The Operating System for
High-Margin Radiology
We own the clinics AND the intelligence layer.
Careview OS unlocks hidden legal revenue from standard imaging volume.
A $40B Legal-Medical
Data Disconnect.
Attorneys and Medical Providers operate in silos. Sigma Healthsense bridges this gap by turning clinical images into indisputable legal evidence through our OS.
Evidence Friction
Manual collection of radiology reports for legal cases takes 30+ days and misses critical injuries.
Clinical Variance
Radiologists lack legal-ready reporting standards, leading to disputed evidence in PI claims.
Traction Lag
Clinics cannot scale legally-compliant imaging volume without automated triage systems.
Careview OS:
The Margin Multiplier.
Radiology clinics are traditionally low-margin volume businesses. Careview OS transforms them into high-margin Med-Legal service centers.
AI Injury Detection
Identifies non-obvious fractures (hairline) often missed by tired radiologists.
Auto-Legal Reporting
Converts clinical findings into "Court-Ready" formats instantly.
Lien/Case Management
Tracks the legal case status directly alongside the patient image.
The "Flywheel" Effect
We don't just sell the software; we apply it to our own acquired clinics. This vertical integration proves the model and generates immediate cash flow.
Scaling Without Friction.
Target entities DLA and JVD operate as a unified teleradiology engine, processing volume at a scale that creates massive unit-economic advantages.
Annual Studies
Proven high-throughput capacity across 100+ hospital and clinical nodes in the region.
Variable Cost Ratio
Costs scale perfectly with volume through independent contractor radiologist model.
AI Workflow Lift
Proprietary automated triage and reporting tools optimize doctor throughput.
Verified
Profitability.
The business exhibits strong revenue persistence despite regional headwinds. 2025 actuals demonstrate resilience through market transitions.
Proven Cash Flow
$5.4M+ Net Income in transition year.
Defensible Net Margin
Consistent 28-31% performance.
Financial Audit Snapshot
| Metric | 2024 Actuals | 2025 Actuals |
|---|---|---|
| Gross Revenue | $18,957,974 | $19,432,742 +2.5% |
| Operational Expenses | $13,146,146 | ~$14,000,000 |
| Net Operating Income | $5,811,828 | $5,429,006 |
Execution Timeline.
Phase 1: Consolidation
Finalize DLA/JVD merger. Deploy New Hope AI workflow and centralize billing operations.
Phase 2: US Bridge
Route US hospital volume via Act 60 entity. Leverage Dr. Piampiano network for expansion.
The Hybrid Operating Model.
Combining deep regional teleradiology domain expertise with world-class US clinical leadership and advanced technology.
Dr. Josué Vázquez
President of PR Operations
Seller/Founder. 20% equity holder. 20+ years regional expertise.
Dr. Peter Piampiano
Director of US Clinical Ops
Licensed in 17+ US States. Pipeline of 50+ hospital partners.
New Hope Imaging
Strategic Management
Strategic oversight, M&A execution, and proprietary AI tech deployment.
Scaling to
$30M+ Run-rate.
Immediate growth driven by 5 secured hospital contracts (fully ramped 2026) and US Mainland contract routing.
$8.4M
Year 1 Projected EBITDA
3-Year Growth Trajectory ($M)
Validating the
Unit Economics.
Allocation of $750k
Finalizing MVP, AI Model refinement, HL7 Integration.
Installation into first 3 "Anchor" clinics to prove lift.
Patent filing, corporate structure, compliance.
Precision Allocation ($750k)
Focused strictly on finishing the technology and proving the profitability lift in our initial pilot clinics.
Product Development
- Backend Eng: Finalizing HL7 Interoperability
- Frontend: "Court-Ready" Dashboard UI
Pilot Deployment (GTM)
- Pilot Sites: Integration costs for 3 clinics
- Training: Radiologist onboarding to OS
Data Driven
Justice.
The $40B Med-Legal industry is waiting for a unified Evidence OS. Join Sigma Healthsense in building the definitive clinical utility for personal injury.