A new cooperative economy taking shape

From hospital to home, by people who care for each other.

A working economy for the work that used to be invisible. Care moves through it. Time and dollars settle in two lanes that never blur. The page below is your onboarding and your dashboard — same thing. Watch it move while you step into it.

founding members so far · honest count from the cooperative ledger
▸ The flow this economy holds
Hospital discharge · readmit risk co-op.care member-owned care utility time-lane + dollar-lane Home family · neighbors · circle discharge planning care coordination in-home companion physician oversight care logged · value owned by members avoided readmissions · prevention ▸ MEMBERS OWN THIS FLOW · ONE PERSON · ONE VOTE · PATRONAGE ON THE WORK
01 · ONBOARD

Tell us where you stand. The dashboard fills in around you.

No sign-in needed for this. Three quick choices, then your panel of numbers appears below — what your time is worth, what's protected, what's recoverable. The same panel becomes your real dashboard the moment you claim a founding share at the bottom of this page.

Three questions. Ninety seconds.

Step 1 of 2
Pick anything above to see your numbers fill in.
02 · THE MARKET

A wide variety of services. One roof. Two lanes that settle clean.

Members exchange care in time (one hour at par, banked and spendable inside the cooperative) and dollars (paid care, with the surplus returning to members as patronage equity, not to outside shareholders). Below is what moves on each lane today and what's queued to add. Every tile links to where that service actually lives.

▸ At home · daily life

Companion care

Check-ins, errands, light meal prep, an hour of presence. The simplest exchange in the network. Most-used by far.

1 hour time-credit$25/hr dollars
▸ For health · physicians

Direct primary care

Member rate to a DPC clinic in your region. Monthly subscription, no copay, longer visits. The first physician contact when something feels off.

$65–95/mo · members
▸ For health · paperwork

Letter of medical necessity

AI-drafted, physician-of-record attested, files into your HSA/FSA. Unlocks pre-tax dollars for what was already eligible.

$49 · per LMN
▸ Family · planning

Advance directives

Five small prompts. Directives agent drafts. Wishes carried by a doula, not a payer or platform. The humane and loving exit, planned.

included with founding share
▸ At home · transit

Rides to appointments

Member-to-member rides, time-credit settled. The smallest service that keeps everything else working.

1 hour + fuel cost
▸ At home · meals

Meal preparation

Cooking for someone whose mobility is limited. Often the bridge that keeps an older adult home instead of placed.

1–2 hours time$28/hr paid
▸ For health · monitoring

Gait check (the 6th vital)

A 30-second walk recorded on your phone produces a gait score. Falls predicted weeks before they happen.

free assessmentroutes to attested next step
▸ For health · prevention

Fall-risk screener

Three minutes. Captures the modifiable risks (vision, meds, home hazards, balance). Attested by a clinician of record.

freegrant-funded in some regions
▸ For health · recovery

Remote therapeutic monitoring

Post-op exercise adherence tracked via phone camera. CMS-billable (98975, 98985). PT practice keeps most; member sees lower copay.

covered by Medicare
▸ Neighbors · zero waste

Refill station access

Community-owned kombucha tap, bulk staples, refills you bring your own jar to. The metaphor proof that the form generalizes outside care.

member rate
▸ Family · payment rail

The family card

Eligible expenses flagged in real time. HSA/FSA dollars released against the LMN. The family is the cardholder, not the individual.

no monthly fee for members
▸ Family · end of life

Doula-supported exit

A trained companion through hospice, hospital, or home death. The doula carries the wishes, not the platform.

4 hours + visit$200 sliding
▸ Family · coordination

The care circle

The four people who help mom — shift schedule, note thread, last-visit summary, directive snapshot. Free with membership.

included
▸ For health · pre-tax

HSA-eligible expansion

The flat $49 LMN that converts otherwise-ineligible expenses (massage, groceries, supplements) into pre-tax dollars.

$49 flat
▸ At home · respite

Respite for the caregiver

Someone else covers a shift so the primary caregiver can rest, exercise, sleep, or just leave the house. Most under-used and most needed.

1 hour time-credit
▸ Neighbors · governance

One vote, one member

The most under-rated service in the network. The mechanism that prevents extraction. Free with a founding share.

included with founding share
03 · THE BARTERING LENS

The lens that protects more of the value for you.

Bartering doesn't mean nobody pays. It means the value of the work stays with the people doing it. Here's the same hour of care, two different ways. The math is straightforward.

▸ Agency model

An hour of care, sold through an agency.

45% extracted55% to caregiver
family pays · $32/hr
agency takes off the top · $14.40/hr
caregiver receives · $17.60/hr
friction, scheduling, churn · included
$14.40/hr leaves the room. Forever.
▸ Cooperative model

An hour of care, through co-op.care.

100% stays with members
family pays · $28/hr
platform fee at cost · $3/hr
caregiver receives · $25/hr
surplus returned to members at year-end · patronage equity
$0/hr leaves the network. Year over year, this compounds.

Across one year of 10-hour weeks, that 45% extraction is $7,488 that no longer leaves your family — recaptured, kept circulating, returned to members as the prevention dividend, the founding-share appreciation, or the year-end patronage credit. The argument for this is here.

04 · THE PRIMITIVES

Three programmed structures. Built into the LCA.

Cooperatives that survived 180 years have the same three plumbing parts. The Founding Share buys you in. The Care Ledger records the value as it's exchanged. The Provident Account holds the reserve. The Prevention Dividend returns the surplus. Each one is named below; each one already exists in the backend.

One economy. Many doors. The cooperative form is the building; each service is a room. You're invited to walk in, look around, and stay if it feels true.