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Perplexity Billion Dollar Build 2026

Perioperative
Intelligence

LINCR builds AI systems that learn from expert clinicians to make surgery safer. Pre-operative assessment with a built-in quality feedback loop — one product, one closed loop.

The Closed Loop

Post-op outcomes continuously recalibrate pre-op assessments. One product that connects assessment to quality improvement.

PRE-OP ASSESSMENT
LINCR Loop
  • Adaptive intake
  • AI risk scoring
  • Smart triage
  • Note generation
QUALITY FEEDBACK
LINCR Loop
  • Outcome tracking
  • Missed-case detection
  • Cancellation analysis
  • ASA calibration

LINCR Loop

Pre-op assessment with a quality feedback loop

AI-powered pre-operative anesthesia assessment that learns from outcomes

01

SMS/Email Patient Intake

Text or email patients a link. Adaptive questionnaire adapts in real-time based on their responses. No app download required.

02

AI Risk Scoring + Note Generation

Complete pre-anesthesia note in 90 seconds. ASA classification, cardiac risk, airway, OSA, medication alerts — all automated.

03

Smart Triage

Automated Green / Yellow / Red classification. Routes patients to the right level of pre-op evaluation.

04

Missed-Case Feedback

After surgery, record outcomes. LINCR Loop identifies cases that were triaged green but cancelled or had complications — your missed cases.

No FDA Clearance Required
Section 520(o)(1)(E) of the FD&C Act
Non-Device Clinical Decision Support
  • Does not analyze medical images or signals
  • Displays clinical basis for recommendations
  • Supports — does not replace — clinician judgment
  • Intended for healthcare professionals
FDA guidance updated January 2026
Patent Protection
US Provisional Patent Filed, March 2026
  • Prepared by Troutman Pepper
  • 74-page specification, 30 claims
  • Core AI architecture for clinical risk assessment
  • 12-month window for utility patent filing

Simple, Per-Provider Pricing

No implementation fees. Cancel anytime. Start with our founding rate.

Solo
$299 /provider/mo
  • 150 assessments/month
  • AI notes + risk scoring
  • Smart triage (G/Y/R)
  • Basic analytics
Enterprise
Custom pricing
  • EHR integration + SSO
  • Dedicated support
  • White-label option
  • Custom SLAs
ROI for a 10-Provider ASC (Practice Tier)
$1,990 /mo subscription cost
10 providers × $199
$15–25K /mo saved by preventing
5 cancellations
99205 billing E/M upcoding
$109 → $215–237/visit
1–2 cases/mo to break even
cancellation threshold
Founding Rate $149/provider/mo for your first 6 months — limited to early pilot partners.

See It In Action

From SMS invite to signed pre-anesthesia note in under two minutes.

Patient Intake
Pre-Operative Assessment
Yes No
Next Step
Provider Dashboard
LINCR Loop Case Queue Quality Feedback
24Total
8Pending
14Approved
2Flagged
Martinez, R. Approved
Chen, W. Pending
Thompson, J. Flagged
Quality Feedback
142 Cases Tracked
4.2% Cancellation Rate
3 Missed Cases
Patient no-show
Medical issue
Surgeon decision
Try the Demo
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No PHI is collected in the demo. HIPAA-compliant infrastructure for production use.

The Data Flywheel

1 More facilities
2 More data triples
3 Better models
4 Better predictions
5 More adoption

No competitor can replicate without both the pre-op assessment layer and outcome-calibrated models deployed simultaneously.

Anish Joseph

Practicing Anesthetist | BME, Georgia Tech | Founder & CEO

Does pre-op assessments every day — knows exactly what's broken. Built MargamSim CF2. The rare combination of clinician, engineer, and ML researcher who lives the problem daily.