Forbes' Next Billion-Dollar Startups List Highlights AI Dominance and Diverse Sector Innovations
Forbes' 2025 Next Billion-Dollar Startups list underscores the growing influence of AI across various industries, featuring companies like AcuityMD and Forterra, which are revolutionizing healthcare and defense sectors with innovative solutions.

The 2025 edition of Forbes' Next Billion-Dollar Startups list has once again highlighted the significant role of artificial intelligence in shaping the future of business, with 20 out of the 25 featured U.S.-based, venture-backed companies focusing on AI. This year's selection, a result of a decade-long collaboration with TrueBridge Capital Partners, showcases a broad spectrum of applications from healthcare to defense, emphasizing the potential for these startups to achieve unicorn status. Historically, more than half of the list's alumni have reached this milestone, a testament to the rigorous selection process that combines journalistic insight with quantitative analysis.
Among the standout companies is AcuityMD, a Boston-based startup that leverages de-identified data to help medical device manufacturers identify the right physicians for their products. Founded by Robert Coe, Mike Monovoukas, and Lee Smith, AcuityMD has already made an impact in the healthcare sector, assisting companies like Synchron and Intellijoint in targeting patients for clinical trials and marketing new surgical tools. The company's innovative approach has attracted significant investment from Benchmark, Iconiq, and Redpoint.
The list also features New York-based startups such as Agentio, Basis, Graphite, and Rogo, each addressing unique challenges in influencer marketing, accounting, software development, and financial services through AI. Meanwhile, Los Angeles-area startups Apex and Stan are making waves in satellite manufacturing and online monetization for social media personalities, respectively. Notably, Maryland's Forterra has secured a $93 million contract with the U.S. Army for mine-clearing robots and is involved in developing autonomous missile launchers for the Marines, showcasing the diverse applications of AI in defense.
This year's Forbes Next Billion-Dollar Startups list not only reflects the transformative power of AI across industries but also highlights the entrepreneurial spirit and innovation driving the next generation of billion-dollar companies. With a strong track record of success among its alumni, the list serves as a barometer for emerging trends and investment opportunities in the tech landscape.