Acuity Health - Investor Pitch Deck
1/16

Acuity Health

"Predict Health. Empower Life."

The First AI-Native Ambient Clinical Decision Support Platform Delivering End-to-End Value-Based Care

Transforming home healthcare with predictive analytics and ambient intelligence

$1.5M Raise
$5M Pre-Money Valuation | SAFE Note
First Client Deployed End of Month
2/16

The Healthcare Crisis

6M+
Americans with Heart Failure
$15K
Average Cost per Readmission
25%
of CHF Patients Readmitted in 30 Days

The Problem: Reactive, Fragmented Care

Healthcare providers are drowning in paperwork, missing critical patient deterioration signals, and operating in silos. Patients suffer from preventable hospitalizations while costs spiral out of control.

The Evolution to Value-Based Care

Phase 1: Traditional Medicare
Fee-for-Service Model
• Providers paid for volume of services
• Limited coordination between providers
• Reactive care focused on treatment
• Higher costs, variable outcomes
Phase 2: Accountable Care Organizations (ACOs) and Medicare Advantage
Managed Care Integration
• Risk-based capitated payments
• Focus on member satisfaction & quality
• Some coordination but still siloed
• Better outcomes, controlled costs
Phase 3: Value-Based Care
Outcome-Driven Model (by 2030)
• Payment tied to patient outcomes
• Seamless care coordination
• Proactive prevention & intervention
• Optimal outcomes, lowest total cost
50%+
of Medicare in Value-Based Contracts by 2030
25-30%
Cost Reduction Potential with VBC
2030
Target Year for VBC Transformation

Value-Based Care: The Right Formula

Right Care • Right Time • Right Place • Right Person • Right Approach
Delivering the optimal intervention precisely when and where it's needed most

4/16

Acuity empowers healthcare providers with an AI-first value-based care enablement platform that drives superior patient outcomes while positioning teams to thrive in healthcare's evolving payment landscape.

"Transforming healthcare from reactive to predictive, one patient at a time."
5/16

Value-Based Care Enablement Platform

Clinical Decision Support
• AI-powered real-time prediction
• Risk stratification system
• Intelligent intervention prompts
Ambient Documentation
• AI listens to conversations
• Writes clinical notes automatically
• Seamless workflow integration
Patient Engagement
• FDA-approved device monitoring
• Proactive care management
• Patient health journey empowerment
Mission Control
• Patient population dashboard
• Three-way transparency portal
• Real-time performance tracking
Closed-Loop Communication
• Provider platform communication
• Alert resolution accountability
• Patient outcome prevention
Chronic Care Management
• Longitudinal disease tracking
• Immediate alerts and predictions
• Provider team outcome guidance

Result: AI-First Technology Empowering All Stakeholders

Providers: Work top-of-license with automated workflows
Patients: Engaged in self-care with proactive interventions
Payers: Transparent outcomes and value-based contract success

6/16

Massive Market Opportunity

$146B
Home Healthcare Market by 2027
$4.3T
Total US Healthcare Spending
12,000+
Home Health Agencies in US

The Shift to Value-Based Care

Healthcare is rapidly moving from volume-based to value-based payments. Medicare Advantage plans and health systems need partners who can deliver measurable outcomes while reducing costs.

7/16

Value-Based Enterprise (VBE)

What This Means for Patients

Your healthcare team knows when you need help before you feel sick. You stay healthy at home with personalized care that prevents hospital visits, reduces costs, and gives you control over your health journey.

Tier I: SaaS Platform
• Monthly subscription for the interoperability technology platform and remote patient monitoring with support

• Introduction and onboarding into the value-based model of care

• Staff training and workflow integration assistance

• Basic clinical decision support and ambient documentation setup
Tier II: Prediction
• Understanding patient populations through proprietary AI system

• Ongoing interoperability connectivity for data integration

• Predictive outcomes modeling for personalized care plans

• Advanced chronic disease management capabilities
Tier III: Outcome-Based Service
• Full advantage of value-based care model implementation

• Payer integration and partnership development

• Population dynamics optimization with Acuity platform

• Complete value-based care contracting opportunities
8/16

Proven Traction

First Client Signed: AllHeart Home Health
Aug 2025
Full Deployment Expected
CHF Focus
Starting with Heart Failure Patients

Real-World Validation

Our first client, AllHeart Home Health, will be fully deployed on the Tier I SaaS model by August 2025. We are already in active discussions about implementing the value-based care strategy, proving market demand for our complete platform progression.

Expected Outcomes

25-30% reduction in 30-day readmissions
50%+ time savings on clinical documentation
Improved patient satisfaction and quality scores

9/16

Unique Competitive Advantages

End-to-End Solution
One platform replaces multiple vendors
AI-First Architecture
Physician-designed AI that understands clinical workflows
Home Health Focus
Purpose-built for home-based care workflows
Ambient Awareness
Ambient scribe during provider visits and continuity at home
Real-Time Predictive Risk
Immediate insights vs. retrospective dashboards
Competitive Differentiation
We excel where Innovaccer, Health Catalyst and Arcadia fall short

Unique Value Proposition

"Dashboards are history. Acuity's CHI scores tell you who needs help now."
Forward-looking intelligence vs. retrospective reporting - we predict and prevent rather than analyze what went wrong

10/16

Advanced Technology Stack

Prediction
Knows which patients need help before they get worse
Ambient Intelligence
Listens and learns to make documentation effortless
Cloud Infrastructure
Secure, scalable platform that grows with your practice
Seamless Interoperability
Works with any healthcare system you already use
Mission Control
One dashboard that shows everything happening with your patients
Smart Monitoring
FDA-approved connected devices keep patients safe at home automatically

Technical Differentiators

Continuous Health Index (CHI): Instantly shows the care team which patient needs help most
Ambient-first design: No major competitor offers true ambient listening for home health
Mission Control: Transparent payer dashboards for value-based contract management
End-to-end integration: Single platform vs. multiple vendor integration

11/16

Academic Standard

NIH Study Submitted 4/6/25

"Improving Clinical Prediction and Care Coordination for Congestive Heart Failure Through a Structured Continuous Health AI System"

Evidence-Based Foundation
Our CHI predictive algorithm is validated through rigorous academic research, ensuring clinical efficacy and regulatory compliance for real-world deployment
Clinical Validation
Phase I research: Demonstrate significant improvement in CHF prediction accuracy, providing the scientific foundation for our AI-driven clinical decision support system
Regulatory Credibility
NIH recognition establishes Acuity as a serious healthcare innovation company with peer-reviewed research backing our technology claims and market positioning
12/16

Current Client & Strategic Partnerships

AllHeart Home Care - Nashville, TN

Service Area: Davidson County and all surrounding counties in Nashville, TN

KanTime EHR
Partnership discussions for EHR integration and workflow automation to expand our technology reach across their extensive home health client base
Guidehouse
Strategic partnership talks to combine our AI platform with their healthcare consulting services for comprehensive value-based care solutions
IBM
Exploring technology partnership opportunities to leverage enterprise-grade infrastructure and AI capabilities for scalable deployment

Active Business Development

We are aggressively pursuing conversations with payers, EHR vendors, and home health provider teams to expand our market presence and create strategic partnerships that accelerate our growth trajectory.

11/13

6-Quarter Growth Strategy

Phase 1: Foundation
Q1 - Validation: Complete AllHeart deployment, achieve first outcomes data

Q2 - Refinement: Optimize algorithms, add 2-3 new clients, prove ROI
Phase 2: Acceleration
Q3 - Scale Up: Deploy patient engagement tools, expand to 8-10 total clients

Q4 - Diversify: Add diabetes/COPD populations, launch payer pilot programs
Phase 3: Integration
Q5 - Partner: Sign first value-based payer contracts, Mission Control live

Q6 - Expand: Multi-state presence, health system partnerships, 25+ clients

Expansion Plan Beyond 18 Months

Year 2: 50+ providers across 10+ states with multiple payer partnerships
Year 3: National expansion, health system integration, ACO partnerships
Year 4: International opportunities, additional care settings (SNF, assisted living)

25+
Clients by Q6
5,000+
Patients Under Management
$10M+
ARR by End of Year 2
14/16

Financial Projections

$2.5M
Year 2 Revenue Target
$15M
Year 3 Revenue Target
85%
Gross Margin Target

Revenue Drivers

Platform Fees: Tiered subscription model adjusted for population size
Success Fees: 10-20% of shared savings
Expansion Revenue: Additional modules and populations

Path to Profitability

Break-even expected at 12 months post deployment to first customer. Outcome based upside and high-margin SaaS with Value-based care.

15/16

Our Team

Srinivas Nimmagadda, M.D.
Founder and CEO
Jake Saunders, M.D.
Chief Medical Officer
Grant Saunders
Chief Technology Officer
Ricky Shinall, M.D., Ph.D.
Chief Science Officer
Brian Williams
Chief Operating Officer
Rohan Ramachandran
Intern attending Columbia University for Computer Science degree

Leadership Excellence

Our team combines deep medical expertise with proven technology leadership and operational excellence. Led by physician-founders who understand both clinical needs and healthcare technology implementation.

16/16

Investment Opportunity

$1.5M
Raising on $5M Pre-Money Valuation