Cylinder

Cylinder Competitive Intelligence & Landscape

cylinderhealth.com ·

Cylinder
ForesightIQ Predictions

What is Cylinder likely to do next?

ForesightIQ connects Cylinder's hiring, product, web, ad, and market signals to forecast strategic moves — often months before they're announced.

Hiring signal

Senior hiring patterns point to a planned enterprise product line launching within two quarters.

High confidence · Next 1–2 quarters
Product signal

Quiet changes to docs and pricing pages signal an upcoming usage-based pricing tier and new API surface.

Likely · Next quarter
Market signal

Ad spend and partnership activity indicate a push into the mid-market segment across two new regions.

Plausible · Next 2–3 quarters
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Overview

Cylinder Overview

Cylinder (cylinderhealth.com), formerly known as Vivante Health and GIThrive, is a virtual digestive healthcare platform dedicated to providing expert-led care for a wide range of gastrointestinal (GI) issues. Founded in 2021 by CEO Bill Snyder, Cylinder aims to revolutionize digital health by focusing on gut-first solutions. The company's mission is to offer personalized, evidence-based care plans that address everything from common discomforts like bloating and gas to chronic conditions such as IBS, Crohn's Disease, GERD, SIBO, and Celiac Disease. They have helped over 145,000 people find relief, demonstrating a significant impact on individuals' digestive health and overall quality of life.

Cylinder's core services revolve around personalized care programs delivered through an easy-to-use platform. This includes access to an expert team comprising gastroenterologists, internists, Registered Dietitians, and Health Coaches. Members receive customizable support, including curated courses, personalized microbiome testing, and custom diet and lifestyle plans designed to manage symptoms and achieve individual health goals. The platform emphasizes flexible appointment times, unlimited access to resources like articles, clinical studies, recipes, and webinars, and 24/7 emergency care. Their approach focuses on sustainable care plans and incorporates tracking features for symptoms and diet, leading to clinically proven results such as improved GI symptoms and enhanced quality of life for a high percentage of members.

Cylinder targets both individuals and organizations, including employers, health plans, and brokers, offering their virtual care platform as a comprehensive solution for digestive health. Their model is backed by clinical evidence, proving to improve outcomes, reduce ER visits, and deliver a significant return on investment for organizations. Headquartered at 2045 W Grand Ave Ste B PMB 37767, Chicago, IL 60612, Cylinder is committed to innovation in GI care, as evidenced by their rebrand in June 2024 and recent initiatives like the launch of Stool Scan. The company values putting members first, continuous learning, invention and simplification, collaboration, transparency, and embracing diversity, fostering a culture that prioritizes both member well-being and employee engagement.

Competitors

Cylinder Competitors

Cylinder (cylinderhealth.com) operates in a competitive digital health landscape, providing virtual digestive health care for employers and health plans. A key direct competitor is Oshi Health (oshi-health). Both companies offer comprehensive digestive health solutions, leveraging virtual platforms to deliver personalized care. While both cater to similar conditions, a detailed comparison would involve examining specific program structures, the breadth of their clinician networks, and their pricing models for employer and health plan partnerships [myshortlister.com/compare/cylinder-health-vs-oshi-health].

Another significant competitor is SonarMD. Like Cylinder, SonarMD focuses on improving outcomes for gastrointestinal conditions. However, SonarMD often emphasizes care coordination for high-cost chronic GI patients, aiming to reduce healthcare expenditures. While both strive for better patient outcomes and cost savings, Cylinder's broader offering covers a wider range of digestive issues from discomfort to chronic conditions, including personalized microbiome testing and dietary plans [cbinsights.com/company/vivante-health/alternatives-competitors].

FoodMarble presents a more niche, yet still competitive, offering in the digestive health market. Unlike Cylinder's comprehensive virtual care platform, FoodMarble primarily focuses on personal digestive health through a handheld breath analysis device. This device helps users understand their individual responses to various foods, aiding in the management of conditions like SIBO, IBS, and food intolerances [cbinsights.com/company/vivante-health/alternatives-competitors]. While FoodMarble provides valuable diagnostic insights, Cylinder offers a full-spectrum care plan that includes expert consultations, tailored support, and sustainable long-term management.

Indirectly, companies like Ventricle Health could be considered competitors in the broader digital health market for employer and health plan solutions, though their focus is entirely different.

Ventricle Health specializes in cardiac care, providing a national value-based cardiology provider network for heart conditions [ventriclehealth.com/]. While both companies operate within the digital health space and target similar B2B clients, their clinical specialties are distinct.

Cylinder's specific focus on digestive health positions it as a leader in that particular niche, differentiating it from generalized or condition-specific digital health platforms like Ventricle Health.

Alternatives

Cylinder Alternatives

Product & Pricing

Cylinder Product and Pricing Intelligence

Cylinder (cylinderhealth.com) positions itself as a virtual-first digestive health platform, offering expert-led care for a wide range of gastrointestinal issues. While specific pricing tiers for individual consumers are not explicitly detailed on their public-facing website, Cylinder emphasizes personalized, clinician-backed care, including access to curated courses, microbiome testing, and custom diet and lifestyle plans. Individuals seeking improved gut health can start their journey by filling out a questionnaire to receive an individualized care plan. The platform also highlights a free gut microbiome test as part of its offering to individuals, indicating a strong value proposition for those exploring their digestive health.

For organizations such as employers and health plans, Cylinder provides a solution designed to lower healthcare spend and improve employee/member well-being. For employers, the service is presented as having no cost to employees, suggesting a B2B2C model where the employer covers the program costs. This includes benefits like reduced absenteeism, lower claims costs, and higher employee satisfaction. Similarly, for health plans, Cylinder aims to reduce avoidable emergency department visits and unnecessary procedures, offering evidence-based, virtual-first care to manage GI conditions that are often top cost drivers.

Cylinder emphasizes its commitment to proving its value through data-driven insights. They offer a free analysis of existing claims data to employers and health plans, which surfaces digestive health cost patterns, utilization signals, and projected ROI. This analysis is backed by a 2:1 ROI guarantee, calculated using a Johns Hopkins-reviewed methodology, demonstrating Cylinder's confidence in its ability to deliver cost savings. Organizations interested in exploring Cylinder's solutions can request a demo to learn more about how the platform streamlines GI care and benefits their bottom line. The company also highlights positive feedback from Fortune 500 and startup clients, underscoring its broad appeal and effectiveness.

Hiring & Layoffs

Cylinder Hiring and Layoffs

Cylinder (cylinderhealth.com) is actively seeking to expand its team, reflecting its mission to revolutionize digital health with a focus on gut health. The company emphasizes a culture of continuous learning, collaboration, and transparency, inviting individuals who are passionate about improving digestive health to join their mission. They highlight values such as member-first care, innovation, accountability, and diversity, shaping their work environment through a dedicated Culture Committee [https://cylinderhealth.com/about-us/careers/].

While specific recent hiring trends or layoff information is not explicitly detailed, Cylinder's career page clearly indicates open roles, suggesting a growth-oriented strategy. The company's focus on gastrointestinal health and comprehensive care plans for various conditions, including IBS, Crohn's Disease, and Celiac Disease, signals a need for professionals across clinical, technological, and operational fields. This is further supported by their emphasis on an expert team of gastroenterologists, internists, Registered Dietitians, and Health Coaches [https://cylinderhealth.com/].

The strategic appointment of Terry Boch as CEO in March 2026, bringing extensive healthcare technology leadership, also points to a period of strategic expansion and development for Cylinder [https://cylinderhealth.com/about-us/]. The company's evolution from Vivante Health to Cylinder highlights a transformation aimed at simplifying and enhancing their full-scale GI care platform, which would naturally necessitate an expanding workforce to support their ambitious goals in digital health [https://cylinderhealth.com/welcome-to-cylinder-the-future-of-comprehensive-gi-wellness/]. Their continuous recruitment efforts underscore a commitment to scaling their impact and improving digestive health for a growing population.

Leadership

Cylinder Management and Leadership Team

Cylinder Health (cylinderhealth.com) has a dynamic and experienced leadership team guiding its mission to revolutionize digital digestive health.

Terry Boch was appointed Chief Executive Officer on March 19, 2026, bringing over 30 years of experience in building and scaling high-growth healthcare technology companies across payer, provider, and employer markets Terry Boch Named CEO of Cylinder Health | Cylinder Health. She succeeded Bill Snyder, who founded Cylinder in 2021 About Cylinder: Revolutionizing digital health, gut first | Cylinder Health.

Supporting Ms. Boch is a strong C-suite, including Dr. Hau Liu, who joined Cylinder as Chief Medical Officer on December 7, 2022, bringing over two decades of healthcare expertise to enhance clinical strategy Dr. Hau Liu joins Cylinder as Chief Medical Officer | Cylinder Health. Recent executive appointments further bolster the team: Jared Scharen was appointed Chief Operating Officer on September 4, 2024, focusing on health tech and operations Cylinder appoints Jared Scharen as Chief Operating Officer | Cylinder Health; Brad Rouse became Chief Financial Officer on July 30, 2024, leading financial strategy Cylinder appoints Brad Rouse as Chief Financial Officer | Cylinder Health; and Ryan Sloan was named the company's first Chief Commercial Officer on February 24, 2025, bringing over 20 years of healthcare experience from leading companies Cylinder expands executive team, appoints Ryan Sloan as company’s first Chief Commercial Officer | Cylinder Health.

Cylinder Health also benefits from a distinguished Clinical Advisory Board, which includes nationally recognized experts.

Dr. Dena Bravata, MD, MS, a health services researcher and entrepreneur, joined the board on April 11, 2024, to support clinical research and growth Nationally recognized health services researcher and entrepreneur Dr. Dena Bravata joins Cylinder’s Clinical Advisory Board | Cylinder Health. On November 13, 2025, Cylinder Health further strengthened its gut-brain clinical leadership by appointing Dr. Grace Niu, Ph.D., as Head of Gut-Brain Health, along with another expert appointment to its Clinical Advisory Board Cylinder Health Expands Gut-Brain Leadership Team. These strategic leadership additions underscore Cylinder Health's commitment to expert-led, comprehensive digestive care.

Financials

Cylinder Financial Performance, Fundraising, M&A

Cylinder (cylinderhealth.com), formerly known as Vivante Health and GIThrive, has demonstrated strong financial performance and a commitment to growth through strategic leadership appointments and proven cost-saving results for clients. The company recently appointed Brad Rouse as Chief Financial Officer in July 2024, bringing veteran healthcare management experience to lead its financial operations. This addition complements the existing financial leadership, including Achint Prabhat, SVP of Finance, who has a track record of raising capital and scaling finance functions for venture-backed healthcare and technology companies, indicating a strong focus on financial strategy and growth from within the organization [cylinderhealth.com/about-us/].

Financially, Cylinder's digital digestive health solution has delivered significant returns and cost reductions for its partners. A peer-reviewed study in The American Journal of Managed Care, published in January 2026, found that Cylinder's solution provided a 5:1 return on investment, along with a substantial reduction in emergency department and inpatient utilization among participants [cylinderhealth.com/peer-reviewed-gi-study-cylinder-health-roi/]. Furthermore, a regional health plan implementing Cylinder's platform achieved a 25% reduction in GI pharmacy spend, a 46% decrease in inpatient facility costs, and 41% fewer avoidable emergency department visits within 12 months [cylinderhealth.com/case-study-gi-rx-costs/]. Another client, a non-profit organization, experienced a 22% reduction in total medical spending [cylinderhealth.com/digestive-health-solution-helps-non-profit-reduce-total-medical-spending-by-22/]. These results highlight the company's value proposition in controlling healthcare costs for organizations.

While specific fundraising rounds and valuations are not explicitly detailed in the provided content, the company's growth trajectory and appeal to investors are evident.

Cylinder's CEO, Bill Snyder, has discussed the business's continued growth and positive impact on members, a key factor digital health investors look for in a tight funding environment [cylinderhealth.com/medcity-news-4-things-digital-health-investors-look-for-in-a-tight-funding-environment/]. The company has also expanded its corporate client base, with prominent businesses like Chico’s FAS and Grifols adding Cylinder's platform to their employee benefits, further securing its financial health and market position [cylinderhealth.com/cylinder-adds-key-corporate-clients-for-digital-health-platform/]. With over 145,000 people helped and offering up to a 5:1 ROI for employers, Cylinder continues to lead in GI-first digital care [cylinderhealth.com/, cylinderhealth.com/digestive-health-program-cuts-sick-days-by-17-percent/].

Partnerships

Cylinder Partnerships, Clients and Vendors

Cylinder (cylinderhealth.com) has established a robust network of partnerships and a growing client base, emphasizing its position as a key player in virtual digestive health. The company collaborates with various entities to expand access to its specialized GI care platform. Notably, Cylinder has partnered with Collective Health and Springbuk Activate, integrating its app into their respective partner ecosystems to provide employees with 24/7 access to gastrointestinal care. Furthermore, Cylinder joined Teladoc Health's Connected Care Program to enable seamless referrals for GI care through Teladoc Health's platform.

Key strategic alliances extend to benefit consultants and risk solutions providers, such as the partnership with Brown & Brown, which adds Cylinder's digital health platform to its portfolio. A significant collaboration with Stonebrook Risk Solutions enhances digestive disease management by integrating Cylinder's virtual-first digestive health center of excellence into Stonebrook's specialty ecosystem. These partnerships are crucial for strengthening the health management landscape and improving access to specialized GI care.

Cylinder serves a diverse range of enterprise clients, providing its digital health platform as an employee benefit. Prominent businesses like Chico’s FAS, Grifols, US Foods, and Robins & Morton have adopted Cylinder's platform to help their employees manage digestive diseases, demonstrating the platform's value in improving employee well-being and reducing corporate medical costs. The inclusion of Cylinder's digital digestive health solution in The Evernorth Digital Health Formulary further underscores its recognized value in corporate benefits programs and insurance plans, highlighting its clinically proven results in improving GI symptoms and quality of life for members.

Events

Cylinder Event Participations

Cylinder (cylinderhealth.com) actively participates in various events to share insights and promote its digital digestive health solutions. The company frequently hosts and co-hosts webinars, focusing on critical topics such as digestive health and the impact on women at work ["Webinar: Digestive health and the impact on women at work | Cylinder Health" (https://cylinderhealth.com/digestive-health-and-the-impact-on-women-at-work-webinar/), "Invisible pain, visible costs: Key takeaways from our women’s digestive health webinar | Cylinder Health" (https://cylinderhealth.com/invisible-pain-visible-costs/)] and the state of gut health in the workplace ["State of Gut Health in the Workplace on-demand webinar | Cylinder Health" (https://cylinderhealth.com/state-of-gut-health-in-the-workplace-webinar/), "Validation Institute Webinar: State of Gut Health in the Workplace" (https://go.hello.cylinderhealth.com/validation-institute-webinar-state-of-gut-health-in-the-workplace/)]. These online events often highlight survey insights from thousands of adults, demonstrating how digestive issues affect their professional lives.

Further demonstrating their commitment to education and partnership, Cylinder has presented several webinars in collaboration with other organizations. They partnered with The Validation Institute to present a webinar on the state of gut health in the workplace, offering evidence-based strategies ["Validation Institute Webinar: State of Gut Health in the Workplace" (https://go.hello.cylinderhealth.com/validation-institute-webinar-state-of-gut-health-in-the-workplace/)]. The company also participated in Shortlister's "Meet a Vendor" series with a webinar titled "Increasing Employee Wellness & Productivity with Digital Digestive Health Benefits" ["Increasing Employee Wellness & Productivity with Digital Digestive Health Benefits Webinar" (https://go.hello.cylinderhealth.com/shortlister-meet-a-vendor-2024/)]. Additionally, Cylinder collaborated with Accolade for a webinar addressing the "Suffering in Silence: The Hidden Cost of Digestive Disease" ["Suffering in silence: The hidden cost of digestive disease" (https://go.hello.cylinderhealth.com/suffering-in-silence/)].

Cylinder also explores broader industry trends and solutions through webinars such as "The gut health revolution: What employers need to know," emphasizing the connections between gut health and overall wellness, including mental health and hormone regulation ["The gut health revolution: What employers need to know" (https://go.hello.cylinderhealth.com/gut-health-revolution-webinar-lp/)]. The company’s Chief Medical Officer, Dr. Hau Liu, presented clinical study results at Digestive Disease Week (DDW) 2024, showcasing the effectiveness of Cylinder's digital digestive care programs for diverse and socially vulnerable populations ["Cylinder study finds digital digestive care supports health equity" (https://cylinderhealth.com/cylinder-study-finds-digital-digestive-care-supports-health-equity/)]. These participations underscore Cylinder's role in advancing knowledge and care in digestive health.

Frequently Asked Questions

What do Cylinder's recent executive appointments signal about its strategic priorities?

Cylinder's recent executive appointments, including Terry Boch as CEO, Brad Rouse as CFO, Jared Scharen as COO, and Ryan Sloan as CCO, signal a strong focus on scaling growth, enhancing financial strategy, and expanding commercial reach. These hires, bringing extensive experience in healthcare technology and operations, suggest Cylinder is preparing for significant market expansion and operational maturation, following its rebrand from Vivante Health.

What does Cylinder's repeated focus on women's digestive health in webinars suggest about its market positioning?

Cylinder's repeated focus on women's digestive health in webinars, such as 'Digestive health and the impact on women at work,' suggests a strategic effort to address a specific, underserved demographic. This focus indicates a positioning strategy that recognizes the unique challenges women face regarding digestive health, aiming to establish Cylinder as a specialized and empathetic solution provider within this segment.

Is Cylinder's financial trajectory a turnaround or a warning sign?

Cylinder's financial trajectory appears to be a positive growth sign, driven by proven cost savings for clients and strategic financial leadership. The company has demonstrated a 5:1 ROI for its solution, substantial reductions in ER visits, inpatient costs, and GI pharmacy spend for partners, and has brought on Brad Rouse as CFO to lead financial operations, indicating a growth-oriented financial strategy.

What does the shift from Vivante Health to Cylinder Health signify about the company's long-term vision?

The rebrand from Vivante Health to Cylinder Health, explicitly described as 'the future of comprehensive GI wellness,' signifies a strategic move to simplify and enhance its full-scale GI care platform. This transformation suggests a long-term vision focused on broader market appeal, comprehensive service offerings, and a clearer brand identity as a leader in digital digestive health.

What does Cylinder's strategy of offering a free gut microbiome test imply about its product adoption model?

Cylinder's offering of a free gut microbiome test implies a product adoption model focused on removing barriers to entry and providing tangible value upfront to individuals. This strategy likely aims to generate initial engagement, provide personalized insights that lead to conversion to a full care plan, and gather data to further refine its offerings.

How does Cylinder's engagement with The Evernorth Digital Health Formulary impact its market access strategy?

Cylinder's inclusion in The Evernorth Digital Health Formulary significantly enhances its market access strategy by gaining validation and streamlined integration into corporate benefits programs and insurance plans. This partnership facilitates broader adoption among employers and health plans, leveraging Evernorth's network to reach a larger potential user base for its digital digestive health solutions.

What does Cylinder's consistent participation in industry events like Digestive Disease Week (DDW) 2024 suggest about its competitive differentiation?

Cylinder's consistent participation in industry events like Digestive Disease Week (DDW) 2024, where it presented clinical study results, suggests a differentiation strategy rooted in evidence-based care and clinical validation. By showcasing scientific rigor and effectiveness, Cylinder aims to distinguish itself from competitors through proven outcomes, particularly for diverse and vulnerable populations.

What is the strategic implication of Cylinder offering a 2:1 ROI guarantee for employers?

Cylinder offering a 2:1 ROI guarantee for employers, calculated using a Johns Hopkins-reviewed methodology, strategically de-risks adoption for corporate clients. This guarantee signals high confidence in its platform's ability to deliver significant cost savings and improved employee well-being, directly addressing a key pain point for employers considering new health benefits.

How do Cylinder's partnerships with Collective Health and Springbuk Activate influence its go-to-market approach?

Cylinder's partnerships with Collective Health and Springbuk Activate influence its go-to-market approach by embedding its services within existing health intelligence and partner ecosystems. This strategy allows Cylinder to leverage established platforms to reach employers and benefits advisors, expanding its visibility and accessibility as an integrated solution for employee benefits.

What does Cylinder's hiring page, emphasizing a culture of 'member-first care' and 'diversity', suggest about its talent acquisition strategy and brand image?

Cylinder's hiring page, emphasizing 'member-first care,' 'innovation,' 'accountability,' and 'diversity,' suggests a talent acquisition strategy focused on attracting individuals aligned with its core values and mission. This approach aims to build a team dedicated to patient-centric care and foster an inclusive work environment, reinforcing its brand image as a progressive and compassionate digital health provider.

What does the appointment of Dr. Grace Niu as Head of Gut-Brain Health indicate about Cylinder's product development focus?

The appointment of Dr. Grace Niu as Head of Gut-Brain Health indicates a strategic product development focus on the intricate connection between digestive and mental well-being. This move suggests Cylinder is deepening its understanding and offering solutions that address the holistic nature of gut health, potentially integrating behavioral and cognitive techniques into its care plans.

How does Cylinder differentiate itself from direct competitors like Oshi Health and SonarMD given their similar focus on GI care?

Cylinder differentiates itself from direct competitors like Oshi Health and SonarMD through its comprehensive virtual care model, which includes personalized microbiome testing and custom diet/lifestyle plans, alongside expert teams of gastroenterologists and dietitians. While Oshi Health emphasizes a multidisciplinary team including behavioral health and SonarMD focuses on care coordination for chronic GI patients, Cylinder offers a broader full-spectrum care plan from common discomforts to chronic conditions, backed by a 5:1 ROI for employers and an emphasis on health equity.

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