Top Tech Startups in Richmond, VA in 2026

Pair Team is on a mission to build the primary care infrastructure for America’s most vulnerable communities. They are the first tech-enabled care team that empowers safety-net primary care systems and the Medicaid & Medicare patients they serve. They act as an extension of the clinical staff to provide a personalized, high-touch care experience while addressing patients' barriers to care such as lack of transportation, housing/food insecurity, and mobile phone access. Internally, they are building a unique care delivery platform to ensure clinical best practices, integrate care with community-based organizations, and automate administrative work so that clinicians can focus on time with our patients.

For 100 years the home security industry has been selling outdated technology at highway-robbery prices. Often sales reps will try to scare customers into signing long-term contracts that are full of nasty fine print. We believe being safe should be simple. SimpliSafe security systems are easy to self-install, easy to purchase direct online, and don’t require a phoneline or long-term contract. They are also wireless, cellular, and customizable: It works anywhere and will fit any house, apartment or business.

Citian is dedicated to enhancing lives through innovative transportation technology. We provide the world's only SaaS tools that integrate engineering expertise with artificial intelligence, delivering real-time data and critical insights in an interactive digital twin environment. Our goal is to empower infrastructure owners with the tools they need to create more efficient infrastructure and leave a legacy of wise investment.

Frame is the missing link on the family-building journey. Frame’s concierge model extends the care of in-person clinics by providing patients with 1:1 personalized support, telemedicine and coaching. Inspired by the challenging fertility journey of its wife/husband co-founders, Jessica and Corey, Frame was built alongside women’s health and fertility experts to improve patient and clinician satisfaction, operational efficiency and clinical outcomes.