$1M+
avg. annual preference card overspend per hospital
5–8%
surgical supply cost reduction with card optimization
$25B+
unnecessary hospital supply chain spend annually
40–60%
of hospital supply cost tied to physician preference items
The Problem
"Preference card management sucks up time from an expensive resource. OR time is the most expensive resource in the OR."
Surgical preference cards are the blueprint for every OR case — yet most hospitals manage them manually, leaving them chronically outdated. Stale cards drive day-of-surgery shortages, flash sterilization events, excess inventory, and millions in avoidable waste. Existing solutions require point-of-use hardware, barcode infrastructure, and nurse workflow changes. Most hospitals can't implement them at scale.
"When polled, more than 80% of U.S. surgeons expressed dissatisfaction with surgical preference cards."
Medline / Surgical Directions industry research
The CardSync Pipeline — Five Agents, Zero Nurse Touchpoints
01
Schedule Harvester
02
BOM Resolution
03
Inventory Auditor
04
Forecast Optimizer
05
Procurement Agent
CardSync reads surgical schedules, resolves bill-of-materials against active preference cards, audits inventory against forecast, and flags procurement gaps — entirely passively. No hardware. No scanner. No change to clinical workflow. The system observes; humans decide.
Key Differentiators
-
Passive Observer Model
No nurse input required. No workflow change. Runs silently on Epic FHIR data already flowing through the hospital.
-
No Hardware Dependency
Works at any Epic hospital without barcode scanners, point-of-use terminals, or physical infrastructure.
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Safety Stock Rule
Card changes never reduce inventory. Trust is built incrementally. No clinical resistance.
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Trust Threshold Disclosure
Every signal carries a confidence score. Peri-op administrators see the reasoning, not just the output.
Market Opportunity
$6.3B
Healthcare supply chain software market by 2034
Precedence Research, 2025
9%
CAGR, perioperative supply chain segment
Grand View Research, 2024
6,000+
U.S. hospitals running Epic — addressable without hardware
Epic Systems, 2025
$100B
Projected U.S. healthcare AI investment by 2030
Vizient, Jan 2026
Integration Architecture
Epic FHIR R4 — tested & live
Infor CloudSuite ERP
Oracle PeopleSoft
SMART on FHIR Backend Services
Live Demo Environments
Transplant & HPB Surgery
Split liver transplant, kidney-pancreas SPK, laparoscopic sectionectomy. Six live card drift signals including organ preservation solution variance and stapler quantity drift.
Oculoplastic Surgery
Blepharoplasty, ptosis repair, DCR, ectropion, orbital floor fracture. Drift signals across suture type, instrument sizing, and cautery device.
Orthopedic Surgery
High-volume, high-cost service line with implant-heavy preference cards. Demonstrates CardSync's ability to manage PPI variance at scale.
Transaction Overview
Transaction Type
Strategic acquisition or IP licensing arrangement
Founder Availability
Open to remaining with acquiring organization
Technical Readiness
Epic FHIR integration complete & sandbox-tested. Architecture fully documented.
Current Status
In conversations with multiple strategic parties. NDA available upon request.
Founder
Kaveh Moghadam is the founder of CardSync and Maen Consulting Group. CardSync was built from the ground up as a purpose-built perioperative supply chain intelligence system — not a repurposed general AI tool. The Epic FHIR integration was designed and tested against Epic's live sandbox environment using SMART on FHIR Backend Services with RS384 JWT assertions.
Kaveh is available to present a live demo of any of the three specialty environments, walk through the technical architecture, or discuss transaction structure at your team's convenience.