The routing layer
healthcare never had.
EHS Ecosystem connects patients to the right care, in real time, and sends a complete clinical record ahead of them — across telemedicine, the ER, and every facility in between. Built and deployed across four applications. Pre‑revenue. Pilot‑ready.
Every care transition is a blind handoff.
No actor in the system ever starts from a complete picture — and the $50B it costs every year is only the part that shows up on a balance sheet.
Not an EHR. Not a telehealth app.
A routing network.
EHS Ecosystem is an intelligent routing layer that connects every patient to the right level of care, at every moment — and sends their record ahead of them.
The Google Maps analogy: Google Maps works for every destination, not just the ones that paid Google. EHS Ecosystem routes to every facility in the network — facilities that adopt the platform get deeper value, but routing works regardless. Every routing event creates awareness. Awareness drives adoption.
Four applications. One patient. One backend.
A single Node.js / MongoDB backend connects 190+ data models across every application. No one ever starts from scratch.
LifeGuard Mobile
- AI-powered triage with emergency routing
- Real-time health monitoring & fall detection
- Medication safety & telehealth access
CareCommand
- Unified patient chart & clinical documentation
- AI-assisted charting & coding
- Integrated telemedicine, prescribing & billing
EmergencyHub
- Real-time ER coordination & bed management
- Pre-arrival patient intelligence
- Flexible deployment, coordination to full clinical
SystemControl
- Enterprise access control & compliance
- Platform analytics & governance
- Integrated billing & AI oversight
AI-powered. Safety-layered.
Independently verifiable.
A five-engine AI chain — spanning self-hosted and major commercial models — routes every clinical call through a unified provider with a mandatory safety layer. Every one of 35 AI call sites has been audited directly against source code. Thirteen clinical-facing features now carry a named persona with guardrails specific to that feature's own risk.
The platform's single highest-stakes call — emergency-triage severity scoring, which drives automated 911/ER routing with no human review — runs a named physician persona plus a deterministic, vitals-based safety floor. For a category where buyers and regulators increasingly ask “show me exactly how your AI is constrained,” this is a concrete, inspectable answer.
Built and deployed.
Pre-revenue. Pilot-ready.
No simulated demo — a real backend, a real schema, and real integrations across four live applications.
$16.9B+ across six segments.
No competitor addresses more than two of these simultaneously. EHS Ecosystem is built to address all six.
The MWBE beachhead — NYC Health + Hospitals: 11 hospitals, 5 post-acute facilities, 70+ community health centers, 1.4 million patients annually. All1Code's Federal, State, and City MWBE certification, combined with founder Christopher Kirton's 11-year HHC career and Co-Founder Dr. Regine Bruny's own tenure leading behavioral health transformation at NYC H+H/Kings County, is a direct, relationship-backed procurement pathway no competitor can replicate.
The category gap is wide and widening.
Epic owns the hospital back-office. Cerner owns the clinical workflow. Neither has ever built a consumer-facing routing layer.
| Capability | EHS Ecosystem | Epic / Cerner | Medhost / Zoll | Teladoc / Amwell |
|---|---|---|---|---|
| Patient-facing routing layer | ✓ | — | — | — |
| Pre-arrival ER intelligence | ✓ | — | Partial | — |
| Post-acute follow-up loop | ✓ | — | — | — |
| Native IoT / CGM integration | ✓ | — | — | — |
| Governed, auditable clinical AI | ✓ | Limited | — | Limited |
| Multi-site, built from day one | ✓ | Add-on | — | — |
Four compounding moats.
No single moat is unbeatable alone. The combination is structurally hard to replicate from inside a 30-year-old architecture.
Technical
190+ data models, 200+ collections, 4 apps, 1 backend, 5 AI engines. Years of engineering that can't be rebuilt from scratch in under 3–5 years.
Data
Every routing decision links to a real clinical outcome — a training dataset no competitor can purchase or fake. It only exists once you have the patient volume.
Network
More patients → more routing events → more facilities adopt → more data → better AI → more patients. A flywheel that compounds with scale.
Regulatory
MWBE certified (Federal, NYS, NYC). Patent filing planned, 15 innovations documented. CMS Medicare App Library compliant. HIPAA AES-256-GCM. FHIR R4 US Core. FDA regulatory pathway mapped. Every certification adds months of cost for a would-be copycat.
Built by people who lived
the failure firsthand.
Most healthcare IT founders understand either healthcare, engineering, or clinical care — rarely more than one. Between them, this team has spent decades on all three.
Sole architect and developer of the entire Emergency Healthcare Ecosystem — all four applications, every AI engine integration, all 13+ IoT/CGM device families, the Patient Data Bridge, and the full HIPAA compliance infrastructure. Eleven years at NYC Health + Hospitals standardizing 400+ Epic reports, correcting vaccine records for 300,000+ patients, and designing a bidirectional HL7 immunization registry across 12 clinical sites. He knows the failure modes from the inside — then built a better system himself.
A dual board-certified adult and child/adolescent psychiatrist who helped lead the transformation of behavioral health services at NYC Health + Hospitals/Kings County (2009–2017) following federal intervention, advancing patient safety, accountability, and operational excellence. Served as Medical Director of the Mental Health Service Corps under Mayor de Blasio's ThriveNYC initiative, expanding access to mental healthcare across all five boroughs. Currently Associate Director of Counseling and Wellness at NYU and supervises psychiatric nurse practitioners at Valera Health, with a consulting practice spanning EMR optimization and clinical workflow design. At All1Code, she guides clinical strategy, responsible AI integration, patient safety, and strategic partnerships — bridging technological innovation with the realities of healthcare delivery.
Currently open to accredited angel investors and MWBE-aligned funds alongside non-dilutive grant capital (NSF SBIR, NIH/NIBIB, NYS/NYC MWBE programs). Equity crowdfunding via a registered platform is planned for 2027 to open participation to a broader base of retail investors.