
Venture capitalist - Founder and Managing Director at @FirstMarkcap, Entrepreneur, avid Philly sports fan
New York City
Joined October 2009
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We are fortunate to have partnered with some of the best entrepreneurs in the world and had the support of world class LPs who share our long term vision. Appreciate the opportunity to continue our mission.
Rick Heitzmann retweeted
Replying to @ZReitano
@ZReitano is a singular founder and this ep is MUST listen 👇
@ro has helped millions become healthier and happier, and the company journey is full of twists and turns that every builder can learn valuable lessons from.
Incredibly proud to have backed Z and the Ro team from day one!
My conversation with Zach Reitano (@ZReitano), co-founder and CEO of Ro
In four years he took Ro from a $250M run rate to over $3B, with about a third fewer people
Zach rarely does long conversations like this, so it was fun to talk about the details of what that took and everything happening in healthcare
Plus, his answer to the closing question is amazing
We discuss:
- the state of the US healthcare system
- refounding Ro
- strong attract, strong repel culture
- the notion of jobs over lives
- the power of celebrities in marketing
- the importance of tailwinds (AI, GLP-1s)
- trying to recreate his dad in software
Enjoy!
TIMESTAMPS
0:34 How Much Should We Spend on Health
4:59 The Patient Is Not the Customer
10:24 Inside Ro's Business
18:28 The Future of GLP-1s
25:46 Jobs Over Lives
30:02 The Turnaround
47:43 Where Healthcare Goes Next
1:00:27 Recreating His Dad in Software
1:06:33 Marketing Into Stigma
1:19:06 Zach's Hottest Take
1:20:58 The Kindest Thing
Rick Heitzmann retweeted
Tenacious, ambitious and incredibly principled… truly one of a kind founder. Proud of @ZReitano for telling the story that is really just beginning. Let’s go @ro!
My conversation with Zach Reitano (@ZReitano), co-founder and CEO of Ro
In four years he took Ro from a $250M run rate to over $3B, with about a third fewer people
Zach rarely does long conversations like this, so it was fun to talk about the details of what that took and everything happening in healthcare
Plus, his answer to the closing question is amazing
We discuss:
- the state of the US healthcare system
- refounding Ro
- strong attract, strong repel culture
- the notion of jobs over lives
- the power of celebrities in marketing
- the importance of tailwinds (AI, GLP-1s)
- trying to recreate his dad in software
Enjoy!
TIMESTAMPS
0:34 How Much Should We Spend on Health
4:59 The Patient Is Not the Customer
10:24 Inside Ro's Business
18:28 The Future of GLP-1s
25:46 Jobs Over Lives
30:02 The Turnaround
47:43 Where Healthcare Goes Next
1:00:27 Recreating His Dad in Software
1:06:33 Marketing Into Stigma
1:19:06 Zach's Hottest Take
1:20:58 The Kindest Thing
This is gold for any entrepreneur attacking a large market, building a culture or scaling to multi billions 🚀 🚀 GO @ZReitano!
Rick Heitzmann retweeted
Hang it in the Louvre
We just crossed $100M in run rate.
Four quarters ago, we were at $1M. Then this year alone, we grew 37.5x.
Not long before that, we did a hard pivot- handed our old customers to competitors, rebuilt from scratch, and relaunched with a few months of runway left.
The bet was: models think on GPUs but work happens on CPUs.
So every agent that writes code, opens a browser, or runs an RL job needs a composable computer that's isolated, stateful, and ready in milliseconds.
$1M to $100M in about a year puts us in the same cohort as the likes of Anthropic and Cursor. It’s humbling to share that lane with companies we’ve learned so much from.
Rick Heitzmann retweeted
Woke up with the #8 most downloaded app in the US. Good to see Halloween bring the world together like this ❤️
Rick Heitzmann retweeted
Charles Barkley's transformation on Ro has been incredible. Read his story in People and check out our latest campaign with him.
people.com/charles-barkley-l…
Proud to have you!!!
some personal news: i’ve joined @FirstMarkCap, where I'll be working with exceptional founders and leading the growth investing strategy alongside @abimbhet and @vverawang. FirstMark has backed some of my favorite companies of this cycle: @vercel, @ClickHouseDB, @WeAreLegora, @tryramp, @modal, @ro, @function, to name just a few, and i’m grateful to join a team I've long admired: @rick, @amishjani, @mattturck, @adamn, @DavidWaltcher, and the rest of the FirstMark family!
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Agree @jlanzobe - great at CEOing & developing at fantasy football #drakelondonexperience
Some think of Yahoo! as an old business, decaying.
But somehow @jlanzone and team are doing the unexpected - and really turning it around into a relevant modern juggernaut.
Kudos to my friend Jim even if he sucks at fantasy football.
great ROI for its investors too.
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Super excited for this one!
Today, Baba raised a $40M Series A.
We give each Medicare member and their family a dedicated team of advocates and behavioral health experts to keep every part of their care moving forward. In a world obsessed with AI personal assistants, it’s never been more important to have expert humans in the loop to go the last mile, particularly in healthcare.
Our advocates have moved mountains for their patients - finding safe housing for the near-homeless, recertifying Medicaid for those about to lose their benefits, and getting financial assistance for people cutting their pills to afford groceries.
In the process, we’ve used AI to scale the impact this special team can have. And to truly teach AI to reason and execute like the best care coordinators, we’ve built the largest learning environment for the type of work that we do everyday.
There is still a lot to do: we’ve served fewer than 1% of the 70 million Americans on Medicare.
Baba does not lack capital or customer demand. Our ability to seize this opportunity is now limited by the capacity of our team. If you’re an exceptional engineer or operator in New York, come build with us: callbaba.com/join.
Our Series A was led by @FirstMarkCap , with @CVSHealth, @valtruis, @generalcatalyst, @geniusventures, and @GroundUpVC investing alongside them.
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Excited to partner to help provide high quality care for those in needs
Today, @BabaHQ raised a $40M Series A.
We give each Medicare member and their family a dedicated team of advocates and behavioral health experts to keep every part of their care moving forward.
In a world obsessed with AI personal assistants, it’s never been more important to have expert humans in the loop to go the last mile, particularly in healthcare.
Rick Heitzmann retweeted
We just raised a $60M Series B at a $1B valuation to build @daytonaio into the Agent Cloud.
@FirstMarkCap led the round, with all key existing investors and angels doubling down.
We're also thrilled to welcome the founders of some generational companies aboard, including @patrickc (Stripe), @tobi (Shopify), @AravSrinivas (Perplexity), @BrendanFoody (Mercor), @oliveur (Datadog), @adamdangelo (Quora) and @ericsyuan (Zoom)
We're a 35-person team. But that's about to change; we're hiring across the board, and we'd love for you to join us.
Rick Heitzmann retweeted
FirstMark CEO Summit today feat the iconic @harleyf of @Shopify, Mark Ebert of @profound, Alex Buder Shapiro of @clay, and @glencoates of OpenAI 🚀
Always an incredible day bringing the FirstMark family together under one roof!
Appreciate our team and the have tremendous gratitude to the entire #NYCTech community
Thank you to all of the wonderful founders and friends of FirstMark who joined us at Dante last night for the 2026 Founder Dinner. It was a fantastic night for all of the FirstMark community. See you next year! 🗽
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Similarly most of the value did then and will continue to differentiated players at the application layer
Since I lived through it, I am often asked if the current AI infrastructure frenzy is similar to the dot.com era of the late 90s when the infrastructure of the internet was built.
In the late 90s, telecoms such as Global Crossing (I was on the Board) and AT&T spent over $500 billion laying fiber optic cable in anticipation of rapid internet adoption. At its peak, the telecom bubble reached about $226 billion a year (in 2025 dollars), or 1.2% of GDP.
In the AI era today, the Big 4 (Alphabet, Amazon, Microsoft, Meta) and others (Nvidia) are projected to spend about $750 billion in AI capex in 2027, or about 2.2% of GDP. This is higher than 1.2% of GDP in the 90s but well below railroads’ 6% peak.
What is different is that fiber is still in use 25 years later but AI spending goes mostly to chips which might have a useful economic life of 5 years.
In the internet era, excess fiber capacity could eventually be used at a relatively low incremental cost. In 1998 almost no one could have predicted the eventual economic value of YouTube, Netflix, Facebook or modern cloud services.
No matter if the hyperscalers recoup their investments at the current pace, the most interesting historical parallel may be that the internet and mobile revolutions produced their biggest winners after the essential infrastructure was in place.
The best is yet to come!
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Yes. 💯
Ask any founder. Building a company is a herculean effort. In health, very few have the formidable combination of deeply authentic, patient first leadership and sweeping, objective, and data driven domain knowledge. @ZReitano is a force.
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