We’re building the first
system of record for aging.

A senior’s health is scattered across seven doctors’ portals and charts, and no one sees all of it. We pull it into one living record and give every family one advocate who is accountable for the whole.

See open roles → Why we exist

Why we started Leland

We went looking for the person whose job was the whole story, and there wasn’t one.

7 doctors across 4 practices. What a typical older adult on Medicare juggles in a year. Pham et al., NEJM (2007).

1 in 4 seniors live alone, often with no one nearby to catch what slips between those practices. U.S. Census Bureau, Current Population Survey.

4 chronic conditions. What the average person on Medicare is managing at once. Commonwealth Fund analysis of Medicare data.

Each doctor sees a slice of the picture, and nobody sees the whole thing. We started Leland after searching, anywhere in a patient’s care, for the one person whose job it was to hold the whole story together. We could not find them.

Nobody was accountable for the whole, so we built the company that is.

So we are building that person’s job and the system that makes it possible. It starts with one living record of a senior’s health and life. An intelligence layer reads that record whole and spots what matters before it becomes an ER visit, while AI agents handle the coordination work that never makes it onto a chart.

At the center sits the advocate, a trusted human who knows the senior and the family and answers for what happens next. The family talks to one person who knows the whole story, and that person handles the rest.

The living record

One record, kept current all day.

Updates flow into one place, and whatever changes flows back out to the people who need it.

Ruth K., 78 Brooklyn, NY

Medical historycurrent

Medications12 active

Benefitsverified

Life contextcurrent

Care planactive

Next actions2 open

How it works

The record is the foundation everything else stands on.

Leland works in four layers. A complete record comes first, intelligence reads it, agents act on it, and on top of all three sits one trusted human who answers to the family.

Records

We pull a senior’s scattered medical records out of every portal and fax line into one living record that stays current, day after day.

The foundation

Intelligence

An AI layer reads the unified record from end to end and surfaces what matters before it becomes a crisis.

Reads the record

Agents

Software agents handle coordination and logistics, from follow-ups and scheduling to paperwork, all grounded in the same record.

Acts on the record

Layer 04 · The person the family calls

The Advocate

The advocate is a trusted human who holds the whole picture and stays accountable to the family, which only works because there is finally a complete record to be accountable to.

They know the senior and the family, and theirs is the one number to call.
Owns what happens next after every discharge, referral, and medication change.
Directs the intelligence and the agents, and checks their work before it reaches the family.

The other three layers exist to make this one person superhuman.

A Leland advocate sitting with a senior during a home visit — **Maya Alvarez, RN, BSN** · geriatric care

What we believe

Three things we will not compromise on.

Treat every senior like family.

When interests collide, we side with the senior, over our own and over our partners’.

See the whole person.

We earn the right to know what matters in your life, so nothing small slips and nothing big is decided blind.

Always on.

Aging does not keep office hours, so neither do we. Someone who knows you is always there.

Founders

Who you would build with.

Makan Amini, founder and CEO of Leland — Makan Amini Founder & CEO
Built and led Sword Health’s behavioral health division, scaling AI clinical tooling and outcome-based care nationwide. Before that, co-founded Meomind, a digital therapy app, after years as a McKinsey consultant and private equity associate. MBA, Stanford GSB. MPA, Harvard Kennedy School.

Farshid Rafatnia, MD, co-founder and Chief Medical Officer of Leland — Farshid Rafatnia, MD Co-founder & Chief Medical Officer
A practicing physician with over a decade in clinical leadership and value-based care, cutting readmissions and length of stay across health systems. At Leland he owns the clinical model, deciding what advocates do and never do, when a physician steps in, and which guardrails keep every family safe.

Open roles

Join the founding team.

The team is small and the problem is hard. Every role below is a founding seat, with real patients from week one.

Leland Care · New York · On-site

Founding Engineer

As our first engineer, you build the core platform from scratch, from record ingestion to the intelligence layer that reads it and the first agents that act on it. You also set the technical culture for everyone who comes after you.

In your first 90 days: ship the first version of record ingestion and put a live, current record in front of our first advocate.

Leland Care · New York · On-site

Founding Head of Operations

You are the operating backbone, owning compliance and billing rails, revenue cycle, reporting, and everything else that keeps the practice running.

In your first 90 days: stand up the billing and compliance rails so the first patients can enroll and the first claims go out clean.

Leland Care · New York · On-site

Founding Patient Advocate

You are our first patient advocate, the person our first families call. You carry their care end to end and shape the playbook as you go.

In your first 90 days: carry our first families end to end and turn what you learn into the playbook every advocate after you will use.

Open application · New York

Don’t see your role?

If you believe in this and none of these fit, tell us what you would build here.