RootBound Health
The Clinic Director
program & network overview
One clinic, six service lines, six programs, and three legal entities — built to reach the patients the system discharges into instability. This is what you'd run, who you'd build it with, and where it's going.
Kal Elliott, DNP, ARNP, FNP-BC
A direct-care clinic built for the patients the system leaves behind
RootBound opened November 18, 2025 as a Direct Primary Care practice under RCW 48.150 — telehealth-first, after-hours staffed by clinicians (not voicemail), and priced on a sliding scale set against King County's real cost of living. Patients are accepted regardless of insurance, income, or ZIP code.
The founder experienced homelessness without a safety net or continuity of care. In trauma, psychiatry, and community medicine that followed, the same pattern kept repeating: patients discharged into instability, care plans that didn't match real life, and harm that happened outside any institution's responsibility.
RootBound exists to interrupt that pattern — to be complementary to the safety net, not duplicative, and to extend screening, treatment, and follow-through into the hours and ZIP codes existing clinics can't reach at scale. Every program in this deck is an expression of that one idea.
What the Clinic Director owns
Six service lines, one chart, one named owner per episode
The connective tissue is the Patient Follow-Up SOP — four parallel tracks, three-attempts-then-escalate, red-flag routing, and a single named owner who holds each episode through closure.
Six programs on one operational backbone
RootBound Glow
The aesthetic service line is the cash-pay margin that underwrites sliding-scale primary care and the rural mission. Five modalities, each performed under ARNP supervision and Washington scope-of-practice rules.
Director's lever: protocol governance, device certification, RN decision algorithms, and margin discipline — every appointment also routes a primary-care touchpoint.
TLC — the 30-day hospital-to-home pathway
High-risk discharges are flagged by the hospital case manager from Day −2, scored for risk, and handed off with first-contact timing set by condition — because different conditions fail at different speeds. RootBound owns the episode to a clean handoff at Day 30.
| Condition (DRG family) | First contact | RPM kit | In-person |
|---|---|---|---|
| COPD / AECOPD | ≤ 24 hr | Pulse ox ± BP | 7–10 d |
| Heart failure | ≤ 48 hr | BP + weight | 7–10 d |
| Acute MI / angina | ≤ 48 hr | BP + HR | ≤ 7 d |
| Major surgery / CABG | ≤ 48–72 hr | Wound + mobility | 7–10 d |
| Sepsis / pneumonia | ≤ 72 hr | BP + pulse ox | ≤ 7 d |
The PHSKC / STI partnership
A proposed designated §318 STI-clinic partnership with Public Health–Seattle & King County's HIV/STD Control Program — adding telehealth and after-hours capacity into the hours and south-King ZIP codes the existing clinic can't reach at scale. Complementary, not duplicative; measured on the same metrics PHSKC already tracks.
The Continuum — one stack, every ability to pay
A six-tier membership that pairs continuity primary care with patient financing and three patient-selected catastrophic-coverage paths — turning ability-to-pay variance into a feature. Grant-funded and urban-margin tiers cross-subsidize the sponsored ones.
| Tier | Price / mo | For | Includes |
|---|---|---|---|
| Rooted-Sponsored | $0 | Below 138% FPL, lapsed / awaiting Medicaid | Full Rooted services, Foundation-underwritten |
| Rooted (rural) | $75 → $25 | Rural members, agricultural workers, homebound | Telehealth-first DPC, cellular RPM, mobile clinic |
| Bronze | $145 | Cost-sensitive entry | DPC only |
| Silver | $245 | Most members — the conversion target | DPC + pre-enrolled financing + brokered coverage intro |
| Gold | $325 | A complete healthcare home | DPC + after-hours + concierge enrollment + quarterly review |
| Rural Overlay | +$30 | Any tier in a qualifying rural ZIP | Adds RPM, mobile-clinic access, doubled telehealth |
Taproot
Washington's rural counties carry HPSA designations, 60-minute care deserts, and a 400–470k Medicaid-disenrollment wave. Taproot answers it with four delivery elements — built to survive even if telehealth flexibilities sunset.
Phasing protects the balance sheet: launch on telehealth + RPM alone; the ~$285–425K mobile unit is Phase 2, contingent on the USDA award. A Spanish-language workflow is required from day one in Eastern WA agricultural communities.
The network is the job
Three entities, three root barriers — kept clean by design
Direct fee covers only primary care
Keeps the PLLC clean of Title 48
Flat fees, no volume bonuses
The root barriers are what let RootBound open the funding doors without putting the DPC license at risk. Keeping them clean is a standing duty of the Director — board independence, fair-market-value service agreements, and disciplined financing language.
A sequenced path to $5–12M over five years
Where the Director takes it
RootBound Health
Every program is the same promise, scaled: no one falls through.
The Director is the person who holds the programs together, keeps the entities clean, and turns relationships into reach. If that's the work you want, the next step is a conversation.
10212 5th Ave NE, Suite 116 · Seattle, WA 98125
(425) 699-6873