The largest clinical AI patent portfolio in the country is looking for its founding investors.

The Burnout Exodus

43.2% of physicians report burnout (AMA, 2024). 65% of nurses cite stress and burnout as their top challenge (Cross Country / FAU, 2025). Over 138,000 nurses left the workforce since 2022 (NCSBN, 2024). Burnout-related physician turnover is estimated to cost the US healthcare system up to $4.6 billion per year (Mayo Clinic Proceedings, 2022). The cause is not medicine. The cause is the technology.

The Revenue Leak

An estimated 33-45% of outpatient visits may be undercoded (PMC / CMS CERT). Billing errors may cost the average practice up to 7% of total annual revenue (AMA, 2018). Most independent practices never bill CCM because their systems cannot track it. The revenue opportunity exists. Most practices simply lack the tools to capture it.

The ACCESS Mandate

CMS launched the ACCESS Model on July 5, 2026: a 10-year outcome-based payment program. Over 150 organizations have been accepted. 14 major private insurers covering 165 million lives have pledged to align by 2028 (CMS Payer Pledge, February 2026). This program requires FHIR-based outcome reporting, patient engagement infrastructure, and technology most practices do not have.

Price Transparency Enforcement

CMS began enforcing strengthened Hospital Price Transparency requirements on April 1, 2026. Penalties can reach up to $5,500 per day for noncompliance. CMS fined 10 hospitals in 2025 alone, with penalties reaching up to $871,122 in a single enforcement cycle (Health Affairs, 2025). 65% of reviewed hospitals have received at least one warning. Open_C's R-series patents cover healthcare cost transparency and insurance accountability infrastructure.

Healthcare Under Cyberattack

Healthcare had the most reported cyberthreats of any US critical infrastructure sector in 2024: 444 incidents (FBI / AHA). The financial toll of healthcare ransomware may have exceeded $14 billion in 2024 (DialogHealth). The Change Healthcare breach alone exposed up to 190 million records and cost an estimated $3 billion+. 28% of affected organizations reported increased patient mortality. Open_C's governed architecture includes cryptographic verification, fail-closed security, and provenance-bound data pathways designed to resist these threats.

The Independent Practice Boom

30 states and US territories now grant nurse practitioners full practice authority to practice independently (AANP, 2026). NP program enrollment grew 12% from 2023 to 2025. California's first wave of fully independent NPs become eligible in 2026. Every new independent NP and PA practice needs a clinical platform. Open_C was built by one of them, for all of them.

Retrofitting does not work

Adding AI to a system designed for billing is like adding a flight computer to a horse and buggy. The underlying architecture does not support real-time inference, provenance tracking, or governed clinical decision support. It costs an estimated $50-100 billion to retrofit existing health IT infrastructure across the US (Congressional Budget Office estimates; RAND Corporation).

Black-box AI is a liability

When an AI makes a clinical recommendation and the clinician cannot see what data was used, which model processed it, or what rules it followed, that is not a tool. That is a liability. Open_C is the only platform where every AI action carries a full receipt: data in, model version, rules applied, recommendation out. We call it Glass Box AI.

US clinical AI and charting market

200K+ independent outpatient practices

International expansion potential

Scribe

Listens to the encounter. Writes the note. Every sentence traces to the exact moment in the conversation. Zero pajama time.

CEE

Helps the clinician think through the case. Differential diagnosis, evidence-based guidelines, medication history. Walks through the reasoning, not just the answer.

Echo

Monitors workflows in real time. Flags safety concerns before they reach the patient. Streams content to CEE so the copilot follows the conversation live.

Alexandria

Governed knowledge layer. Guidelines, drug references, protocols. Right information, right time, right source. Not a search engine.

Aaron R. Seagle, DNP(c), FNP-BC, FNP-C is the founder and sole inventor of Open_C Health Systems. He is a board-certified family nurse practitioner with psychiatric mental health training (PMHNP-BE, board eligible) and over a decade of clinical experience across emergency departments, inpatient hospital medicine, and outpatient primary care.

He is currently completing a Doctor of Nursing Practice at South College with a focus on AI-assisted clinical decision support. His doctoral research centers on the intersection of cognitive offloading, AI external memory, and clinical AI governance.

Aaron is a self-described hospitalist APP from West Virginia building this company from clinical bedside experience rather than theoretical assumptions about healthcare. Every product in the platform was designed to solve a problem he has personally encountered at the point of care.

Credentials