TOTAL ARTIFICIAL HEART PROGRAM BUSINESS PLAN
I. Executive Summary
Company Description
Houston TAH Institute — named to reflect our singular focus on Total Artificial Heart (TAH) therapy and our Houston base — is a medical institute launching in 2026 that operates in the cardiac surgery and long-term device-management sector. We provide a full-service clinical pathway: surgical implantation of TAH devices, intensive post-operative recovery, and lifelong outpatient device management. Our facility is a designated center of excellence with elite surgical teams and the most advanced cardiac equipment. We serve patients with end-stage biventricular heart failure and the referral network of cardiologists, transplant centers, and payers that support them. One-liner: We deliver end-to-end TAH care from implant to lifelong management.
Our core activities are patient evaluation and selection, TAH surgical implantation, ICU and step-down recovery, outpatient device monitoring, device servicing, and training for local providers. What sets us apart is concentrated expertise—specialist surgeons and dedicated TAH nursing and device teams—plus specialized infrastructure that improves outcomes and reduces complications. Short-term goals are to open in 2026, secure center-of-excellence certifications, and establish regional referral pathways. Long-term goals are to be a national referral hub, publish outcome data, and scale best-practice outpatient management protocols. One-liner: We aim to raise survival and quality-of-life standards for TAH patients nationwide.
Problem
Thousands of Americans face end-stage biventricular heart failure and many die waiting for donor hearts. Donor supply is chronically insufficient to meet need, leaving the sickest patients exposed to high mortality while on transplant waitlists.
Patients with biventricular failure are often ineligible for conventional transplant or deteriorate during long waits. Care is fragmented across general cardiac units, causing delayed mechanical support, limited access to Total Artificial Heart (TAH) expertise, and higher downstream costs from prolonged critical care.
Solution
We operate a comprehensive medical program centered on implantation and long-term management of Total Artificial Heart (TAH) devices that addresses the nationwide shortage of donor hearts and the gap in care for patients with end-stage biventricular heart failure. Our model combines pre-operative screening, complex surgical implantation, post-operative cardiac ICU care, outpatient device maintenance, and 24/7 remote monitoring to provide a full-cycle TAH care model that replaces donor-heart dependency.
One line: a full-cycle TAH care model that replaces donor-heart dependency.
Mission Statement
Our mission is to give patients with end-stage heart failure a new lease on life by delivering unparalleled expertise in Total Artificial Heart (TAH) technology, combining surgical innovation with compassionate, patient-centered care. We commit to advancing mechanical circulatory support, closing the gap caused by the donor heart shortage, and providing hope to those who have exhausted other options. We aim to be the national leader in TAH outcomes and the primary partner for the U.S. cardiac care community, driving measurable improvements in survival and quality of life.
Key Success Factors
Success hinges on clinical excellence, technical capacity, referral flow, financial performance, and formal accreditation.
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Elite clinical team: 2 cardiac surgeons and 12 critical care nurses at launch.
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Technical foundation: $2,500,000 Hybrid Operating Room and $150,000 Remote Patient Monitoring Hub.
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Referral and supply partnerships: agreements with total artificial heart manufacturers and a national cardiology referral network.
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Strong unit economics: 12.66% IRR and 1-month breakeven.
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Center of Excellence goal: secure accreditation and sustain 80% surgeon utilization by 2030.
Financial Summary
The institute forecasts rapid revenue and cash-profit growth driven by high-value TAH procedures and specialized services.
Ratio |
2026 |
2027 |
2028 |
Projected Revenue |
$12,919,000 |
$26,106,000 |
$44,238,000 |
Projected EBITDA |
$8,255,000 |
$18,904,000 |
$33,856,000 |
Expected ROI |
IRR 12.66% · ROE 181.26% |
IRR 12.66% · ROE 181.26% |
IRR 12.66% · ROE 181.26% |
Financial requirements: $8,750,000 initial CapEx; minimum cash reached -$3,387,000 (Jun-26); breakeven Jan-26; 15-month payback for initial investments. Expected investor return: IRR 12.66% and ROE 181.26%.
Overall outlook: strong profitability and cash generation from Year 1 through Year 5.
Funding Requirements
Secure $12,500,000 now to fund $8,750,000 in capital expenditures and $3,387,000 of liquidity through the June 2026 cash low point.
Categories |
Amount, USD |
Facility renovations and sterile rooms |
3,000,000 |
Hybrid operating room suite |
2,500,000 |
TAH external driver inventory (initial) |
450,000 |
Diagnostic imaging equipment |
1,200,000 |
Cardiac ICU monitoring systems |
850,000 |
Backup power and life support systems |
350,000 |
Remote patient monitoring hub |
150,000 |
Mobile emergency response unit |
200,000 |
CapEx contingency |
50,000 |
Working capital (minimum cash deficit) |
3,387,000 |
Total funding required |
12,500,000 |