Fragmented data
Labs in one portal, wearables in another, visit notes in the EHR, lifestyle inputs on paper. No single source of truth — and no trend line you can trust.
Services-as-Software · physician-founded
The Operating System for the Longevity Economy
The AI care team your practice never had to hire. Tulu remembers every patient, works every list, and never turns over — a continuously updating twin of every member that survives staff turnover.
The Patient Twin, Live
What Your Patients See Every Day.
This is the actual member home screen — biological age, longevity score, and a daily plan built from their own data, not a mockup.
SOC-2 compliantHIPAA-compliantHuman handoff on every callLive in weeksDeployed across 50+ healthcare sitesUsed by 1,000+ providers
The Problem
You Didn’t Build a Subscription Practice to Watch Members Quietly Leave.
We interviewed 100+ longevity and membership practices. The same leaks came up every time — and none of them are the ones your EHR was built to catch.
Silent churn
Members don't churn from a missed visit. They churn from silence — responsiveness gaps and follow-up that never happened.
A lapsed list you can't reach
You have a book of patients you've lost contact with — and no systematic way to bring them back.
Turnover resets the memory
When a coordinator quits, the patient's history walks out with them. 40% average staff turnover means relationship context resets to zero, again and again.
Unoffered next steps
The right next test or protocol goes unoffered — not because it's wrong for the patient, but because no one's tracking who's ready for it.
You Also Can’t See What You’re Not Tracking
Revenue is concentrated and nobody's measured it
At most practices, a small share of patients drive a disproportionate share of revenue — and it's invisible until a few of them leave at once.
Compliance risk lives in someone's head, not a system
Licensing gaps, expired credentials, state-specific rules for a multi-location practice — tracked by memory until the memory leaves with the person.
It isn’t a staffing problem. It’s a memory problem — your practice has no persistent memory of its patients or its business. Until now.
The Solution — The Patient Twin
One Living Profile Per Patient. Everything Acts On It.
Not a database or a dashboard — those are just how you see it. The clinician, the patient, and Tulu’s AI all read from and write back to one continuously updating profile.
1
Unified Data
So your trends are real.
The same patient shows up as different IDs across LabCorp, Oura, your EHR, and the intake form. Tulu stitches them into one persistent identity, so a trend line is actually the patient — not an artifact of a bad merge.
2
Contextual Memory
The part that can't be copied.
Labs are re-pullable. Relationship context isn't. Every call, every preference, every shifting goal lives in the twin and nowhere else — the institutional memory that usually leaves when your staff does.
The Twin is the memory. The four AI services below are what it does with it.
Operations
An EHR Charts. It Doesn’t Run the Business.
Everyone can dashboard. Almost no one operates. Tulu turns the same patient data your EHR already has into a queue your team works every morning, a campaign they can send in one motion, and a set of numbers your board actually wants to see.
Work the list, not the spreadsheet
Every patient ranked by revenue at risk, with the next-best action already attached — call, message, or campaign. No exports, no manual triage.
Turn a segment into a campaign in one motion
Build a cohort straight from the same patient panel — "renewing in 30 days," "lapsed, no future booking" — and send to it immediately. Every reply tracks back to a dollar recovered.
See the business, not just the chart
Revenue concentration, provider utilization, compliance risk, and clinical outcomes — the numbers a practice manager or medical director is actually measured on — computed from the same twin, updated live.
AI Services
Four AI Services. One Shared Memory.
Every service reads from and writes back to the same Patient Twin.
Why It Compounds
The Longer Tulu Runs, the Harder It Is to Replace.
A clinic can always re-pull labs from Quest. It can never re-pull two years of conversational history it only ever stored in Tulu.
Always re-pullable
- Labs
- Wearable data
- Visit notes
- Intake forms
Only ever in the Twin
- Every call transcript
- “She travels for work, mornings don't work”
- Goals, and how they've drifted
- Two years of relationship context
Every interaction deepens the Twin, sharpens the next call, and raises the cost of ever switching it off. That’s not a contract holding you in — it’s an asset you’d be walking away from.
Services-as-Software
See the Twin Work on Your Own Patients.
A 20-minute walkthrough, mapped to where your practice is losing members today.
SOC-2 · HIPAA · live in weeks · no lock-in