Validated Playbook · 2025

CARDIOAI

Heart Matters · Columbus, Ohio · Founded by Sampson Kontomah

The world's first unified AI-powered cardiovascular diagnostics and care platform — detecting, predicting, and preventing heart disease in real time.

5
LOIs Secured
380
Early Adopters
5
University Partners
$1.9B
Yr 5 Revenue Target

01 · The Problem

Cardiac care is broken,
fragmented & dangerously slow.

Cardiovascular disease kills 17M+ people annually and costs the U.S. $400B/year — yet diagnosis remains manual, siloed, and inaccessible.

🔀
Fragmented Data

ECG, imaging, lab results, and wearable data live in separate systems. Clinicians manually synthesize across platforms — a slow, error-prone process where minutes cost lives.

👨‍⚕️
Specialist Shortage

A worsening global cardiologist shortage leaves patients waiting weeks for consultations — by which time preventable cardiac events have already occurred.

🎯
Single-Modality AI

Existing AI tools address only one modality — ECG or imaging or risk scores — never the full clinical picture. Clinicians stitch together partial insights from disconnected platforms.

Reactive, Not Predictive

Current cardiology workflows are reactive. There is no infrastructure for continuous, proactive monitoring that predicts and prevents cardiac events before they happen.

♀️
Women Underserved

A $500B market gap: women are systematically misdiagnosed because no platform incorporates sex-specific CVD risk factors. Heart disease kills more women than all cancers combined.

💸
Rising Costs

Hospitals face mounting pressure to reduce costs while improving outcomes. Manual workflows, redundant testing, and prolonged diagnostic timelines drive costs higher every year.

02 · The Solution

One platform.
Every cardiac data point. Real time.

Cardio AI's Unified Master Orchestrator synthesizes all cardiac data streams into one intelligent, automated, actionable system.

"No solution today unifies ECG, imaging, biomarkers, IoMT, and risk prediction into one real-time cardiac intelligence platform — until Cardio AI."

The world's first complete cardiovascular AI platform

Core Engine
Unified Master Orchestrator

Central coordination engine with task routing, load balancing, state management, event broadcasting, error recovery, and metrics collection — managing all 5 subsystems in real time.

AI Agents
7 Specialized AI Agents

Dedicated agents for ECG, echocardiography, lab biomarkers, risk assessment (TIMI & GRACE), diagnostic synthesis, personalized treatment, and prognosis & survival analysis.

Prevention
5 CVD Risk Calculators

AI-powered AHA-aligned predictors for AMI, stroke, heart failure, sudden cardiac death, and AFib — with C-statistics up to 0.80, 95% confidence intervals, and 1/5/10-year timeframes.

Monitoring
IoMT Wearable Platform

Real-time continuous cardiac monitoring via MQTT, HTTP, CoAP, and WebSocket protocols — with instant alert generation, anomaly detection, and <1s alert latency.

Imaging
PACS/DICOM Platform

6 specialized imaging agents for DICOM ingestion, preprocessing, segmentation, quantification, T1/T2 mapping, calcium scoring, and automated HL7-integrated report generation.

Unique
Women's CVD Platform

The only AI platform incorporating sex-specific risk factors, hormonal influences, and pregnancy-related cardiac conditions — addressing a $500B underserved market no competitor touches.

03 · The Product

6-Step Automated
Cardiac Workup

From IoMT vitals to final treatment plan — every patient receives a complete, automated cardiac assessment in real time.

Step 01
IoMT Vitals Collection

Real-time continuous monitoring from wearable devices. Data ingested via MQTT, HTTP, CoAP, and WebSocket protocols with <1s alert latency.

Step 02
ECG Analysis

AI-powered STEMI/NSTEMI detection, arrhythmia classification, and ICD-10 coding. 89% diagnostic confidence on echocardiogram analysis.

Step 03
Risk Calculation

5 AI-powered CVD risk calculators run simultaneously — AMI, stroke, heart failure, SCD, and AFib — with 95% confidence intervals and AHA Guidelines alignment.

Step 04
Medical Imaging Analysis

PACS/DICOM platform with 6 specialized agents. EchoFrame model achieves 91.37% Dice score for left ventricle segmentation deployed on GCP Vertex AI.

Step 05
Diagnostic Synthesis

Evidence-based diagnostic agent synthesizes all data streams — ECG, imaging, labs, biomarkers, and risk scores — into a unified clinical picture with differential diagnosis.

Step 06
Treatment Plan & Report

Personalized treatment recommendations, drug dosage optimization, prognosis, survival analysis, and automated report generation with HL7 integration for EHR delivery.

$30
Tier 1

Core AI diagnostics

$50
Tier 2

Advanced analytics

$100
Tier 3

Full platform access

$40
Tier 4

IoMT-RPM monitoring

$220
Complete

All 4 tiers bundled

04 · Traction

Validated by the
clinical community.

Strong early momentum across clinical validation, commercial pipeline, and technical deployment.

5
Letters of Intent secured from health systems
380
Early adopters identified in active pipeline
5
University medical center partnerships
89%
Diagnostic confidence on echo analysis
91%
Dice score on LV segmentation (EchoFrame)
0.80
C-statistic on AFib risk calculator
Clinical
DatosX Partnership

Official clinical validation partner providing rigorous, peer-reviewed evidence to support FDA 510(k) and De Novo submissions across multiple product lines.

Regulatory
FDA Pathway Active

FDA 510(k) clearance and De Novo submissions in preparation across multiple AI-powered product lines — establishing first-of-kind regulatory pathways in cardiovascular AI.

Technical
Production Deployed

AI models deployed on GCP Vertex AI. Full HIPAA-compliant cloud infrastructure operational. EHR/EMR integration frameworks established with Epic and Cerner.

05 · The Team

Clinical authority meets
AI engineering depth.

A team built on 5+ years of shared trust, domain expertise, and proven collaboration — assembled through conviction, not convenience.

SK
Sampson Kontomah
Founder & CEO · Chief AI Scientist

15+ years in AI, enterprise technology & cardiovascular medicine. Expert in multi-agent systems. Met the core team through AHA conference and 5+ year relationships. Economics, Ohio State University.

TN
Dr. Tamanna Nahar
Co-Founder · Chief Medical Advisor

MD, MBA, FACC, FASE. 25+ years as Board-Certified Nuclear Cardiologist. Former Chief Cardiologist at Harlem Hospital. Cardiology fellowships at Yale & Cornell. Met Sampson at AHA conference.

HC
Harshal Chalke
Chief AI Officer

Master's in AI, Rochester Institute of Technology. Built production models: 89% echo confidence, 91.37% LV segmentation Dice score on GCP Vertex AI. 5+ year collaborator with CEO.

GW
Galax Womack
Chief Technology Officer

Expert in HIPAA-compliant, scalable systems. Specializes in Python, Flask, Django, AWS, and EHR integration using FHIR and HL7. Built telehealth platforms across healthcare and biotech.

MV
Mahitha Vudutha
VP of Product

Deep expertise in mobile health platforms and iOS/Android development. Translates complex cardiac AI capabilities into intuitive clinical workflows for patients and providers.

AP
Avi Patel
VP of Engineering

Architected Cardio AI's GCP infrastructure from the ground up. Integrated Python-based AI agents with scalable frontend systems. HIPAA-compliant practices embedded across development lifecycle.

SB
Dr. Syed Bashar
Senior Research Scientist

PhD, Biomedical Engineering, University of Connecticut. Postdoctoral research at Johns Hopkins & Georgia Tech. Specializes in AI-based AFib detection via wearable technology.

DS
Dr. Dibakar Sigdel
Chief Data Scientist

PhD. 8+ years in AI/ML and multi-omics analysis. Led AI projects at UCLA and Truveta. Founder of Mindverse Computing exploring quantum computing applications in healthcare.

WF
Wilson Fay
Director of Investment & Finance

Venture & Healthcare Technology expert focused on investment partnerships, fundraising, and financial strategy. Brings deep expertise in structuring healthcare investment deals and capital formation. Holds a Juris Doctor from the University of Wisconsin.

SR
Samad Reed
Head of Finance

Finance executive with 10+ years across venture capital, investment banking, and consulting. Leads financial strategy, fundraising, and scaling operations with a strong mix of investor insight and hands-on operator experience. MBA, Georgetown University · BSBA Economics & Finance, University of Hartford.

06 · Financial Projections

Moderate 5-Year
Revenue Outlook.

PMPM SaaS model with 45-50% EBITDA margins at scale. Self-sustaining growth from a single seed round.

Year
Members
Revenue
EBITDA
Margin
2027
Year 1
25K
$25M
$11M
45%
2028
Year 2
100K
$150M
$68M
45%
2029
Year 3
400K
$600M
$288M
48%
2030
Year 4
750K
$1.1B
$550M
50%
2031
Year 5
1.2M
$1.9B
$950M
50%
Capital Efficiency
$5M Seed Only

Self-sustaining growth from Year 1 cash generation. Optional Series B for international expansion only. No bridge financing required.

Unit Economics
LTV/CAC: 50x

Customer LTV of $7,584 with payback period under 3 months and churn below 5% — world-class SaaS unit economics driven by sticky clinical workflows.

Scalability
Zero Marginal Cost

AI platform scales from 25K to 1.2M members without proportional cost increases. Revenue per employee grows from $0.68M to $9M+ over 5 years.

07 · Go-To-Market

Three phases.
Academic to national scale.

A disciplined, phased go-to-market strategy moving from clinical validation to regional expansion to national payer-driven scale.

1
Months 1–12
Clinical Foundation
Academic medical centers & early adopters
  • Direct enterprise sales
  • 5 university medical center partners
  • Convert 5 LOIs to contracts
  • Activate 380 early adopters
  • DatosX clinical validation
2
Months 12–24
Regional Expansion
Regional health systems & women's health networks
  • Epic & Cerner partnerships
  • Medical device manufacturers
  • Women's health networks
  • Community hospital rollout
  • Channel-driven distribution
3
Months 24–36
National Scale
National deployment via payer partnerships
  • Payer collaborations at scale
  • ACC, AHA, ACOG endorsements
  • WHO & ESC global partnerships
  • FDA-cleared commercial launch
  • International expansion prep

08 · Competitive Landscape

10 point solutions.
One complete platform.

Every competitor addresses 1-3 cardiac modalities. Cardio AI is the only fully integrated cardiac intelligence platform.

Company ECG Imaging Treatment Remote Mon. CVD Risk Women's CVD AI Agents
⭐ Cardio AI YES ALL YES YES 5 AI YES 8
Eko Health YES NO NO NO NO NO 2
Cleerly NO CT NO NO NO NO 1
Ultromics NO MRI NO NO NO NO 2
Viz.ai NO CT NO NO NO NO 2
Tempus NO Part YES NO NO NO 3
Alive Cor YES NO NO YES NO NO 2
Unique
Women's CVD Platform

Only platform addressing sex-specific CVD risk factors in a $500B underserved market. No competitor has built this.

Technical
Master Orchestrator

No competitor has a central engine synthesizing all cardiac data modalities simultaneously. Every other solution is a point product.

Clinical
Complete Care Continuum

Screening → Diagnosis → Treatment → Monitoring. The only platform that follows a patient through the entire cardiac care journey.

Integration
Deep Interoperability

Seamless Epic/Cerner EHR integration, multi-protocol IoMT wearable support, and PACS/DICOM compatibility removes the biggest adoption barrier in healthtech.

09 · Roadmap

From validation
to market dominance.

Six critical milestones on the path to becoming the global standard for cardiovascular AI.

Milestone 01 · In Progress
Complete Beta & Pilot Studies

Finalize active pilots across 5 university medical center partners and health systems — generating real-world clinical performance data across diverse patient populations.

Milestone 02 · In Progress
Gather Clinical Validation Data

Compile and analyze validation data through DatosX and university medical center partnerships — building the rigorous evidence base required for regulatory submission.

Milestone 03 · Upcoming
FDA 510(k) Clearance Submission

Submit and obtain 510(k) clearance for initial product lines — establishing regulatory credibility and formal market access for AI-assisted cardiovascular diagnostics.

Milestone 04 · Upcoming
De Novo Submissions

File De Novo submissions across multiple novel AI-powered product lines — securing first-of-kind regulatory pathways for our most innovative diagnostic capabilities.

Milestone 05 · Upcoming
Commercial Launch

Execute full commercial launch targeting hospitals, community hospitals, health systems, and payers across all four PMPM pricing tiers with full EHR integration.

Milestone 06 · Year 1
Revenue Generation at Scale

Activate 5 LOIs, convert 380 early adopters, and scale toward 25,000+ members and $25M+ revenue in Year 1 — fully self-funded from seed round.

10 · Clinical Use Cases

Real workflows.
Real patients. Real outcomes.

From pregnancy monitoring to high-risk cardiac events — Cardio AI delivers measurable clinical impact across the full spectrum of cardiovascular care.

Women's CVD Platform

🤰 Pregnancy Monitoring
Sarah, 35 · 28 Weeks Pregnant

BP 165/105 detected → AI: 89.2% preeclampsia risk → Tier 2 physician alert → MFM consult triggered → Early intervention initiated.

96.2% Detection Rate
💔 Atypical CVD
Maria, 58 · Fatigue, No Chest Pain

Non-specific symptoms → AI flags atypical pattern → Troponin 0.8 ng/mL elevated → SCAD evaluation triggered → Angiography confirms diagnosis.

94.7% SCAD Sensitivity
🩺 Postpartum PPCM
Jennifer, 32 · 2mo Postpartum

Progressive dyspnea → Echo: LVEF 38% → PPCM diagnosed → Heart failure protocol started → Cardiology follow-up coordinated.

91.8% PPCM Detection

High-Risk Patient · Real-Time AI Response

Patient Profile
MARIA, 58

Symptoms: Chest pain, dyspnea
History: T2 diabetes, hypertension
Setting: Community cardiology clinic
Prior Dx: Anxiety — misdiagnosed ×6 months

AI Risk Score: HIGH
78%
1
DATA INTAKE

ECG, echo, labs, and EHR history ingested simultaneously by the Master Orchestrator

2
AI ANALYSIS

8 agents detect silent ST-depression, elevated TIMI score & microvascular ischemia — missed for 6 months

Cardio AI Actions & Outcomes
🚨 URGENT ALERT SENT

Cardiologist notified in real-time; cath lab placed on standby

✅ DIAGNOSIS CONFIRMED

NSTEMI confirmed; previously misdiagnosed as anxiety for 6 months

💊 TREATMENT GENERATED

Personalized dual-antiplatelet protocol pushed directly into EHR workflow

📡 CONTINUOUS MONITORING

IoMT wearable tracks post-procedure recovery; 30-day readmission risk updated daily

11 min
to alert
6 mo
missed Dx corrected
0
readmissions at 30 days

IoMT Clinical Workflow

👤 Remote Monitoring
Remote Patient Monitoring (RPM)

Post-discharge heart failure monitoring with daily vitals, AI trend analysis, and early intervention to reduce 30-day readmissions. 7-agent pipeline processes continuous RPM data streams.

💓 Screening
Atrial Fibrillation Screening

Population-level AFib detection using continuous ECG monitoring with >95% confidence, enabling early stroke prevention and anticoagulation therapy guidance.

🚑 Rehabilitation
Cardiac Rehabilitation Monitoring

Post-MI rehab with real-time HR/rhythm monitoring, AI-detected arrhythmias, automatic safety interventions, and progress tracking via IoMT wearable integration.

Live Interactive System
IoMT CardioAI Dashboard

200 tests passing · 7 active AI agents · 3-way HMAC-SHA256 + JWT authentication · 16 WebSocket protocol message types · Real-time RPM data pipeline

🔬 Explore Live Dashboard →

11 · Long-Term Vision

The global standard
for cardiac intelligence.

"A world where no cardiac event goes undetected, no patient falls through the cracks, and every clinician has the intelligence needed to save lives."

Sampson Kontomah · Founder & CEO · Cardio AI

Global
International Expansion

Bringing AI-powered cardiac intelligence to underserved markets across Africa, Asia, and Latin America — where CVD burden is highest and specialist access is lowest.

Paradigm Shift
Preventive Cardiology

Shifting from reactive treatment to proactive, continuous cardiac monitoring that predicts and prevents events before they occur — redefining the standard of care.

Equity
Women's Heart Health

As the only platform addressing sex-specific CVD risk, Cardio AI will redefine how women's heart disease is detected, treated, and prevented globally.

Infrastructure
Cardiac Intelligence Layer

Becoming the cardiac intelligence layer for every major health system, payer, and EHR platform globally — embedded in the infrastructure of modern healthcare.

12 · Company Valuation

What is Cardio AI
worth today?

A rigorous, data-driven valuation anchored to 2025–2026 market benchmarks, comparable transactions, and three independent methodologies. Based on publicly available market data as of March 2026.

Current · Seed Stage
$50M–$80M
Pilots active · 5 LOIs · Pre-FDA
Base Case · Series A
$150M–$250M
510(k) submitted + first ARR
Bull Case · Post-FDA
$400M–$650M
FDA cleared + $10M+ ARR
Breakout · Series B+
$800M – $1.2B
$25M+ ARR · 2 FDA clearances · payer partnerships secured · HeartFlow comparable at 40–50% stage-adjusted multiple

Market Context

$14.83B
AI in Cardiology by 2033

Growing at 31.17% CAGR from $1.69B in 2025. North America holds 46.79% share.

62%
AI Health VC Share in H1 2025

AI-enabled healthcare startups raised an 83% premium over non-AI startups. Avg deal: $26.1M.

63%
Series D+ Valuation Growth

Healthcare AI valuations grew 63% YoY in 2025. AI-services companies command 70–80%+ gross margins.

$500B
Women's CVD Market Gap

Cardio AI is the only platform addressing sex-specific CVD risk factors. Zero direct competition in this category.

Comparable Companies · 2025–2026

Company Focus Stage Valuation Raised
HeartFlow (HTFL) AI cardiac diagnostics (CAD/CCTA) Public · IPO Aug 2025 $2.2B $364M
Viz.ai AI disease detection & care coordination Series D $1.2B $252M
AliveCor AI ECG / wearable cardiac monitoring Series F ~$300–400M $114M
Cleerly AI coronary CT imaging Private ~$500M $223M
Abridge AI clinical documentation Series E $5B $300M
OpenEvidence AI clinical search & evidence Late Stage $12B $250M+
⭐ Cardio AI (Subject) Unified multi-modal cardiac AI platform Seed · Pre-Revenue $50M–$80M $5M

Three Valuation Methodologies

1
Method 01 · ARR-Based
Revenue Multiple
Applied to $25M Year 1 revenue target
  • 15x ARR → $375M (conservative)
  • 20x ARR → $500M (base case)
  • 25x ARR → $625M (bull case)
  • Range: $375M – $625M
2
Method 02 · HeartFlow Anchor
Comparable Transaction
Stage-adjusted vs. HeartFlow $2.2B IPO
  • 30% of HeartFlow → $660M
  • 40% of HeartFlow → $880M (base)
  • 50% of HeartFlow → $1.1B (if 510k filed)
  • Range: $660M – $1.1B
3
Method 03 · DCF
Discounted Cash Flow
40% discount rate · 48% EBITDA margin
  • PV of 5-yr cash flows → ~$470M
  • Terminal value (10x Yr5) → ~$180M
  • 40% discount rate applied
  • DCF Result: ~$650M

DCF Model · 5-Year Projections (2027–2031)

Year Revenue EBITDA (48%) Discount (40%) Present Value
2027 — Year 1 $25M $11M 0.71 $7.8M
2028 — Year 2 $150M $68M 0.51 $34.7M
2029 — Year 3 $600M $288M 0.36 $103.7M
2030 — Year 4 $1.1B $550M 0.26 $143.0M
2031 — Year 5 $1.9B $950M 0.19 $180.5M
Sum of PV Cash Flows + Terminal Value (10x Yr5 EBITDA) ~$650M
Only unified multi-modal cardiac platform +15–20%
Women's CVD — $500B untapped market +10–15%
5 university medical centers + DatosX +5–8%
Production AI: 89% echo, 91.37% Dice +8–10%
5 LOIs + 380 early adopters identified +5%
Pre-FDA clearance · 510(k) pending −15–20%
Pre-commercial revenue · no ARR yet −10–15%
Seed stage vs. well-funded comps −5–8%
Multi-product FDA regulatory risk −5%
Healthcare enterprise sales cycle 12–18mo −3–5%

Value Creation Milestones

Milestone 01 · In Progress
Complete Beta & Pilots

Real-world clinical performance data across diverse patient populations. +$20–$30M valuation impact

Milestone 02 · Near-term
FDA 510(k) Submission Filed

Formal regulatory pathway established. Triggers re-rating by investors. +$50–$100M valuation impact

Milestone 03 · Post-launch
First $1M ARR Established

Transitions from pre-revenue to revenue multiple pricing. +$100–$200M valuation impact

Milestone 04 · 12–18 months
FDA 510(k) Clearance Received

Commercial deployment unlocked. Payer reimbursement pathway opens. +$150–$300M valuation impact

Milestone 05 · 18–24 months
De Novo Approval — Women's CVD Platform

Category-defining regulatory approval. Zero competition in this category. +$200–$400M valuation impact

Milestone 06 · Series B
$25M ARR + 2 FDA Clearances

Breakout re-rating to HeartFlow comparable range. $800M – $1.2B total valuation

Seed+ / Bridge
$3M – $5M

Implied post-money: $50–$80M · Dilution: 6–10%

Complete pilots, FDA prep, core team expansion.

Series A
$15M – $25M

Implied post-money: $150–$250M · Dilution: 10–15%

FDA submission, GTM launch, payer pipeline activation.

Series A (Post-FDA)
$30M – $50M

Implied post-money: $400–$650M · Dilution: 8–12%

Scale sales, payer partnerships, international expansion.

Investor Relations
Interested in investing in Cardio AI?

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This valuation is based on publicly available market data as of March 2026. Not investment advice. Engage a licensed financial advisor for formal valuation opinion.