A modern membership · cooperatively owned

Care your family
owns.

Trusted neighbors, modern technology, a community owned by the families it serves. Boulder-built. Designed for everywhere your parents call home.

Tell us what you're great at — or what you need. We'll match you with a neighbor.

Or fill out the long form →
Physician of record: Josh Emdur, DO  ·  Licensed in all 50 states
How it works

Three steps. No agency fees.

Who this is for

Three doors. One cooperative.

Same ComfortCard. Same identity. Same network. Pay, earn, or contribute time. We can all belong if we have something to offer.

For families

I need care

An ER-readable family identity. Care hours delivered by background-checked, insured neighbors. Pre-tax eligible. Apple Wallet, physician-attested.

  • Apple Wallet identity · QR for any ER, pharmacy, caregiver
  • Care hours $35–45/hr á la carte (HSA/FSA-eligible)
  • Physician-attested by Josh Emdur, DO · 50 states
  • $19/mo or $199/yr · ComfortCard membership
Get a ComfortCard →
For neighbors

I want to earn

$25–28/hr W-2 (not 1099) plus cooperative equity over time. Neighbors caring for neighbors. We handle the match, the schedule, the paycheck, the background check, and the insurance.

  • $25–28/hr W-2 (not 1099) · cooperative equity over time
  • Background check · liability insurance · workers' comp included
  • Boulder neighbors only — community-bounded
  • $19/mo or $199/yr · ComfortCard membership (deductible from first paycheck)
Start earning →

After signup, set your skills, availability, and rate at /join.

Built in Boulder · Cooperative-owned · Physician-attested · Apple Wallet identity
Free membership · available now
Door 3 · Contribute time

Skip the fee. Trade time.

Childcare, errands, a ride to the doctor, an hour of company, a meal cooked, a walk shared. 10 hours = your ComfortCard membership for the year, free.

1 The caregiver logs the session — who, what, how long. Takes 30 seconds.
2 The recipient confirms — one tap. Two-party attestation means every hour is real.
3 The cooperative keeps the receipt. 10 hours = free membership. We can all belong if we have something to offer.
Sign up free → + Log a session →

Caregivers log. Recipients confirm.
Not self-reported.

The Cooperative Pension

$300,000–$500,000 kept in your family.

Across 30 years, the average American family loses $500K–$1.5M to the traditional aging trajectory: nursing-home costs, adult-child caregiver opportunity cost, Medicaid spend-down, tax-inefficient spending. The cooperative preserves $300K–$500K of that.

$80K–$150K/yr
Nursing home costs avoided
median US nursing home
$50K–$200K
Adult-child opportunity cost
over the care trajectory
$200K+
Medicaid spend-down avoided
via cooperative structure
$9K–$30K
HSA tax savings, 10 yrs
at $936/yr average
Calculate your savings →

Modeled estimate. Anchored to Genworth Cost of Care, BLS, AARP Valuing the Invaluable, MetLife Mature Market Institute, and CMS Medicaid spend-down data. Empirical anchor study underway in the Boulder pilot — year-1 outcomes will validate or revise the projection. How we test this →

Trust is the operating system of medicine

Every output passes through a named clinician with skin in the game.

Every care hour, every modification project, every health event is attested by name through our 50-state physician network at altru.care. AI drafts. The physician decides. The family sees the name.

“The moat is whoever first connects grounded clinical evidence to physician-earned trust.”

The on-ramp into the Boulder grid

ComfortCard family membership.
$19/mo · $199/yr.

An Apple Wallet identity card and a small monthly habit that already does work today. Stores your advance directive, holds your care preferences, hands a paramedic the right summary in 90 seconds, and threads your family into the local co-op grid the moment you need a caregiver.

What every ComfortCard family gets:

  • Apple Wallet identity card — ER-readable, paramedic-ready
  • Advance directive & care preferences stored, signed
  • Threaded into the local co-op grid the moment you need care
  • Physician-attested by Josh Emdur, DO · 50 states
Get a ComfortCard →

The $499/yr Founding Member tier was retired. Read why →

The piece that started it

“I will not go to the emergency room.”

Andrej Rosenthal said this again and again as he was dying of esophageal cancer. His wife — a doctor — built him a home hospital so he wouldn’t have to.

This is the answer.

Read the manifesto →
One email when Boulder opens enrollment

Want updates as the grid fills in?

No newsletter cadence. One email — when the first families can plug in and the first caregivers can apply. Or skip the wait and get a ComfortCard now.