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The Global Caregiving Crisis Demands a Human-First AI Response

Holo (Helping Our Loved Ones) is the first voice-AI companion providing: a Trusted Presence for family and professional caregivers, Effortless Engagement for aging loved ones, and an Augmented Connection between them — using one online app/service, all under human control.

53MFamily caregivers in the U.S.
55M+Americans 65+ who need care
$107B+Spent annually on paid in-home care
The Problem

Three Growing Crises ... One Missing Platform

No existing app or AI solution addresses all three at once — Holo will.

Overwhelmed family caregiver
Family Caregivers Are Breaking
53MAmericans providing unpaid care
$1TAnnual economic cost (AARP)

49.5 billion invisible hours of unpaid care annually — often from hundreds of miles away — leaving caregivers overwhelmed, anxious, and sacrificing their own jobs and health to monitor and support their loved ones remotely.

What they want and need:

"To enable aging loved ones to thrive … and to know how they're doing, when it matters, all without being there."

Lonely aging care recipient
Care Recipients Are Offline and Lonely
43%Report chronic loneliness
55%Can't use connected tech

55M+ Americans 65+, growing 10,000 per day. Chronic loneliness = health crisis equivalent to smoking 15 cigarettes a day. 26M adults 45+ have cognitive or physical disabilities that make touchscreens hard or impossible to use.

What would help them the most:

"An effortless, voice connection to the people and activities they love … and the virtual world."

Overwhelmed professional caregiver
Institutional Care in the Home Is Failing
20M+Lives cared for by professionals
0Proactive channels for ambient client engagement

A shrinking professional caregiver workforce serves a growing High-Needs, High-Cost population — driving avoidable ED visits, hospitalizations, and ever-higher Medicare and Medicaid costs. No platform connects family and professional caregivers on a shared, coordinated system.

Dr. Sandya Pruthi, Mayo Clinic:

"Voice in healthcare [will] be individualized, proactive, real-time and ambient [to address] our patients' unique needs."

The Solution

The Next Best Thing to Being There Yourself

Holo serves 2+ users in 3 ways — the first platform configured by one person to simultaneously serve one or more others, by voice, 24×7.

Family caregiver on phone
A Trusted Presence for Caregivers

Family and professional caregivers configure Holo once and update as needed. Holo reaches out proactively, checks in, escalates — on your behalf, on your terms — and keeps you informed asynchronously via voice or text."Your 24×7 presence, for when you can't be there."

Augmented human connection
An Augmented Connection for Both

Holo doesn't substitute for human connections — it augments and amplifies them. Families feel and stay closer. Professionals stay informed. Care recipients feel more engaged, better connected, and less alone."Not replacing caregivers — complementing and extending them."

Aging care recipient at home
Effortless Engagement for Care Recipients

"Good morning, Margaret! Would you like me to play meditation music while you stretch?" Zero screens. Zero friction. Instant, natural voice access and frequent, daily engagement — personalized by those who know and love them most."An always-available, proactive-voice companion, configured by and connected to those who care."

How It Works

Voice-AI with Caregivers at the Helm

5 layers of AI — seamlessly integrated, always under human control.

Hover over any element below to explore

👨‍👩‍👧
Family & Professional Caregivers
Configure & Control
📱 Add or modify proactive dialogs via mobile app, SMS, or voice
Family and professional caregivers configure what Holo says and when — like a care plan in plain language. Update anytime from anywhere.
🔔 Receive alerts, summaries & escalations
Holo sends caregivers real-time alerts, behavioral summaries, and escalation notifications — via their preferred channel.
⚙️ Set guardrails, tone & personalization
Caregivers control the topics Holo can discuss, the tone it uses, and the limits of what AI can decide on its own.
🌐
Holo
AI at Every Layer
🏠 Passive Sensing & Active Prevention
Integrates with fall detection, motion sensors, and wearables — converting passive data into proactive, timely interventions.
📈 Longitudinal ML + Pattern Detection
Tracks behavioral patterns over time — surfacing drift, anomalies, and changes that follow caregiver-configured escalation triggers and keep clinicians informed.
👤 Caregiver Setup & Control
Holo setup is a natural conversation, not an app. Holo interviews the caregiver — and the care recipient — to understand their needs and preferences, then automatically generates a personalized care plan with escalation triggers.
💬 Proactive Conversational Orchestration
Holo's conversations don't happen by algorithm. Caregiver-configured instructions shape every proactive dialog and every response — personalized to each caregiver/care recipient pair, ensuring their needs guide Holo at every turn.
🔊 Audio-Native Voice Intelligence
Three voice-AI layers — once separate — are now unified in one model. Holo hears and responds in native voice, understanding not just words but tone, pace, hesitation, and emotional state. Conversations feel human, not calculated.
🏡
Aging Loved Ones & Clients
Engage & Respond
🔊 Receive proactive outreach, via voice, according to caregiver-defined triggers and schedules
Holo initiates conversations — good morning check-ins, medication reminders, activity prompts — exactly as the caregiver configured.
💬 Respond naturally via voice — no screens, no apps
The care recipient simply speaks. No touchscreen, no login, no menu navigation. Just natural conversation on a smart speaker or phone.
🎵 Access music, news, calls & services by voice
Within personalized guardrails, Holo responds to on-demand requests — music, news, weather, family calls, and more.
Trusted Presence
Augmented Connection
Effortless Engagement
The Team

Unparalleled Experience in Voice-AI and E-Care

We've built voice- and conversational-AI from the ground up — at Bell Labs, IBM, SpeechWorks, Nuance, Jibo and LifePod. We've cared for dual-eligible patients at home for three decades. We've scaled voice companies from startup to IPO and billion-dollar acquisitions. We've done this all before, but the AI wasn't up to building a trustworthy agent with humans-at-the-helm … till now.

Stu Patterson
Stu Patterson
Founding CEO

30+ years voice & conversational AI. Built SpeechWorks (now Nuance/Microsoft) to global leader and IPO. Cofounder/CEO of LifePod. Pioneer of proactive-voice AI with humans-at-the-helm for caregiving.

Dr. John Loughnane
Dr. John Loughnane
Founding CMedO

30+ years caring for dual-eligible patients. Gather Health, Present for You, Activate Care, CCA. Deep clinical, in-market experience and entrepreneurial vision of how proactive-voice with HATH will transform healthcare.

Roberto Pieraccini
Roberto Pieraccini
Founding CTO

35+ year voice-AI pioneer. Bell Labs, AT&T, IBM, SpeechWorks, Nuance, Google, Uniphore. IEEE Fellow. MIT Press author. One of the world's foremost authorities on voice- and conversational-AI systems.

Steve Chambers
Steve Chambers
Board Advisor & Fractional CMkgO

25+ years voice & conversational AI. Scaled SpeechWorks to IPO and Nuance to $20B acquisition by Microsoft. Jibo, CallMiner, Polycom.

What We Learned

LifePod Lessons: Hard-Won and Invaluable

We built LifePod before LLMs existed. Here's what we learned — and why the timing is right now.

LLMs Enable the Full Vision

The pre-LLM voice/convo-AI stack couldn't support the whole vision. LLMs can — including a voice-first UX for caregivers that feels natural and complete.

Deterministic AI Is a Feature

Human-controlled, deterministic AI is not a limitation in caregiving — it's a competitive advantage that builds trust among all users.

Voice-First Is the Future

Voice-first, proactive/reactive UX ensures the personalization, adoption, and 24×7 engagement among all users that screen-based apps simply can't match.

Configurability Matters

Every caregiver–care recipient pair is unique. Care plan optionality and ease of setup and ongoing management must be top priorities from day one.

Voice Agents Combat Loneliness

Voice agents that speak proactively to care recipients — on behalf of their caregivers — can serve as a genuine antidote to loneliness and isolation.

DTC First — B2B2C Follows

Payers and providers need the same platform but simply can't move as fast as a motivated family caregiver market will.

Design Principles

Human-Centered by Design

01
WWHD
What Would Humans Do?

Holo says and does what you would want a human caregiver to say and do were they there on your behalf.

02
HATH
Humans-at-the-Helm

AI monitors and proposes — caregivers decide, always. Human-controlled, AI-enabled 24×7 monitoring and engagement.

03
Voice-First
Voice-First for Everyone

Voice-only UX for care recipients — no screens, no looking, no tapping. Voice-first option for caregivers too.

04
Trust
Trust Before Profits

Users own the data. Users configure the proactivity. No optimization for engagement or platform retention. Family-controlled, not host-controlled. Privacy is not only possible, but guaranteed.

Market Opportunity

Unicorn DTC Opportunity with B2B2C and Global Upside

35MAddressable U.S.
family-care pairs
$10.5BU.S. DTC
TAM
+$20BInternational
DTC TAM
$4.8BU.S. B2B2C
TAM

TAM grows ~5% per year as 10,000 Americans turn 65 every day.

Year 1Year 2Year 3Year 4Year 5
DTC Pairs~10K~67K~275K~835K~1.7M
DTC Revenue~$2.4M~$14.5M~$70M~$260M~$670M
B2B2C Lives~5K~25K~80K~200K
B2B2C Revenue~$1M~$6M~$19M~$48M
Total Revenue~$2.4M~$15.5M~$76M~$279M~$718M
Implied Valuation (10×)$24M$155M$760M$2.8B$7.2B

DTC penetration at Year 5 = 3% of TAM — between Calm (2%) and Headspace (3%) comparables. B2B2C follows DTC: existing institutional relationships accelerate the sales cycle, with ROIs delivering ED and hospitalization reductions worth multiples of PMPM cost to capitated MA plans and ACOs.

Join Us

The Global Caregiving Crisis Requires a Response.

"The highest use of artificial intelligence isn't to replace human judgment. It's to extend human love."

We're seeking mission-aligned investors to participate in a seed round to develop and launch Holo: starting with a direct-to-consumer campaign and followed by institutional B2B2C deployments. If you believe, as we do, that we should use AI and the internet for the greatest good — to help others — then please join us.

Reach us directly at stu@aipresence.care