Families have no information. Workers lose time to documentation.
Nearly thirteen million Americans provide unpaid care for a family member or friend living with Alzheimer's or another dementia — over 19 billion hours of it a year, most of it at home. In Illinois, an estimated 250,600 people age 65 and older are living with Alzheimer's, and more than 465,000 unpaid caregivers provide 668 million hours of care each year.
with no window into how mom is doing
Between professional visits — on a typical day, two to three staffed hours at most — working family caregivers have no way to know how the day is going. The result is repeated calls to the agency.
of clinician time for a single Start of Care assessment
That is CMS’s own estimate — roughly 14.6 million clinician hours and $1.17 billion a year across Medicare-certified home health agencies. And it covers only the OASIS-E assessment instrument, not visit notes, care plans, or coordination. The real documentation load in home-based care has never been measured.
Sources: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures and Illinois Chapter state figures · CMS, CY 2023 Home Health Prospective Payment System Final Rule, Paperwork Reduction Act burden estimates for OASIS-E · a decade of Pyramid Care field operations in Chicagoland senior care.
One platform, serving everyone in the home.
A warm companion
Conversation personalized to a life story — the music, the memories, the family names — through the hours no one else is there. On a simple tablet, with nothing to learn.
A daily window
A plain-language update from the home, every day: mood, moments, and anything the care team wants you to know.
Notes by voice
The visit is spoken, the platform drafts the structured note, and the nurse or aide reviews, edits, and approves. The clinician is always the author — and the time goes back to care.
The human is always in charge.
We built the rules into the platform itself — not just into a policy document. We spent years as a BOC-accredited, Medicare-enrolled medical equipment supplier — HIPAA obligations, unannounced site surveys, audit-ready records. That is the standard this platform was built to meet.
Human-approved, always
Every AI output is a draft until a person reviews and approves it. No note, no update, no message goes anywhere on its own.
People handle what matters
Anything safety-sensitive escalates to a human immediately. Software never resolves those moments alone — by design, it can't.
Privacy by design
Built for HIPAA-eligible deployment with role-based access and a full audit trail. Families control what the platform knows.
Every output shows its source.
Every note, every update, every flag comes with its source in view — the same information the care team has, in plain language. No black boxes, no hidden scores. If the platform noticed it, you can see it.
Real architecture, in plain sight.
The public demo runs on the working prototype. This is how it is built.
Human-in-the-loop, structurally
Every AI output — note, update, flag — is generated as a draft and enters a review queue. Publishing requires a named human approval. There is no auto-send path in the architecture.
LLM engagement engine
Conversation is driven by a structured life-history profile — music, memories, family names — built with the family. Every generated summary carries its sources in view: no black boxes, no hidden scores.
Voice-first documentation
The aide speaks the visit; the platform drafts the structured note against the agency's documentation format. The clinician edits and approves — and remains the author of record.
Standard hardware only
Runs on ordinary tablets and phones already in the home and in staff pockets. Nothing proprietary to purchase, install, or learn — deployment is a login, not a project.
Separated roles, full audit trail
Senior, family, and clinical views are partitioned with role-based access. Every action is logged — who saw what, who approved what, and when — in an audit trail built for inspection.
Privacy-first data path
Data is encrypted in transit and at rest. No live client data enters the system before HIPAA Business Associate Agreements are executed — and families control what the platform knows.
Frameworks we build against
API-first by design. The platform is built around standard REST APIs with JSON payloads: inbound integrations for agency scheduling, census and discharge feeds, and EHR documentation export — designed toward HL7 FHIR-aligned structures — and outbound webhooks for care-signal escalation and family notifications. Integration access uses scoped, revocable credentials, and every integration call lands in the same audit trail as user actions. Built to connect with the systems agencies already run, not to replace them.
Current status: a working prototype, entering real-world evaluation in the 90-day pilot.
Working prototype. Real-world pilot.
Pyramid Care Connect is a working prototype, entering a 90-day pilot — formalized under a signed memorandum of understanding with Alden Management Services — and conducted through Family Home Health Network, the network’s ACHC-accredited, Medicare-certified home health agency, which provides home health, hospice and in-home care across the greater Chicago area. The Alden Network operates over 40 senior care sites across Chicagoland, Rockford and southern Wisconsin. The pilot enrolls clients living with dementia under full informed consent, with their nurses, aides, and coordinators participating as co-designers, and measures family caregiver burden, engagement quality, and real-world usability.
Pyramid Care, Inc. is pursuing federal support across multiple programs. We have submitted Phase 1 applications to both tracks of the ACL Caregiver AI Prize Challenge — the federal competition run by the HHS Administration for Community Living: Track 1 (AI tools to support caregivers), centered on our family-facing tools — the daily update and the life-history engagement companion — and Track 2 (AI tools for extending the caregiver workforce), centered on documentation relief and administrative burden for home care staff. Alongside the challenge, an NIA SBIR Phase I (R43) application is in preparation with the National Institute on Aging's small business program, focused on AI-assisted documentation for the home-based dementia care workforce.
We are building this grants-first and founder-owned — with peer-reviewed federal support rather than investor timelines — so the platform answers to the families, clients, and clinicians it serves.
A healthcare operator before a software company.
Pyramid Care began in 2017 in Arlington Heights, Illinois — not as a tech company, but as a regulated healthcare operator: an accredited durable medical equipment supplier serving Chicagoland's nursing homes, senior living communities, and home health agencies. That work came with BOC accreditation, Medicare enrollment, unannounced site surveys, HIPAA obligations, and audit-ready documentation — the daily compliance discipline of federally regulated healthcare. Pyramid Care Connect is built to those same standards.
Institutional & technical reference — entity data, architecture, controls, and pilot design →
Talk to us.
We're glad to hear from families, care providers, and partners working to make home-based dementia care better. We're at the beginning of this journey — building and learning at the same time — and we're open to ideas, collaborators, and investors who share the mission.