INVESTMENT OPPORTUNITY
The Operating System for Spine Surgery
Workflow intelligence, outcomes analytics, and the data foundation for responsible surgical AI.
Surgeon-Governed · EHR-Adjacent · Hardware-Agnostic · HIPAA-Compliant
OUR THESIS
“Everyone is building algorithms. Almost no one is building the data infrastructure those algorithms actually need.”
$0B
Total Addressable Market
0,500
US Spine Surgeons
0M
Annual Procedures
$0M
Projected Revenue (Year 5)
THE PROBLEM
Spine Surgery Has a Critical Infrastructure Gap
EHRs are billing systems, not surgical intelligence platforms. Surgeons face exponential complexity with tools designed for documentation, not decision-making.
No Surgical Workspace
Surgeons plan complex 3D reconstructions with 2D viewers and mental models. No universal access to computational planning tools.
Zero Feedback Loop
No way to query own outcomes longitudinally. Simple questions require weeks of manual chart review and ad-hoc spreadsheets.
Vendor Lock-In
Advanced tools exist but require $300K-$500K+ capital equipment purchases. Data stays in proprietary silos.
Data Not ML-Ready
Retrospective, incomplete, inconsistently labeled data across institutions. The field has compute but lacks quality training data.
THE SOLUTION
Infrastructure First, Algorithms Second
Workflow tools surgeons want to use that quietly produce the highest-quality longitudinal spine surgery dataset ever assembled.
The Flywheel
Core Insight
High-quality surgical data cannot be retrofitted. It must be created intentionally through workflow.
3D Visualization
Browser-based anatomic reconstruction from CT/MRI
Auto-Measurement
Automated alignment parameters with provenance tracking
Surgical Planning
Interactive biomechanical modeling and simulation
Ambient Docs
AI transcription and structured note generation
Patient Engagement
Automated PROM collection and follow-up
Outcomes Analytics
Personal dashboard and comparative analysis
WHY NOW
Six Forces Have Converged
This company would have been impossible 5 years ago. In 5 years, the window closes.
Cloud & FHIR Maturity
HIPAA-compliant infrastructure at 80% lower cost. FHIR APIs enable EHR-adjacent deployment without deep integration.
AI Documentation Revolution
LLMs enable ambient transcription, structured extraction, and automated PROM collection, reducing surgeon burden while increasing data quality.
3D/Browser Tech Convergence
WebGL, Three.js, and GPU compute allow surgical-grade visualization in a browser. No workstation required.
Regulatory Clarity
FDA Digital Health Center of Excellence and Predetermined Change Control Plans create viable paths for iterative surgical AI.
Value-Based Pressure
CMS bundled payments and prior auth requirements create demand for outcomes evidence. Surgeons need proof their approach works.
Big Tech Is Coming
Google, Microsoft, and Amazon are investing billions in healthcare AI. Without surgeon-led infrastructure, the field loses control.
MARKET SIZE
A Concentrated, High-Value Market
Global spine surgery digital health (planning, analytics, AI, workflow)
U.S. spine surgeons - workflow tools, outcomes analytics, institutional licenses
30% of U.S. spine surgeons within 5 years with full platform adoption
Bottom-Up Math
Why this market wins
Concentrated community (4,500 surgeons), high willingness to pay, strong network effects, and once adopted, extremely high switching costs.
COMPETITIVE LANDSCAPE
Point Solutions Everywhere, No Platform
| Company | planning | outcomes | analytics | access | governance |
|---|---|---|---|---|---|
| SpineSense | |||||
| BrainLab | |||||
| Surgimap | |||||
| PatientIQ | |||||
| TriNetX |
SpineSense Moats
Only Integrated Platform
Planning + outcomes + analytics + governance in one spine-specific system
Data Quality Moat
Prospective, workflow-native, spine ontology with measurement provenance
Surgeon Governance
Trust advantage through co-ownership. Surgeons govern their own data.
Hardware Agnostic
Not competing with device companies - potential partners instead
Network Effects
More surgeons → more data → better analytics → more surgeons
PRODUCT ROADMAP
Staged Value, Controlled Risk
Workflow & Data Foundation
No FDA clearance required- 3D anatomic visualization from CT/MRI
- Automated alignment measurements
- Biomechanical surgical planning workspace
- Ambient documentation with AI transcription
- Patient intake and pre-charting automation
- Automated PROM collection and follow-up
End-of-Phase Target
100 surgeons · 2,000 cases · Proven workflow value
Value Proposition
Measurable time savings in clinic and documentation. Superior planning tools. Immediate patient engagement.
BUSINESS MODEL
Evolving Revenue, Compounding Value
Rule of 40
Year 5: 164% growth + 62% margin = 226 (benchmark: 40+)
26:1x
LTV:CAC
Top decile SaaS
98%
Gross Margin
Software-only COGS
$37M
Y5 Revenue
164% YoY growth
62%
Y5 EBITDA
$22.8M profit
GROWTH TRAJECTORY
From 100 to 1,500 Surgeons in 5 Years
0,500
Surgeons by Year 5
30% U.S. market penetration
0K
Cumulative Cases
Largest prospective spine dataset
$0M
Year 5 Revenue
164% compound annual growth
GTM Wedge
Network Effects
Each surgeon who joins makes the platform more valuable for every other surgeon. More cases → better analytics → more accurate benchmarks → stronger publications → more surgeons.
TEAM & GOVERNANCE
Surgeon-Led, Professionally Managed
CEO / Surgeon Founder
Fellowship-trained spine neurosurgeon. UCLA Health. Deep understanding of clinical workflow, academic research, and the data gap.
CTO / Technical Co-Founder
10-15 years software + ML/AI. Healthcare or regulated industry. Hands-on architect scaling from 0 to 100+ engineers.
President / COO
Healthcare IT & regulatory veteran. Prior startup to exit. FDA, HIPAA, EHR integration expertise.
Surgeon Governance Council
9-12 members: 60% academic, 30% private practice, 10% methodologists/ethicists. Quarterly meetings, documented decisions, annual transparency reports.
Founder-Problem Fit
A practicing spine surgeon who lives this problem daily, building the tool they wish existed. Combined clinical credibility with technical aptitude to architect AI systems and lead product vision.
Key Hires (Seed Funding)
THE ASK
$6.5M Seed to Build the OS for Spine Surgery
Use of Funds - 24 Months
24-Month Milestones
Exit Potential
The question isn't whether AI will transform spine surgery. It's who will build the infrastructure.
THE LARGER VISION
A Repeatable Model for Responsible Medical AI
Prove the architecture in spine. Expand to adjacent procedural specialties. Build a portfolio of surgeon-governed, workflow-native intelligence platforms, one domain at a time.
This is not a bet on algorithms. It is a bet on infrastructure, governance, and the belief that high-quality longitudinal data, created through workflow and governed by clinicians, is the foundation for responsible medical AI.
Let's Talk
Interested in the opportunity? We'd love to walk you through our vision.
This page is for informational purposes only and does not constitute an offer to sell or solicitation of an offer to buy any securities. Any investment opportunity will be made only through appropriate legal documentation and to accredited investors. Past performance is not indicative of future results.