Building a Scalable, Evidence-Aligned Platform for Late-Stage and End-Stage Care

The Mission

We are building an integrated healthcare ecosystem designed for patients facing late-stage and end-stage conditions—particularly where guideline-directed options have been exhausted, where patients are excluded or ineligible for additional standard interventions, or where care priorities shift toward structured supportive and quality-of-life pathways.
Our approach is explicitly not a replacement for modern medicine.
We operate as adjunctive and late-line, governed by documentation, consent, monitoring, and escalation back to standard-of-care whenever needed.

The Opportunity

SGP and Novadigm addresses one of the world’s largest unmet needs: scalable management of complex and end-stage diseases converting deep clinical expertise into a device-enabled, protocolized, and trainable system powered by Docture Poly + PRISM. The addressable market exceeds $1.2 trillion globally and continues to grow with aging populations and chronic disease prevalence.

Why This Matters

From Month 6 after operations begin:
Across chronic and complex diseases—advanced cancers, heart failure, liver failure, kidney failure, autoimmune disorders, and severe refractory metabolic disease—patients and families frequently reach a stage where:

  • the marginal benefit of additional guideline steps diminishes,
  • eligibility for interventions narrows, and
  • care becomes fragmented, expensive, and emotionally exhausting.

This creates an urgent need for structured, responsible, and trackable supportive pathways—especially for end-stage patients.

What We Have Done So Far

Over the past decade, the founder and clinical team report a real-world care footprint that includes:

  • 28,000+ end-stage patients supported across 12 clinical categories
  • service reach spanning multiple geographies across five continents
  • an internally tracked subset of patients who adhered to the protocol showing:
  • significant improvement in functional outcomes and quality-of-life measures, and
  • in a subset, medication de-escalation under clinical supervision.

Important: These outcomes are observational and internally tracked. We do not claim cures. Our next phase prioritizes prospective registries, monitored cohorts, and publishable evidence generation.

Why It Scales
  • Docture Poly standardizes assessment and physiological trajectory tracking
  • PRISM protocols standardize care delivery
  • Physician training & certification replicate capability at scale
  • PolyClinics à Nodal Polyclincis (Mobile PCs included here) → hospitals → device subscriptions create layered, compounding revenues

This architecture enables non-linear revenue growth, smooth EPS expansion, and valuation multiple uplift and allows expert-level care to be delivered consistently across geographies.

The Scientific Foundation

This ecosystem is built on translational research—from experimental models to bedside protocols—supported by:

  • structured physiology and regeneration hypothesis testing in experimental settings
  • protocol development and iterative refinement through clinical practice
  • standardization via training, documentation, and technology-enabled monitoring

The goal is a clinically disciplined system that remains in continuity with evidence-based medicine, not in opposition to it.

Seven Verticals Working as One Ecosystem

We are building an ecosystem that monetizes through multiple reinforcing engines:

Polyclinics (Access + Continuity)

Capex-light clinics that drive standardized consult, follow-up, and monitoring.
These clinics are the primary “access layer” for scale.

Nodal Polyclinics (Stabilization Layer)

Regional 20-bed + ICU/IIRCU-style centers designed for supervised stabilization and short-stay care for patients needing closer monitoring.

Hub Hospitals (Governance + Complex Care + Evidence)

Hospitals serve as the clinical anchor for governance, escalation, training, and evidence generation.

Device Platform (Docture- Poly)

A standardized physiological capture and decision-support pathway designed to reduce clinician-to-clinician variability and support scalable implementation.

Premium Wearable Ring (Wellness Membership Layer)

A premium wellness product with continuous monitoring and subscription potential.

Supplements Distribution (Compliant, Quality-Controlled)

Evidence-aligned supplements as adjuncts, distributed through compliant channels with quality assurance and monitoring.

Education + Partnerships (iPRISM)

Clinician training and certification to replicate capability at scale; plus technology and institutional partnerships to accelerate evidence and adoption.

Progress to Date

  • 28,000+ high-acuity and end-stage patients managed
  • 12 clinical disciplines, services across all five continents
  • Disease areas include heart, liver, kidney failure, advanced cancers, autoimmune and refractory metabolic/inflammatory conditions
  • Observational follow-up suggests ~63% sustained functional improvement with reduced medication dependence, under medical supervision (prospective validation ongoing)

Scientific & Technology Foundation

  • TotalUS$5M+ reinvested into translational research (cardiac, brain, renal, hepatic, pancreatic models)hospitals required: 34 institutions
  • Systems physiology and metabolomics-aligned clinical hypothesis
  • Hybrid decision intelligence
  • Aligned with evidence-based digital therapeutics and remote care trends

Docture Poly Platform

  • Originated as a prototype (2017), now consumer-wearable ready
  • Presented at TAVES Consumer Electronics Show (Canada)
  • Management reports readiness for India and international deployment (CE/FCC-equivalent pathways)
  • Positioned as a clinical decision-support and remote continuity platform, not an autonomous diagnostic tool

Where We Are Now

  • 4 operational clinics (Hyderabad, Vijayawada, Visakhapatnam, Tirupati mobile)
  • 50-bed hospital infrastructure largely established
  • Replication-ready physician training system in place
  • Entering a scale phase ahead of hospital and device-led inflection

How the Engine Works

The SGP × Novadigm engine is designed to scale clinical excellence without depending on individual experts:How the Engine Works

  • Docture Poly standardizes patient assessment and trajectory tracking
  • PRISM protocols standardize care delivery across disease states
  • Training & certification replicate doctors at scale

Polyclinics → Nodal Poly clinics → hub hospitals → device subscriptions create layered, reinforcing revenue streams

Why Docture Poly Is the Multiplier (Key Investor Insight)

  • Clinics and hospitals create revenue
  • Docture Poly and subscriptions create EPS acceleration
  • EPS acceleration drives valuation expansion

Without Docture Poly:

  • growth is linear,
  • margins are capped,
  • valuation remains hospital-like.

With Docture Poly:

  • growth becomes exponential,
  • margins improve structurally,
  • valuation shifts toward health-tech and platform benchmarks.centers

Investors stop valuing the company as “₹ per bed” and start valuing it as “₹ per patient under management.”

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H
SGP Assistant