SANDBOX · internal preview · not a live customer surface · planning hub for the Home Detox build
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Avina Operating HubArchitecture Phase · Internal · Kelly + Fabian
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Physician-led in-residence clinical care for UHNW principals and their family offices, built behind a separate intelligent platform. Dubai LLC holdco, US Professional Corporation for clinical delivery, single-operator model.

Architecture phase → Launch 01/07/2027 Calculating...
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Critical path blocked: Elizabeth Mortazavi MD has not yet signed the Medical Director Agreement. No US PC formation, no HIPAA BAAs, no clinical operations until this signature is on file.

Owner: Kelly · AHD-MEDICAL-DIRECTOR-AGREEMENT-v0.1
Quick links Architecture Lock → Research Index → Marketing site (live) → Capital Plan → Sprint Tracker →
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01 Jul 2027
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Critical path blocker

Elizabeth MD Agreement not yet signed. No US PC, no HIPAA BAAs, no clinical operations until signature is on file.

Owner: Kelly
legal/AHD-MEDICAL-DIRECTOR-AGREEMENT-v0.1

Decision Status

Recently locked
Next up (pending)

What's moving this week

Launch Timeline

Architecture phase → 01/07/2027
Build horizon
MilestoneTargetStatusGate
Architecture lock24/04/2026DoneHub v1 shipped
Elizabeth MD Agreement signed15/05/2026BlockingAll downstream
US international tax counsel opinion15/05/2026BlockingIncorporation spend
Platform name + domain locked15/05/2026PendingCreative spend
Counsel retained30/05/2026PendingEntity formation
Dubai LLC formed (IFZA)30/06/2026PendingTax opinion clear
US Professional Corporation formed (CA)30/06/2026PendingElizabeth signed
BAAs signed (Supabase, Deepgram, AWS, Zoho)31/07/2026PendingUS PC formed
EMR selected + configured31/08/2026PendingElizabeth input
Nursing curriculum published30/09/2026PendingProtocol library FNL
First family office outreach wave01/10/2026PendingBrand + docs ready
Beta engagement (pilot client)01/01/2027PendingFull ops ready
Commercial launch01/07/2027PendingAll milestones

Decision Tree

From ARCHITECTURE-LOCKED v1.0

Commitments Register

Critical path + open items
CommitmentOwnerStatusGate / Target
Elizabeth signs Medical Director AgreementKellyBlockingBefore any capital deployment
Platform name + domain lockedFabian + KellyPendingTarget 15/05/2026
US international tax counsel opinion (CFC vs check-the-box)Fabian + KellyBlockingBefore any incorporation spend
Counsel retained (US healthcare + UAE dual-entity)Kelly + FabianPendingShortlist revise for UAE capability
Dubai LLC formation (IFZA)FabianPendingGated on tax counsel opinion
US Professional Corporation formation (CA)Fabian + CounselPendingGated on Elizabeth MD Agreement
EMR selected (DrChrono vs Elation)Elizabeth MDPendingAwaiting Elizabeth input
BAAs signed (Supabase, Deepgram, AWS, Zoho, DrChrono)FabianPendingGated on US PC formation
Zoho One configured (non-PHI zone)FabianPendingPost-BAA
Protocol Library rewritten (Jose's gaps fixed)Elizabeth MD + Gemini ProPendingRoute to Gemini Pro per discipline

Forced Decisions

0 / 10 decided

    Activity Log

    All Hub actions

    Architecture + Source of Truth

    Architecture

    Locked Decisions v1.0

    Two-entity structure, tech stack, data zones, acquisition channel, critical path, 14 hard rules. The single source of truth.

    Read →

    Synthesis

    Research Synthesis v1.0

    Consolidated findings from first 6 NEXUS seats. NAD evidence gap, white space confirmation, AB5 impact, HHA costs, EKRA exposure.

    Read →

    Legal + Entity Structure

    Legal / Entity

    SEAT 16: Dubai LLC + US PC Structure

    IFZA free zone + CA friendly-PC + MSO bridge. CFC/GILTI warning: Dubai may cost MORE tax than domestic. Check-the-box election likely optimal.

    Read →

    Legal / Tax

    SEAT 16A: CFC/GILTI Tax Modelling

    At sub-$5M revenue, Dubai adds tax cost with no US benefit. Provisional: elect disregarded entity, keep IP in US.

    Read →

    Legal / Entity

    SEAT 16B: Dubai Free Zone Comparison

    IFZA vs DMCC vs Mainland. IFZA recommended: $7-10K Year 1, 5-10 day setup. Banking risk exists for all US-owned UAE entities.

    Read →

    Legal / Ops

    SEAT 11: Zoho One Stack

    $37/user/mo All-Employee, US DC, BAA-confirmed for CRM+Books+Vault+Mail. DrChrono for EMR. PHI never crosses into Zoho.

    Read →

    Clinical

    Clinical / Safety

    SEAT 12: 10X Protocol Rewrite

    Jose's thiamine 100mg oral = critically subtherapeutic. Gold std 500mg IV TID. Bernese method MANDATORY for fentanyl.

    Read →

    Clinical / AI

    SEAT 09: Nurse AI Copilot

    3-layer system: pre-deploy training, in-residence shift, handover. Anthropic + Groq BAA. Mac mini M4 edge inference.

    Read →

    Platform + Technology

    Platform / Hub

    SEAT 13: Hub Architecture

    Supabase Auth + HIPAA add-on, 11 roles, per-engagement RLS. Deepgram Nova-3 Medical for voice. Infra ~$30-40K AUD/yr.

    Read →

    Platform / Patterns

    SEAT 08: EMYTH Port

    Port: reflective CORS, /log endpoint, cloudId writeback, smoke gate, 9-table normalised schema.

    Read →

    Platform / Client

    SEAT 07: Client Portal

    Three zones (Pre/Active/Post), role-scoped RLS by engagement. Magic-link FO auth. Signature moments.

    Read →

    Platform / EMR

    SEAT 18: EMR Comparison

    DrChrono = iPad-native, cheaper. Elation = API-first, modern UX. Provisional: Elation for AI + Zoho sync.

    Read →

    Marketing, Brand + Distribution

    Marketing / GEO

    SEAT 15: SEO + Marketing + Data Strategy

    LLM discovery is primary Y1. Wikipedia = 48% of ChatGPT citations. EKRA: no volume-based comp.

    Read →

    Market / Competitive

    SEAT 17: US Competitive Landscape

    White space confirmed at intersection of in-residence + IV + NAD + FO language. Speed to market = primary moat.

    Read →

    Brand / Naming

    SEAT 14: Platform Naming

    Recommended: AVINA PRINCIPAL. Stay in Avina family. "Detox" banned from public brand.

    Read →

    Ops / Voice

    SEAT 10: Kelly PLAUD Synthesis

    Kelly = "the data centre" / "fixer". Pantone-kid case = ChatGPT inbound, no gatekeeper. 1,400 hrs/yr ceiling.

    Read →

    Intelligence by Date

    Most recent first

    Recently Added

    Last 4 seats

    Document Registry

    v0.1 / v1.0 / FNL

    v1.0 Ready

    Reviewed and ready for sign-off

    v0.1 Drafts

    First drafts, not yet reviewed

    By Folder

    Clinical / Business / Legal / Compliance / Sales / Research / Brand

    Business Cards

    Sixteen directions for review. Click any card to view full size. Full deck PDF · PPTX

    Two passes were built. Round 1 is ten minimalist studies in the gravitas register (graphite, ivory, ochre, classical serif) — the calling-card register that family-office firms use. Round 2 is six in your watercolor & photo aesthetic (blush + dusty grey washes, bronze type, arched portrait). Each card has front and back. Pick one or two favourites and we'll prep print-ready files.

    Round 1 · Gravitas register

    Round 2 · Watercolor aesthetic

    Enquiry Pipeline

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    AVINA AI
    01 ·

    Active Client Engagements

    Live cases under Avina case management
    ● Active · 5150 hold day 3

    Erin Webb

    Case manager: Kelly Mortazavi · Mother: Carol Hutcherson · Engagement age: ~4 months · Discharge: Mon 5 May 2026 LA · Open decisions: 5 awaiting Carol

    Open case →

    Working
    Pending intake

    Add a new client

    Multi-client templating is item #1 on the next-build queue. Until then, new clients are added by duplicating the Erin folder structure under clinical/case-studies/ and the case-manager portal is regenerated from the manifest.

    Coming next sprint

    02 ·

    What is in here

    Cases tab purpose

    The Cases tab is Kelly's day-to-day operating surface for live client engagements. Each active client has a dedicated view (transcripts, position documents, incident reports, family briefs, methodology). Until the platform v1 ships in 2027 on Next.js + Supabase HIPAA, the cases run on this hub plus the interactive HTML client portals stored in clinical/case-studies/<client>/v2/09_INTERACTIVE/.

    Active engagement · live case

    Erin Webb — Monday handover incoming.

    Behavioural Health Unit, Glendale Adventist. Day 3 of the 5150 hold. Discharge planned Mon 5 May LA. Family-position document with five awaiting decisions in Carol's hands. The eight artefacts below feed into Monday morning.

    03 ·

    Erin Webb — Live Case

    Engagement live · BHU day 3 · discharge Mon 5 May 2026
    Status
    5150 hold · day 3
    Hospital
    Glendale Adventist BHU
    Discharge
    Mon 5 May LA
    Open decisions
    5 (Carol)
    04 ·

    Primary documents

    The eight artefacts that drive Monday handover
    Family · Mother

    Position Document for Carol

    AVN-FAM-POS-001.2 · Three paths forward, five decisions. Carol's signed authority is the basis for Monday's handover conversation.

    Read →

    Prototype
    Final
    Clinical · Incident

    Incident Report v2 (alternative)

    AVN-CLN-INC-002.2 · Transcript-evidenced narrative. To be read together with Kelly's contemporaneous report (1 May).

    Read →

    Final
    Clinical · Kelly's record

    Kelly's contemporaneous incident report

    Drafted by Kelly 02/05/2026. The first-person record of what happened from Kelly's vantage.

    Read →

    Final
    Methodology

    The Avina Methodology

    AVN-OPS-METH-001.2 · Five-layer architecture (Vision, Goals, Plan Cascade, Consequence Architecture, Daily Reflection Loop). Six learnings from Erin.

    Read →

    Final
    Transcripts · Chronological

    Chronological stitched transcript

    AVN-CLN-CHR-001.2 · All six audio files in PLAUD recording order, corrected speaker attribution.

    Read →

    Final
    Transcripts · Quotes

    Quote Register

    AVN-CLN-QTR-001.2 · Verbatim register of every notable utterance, by file, attributed correctly.

    Read →

    Final
    Methodology · Audit

    Audio analysis findings (v2)

    AVN-CLN-001.2 · Methodology document with v1→v2 correction note (speaker swap, hallucination filter, format fix).

    Read →

    Build · Next

    Next high-value moves brief

    AVN-OPS-NEXT-001.1 · Top ten ranked next features for the client portal, with 30-day execution sequence and architecture connection.

    Read →

    Working
    05 ·

    The Avina Methodology

    Five-layer architecture · derived from the Erin case

    A repeatable architecture for case management. Built from the learnings of the Erin Webb case, 1 May 2026 incident. Designed to be retrofittable to existing clients (Blair) and the operating default for new engagements.

    Layer 1

    Vision and Insight

    What the family sees as success 12 months out, plus Avina's professional read of the client's pattern. Set in the first mother-meeting. Reviewed quarterly.

    Layer 2

    Goals

    Two or three named outcomes derived from Layer 1. Concrete, measurable, time-bound. Posted where the client and family can see them.

    Layer 3

    Plan Cascade

    Monthly canvas, weekly plan, daily plan, progression narrative. Each layer shorter and more concrete than the one above. The operational backbone of any week.

    Layer 4

    Consequence Architecture

    Every milestone has, in writing, the specific consequence that activates if missed. Pre-agreed at intake. Triggered automatically. The forcing function.

    Layer 5

    Daily Reflection Loop

    Ten minutes per active client per day. Six questions, logged. The compounding asset over the life of the engagement.

    Six learnings

    From the Erin case

    Forcing function written and signed. Recording consent before week one. Family commits to consequence schedule. Daily reflection prevents drift. Case manager wellbeing is operational. Family voice channelled, not bypassed.

    06 ·

    Case Library — Erin Webb v2

    All 61 artefacts · DOCX, PDF, HTML, audio

    The complete v2 set, indexed by category. Click any document to open it. Files live in the hub at clinical/case-studies/erin-w-2026-05/v2/; mirror in Drive at the link below.

    02 — Final transcripts (v2)

    Transcript v1 · 22 min

    001 — Eviction-day confrontation

    Direct conversation, residence. Two explicit suicide threats. Erin's "give me 30 days" counter-proposal.

    Read →

    Final
    Transcript v2 · 2 min

    002 — No usable speech

    Audio is silence/non-speech. Both engines hallucinated boilerplate. Methodology note instead of transcript.

    Read →

    Final
    Transcript v3 · 6 min

    003 — Kelly's phone briefing

    Kelly briefing third party on the engagement. Documents Avina's role, eviction context, autonomy frame.

    Read →

    Final
    Transcript v4 · 11 min

    004 — Direct exchange during move-out

    "Erin, we're down to the wire and to the crisis zone." Kelly's time-pressure framing.

    Read →

    Final
    Transcript v5 · 17 min

    005 — Recording referenced

    Kelly cites the suicide statement on tape. Operational basis for the welfare check.

    Read →

    Final
    Transcript v6 · 18 min

    006 — Late-stage escalation

    Erin's ambivalence statement appears here. Kelly's recording reference cited again. Final spoken record before LAPD arrival.

    Read →

    Final

    04 — Reference documents

    Methodology

    Audio Analysis Findings (v2)

    AVN-CLN-001.2 · v1→v2 correction note included.

    Read →

    Final
    Engine comparison

    PLAUD vs Dual-Engine

    AVN-CLN-CMP-001.2 · Per-file recommended source.

    Read →

    Final
    Per-file summary

    Per-File Summary Report

    AVN-CLN-RPT-001.2 · One section per recording.

    Read →

    Final
    Topic index

    Topic Index

    AVN-CLN-IDX-001.2 · Themes by speaker.

    Read →

    Final
    Chronological

    Chronological Stitched Transcript

    AVN-CLN-CHR-001.2 · All six files in recording order.

    Read →

    Final
    Quote register

    Quote Register

    AVN-CLN-QTR-001.2 · Verbatim register, attributed.

    Read →

    Family · Incident · Methodology · Comms

    Family · Mother

    Position Document for Carol

    AVN-FAM-POS-001.2

    Read →

    Clinical · Incident

    Incident Report v2 (alternative)

    AVN-CLN-INC-002.2 · Transcript-evidenced.

    Read →

    Clinical · Kelly's record

    Kelly's contemporaneous report

    Drafted 02/05/2026.

    Read →

    Final
    Methodology

    The Avina Methodology

    AVN-OPS-METH-001.2 · Five-layer architecture.

    Read →

    Build · Next

    Next high-value moves

    AVN-OPS-NEXT-001.1 · Top 10 ranked features.

    Read →

    Working
    Comms · Email

    Email to Kelly (v2 cover)

    AVN-COM-EML-001.2 · DRAFT, not sent.

    Read →

    Draft

    Interactive HTML

    Portal · v2.3

    Client Portal v2.3 (current)

    Mother / Client / Case Manager + full Drive document library + AHD hub link.

    Open →

    Working
    Portal · v2.2

    Client Portal v2.2 (carousels + scenarios)

    Path simulator, consequence visualiser, daily check-in form, filterable quote bank.

    Open →

    Prototype
    Portal · v1

    Client Portal v1 (pilot)

    Original three-portal pilot. Retained for reference.

    Open →

    Prototype
    Methodology · Canvas

    Methodology Visual Canvas

    AVN-OPS-CVS-001.2 · One-page visual representation of the five-layer architecture.

    Open →

    Final
    01 ·

    Clinical Bench

    Medical Director, nursing, therapy
    ● Critical path

    Elizabeth Mortazavi, MD

    Role: Medical Director (Avina Home Detox US PC) · Specialty: PM&R · Status: Agreement v0.1 drafted, pending signing · Without this signature: no US PC clinical registration, no HIPAA BAAs, no Supabase PHI project, no DEA, no Y1 clinical revenue.

    Open MD agreement →

    Draft · awaiting signature
    ● Working

    Kelly Mortazavi

    Role: Founder, Avina Wellness · Case manager on active engagements · Email: kelly@avinawellness.com · Bench: Existing practice (Avina Wellness LLC) sits beside the new Home Detox platform.

    View profile →

    Working
    Pending recruit

    Director of Nursing

    Required for HHA licensure in CA. Recruitment opens once Medical Director signs and US PC is registered. W-2 employment per AB5; 1099 RN model is illegal in CA.

    Recruitment pending
    Pending recruit

    Lead Therapist

    LMFT-led, post-acute therapy track. Recruitment opens with US PC registration.

    Recruitment pending
    02 ·

    Operational support

    Build, finance, technology
    ● Working

    Fabian Diaz

    Role: Sandbox builder, architecture lead · Email: fabian@fdnxt.com · Phone: +61 419 488 321 · Operates the platform sandbox; primary architect for the v1 build.

    Working
    Pending hire

    Compliance Officer (HIPAA / EKRA)

    Required for HIPAA Privacy Officer + Security Officer roles. Recruitment opens with US PC registration. Owns recording-consent matrix, ROI library, audit log.

    Pending hire
    Pending hire

    Finance / Bookkeeping

    US PC accounting, Dubai LLC parallel books, GILTI/CFC tax modelling. Counsel + accountant engagement during pre-formation phase.

    Pending hire
    03 ·

    Legal counsel

    Healthcare regulatory, IP, tax
    Recommended · pending engagement

    Healthcare regulatory counsel

    Recommended: Nelson Hardiman (LA) · Scope: CA in-residence detox licensure, CA HHA licensure, DEA registration, malpractice E&O binding, EKRA exposure, Stark / AB5.

    Pending engagement
    Critical path · pending

    US international tax counsel

    CFC/GILTI modelling on Dubai LLC + US PC structure. Pre-incorporation gate: Form 8832 check-the-box election analysis vs CFC route.

    Pending engagement
    Future

    IP / brand counsel

    Trademark filings for AVINA marks once platform name finalised (working: AVINA PRINCIPAL / CONTINUUM / COMPANION).

    Future
    04 ·

    Legal artefacts

    Templates and reference material
    ● Template · v1.0

    Engagement Contract Template

    AVN-CON-ENG-001.0 · Avina engagement agreement template covering parties, services, term, fees, recording authorisation (CA § 632 explicit), confidentiality, family voice channelling, indemnification, governing law. Counsel review pending before first signing.

    Read template →

    Draft · counsel review pending
    ● Reference

    Recording Legal Matrix

    Multi-state reference: California, New York, Florida, Arizona, Nevada. Consent type per state, statute citations, practical implication for Avina's contract. Reviewed annually or when relevant statute changes.

    Open matrix →

    Working reference
    04 ·

    Vendors + programs

    Treatment programs, hospitals, technology
    ● Active referral partner

    Clearview Communities

    Role: 30-day residential program (Path A for Erin) · Confirmed: Bed availability + transport readiness for Erin · Direct hospital-to-Clearview transport on Monday 5 May discharge.

    Active
    ● Active escalation partner

    Glendale Adventist Behavioural Health Unit

    Role: 5150 hospital admission point (Erin currently here) · Hospital protocol activated 1 May 2026 · Discharge planned Monday 5 May.

    Active
    Pending decision

    EMR — DrChrono vs Elation Health

    PHI host. iPad-native (DrChrono) vs API-first modern UX (Elation). Decision pending US PC registration. BAA-eligible.

    Decision pending
    Locked

    Deepgram Nova-3 Medical

    Voice transcription. HIPAA-eligible, BAA. Lowest cost in this tier. Locked in architecture v1.0.

    Locked
    Locked

    Supabase (HIPAA add-on)

    Database, auth, storage. BAA-covered, RLS-native. Locked in architecture v1.0.

    Locked
    01 ·

    Financials

    Operating budget, per-engagement model, prior-year summary
    ● Working

    Blair Financial Model

    Per-engagement P&L model for Blair onboarding. Used to size the engagement retainer + monthly fee against expected case-manager hours, clinical-partner referrals, and crisis-event budget.

    Open spreadsheet →

    Working
    ● Working

    2026 Operating Budget

    Full-year operating budget for Avina Wellness LLC + early provisioning lines for Avina Home Detox platform pre-formation costs (legal, tax counsel, brand work).

    Open spreadsheet →

    Working
    ● Final

    2025 Wellness Summary

    Year-end summary of Avina Wellness LLC for 2025. Reference for 2026 budget assumptions and for understanding the pre-platform run rate.

    Open spreadsheet →

    Final
    02 ·

    Rate card

    Engagement tiers, fees, billing terms
    ● Working

    Avina Schedule of Rates

    Internal schedule of rates and engagement tiers. Drives the fee figure in section 4 of the Engagement Contract Template (AVN-CON-ENG-001.0). Reviewed quarterly; counsel reviews before any update is shared externally.

    Open document →

    Working
    Future

    Client-facing rate card

    A polished, branded version of the rate card that can be shown to a family office at intake. Built from the internal schedule once tiers are stable. Counsel review required.

    Future