The AI-Native Governance
Operating System for Healthcare

Tolair connects every siloed hospital system into a unified intelligence layer — detecting governance violations, quantifying their financial impact, and delivering AI-driven roadmaps backed entirely by your hospital’s own data.

7 Patents Pending Delaware C-Corp AI-Native Architecture Design Partner Active

$765 billion. That’s how much U.S. healthcare wastes every year — and nobody governs the systems causing it.

The average health system operates 50+ technology platforms across clinical, financial, supply chain, pharmacy, and compliance domains. Each generates operational signals. None of them talk to each other.

The result is a governance vacuum: decisions made in silos, risk invisible until it becomes crisis, and millions lost annually to operational fragmentation that no point solution can solve. GPOs earn commissions on the contracts they recommend. EHR vendors only see their own silo. Consultants deliver static PDFs that are outdated before they arrive.

There is no governance layer. Until now.

50+
Disconnected systems per
average health system
30%
Of U.S. hospitals currently
operating at a loss
$0
Spent today on cross-system
governance infrastructure

Tolair is not a dashboard. It’s the governance layer healthcare has never had.

An AI-powered governance advisor that sits above every siloed system and proves every finding with evidence.

Tolair operates at the infrastructure layer. We ingest and normalize operational signals from EHR, ERP, pharmacy, billing, claims, and contract systems through a patent-pending signal taxonomy — then surface cross-domain governance insights that are impossible to see from inside any single system.

Every recommendation is backed by your hospital’s own data with a complete evidence chain. No black-box AI. No vendor bias. Every finding is auditable, reproducible, and defensible.

Evidence Chains — Every finding carries typed proof: calculations, rules triggered, source documents, and point-in-time data snapshots
Vendor Agnostic — No commissions, no conflicts. Tolair only optimizes for the hospital’s financial health and compliance
AI Audit Trail — Every AI recommendation is hashed and logged. Same inputs always produce the same outputs. Fully reproducible
Signal-Driven — Governance findings are immutable SignalEvents with SHA-256 deduplication, not manual reports or static queries
What leadership receives
Cross-Domain Insights Anonymous Benchmarking AI Governance Advisor Implementation Roadmaps
Governance Control Plane · 16 Domains · 80+ Signal Codes
EHR / Clinical
Epic, Cerner, MEDITECH
ERP & Procurement
Workday, Infor, SAP
Pharmacy Systems
Omnicell, BD, Pyxis
Billing & Claims
Waystar, Availity, Payers
Contract & Pricing
GPO, Vendor, Payer terms
Revenue Cycle
CDM, A/R, Denials

Disconnected & siloed operational data

16 domains. One control plane.

Each domain surfaces hidden value that no single-system analytics can find. These are the six highest-impact domains per typical 300-bed hospital.

Contract Integrity

$340K

Detects price compliance violations, contract leakage, and off-contract spending across every supplier relationship.

Payer Governance

$2.1M

Identifies claim denials, underpayments, and reimbursement risk by linking payer contracts to actual claims data.

Clinical Variation

$1.2M

Surfaces physician preference item variations, standardization opportunities, and links supply choices to clinical outcomes.

340B Compliance

$890K

Monitors drug pricing eligibility, detects missed savings, and ensures bidirectional billing compliance in real-time.

Benchmarking

TrueCar-Style

Anonymous peer comparison across 5 geographic tiers. P10–P90 percentile display. Minimum cohort N≥5 enforced by code.

Revenue Cycle

$3.9M

A/R optimization, denial appeals automation, CDM pricing analysis, and payment posting recovery across all payers.

The governance category is wide open. First mover owns it.

30%

Hospitals Operating at Losses

CFOs are actively seeking cost recovery solutions that go beyond traditional consulting. Tolair delivers ROI within 3–6 months.

78%

CIOs Evaluating AI Vendors

Healthcare AI adoption is accelerating. But hospitals need AI they can trust — auditable, reproducible, and grounded in their own data.

$12B

Total Addressable Market

Healthcare SCM + analytics + compliance + RCM optimization across 6,100 U.S. hospitals. No existing governance platform serves this market.

Zero

Existing Governance Platforms

No incumbent connects cross-system signals into a unified governance layer. EHRs process transactions — they don’t govern them. GPOs have conflicts. Consultants deliver PDFs.

Architectural moat. Not a feature lead.

7 Provisional Patents Filed

Signal-driven governance with evidence chains — Core architecture of immutable, typed evidence
AI audit trail with request hashing — SHA-256 reproducibility for every AI recommendation
Multi-tier anonymous benchmarking — TrueCar model across 5 geographic tiers simultaneously
Payer governance framework — Versioned terms, explicit assumptions, override controls
Network effects through benchmarking — Each hospital added enriches cohorts for all others

Why Incumbents Can’t Replicate

×
GPOs (Vizient, Premier) — Earn 1–3% commissions on every contract placed. Cannot be vendor-agnostic. Only cover procurement.
×
EHR Vendors (Epic, Oracle) — Process transactions, don’t govern them. Silo-locked. 12–18 month deployments.
×
GHX — Supply chain exchange owned by device companies. Cannot optimize against owners’ interests.
×
Consulting Firms — Manual analysis, static PDFs, $300–$500/hr. Outdated before delivery. Bill again next year.
19:1
Return on Investment
16
Governance Domains
4–6
Weeks to Deploy
80+
Signal Codes
CB

Chad Brausen

Founder & CEO

15+ years leading healthcare operations strategy across the industry’s largest organizations. Deep expertise in supply chain governance, health system infrastructure, payer economics, and the operational complexity that health system C-suites navigate every day. Tolair was built from the inside — from years of seeing firsthand how health systems actually operate, where billions fall through the cracks between disconnected systems, and where the governance infrastructure layer is completely missing.

Let’s build the governance layer together.

We’re in active development with a health system design partner and raising our seed round. Investors, health system operators, and potential partners — we welcome the conversation.

contact@tolair.org