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Orly Mishan

Chairperson of the Board at Adagio Medical Holdings
Board

About Orly Mishan

Independent, non‑executive Chair of ADGM’s Board since December 2024; director since August 2024. Age 52. Managing Director, Perceptive Discovery (Perceptive Advisors) since March 2022 with 30 years of device/biopharma experience across operating and investing roles. BA in economics and political science, Columbia College, Columbia University.

Past Roles

OrganizationRoleTenureCommittees/Impact
Cerevel TherapeuticsSenior Advisor; Chief Business OfficerSenior Advisor: Apr–Jun 2021; CBO: Jul 2019–Mar 2021Business development leadership in neurology
Bain Capital Life SciencesPrincipal; Founding teamJan 2017–Jul 2019Led Kestra Medical investment (2017); served on Kestra board through Feb 2025
BiogenVice President, Corporate StrategyDec 2015–Jan 2017Corporate strategy leadership
Boston ScientificDirector, Healthcare Solutions; prior leadership rolesJun 2004–Sep 2014Commercial and strategic operating roles
McKinsey & CompanyBusiness AnalystEarly careerStrategy consulting foundation
Pfizer PharmaceuticalsEarly healthcare roleEarly careerTransition from consulting to industry

External Roles

OrganizationRoleTenureNotes
Perceptive Advisors (Perceptive Discovery)Managing DirectorMar 2022–presentAffiliation with ADGM’s largest holder (see interlocks)
Kestra Medical Technologies (Nasdaq: KMTS)Director2017–Feb 2025Board service linked to BCLS investment

Board Governance

  • Chair structure: Board led by Orly Mishan as independent, non‑executive Chair; Board explicitly favors separation of CEO and Chair to reinforce oversight. Responsibilities include agenda setting, facilitating director–management communications, and ensuring effective Board functioning.
  • Independence: Board affirmatively determined Mishan is “independent” under Nasdaq standards; also independent for Compensation Committee service.
  • Committees and roles:
    • Compensation Committee: Member; chair is Timothy Moran.
    • Nominating & Corporate Governance Committee: Member; chair is Keyvan Mirsaeedi‑Farahani.
  • Attendance and engagement: Board met five times in the last fiscal year; each director attended at least 75% of applicable Board/committee meetings. Executive sessions (independent directors only) held regularly.
CommitteeRoleChair?
CompensationMember No; Moran chairs
Nominating & Corporate GovernanceMember No; Mirsaeedi‑Farahani chairs

Fixed Compensation

Metric2024 ActualProgram Terms (Cash)
Fees Earned (Cash)$13,000 (prorated for 7/31–12/31/2024, paid in 2025) Annual base retainer $40,000; committee chair retainers: Audit $20,000, Compensation $13,000, Nominating $10,000; non‑chair member retainers: Audit $10,000, Compensation $7,000, Nominating $5,000; paid quarterly in arrears and prorated for partial periods.

Performance Compensation

Equity ComponentGrant SizeVesting ScheduleGrant Timing/Terms
Initial Chair Option300,000 sharesVests in equal monthly installments over 3 years, subject to continued serviceGranted upon first appointment as Chair; exercise price = FMV on grant date; options exercisable during service and for 1 year post‑service (≤10‑year term).
Annual Chair Option100,000 sharesVests in equal monthly installments over 1 year, subject to continued serviceGranted at each annual meeting to the sitting Chair; exercise price = FMV on grant date.
Grant Timing PolicyCompany does not time option grants around MNPI; Compensation Committee considers MNPI but does not seek to time awards to disclosure.
  • Performance metrics tied to director compensation: None disclosed; director equity is time‑based per policy.

Other Directorships & Interlocks

  • Perceptive Advisors holds 57.55% beneficial ownership (shares and warrants) via affiliated entities; Mishan is Managing Director at Perceptive Discovery. Potential influence/interlock given majority ownership and Board representation.
  • 2025 PIPE Financing: Related parties included Perceptive‑affiliated entities purchasing pre‑funded and milestone warrants for ~$4.25M; other funds (Alyeska, Armistice, Sio, ADAR1) also participated. Highlights continuing capital ties with major holders.
  • Registration rights and lock‑ups: Customary rights for major holders; lock‑ups per Investor Rights Agreement.

Expertise & Qualifications

  • 30 years across device/biopharma in operating roles (Biogen, Boston Scientific) and investing (BCLS, Perceptive) with business development and strategy leadership; board and investment experience (Kestra). BA, Columbia College.

Equity Ownership

HolderShares OwnedOptions Exercisable within 60 daysOwnership %Reference Date
Orly Mishan— [no direct shares disclosed] 133,333 <1% [based on 21,179,637 shares outstanding] As of Oct 24, 2025
  • Shares outstanding baseline: 21,179,637 (used for % ownership).
  • Hedging/pledging: Insider Trading Policy prohibits short sales, options, hedging transactions, margin accounts, and speculative trades by directors.
  • Stock ownership guidelines: Compensation Committee monitors compliance, but specific director guidelines not disclosed.

Governance Assessment

  • Positives

    • Independent, non‑executive Chair; separation from CEO enhances oversight and management accountability.
    • Active roles on Compensation and Nominating committees; engaged in governance framework, succession, and pay policy oversight.
    • Board/committee attendance threshold met; regular executive sessions support independent oversight.
    • Formal clawback policy adopted July 2024 (Rule 10D‑1/Nasdaq 5608 compliance) for incentive compensation linked to financial reporting.
    • Use of independent compensation consultant (Willis Towers Watson) for director and executive pay program design.
  • Risks and RED FLAGS

    • Audit Committee non‑compliance with Nasdaq Listing Rule 5605 after a director’s resignation (Jan 1, 2025) until remediation—governance red flag on financial oversight.
    • Controlling shareholder exposure: Perceptive’s 57.55% beneficial ownership plus PIPE participation and registration rights may concentrate influence; Mishan’s Perceptive role and concurrent committee service elevate perceived conflict risk despite formal independence determinations.
    • Multiple Perceptive‑affiliated directors (e.g., Mirsaeedi‑Farahani chairs Nominating) may heighten interlock concerns in nominations/compensation setting.
  • Related‑party oversight framework: Audit Committee reviews/approves related‑party transactions under a written policy; transactions >$120,000 assessed for fairness and best interests.

  • Shareholder advisory context: As an emerging growth company, ADGM is exempt from say‑on‑pay voting, limiting external feedback on compensation practices.