Investor Overview · May 2026

The Clinical Infrastructure Stack for Modern Healthcare.

Modular. Production-deployed. FDA SPL-validated. $185K MRR in LOIs closing within 90 days.

$185K
MRR in LOIs
Closing within 90 days
160
Passing Tests
Production codebase
$23B
TAM by 2034
Fortune Business Insights
3 Days
New Connector
vs 12 months for Redox
Clinician reviewing drug interaction data
The Problem

Clinicians dismiss 95%+ of drug interaction alerts. Real interactions get missed.

~250K
Deaths per year
From adverse drug events in the US
American Society of Pharmacovigilance, March 2025
1.5M+
ER visits per year
Americans treated for adverse drug events annually
CDC FastStats: Medication Safety Data, April 2024
#3
Leading cause of death
Behind only heart disease and cancer in the US
American Society of Pharmacovigilance, March 2025

"Legacy drug-interaction databases — FDB, Lexicomp, Micromedex — are priced for hospital systems at $50K–$500K/year. They ship flat alert lists, not mechanism-level reasoning. The result: alert fatigue so severe that clinicians click through 95%+ of warnings."

"Mid-market practices and ISVs pay an enormous integration tax. Every clinical workflow — EHR, billing, drug interactions, e-prescribing, telehealth — lives in a separate vendor with its own data model and compliance footprint. There is no unified layer."

A modular clinical infrastructure stack. One canonical data model. Four products.

Orisan Clinical Systems is a holding company for a modular product family — Sage, RxLabelGuard, Connect, and SeedHealth — sharing a single HIPAA program, canonical data model, and developer experience.

Sage
Mechanistic drug-interaction API + CDS layer. Pathway-level reasoning that explains why an interaction matters. Priced at $0.007/call. Replaces FDB, Lexicomp, Micromedex at a fraction of the cost.
RxLabelGuard
Sage repackaged for pharmacy students, educators, and pre-PMF developers. Self-serve, affordable, no six-figure license. Today's student is tomorrow's enterprise buyer.
Connect
Multi-tenant EHR/PM sync platform. AdvancedMD and Tebra live today; Epic and athenahealth in development. $5K setup + $1K/mo. Built on Elixir/OTP — fault-isolated per connector.
160
Passing tests
113
Drugs in graph
3
Live connectors
Orisan three-layer architecture

$185K MRR in LOIs closing in 90 days.

This is not a projection. These are active letters of intent in final negotiation — representing a near-term path to $1M+ ARR without raising priced equity.

$185K MRR
In active LOIs
4
Enterprise deals
$1.47M
12-month pipeline
3
EHR connectors live
90-Day LOI Closing Timeline
Now
LOIs Signed
$185K MRR in active negotiations
Day 30
Anchor Closed
Anchor EHR contract executed · $120K/mo begins
Day 60
Enterprise Closed
Project A & B contracts signed · $500K secured
Day 90
Cash-Flow Positive
$185K MRR live · No priced equity required
Active Pipeline
DealValueConfidence
Anchor EHR (Sage)
Per-clinic MRR
$836K weightedFinal negotiations
Project Customer A
Pharmacy management, 12-month
$350K85%
Project Customer B
Engineering services, 90-day
$150K85%
Rx Exchange Partner
Wholesale + analytics residuals
$164K weightedQualified

Three converging markets. One infrastructure layer.

$23B
Total Addressable Market
Medication management software market reaches $23.29B by 2034 at 12.45% CAGR.
Fortune Business Insights, April 2026 · Report FBI115703
$4.8B
Serviceable Addressable Market
US clinical decision support and EHR integration platforms. North America holds 45%+ of the global CDSS market.
Grand View Research, 2026 · Report GVR-2-68038-339-3
$120M
Serviceable Obtainable Market
Realistic Year-3 ARR target via 3–5 anchor EHR partnerships at per-clinic subscription pricing.
Orisan internal model · Based on anchor EHR ramp projections
TAM · $23B
SAM · $4.8B
SOM
$120M

Four products. One platform. All high-margin.

Each product shares the canonical data model and HIPAA program. Each stream compounds the others.

Enterprise API · Recurring
Sage
70–80% gross margin
Pricing
$0.007 per API call
Anchor EHR
$0 → $120K/mo as partner ramps
Replaces
FDB, Lexicomp, Micromedex
Edge
Mechanism-level reasoning, not flat alerts
SaaS · Recurring + Setup
Connect
70%+ gross margin
Pricing
$5K setup + $1K/mo per connection
Live Today
AdvancedMD, Tebra connectors
In Dev
Epic, athenahealth
Speed
3 days vs 6–12 months (Redox)
Top-of-Funnel · Usage
RxLabelGuard
Self-serve gross margin
Audience
Pharmacy students + pre-PMF devs
Model
Affordable self-serve access
Strategic
Today's student = tomorrow's buyer
Data
Same engine as Sage, repackaged

An 18-month technical moat. Two distinct competitive fields.

Legacy Alert Fatigue vs Orisan Graph Engine comparison
Orisan
3 Days
~$5K per connector
Redox / Health Gorilla
12 Months
~$200K per connector
Sage — Drug Interaction API
CompetitorPricingMechanism
Orisan Sage$0.007/call✓ Pathway-level
First Databank (FDB)$50K–$500K/yr✗ Flat alerts
Wolters Kluwer Lexicomp$50K–$500K/yr✗ Flat alerts
Merative MicromedexEnterprise only✗ Flat alerts
DrugBankGated academicPartial
Connect — EHR Integration
CompetitorBuild TimeCost
Orisan Connect3 days~$5K
Redox6–12 months~$200K
Health Gorilla6–12 months~$200K
1upHealthMonthsEnterprise
In-house eng.3–6 mo/integrationHigh burn
Deterministic Architecture
Section 3060 Safe Harbor
Canonical Data Model
Elixir/OTP Fault Isolation

One anchor deal starts a compounding flywheel.

01
Anchor EHR Deal
Close the anchor EHR contract. Sage goes live across 50–1,000 clinics. $120K/mo ceiling.
02
Referral Flywheel
Each clinic onboarded refers adjacent practices. Network effects compound MRR without linear CAC.
03
Connect Upsell
Sage customers need EHR sync. Connect is the natural next purchase. Same account, higher LTV.
04
Wholesale Channels
Rx exchange partners resell Sage API at markup. Revenue with zero additional CAC.
05
Series A
At $3–5M ARR, raise a priced round at $30–50M pre-money. Expand knowledge graph to 500+ drugs.

Path to $10M ARR by Year 3.

Three compounding revenue streams — each one making the others larger. The anchor EHR deal alone scales from $0 to $120K MRR as the partner ramps from 50 to 1,000 clinics.

Cash-Flow Positive
After first project wire
Month 3
Gross Margin at Scale
Across all revenue streams
70–80%
Connect Break-Even
$300K ARR covers engineering + AWS
25 customers
Series A Trigger
Post-Connect ramp · $30–50M pre-money
$3–5M ARR
ARR Trajectory
$1.47M
$3–5M
$8–12M
Year 1
Year 2
Year 3
Sage / EHR MRR
Connect
Wholesale / Rx
Clinical Systems
Revenue Mix Breakdown
Year 1 · $1.47M Total
Sage (Anchor EHR)
$840K
50 → 700 clinics at $100/mo
57% of mix
Connect (25 customers)
$420K
$5K setup + $1K/mo recurring
29% of mix
Wholesale API
$165K
Rx exchange residuals
11% of mix
Clinical Systems
$45K
Project-based
3% of mix
Connect Unit Economics at Scale
CustomersARREngineeringAWSGross Margin
25$300K$90K$45K~55%
100$1.2M$180K$180K70%
200+$2.4M$200K$300K75%+
$40–75K
Bridge SAFE
$8M–$12M Valuation Cap

A small bridge unlocks a large valuation step-up. Each signed contract is a milestone that drives the cap higher. The SAFE allows the valuation to be set once the anchor contracts are signed and the platform's revenue trajectory is visible.

Why a SAFE?

Given the near-term pipeline, a priced round would undervalue the company. The SAFE allows the valuation to be set once the anchor contracts are signed and the platform's revenue trajectory is visible.

Use of Funds (60 Days)
Sustain operations through Month 1
40%
Secure anchor project signatures
35%
Bridge to first project wire
25%
Milestone-Based Valuation Step-Ups
First anchor contract signed
SOC 2 Type I initiated
Knowledge graph expanded to 500+ drugs
$1M ARR achieved

The clinical stack is being rebuilt. Orisan is already inside it.

ONC HTI-1 Mandates
New federal rules are forcing every EHR vendor to upgrade their clinical decision support layer. The market is not optional — it is regulatory.
ONC HealthIT.gov · Effective February 8, 2024
Safe Harbor Validated
Orisan's Section 3060 safe harbor language is validated and live today. Competitors must start this compliance process from scratch.
FDA Section 3060 · 21st Century Cures Act
Anchor EHR Scaling
The anchor EHR partner is scaling from 50 to 1,000 clinics this quarter. The referral flywheel is already spinning.
Orisan internal · Anchor EHR contract terms
The window is open. The product is live.