Direct Primary Care removed the insurance company and the government payer from your doctor's visit, and it worked. Direct Hospital Care applies the same removal to the hospital bed.
Nearly 700 U.S. hospitals are currently considered at risk of closing — almost all of them small, almost all of them underused, not undermanaged.
Every decision downstream — pricing, ownership, staffing — runs through these. They're written into the entity's foundation so they can't be quietly renegotiated later, no matter who's running it.
Not Medicare, not Medicaid, not a pass-through grant that traces back to a government source. This is the mechanism, not just the philosophy — it's also what keeps the membership model legal for every patient, including Medicare-eligible ones.
Membership and transparent cash pricing only — no negotiated insurer rates, no claims processing, no network contracts.
Less billing, less reporting, less compliance overhead built for a payer system we've chosen not to bill in the first place.
A strict, unbendable ratio of administrators to beds and physicians. Every administrative role has to keep justifying its own existence.
Preferred capital is donated, mission-aligned, or community-owned — not money that expects a double-digit return starting in year one.
Not an insurance product. A direct relationship with a doctor, and standing access to a hospital bed if you ever need one.
Our goal is to care for you as if you were our family, which you are. We are all in this together, and we are here not to make huge profits but to serve our community.
Discount builds ~4%/month for monthly members, reaching the full 50% at 12 months — or pay $120 upfront for an annual membership and get the full 50% right away.
If a bed is open and you want proximity to care — post-op, anxious, monitoring something chronic — the first night's on us.
Modeled on the Green Bay Packers: broad, non-controlling community shares. No majority owner, no dividend expectation — just a facility the community can't sell out from under itself.
Even without membership, published cash pricing runs below typical market rates — lean administration instead of a stripped ER bill.
Having a direct primary care doctor is encouraged for better care and availability, though it isn't automatically bundled into membership. A real relationship with a doctor who knows your history — not a fifteen-minute slot with whoever's available.
A back-of-envelope look at what a modest per-employee membership could realistically cover.
This started as voice memos in a truck cab and grew into a full concept brief — acquisition strategy, unit economics, staffing costs, every regulatory red flag we could find. We're publishing it because we'd rather someone find the holes now than after real capital moves. If you're a physician, a hospital administrator, a benefits lead, a healthcare attorney, or you just think we're wrong about something — we want to hear it.
No spam, no sales calls. Just word when there's something real to see.