ATTEST — INTERNAL LEADERSHIP BRIEFING
PATIENT TRUST & DATA SOVEREIGNTY

The Patient Control Layer
Healthcare Doesn't Have

What Moonlitic needs to build, what we can already do, and why a $27M role in a $125M program is the right bet.
What Moonlitic needs to build, what we can already do, and why a $27M role in a $125M program is the right bet.
TOTAL PROGRAM
$125M
MOONLITIC ALLOCATION
$27M
POC DURATION
27 Months
PRIMARY PARTNERS
Data Aggregator + UChicago
00 — GOVERNMENT OTA AGREEMENT

Three phases.
One OTA agreement.

The ARPA-H engagement is structured as an Other Transaction Agreement across three phases. Understanding the structure is essential context for how Moonlitic fits, where the $27M lives, and what happens after the program ends.
PHASE 01
$2.5M
Pre-Award Period
3- or 6-month acquisition readiness window. Architecture definition, capability scoping with agencies, partner agreements, sandbox provisioning, and regulatory alignment with TEFCA and HTI-5.
PHASE 02
$125M
Performance Period
36-month base capability demonstration (Gates 1-4) followed by a 12-month independent replication period (Gate 5). Moonlitic's $27M allocation lives here.
PHASE 03
Endurance
Stewardship Period
Infrastructure primitives transition to a neutral steward. Apache 2.0 release. Governance transfers. Permanent dependency on any original performer is a program failure condition.
The OTA structure is designed so the patient trust layer outlives the program. Exit by design is a first-class requirement -- not a post-program aspiration.
01 — THE PROBLEM

Patients lost control.
Systems gained access.

Healthcare interoperability enabled data exchange across institutions. What it never solved is patient sovereignty. Systems can retrieve records, but patients cannot determine who accessed what, when consent is still valid, or whether their data is being used as authorized.
Every research enrollment, clinical trial participation, and longitudinal outcomes study hits the same wall. Patients consent once but have no ongoing control. Data flows without transparency. The result is healthcare that operates episodically when it should operate continuously -- with the patient at the center.
02 — MOONLITIC'S ROLE IN ATTEST

Patient-facing trust.
Safety-net deployment.
Health equity proof.

WHAT MOONLITIC BUILDS
Patient Consent Portal — Mobile-first application enabling granular data access control, multi-language support, and real-time consent management. Works offline in low-connectivity areas.

FQHC Integration Layer — Lightweight infrastructure connecting Federally Qualified Health Centers to ATTEST verification without requiring enterprise IT. Proves the trust layer works in resource-constrained settings.

Patient Outcomes Research Infrastructure — Longitudinal health outcomes tracking, real-world evidence collection, and integration with research workflows. Funded by Caris Foundation's $5M contribution.
03 — GATES & DELIVERABLES

Moonlitic enters at Gate 3.
Exits at Gate 5.

GATE 3
Months 22–28
Patient Platform Launch 5 FQHC sites operational
≥2,500 patients enrolled
Consent propagation ≤60 sec
Multi-language support
Patient outcomes tracking
GATE 4
Months 29–36
Safety-Net Deployment 10-15 FQHC sites total
≥5,000 active patients
FQHC burden reduced ≥35%
Adversarial testing passed
Health equity metrics proven
GATE 5
Months 37–48
Independent Replication ≥2 FQHCs self-deploy
Published artifacts only
No Moonlitic assistance
Operational ≥90 days
Open-source release
04 — TEAM & BUDGET

$27M. 20 people.
27 months.

FUNDING BREAKDOWN
Federal (ARPA-H) $12M
Heartland Foundation $5M
McKesson Foundation $5M
Caris Foundation $5M
Total $27M
CORE TEAM
Product Lead (1)
Mobile Engineers (3)
Backend Engineers (4)
Frontend Engineers (2)
UX/UI Designers (2)
Data Engineer (1)
Clinical Informaticist (1)
Community Engagement (2)
QA + DevOps (2)
Project Manager (1)
Total: 20 people
05 — INTEGRATION ARCHITECTURE

Moonlitic connects.
Partners provide.

MOONLITIC OWNS
Patient consent portal · FQHC integration layer · Patient outcomes tracking · Community engagement · Health equity metrics · Self-service deployment kit
MOONLITIC INTEGRATES WITH
Data Aggregator Partner
EHR data aggregation · Consumer health data · Oracle Health integration · 300M patient records · Identity matching
Obvious ($35M)
Transport layer · Multi-cloud scalability · Network resilience · Azure/AWS/GCP integration
UChicago ($25M)
Research data commons · Longitudinal datasets · AWS-backed infrastructure · Research workflows
Azorian Prime ($93.5M)
Authorization verification (TA1) · Provenance audit (TA3) · Payer integration (TA4) · Core infrastructure
06 — SUCCESS CRITERIA

Program succeeds when patients control data.
Program fails if FQHCs can't deploy.

GATE 5 BINDING REQUIREMENTS
Independent Deployment
≥2 FQHCs deploy Moonlitic platform using only published artifacts (GitHub + docs). No assistance from Moonlitic team. Operational for ≥90 days. Same consent propagation speed (≤60 sec).
Health Equity Impact
Underserved populations achieve same data access and control as major health systems. FQHC manual burden reduced ≥35%. Multi-language support operational. Patient satisfaction ≥4/5 stars.
Patient Outcomes Research
≥1,000 patients in outcomes database. Real-world evidence generation validated. Integration with UChicago research workflows proven. ≥1 peer-reviewed publication using Moonlitic data.
Open-Source Release
All code released under Apache 2.0 license. Documentation published. Self-service deployment kit available. Community support forum established. Governance transfers to neutral steward.
MOONLITIC

Patient sovereignty.
Safety-net deployment.
Open by design.

Moonlitic's $27M role in ATTEST proves that patient-controlled data access works in the settings that need it most. The program succeeds when underserved communities have the same data sovereignty as everyone else.
ATTEST Program Proposal 010 (Revised) · Moonlitic Sub-Award · February 2026