01  Cover
Rōvn
HEALTHCARE  WORKFORCE  INFRASTRUCTURE
Rōvn

The operating network for the healthcare workforce.

Verify a clinician once. Reuse everywhere.

PACKET READY
PRE-SEED · ATLANTA · CONFIDENTIAL
01 / 18
02  The Problem
THE PROBLEM

Healthcare doesn't have a staffing problem. It has a trust problem.

78DAYS
AVG · APPLICATION → BILLABLE
RE-VERIFIED RE-CREDENTIALED RE-PRIVILEGED

When a role opens, a clinician is re-verified, re-credentialed, and re-privileged from scratch — a ~78-day clock before they can work and bill. Then it runs again at the next facility. The verified work is non-portable; it never compounds.

IDLE COST

Hired clinicians sit idle for months — facilities eat lost billable revenue and pay agency premiums to backfill.

EXPIRY RISK

Credentials expire on rolling clocks — one miss becomes a survey finding or a CMS clawback.

…then the whole clock runs again at the next facility.

Source: NSI 2026 (avg time-to-fill / credentialing).
Rōvn02 / 18
03  The Silo
THE SILO

Every facility rebuilds trust from zero, in its own silo.

ONE CLINICIAN
RN
same license · same NPDB
FACILITY A78d
FROM ZERO
Doc collection
Source verify
Committee review
FACILITY B78d
FROM ZERO
Doc collection
Source verify
Committee review
FACILITY C78d
FROM ZERO
Doc collection
Source verify
Committee review
NOTHING SHARED

Today's tools are a dozen point solutions stitched together — a job board, a credentialing inbox, a background-check vendor, a scheduler, a monitor nobody opens until something lapses. No memory between facilities; the same work, three times. Every handoff loses time.

~78-day direct-hire RN credentialing benchmark: NSI 2026. Illustrative; pre-launch, synthetic data.
Rōvn03 / 18
04  What We Built
WHAT WE BUILT

Rōvn runs the whole path as one system — and makes the credential reusable.

One system, not twelveONE SPINE
BEFORE · FRAGMENTED SILOS
apply screen credential verify onboard monitor
RŌVN · ONE OPERATED SPINE
application screened credentialed verified onboarded monitored
BILLABLEone record · one audit trail · one outcome →

Target: ~78 days to under 14. Our build target, not a delivered result.

The credential becomes reusableVERIFY ONCE
PASSPORT · RN · VERIFIED
source-verified monitored receipted
Facility AREADY
Facility BREADY
Facility CREADY

One clinician verifies once. The same source-backed record clears them at the next facility — the worker carries it. Compounds with density.

AI operates the workflow. Source systems prove the facts. Humans make every regulated decision. · Pre-launch · synthetic data · HIPAA-aligned, BAA available.
Rōvn04 / 18
05  How It Works
HOW IT WORKS

One coherent system. Every decision provable. A human on every regulated call.

Recruiting ·Credentialing ·PSV ·Readiness ·Monitoring ·Privileging ·Payer ONE OPERATOR
PROOF LAYER · SOURCE RECEIPTS · HASH-CHAIN
SOURCE VERIFIED RECEIPT SIGNED DECISION ATTESTED AUDIT REPLAYABLE → Facility B
01 · ONE OPERATOR

Agents interact and run as a single operator over a shared spine — not separate tools handing tasks off to each other.

02 · CRYPTOGRAPHICALLY ATTESTABLE

Every determination is independently verifiable: a second institution can replay how it was decided, which primary sources it used, and whether anything was altered.

03 · KNOWS WHEN IT DOESN'T KNOW

When confidence is low or the call is regulated, the system stops and routes to a named human.

Attestability is the rail — it lets Facility B trust Facility A's verification. · HIPAA-aligned, BAA available.
Rōvn05 / 18
06  Why It Compounds
WHY IT COMPOUNDS

Every clinician verified makes the network more valuable.

The network compounds as density accrues. Today the rail is built; the density is what the first pilots create — each verified clinician becomes reusable supply the next facility doesn't have to re-verify.

A MECHANISM THAT TURNS ON WITH DENSITY — NOT A NETWORK EFFECT WE HAVE YET.
RAIL BUILT · DENSITY PENDING
The Visa / Plaid pattern for clinician credentials.
RōvnRAIL ↻
More clinicians verified once
More reusable verified supply
More facilities join the rail
More verification volume + signal
Prospective: compounds with network density. Pre-launch, synthetic data, zero customers. The flywheel turns on with the first pilots.
Rōvn06 / 18
07  Defensibility
DEFENSIBILITY

We occupy the one position incumbents can't take.

WORKER-OWNED, PORTABLEFACILITY / PAYER-OWNED, SILOED
Medallion / Verifiable
verify-once, in a silo
Rōvn
operate × worker-owned
THE POSITION INCUMBENTS CAN'T TAKE
CAQH
payer-owned
symplr / Modio
facility-silo workflow
Plena / Cair / Clarion
practice-admin AI
POINT TOOLOPERATES THE WHOLE WORKFLOW →
STRUCTURAL INVERSION

No incumbent can follow without convincing every customer to surrender their silo — a business-model reversal, not a feature. The Plaid-vs-banks inversion.

COMPOUNDING ASSET

Every operated workflow produces outcome-labeled data that sharpens the system — an asset a point tool can't accumulate. It compounds with density, and turns on once we operate the first pilots.

Pre-launch. Network & data advantages are prospective. Competitor placement is illustrative positioning, not endorsement.
Rōvn07 / 18
08  Why Now
WHY NOW

Two things just became true at once.

Neither was true five years ago. The overlap is the opening.

AI got good enough

Frontier reasoning over messy, inconsistent credentialing documents — under a BAA — became economically viable around 2024–25, not 2020. You could not have built a coherent operator before the models were ready.

2020 · NOT VIABLE 2024–25 · VIABLE
The rules made the old way illegal
NCQAContinuous monitoring — roughly every 30 days, not once a cycle.
TJCDemands receipts — who verified what, from which source, and when.
CMSBilling for an improperly-credentialed provider stays exposed to False Claims Act liability under Medicare's 60-Day Rule.
QUARTERLY-BATCH TOOLS · NOW NON-COMPLIANT

That's a 2–3 year window, and it's open now.

NCQA continuous-monitoring guidance · Joint Commission PSV standards · CMS 60-day overpayment rule · HIPAA-aligned, BAA available.
Rōvn08 / 18
09  Where We Are
WHERE WE ARE

Pre-launch, and clear about which rung we're on.

SOURCE-RECEIPT AUDIT LEDGERLIVE
RECEIPT #1041
source: Nursys
tier: VERIFIED
hash 7a3f…b1
sig ✓ Ed25519
RECEIPT #1042
source: OIG LEIE
tier: VERIFIED
prev 7a3f…b1
sig ✓ Ed25519
RECEIPT #1043
source: NPDB
tier: VERIFIED
prev e9c2…4d
sig ✓ Ed25519
public verify: GET /audit/verify/{block}chain ✓ intact
VERIFICATION COVERAGE — LIVE
43ROLES
×
51JURISDICTIONS
×
36PRIMARY SOURCES
THE HONEST LINE

The verification layer is live in production today — the hard infrastructure others skip. What it has not yet touched is a real roster.

On a synthetic corpus. No paying customer yet; the 14-day number is a target.

Closing our first paying Operator Pilot — proving 78→14 on a live roster — is what this raise funds.

Pre-launch by design · synthetic data · zero customers · HIPAA-aligned, BAA available · SOC 2 / NCQA in progress.
Rōvn09 / 18
10  The Team
THE TEAM

Builders and operators who have shipped in healthcare.

PACKET READY
Giles-Evan Mboumi
Giles-Evan Mboumi
FOUNDER & CEO

Built Rōvn's verification architecture and a real-time trading system. 3 yrs healthcare sales (Boehringer Ingelheim). Paused his other ventures to go all-in.

Christian Montgomery
Christian Montgomery
CO-FOUNDER & COO

Built Rōvn's attestation pipeline as founding engineer. B.S. Cybersecurity (3.96 GPA); ran security/infra for 200+ users.

Abhishek Jha
Abhishek Jha
CO-FOUNDER & CTO

Rebuilt a healthcare data pipeline from >1 week to ~90 min across 15M+ records. ~6 yrs SWE, MS CS, agentic AI.

Gokul Kaarthick Shanmugan
Gokul Kaarthick Shanmugan
CO-FOUNDER & CPO

3.5 yrs at Athenahealth (EHR) + Commure (RCM) — the deepest healthcare-software résumé on the team.

ADVISORS
Dr. Danielle K. Miller, DNP, RN
Clinical Advisor · former CNO · ex-Amazon / AWS health
Dr. Mohammed Quadri, MD, MBA
VP Strategy, Hackensack Meridian · healthcare-AI investor
Aki Hashmi
CEO SkinSAFE (Mayo Clinic-partnered)
A founding team that has shipped real healthcare software and sold into healthcare — before starting Rōvn.
Rōvn10 / 18
11  Model & Market
MODEL & MARKET

Facilities pay per operated lifecycle. The network is the long game.

PRICING LADDER · LAND & EXPAND
Readinessreadiness dashboard · entry wedge
$2,500 / mo
Operator Pilot90-day paid pilot
one-time $12K
Corehiring + credentialing operated
$10K / mo
Operator+ privileging · monitoring · audit
$20K / mo
Platformenterprise · multi-site · full lifecycle
$1M+/yr
WORKER PASSPORT: FREE$30K–240K ACV · Readiness → Operator
IN-BAND DEMAND
~250K+

provider organizations & ASCs in band. Healthcare-workforce verification is a multi-billion-dollar, mostly-manual spend.

TAM AT TWO HONEST ALTITUDES
Software flooroperator seats
Network / utility ceilingper-verification rail
EXPANSION PATH

privileging → payer enrollment → two-sided network. Domain-general — teacher licensing, CDL/DOT, childcare, trades.

Pre-launch · Readiness $2,500/mo entry · pilot one-time · Core/Operator per facility/mo · Platform per year · network effects prospective.
Rōvn11 / 18
12  The Ask
THE ASK · 2026

Rōvn becomes the operating network the entire healthcare workforce runs on — and the rail for all regulated labor.

WE ARE RAISING
$2.25M
on a $15M post-money SAFE
We've built the hardest piece, assembled the team, and paused everything else to build this.
01
Close the first pilots

Prove the ~78 days → under 14 target on live rosters.

02
Expand the lifecycle

Privileging, payer enrollment — the full application-to-billable operator.

03
Build network density

Turn the rail into a living network that compounds with every pilot.

Giles-Evan Mboumi, Founder & CEO · rovn.to · Pre-launch · HIPAA-aligned, BAA available · SOC 2 / NCQA in progress.
Rōvn12 / 18
13  Appendix · Architecture
APPENDIX · ARCHITECTURE

Three components make a determination portable.

01
Hash-chained, signed ledgers

Append-only and Ed25519-signed. Each entry links to the prior, so any edit breaks the chain. Public verify endpoints make the record tamper-evident.

APPEND-ONLYTAMPER-EVIDENT
02
Source receipts

Every fact carries its provenance, so the record is replayable, not asserted.

source name
source url
timestamp
depth tier
validity window
03
Holder-mediated portable claims

Worker-owned and consented. The same verified claim is reusable across facilities, released under the holder's grant.

WORKER-OWNEDCONSENTED
TRUTH LADDERattested →processed →source-verified →facility-approved
AI operates the workflow. Source systems prove the facts. Humans make every regulated decision. · Pre-launch · HIPAA-aligned, BAA available.
Rōvn13 / 18
14  Appendix · Research
APPENDIX · RESEARCH

What makes a coherent autonomous operator trustworthy.

The NSF thesis. Four properties have to hold at once — and they have to hold across a live, regulated, multi-agent network, not a demo.

01 · ATTESTABLE REASONING

Every agent decision carries its inputs, its logic, and a source receipt. Nothing happens that can't be replayed and explained line by line.

02 · CALIBRATED DEFERRAL

The system knows when it must not decide. Low confidence or a regulated call routes to a human with the reasoning and tier-labeled facts attached.

03 · PORTABLE VERIFIABLE TRUST

Verified once, carried across facilities. A worker-owned record with depth labels and validity windows — proof that travels instead of being rebuilt.

04 · CONTINUOUS RE-VERIFICATION

Trust has a freshness clock. Sanctions, expirations, and status changes are re-checked on cadence — a cleared worker doesn't silently drift out of compliance.

Almost no one can make a coherent multi-agent system whose every decision is attestable, that knows when to defer, across a live regulated network. That combination is the moat.

AI operates the workflow. Source systems prove the facts. Humans make every regulated decision.
Rōvn14 / 18
15  Appendix · Data Moat
APPENDIX · DATA MOAT

The graph creates the model. The model does not create the graph.

FOUNDATION · VERIFIED WORKFORCE GRAPH (TURNS ON ONCE WE OPERATE)
PHASE 1 · NOW
Rent frontier agents

commoditizing reasoning

PHASE 2
Specialized models

outcome-labeled data

PHASE 3
Workforce forecasting

predict, never decide

PHASE 4 · THE OPTION
A Workforce LLM

the graph buys it

THE BOTTLENECK

Outcome labels, not credentials — you only get them by operating real workflows. We rent the commoditizing reasoning and own the data no one else can get.

RENT THE MODEL · OWN THE GRAPH

BloombergGPT cautionary tale: the data moat outlasts the model. The graph is the durable asset; the LLM is the option it buys — never a from-scratch pretrain.

Moat is prospective — it turns on once Rōvn operates real workflows.
Rōvn15 / 18
16  Appendix · Coverage
APPENDIX · COVERAGE

43 roles × 51 jurisdictions × 36 primary sources = 2,193 cells.

The coverage matrix every credentialing claim resolves against. Each cell is a role / jurisdiction pair backed by a primary source — receipt-bound, depth-labeled, replayable.

43
ROLES
healthcare taxonomy
51
JURISDICTIONS
50 states + DC
36
PRIMARY SOURCES
authority rail
2,193
COVERAGE CELLS
0 unsupported
8 LIVE SOURCE INTEGRATIONS
OIG-LEIE SAM.GOV NURSYS NPDB NPPES DEA CHECKR VERIFIABLE
Live source-access where automated; manual primary-source verification where automation is not yet live. Pre-launch — synthetic corpus, zero customers.
Rōvn16 / 18
17  Appendix · Compliance
APPENDIX · COMPLIANCE

Built for the 2026–2028 regulatory state.

Procurement-safe by construction. Every regulated decision stays human-owned, every fact carries a source receipt, and the audit trail is replayable on demand.

HIPAA-ALIGNED · BAA AVAILABLE SOC 2 IN PROGRESS (DRATA) NCQA CVO ALIGNMENT IN PROGRESS
DATA & PHI
HIPAA-aligned, BAA available

Claude runs under AWS Bedrock with a BAA. Only credential metadata moves through the AI gateway — no clinical PHI.

AUDITABILITY
Hash-chained audit log

Every receipt links to the prior. S3 Object Lock, 7-year retention, replayable for JCAHO PSV or CMS recoupment defense.

CERTIFICATIONS
In progress, not certified

SOC 2 in progress with Drata, not yet certified. NCQA CVO alignment underway, not certified. Stated honestly.

HUMAN GATE · FCRA / EEOC FIREWALLEvery exclusionary or employment-sensitive call stays human-reviewable, auditable, and customer-controllable.
HIPAA-aligned · BAA available (not "HIPAA compliant"). SOC 2 / NCQA in progress, not certified. Pre-launch; synthetic data only.
Rōvn17 / 18
18  Appendix · Go-to-Market
APPENDIX · GO-TO-MARKET

We don't launch as a network. We enter as a paid operator.

PAID DAY ONE · DENSITY BOUGHT WITH REVENUE, NOT SUBSIDY
STEP 01 · ENTER
Enter one facility as a full operator

It pays from day one — a 90-day Operator Pilot at $12K.

STEP 02 · OPERATE
Run the whole lifecycle

Application to billable, plus roster monitoring — all inside the facility.

STEP 03 · CAPTURE
Each clinician becomes portable

Every verification is a reusable credential — a byproduct of the work we're paid for.

STEP 04 · REUSE
Reuse turns on at the next facility

A clinician shows up already-proven — the network effect compounds with density.

ICP · WHERE WE ENTER FIRST

Independently-owned provider groups + ASCs, 30–1,000 clinicians; Southeast first. Too small for enterprise credentialing software, no staff to run it — the gap we fill.

Pre-launch · zero customers · figures illustrative · AI operates the workflow; source systems prove the facts; humans make every regulated decision.
Rōvn18 / 18