RootBound opened as a Direct Primary Care practice — telehealth-first, after-hours staffed by clinicians, priced on a sliding scale. Here is the whole machine: the mission, the mandate, the structure, the network, and the money behind it.
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.
Washington grants ARNPs full independent practice authority (RCW 18.79.250) — diagnosing, treating, and prescribing without physician supervision. One of the original Full Practice Authority states since the 1980s.
King County median household income runs ≈ 55% above the national median; the Edmonds end skews higher-income, highly educated, and prime for both continuity care and the aesthetics engine that funds the mission.
The founder pairs a Doctor of Nursing Practice with an MBA, a Lean Six Sigma Black Belt, and PMP certification — clinical authority and operating discipline in one seat, which is what makes a six-line, three-entity build runnable.
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. See the backbone →
Clinical core. All six service lines; employs every clinician; bills Medicare RPM / CCM / TCM.
WA insurance producer. Holds all ACA, indemnity, and accident-product solicitation.
Receives rural grants; owns the mobile unit; sponsors $0 memberships; runs produce-Rx.
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.
Hold the follow-up backbone, grow Glow margin, and tighten TLC case-manager referral loops with the first hospital partners.
Stand up the Foundation, advance the PHSKC §318 conversation to an MOU, and file the first RCORP and USDA applications.
Launch the Rooted tier on telehealth + RPM, pilot in one Eastern WA county, and stand the mobile unit up on the USDA award.