmer Biomet Holdings, Inc.Other Health CareSeries D+$216.1M$2.9Bsame sector · same stage
Sera Prognostics, Inc.Other Health CareSeries D+$217.7M$2.0Bsame sector · same stage
RSV QOZB LTSS, Inc.Other TechnologySeries B$21.0M$517.7Mnetwork3 shared operators
Glooko, Inc.Other Health CareSeries D+$221.0M$1.2Bsame sector · same stage
Evolent Health LLCOther Health CareSeries D+$221.3M$2.3Bsame sector · same stage
ECG Europe, Inc.Other Health CareSeries D+$200.0M$3.6Bsame sector · same stage
Semantically similar

Matched by meaning, not labels — a local language model reads each company's name, sector and description and ranks the closest in that learned space. This catches look-alikes that cross sector boundaries; the structured list above explains its matches, this one trusts the text. Directional, like every modeled signal here.

CompanySectorStageValue · estMatch
USRC Earl Street, LLCOther Health CareSeries A$143.5M84%
Main Line Spine Surgery Center, LLCOther Health CarePre-Seed$3.1M82%
BaseHealth, Inc.Other Health CareSeries A$91.7M82%
USRC Hill Country, LLCOther Health CarePre-Seed$15.4M81%
Community West, LLCOther Health CarePre-Seed$18.5M81%
Fremont Land Development, LLCOther Health CareSeries A$100.9M81%
Silvercrest Villages #1, LLCOther Health CarePre-Seed$16.9M81%
Carrot Inc.
Nigerian digital lending startup Carrot has raised US$4.2 million in seed funding to help it expand access to credit for African businesses and individuals.
Other Health CareSeries B$20.8M81%
Frequently asked
How much funding has Main Street Rural, Inc. raised?
Main Street Rural, Inc. has raised approximately $211.2M in disclosed capital across 2 recorded financing rounds, aggregated from public filings.
What is Main Street Rural, Inc.'s estimated valuation?
Provath's modeled valuation for Main Street Rural, Inc. is approximately $2.4B (modeled range $1.0B–$3.8B). This is an algorithmic estimate derived from round sizes and same-niche peers — not a quoted or reported figure.
What funding stage is Main Street Rural, Inc. at?
Main Street Rural, Inc.'s latest modeled financing stage is Series D+. Its most recent recorded round closed around Fri May 19.
What does Main Street Rural, Inc. do and where is it based?
Main Street Rural, Inc. operates in the Other Health Care sector, based in NASHVILLE.
Explore related

See where Main Street Rural, Inc. sits in the wider market — its sector, location and stage cohorts, each with their own leaderboards and capital-flow timelines.

Is this your company?

If you work at Main Street Rural, Inc., claim this profile or suggest a correction. We aggregate from public filings, so help us keep your description, website and links accurate.

Is this your company? Update your profile or add contact details — and choose exactly who can reach you. Reviewed before anything is published.