My DPC Story

Maryal Concepcion, MD

As the Direct Primary Care and Direct Care models grow, many physicians are providing care to patients in different ways. This podcast is to introduce you to some of those folks and to hear their stories. Go ahead, get a little inspired. Heck, jump in and join the movement! Visit us online at mydpcstory.com and JOIN our PATREON where you can find our EXCLUSIVE PODCAST FEED of extended interview content including updates on former guests!

  1. The Financial Side of Sustainable DPC: What Your Accountant Isn't Telling You (ft. Tom Squire, Osprey CFO)

    -2 J

    The Financial Side of Sustainable DPC: What Your Accountant Isn't Telling You (ft. Tom Squire, Osprey CFO)

    Can Your DPC Practice Survive Its Own Success? Most physicians opening a Direct Primary Care practice master the clinical side quickly. The harder challenge? Running the business that sustains it. In this episode of My DPC Story, host Dr. Maryal Concepcion sits down with Tom Squire, founder of Osprey CFO, a financial advisory firm built specifically to support small businesses and DPC practices. Tom brings a background in banking and private equity and translates that institutional financial playbook for independent physician practice owners. Whether you're pre-launch, in your first year, or scaling a multi-location DPC, this conversation will help you identify where your finances are quietly costing you time, money, and peace of mind. What You'll Learn in This Episode: The two biggest financial problems DPC physicians face as their panel growsWhy the systems that worked when you opened your practice stop working as you scaleHow to know when it's time to start paying yourself a salary from your DPCThe real cost of DIY financial management (QuickBooks, Gusto, bookkeepers who don't explain anything)Why pricing strategy is one of the highest-leverage tools in your DPC financial toolkitHow a $5 membership price increase can meaningfully impact your bottom lineThe opportunity cost of doing your own financial administration vs. outsourcing to an expertWhat to look for when choosing a financial partner who actually understands DPCWhy private equity is coming for DPC and how strong financial foundations protect independent practicesOsprey CFO handles your DPC financial infrastructure so you can focus on patients and growth. Get your FREE Osprey + My DPC Story Financial Decision Tree HERE.  DPC gives you autonomy. But autonomy without financial clarity becomes stress in disguise. Cash flow. Owner pay. Hiring timing. Tax strategy. These aren’t afterthoughts. They’re what protect your freedom long term. Book a free 30-minute strategy call with Osprey CFO to see how they can help you handle the financial infrastructure of your DPC so you can focus on patients  Support the show GET your FREE MONTHLY BUSINESS TOOL DOWNLOAD Become A My DPC Story PATREON MEMBER! SPONSOR THE POD My DPC Story VOICEMAIL! DPC SWAG! FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

    33 min
  2. -6 J

    Melody Health Closed in December. Open Arms Opened in March. | Drs. Connolly, Poulin and Tressan

    Dr. Shannon Connolly, Dr. Shayne Poulin, and Dr. Amy Tressan found each other inside Melody Health, a mission-driven primary care practice embedded within Planned Parenthood, serving more than 13,000 patients across seven health centers in Orange County, California. Then, with the passage of HR 1 and the defunding of Planned Parenthood, they lost it, in a matter of weeks. They opened Open Arms Primary Care on March 1st 2026. Melody Health closed in December 2025. In this episode, Dr. Connolly and Dr. Poulin share what it looks like to join forces and rebuild from the ground up - in four months, on a shoestring budget, in one of the most expensive zip codes in the country - and why DPC was the only model that made sense for the community they refused to leave behind. This is one of the most timely and honest conversations we have had on this podcast. What we cover: Why Melody Health closed and what that loss felt like for their patients and their teamThe phone call between Dr. Poulin and Dr. Connolly that sparked Open ArmsHow three physician co-founders structured equal ownership from day oneFunding a DPC startup with GoFundMe, retirement savings, and a lot of creative sourcingFinding 1,300 square feet of primary care perfection three doors down from another DPCTrauma-informed care, reproductive health, and gender affirming care as DPC superpowersThe JEDI committee, DPC advocacy, and why professional societies need to catch upWhat it felt like to see their first patient walk through the doorDr. Shannon Connolly, Dr. Shayne Poulin, and Dr. Amy Tressan are the co-founders of Open Arms Primary Care in Orange County, California. They are currently accepting new patients! Learn more at mydpcstory.com. Osprey CFO handles your DPC financial infrastructure so you can focus on patients and growth. Get your FREE Osprey + My DPC Story Financial Decision Tree HERE.  DPC gives you autonomy. But autonomy without financial clarity becomes stress in disguise. Cash flow. Owner pay. Hiring timing. Tax strategy. These aren’t afterthoughts. They’re what protect your freedom long term. Book a free 30-minute strategy call with Osprey CFO to see how they can help you handle the financial infrastructure of your DPC so you can focus on patients  Earn money WHILE running your DPC! Join SERMO for FREE today! Support the show GET your FREE MONTHLY BUSINESS TOOL DOWNLOAD Become A My DPC Story PATREON MEMBER! SPONSOR THE POD My DPC Story VOICEMAIL! DPC SWAG! FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

    1 h 45 min
  3. 15 MARS

    She Didn't Start a DPC Practice. She Bought One.

    Dr. Feneisha Franklin spent a decade in corporate medicine before finding her door: a Direct Primary Care practice seven minutes from her house, owned by a retiring physician ready to pass the torch. She left her employer on a Friday. She owned Living Well Family Medicine on Monday. In this episode, Dr. Franklin breaks down what it actually takes to purchase an existing DPC practice: profit and loss statements, Medicare opt-out windows, non-compete clauses, legacy pricing, quarterly taxes, and the financial advisory team she credits with keeping her afloat in year one. This is one of the most practical financial conversations we have had on this podcast. What we cover: Evaluating a practice before you buyThe Medicare opt-out problem nobody warned her aboutBuilding a financial team before you think you need onePricing for legacy vs. new patientsGrowing sustainably without burning out your staffWhat physician joy actually looks like on the other sideDr. Feneisha Franklin is the owner of Living Well Family Medicine in Lexington, South Carolina. She is currently accepting new patients. Learn more at mydpcstory.com. Osprey CFO handles your DPC financial infrastructure so you can focus on patients and growth. Get your FREE Osprey + My DPC Story Financial Decision Tree HERE.  DPC gives you autonomy. But autonomy without financial clarity becomes stress in disguise. Cash flow. Owner pay. Hiring timing. Tax strategy. These aren’t afterthoughts. They’re what protect your freedom long term. Contact Osprey CFO to see how they can help you handle the financial infrastructure of your DPC so you can stay focused on patients and growing your practice. Earn money WHILE running your DPC! Join SERMO for FREE today! Support the show GET your FREE MONTHLY BUSINESS TOOL DOWNLOAD Become A My DPC Story PATREON MEMBER! SPONSOR THE POD My DPC Story VOICEMAIL! DPC SWAG! FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

    1 h 13 min
  4. 8 MARS

    She Was Working 20 Hours a Day. Here's What She Built Instead.

    She was working 20 hours a day in fee-for-service medicine, and her supervisor was online at 3am too, totally unbothered. That's when Dr. Victoria Leventis-Shew knew nothing was ever going to change. So she changed everything. Dr. Leventis-Shew is the founder of Victory Family Medicine in Columbia, SC, a physician-only micropractice she built intentionally, organically, and on her own terms. In this episode she gets radically honest about the financial decisions that shaped her DPC journey: using retirement savings to launch, hiring a consulting firm she wasn't sure she needed, growing slowly without advertising, and why a financial advisor has been one of her most important investments. What we cover: The 3am moment that made leaving feel like survival, not a choiceUsing retirement funds to launch, and why she'd do it againThe real cost of hiring a consulting firm (and the complicated truth about whether it was worth it)Why slow, organic growth is a financial strategy, not a failureHow a micropractice under 130 patients can be sustainable and deeply fulfillingWhat financial sustainability actually looks like when you're a solo physician with no staff🗓️ March on My DPC Story: Sustainable DPC Economics Every episode this month explores what it takes to build a DPC practice built to last. Listen to the full series. 🎧 Extended, commercial-free on Patreon Patreon.com/MyDPCStory Osprey CFO handles your DPC financial infrastructure so you can focus on patients and growth. Get your FREE Osprey + My DPC Story Financial Decision Tree HERE.  DPC gives you autonomy. But autonomy without financial clarity becomes stress in disguise. Cash flow. Owner pay. Hiring timing. Tax strategy. These aren’t afterthoughts. They’re what protect your freedom long term. Book a free 30-minute strategy call with Osprey CFO to see how they can help you handle the financial infrastructure of your DPC so you can focus on patients  Earn money WHILE running your DPC! Join SERMO for FREE today! Support the show GET your FREE MONTHLY BUSINESS TOOL DOWNLOAD Become A My DPC Story PATREON MEMBER! SPONSOR THE POD My DPC Story VOICEMAIL! DPC SWAG! FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

    1 h 7 min
  5. 1 MARS

    How One DPC Practice Built a Financially Sustainable Model - Without Insurance

    Dr. Matthew Hitchcock of Hitchcock Medical Group in Chattanooga, TN has spent over a decade proving that direct primary care is not just better medicine, it's a smarter business. In this episode, he breaks down the layered economic model behind his DPC practice, in-house pharmacy, and cash-only imaging center. What we cover: Why primary care is a loss leader in the insurance world and how DPC fixes thatHealth insurance ≠ healthcare access (and why that distinction matters)How a fully licensed pharmacy and cash-only imaging center ($350 CT vs. $2,000+) create financial resilienceWhy PE and VC-backed primary care keeps failingHow DPC can actually scale — and what kills it when it tries🎙️ March on My DPC Story: Sustainable DPC Economics Every episode this month is dedicated to what it takes to build a DPC practice that lasts. Don't miss one. 🎧 Extended, commercial-free conversations on Patreon Get the full uncut version of every March episode at Patreon.com/MyDPCStoryfan Resources: CaringDirectly.com - Dr. Concepcion's physician-only DPC mapper. Add your practice today!Hitchcock Medical Group | Chattanooga, TNKeywords: direct primary care, DPC economics, cash-pay medicine, physician entrepreneurship, DPC pharmacy, healthcare business model, primary care sustainability Osprey CFO handles your DPC financial infrastructure so you can focus on patients and growth. Get your FREE Osprey + My DPC Story Financial Decision Tree HERE.  DPC gives you autonomy. But autonomy without financial clarity becomes stress in disguise. Cash flow. Owner pay. Hiring timing. Tax strategy. These aren’t afterthoughts. They’re what protect your freedom long term. Book a free 30-minute strategy call with Osprey CFO to see how they can help you handle the financial infrastructure of your DPC so you can focus on patients  Earn money WHILE running your DPC! Join SERMO for FREE today! Support the show GET your FREE MONTHLY BUSINESS TOOL DOWNLOAD Become A My DPC Story PATREON MEMBER! SPONSOR THE POD My DPC Story VOICEMAIL! DPC SWAG! FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

    56 min
  6. Is Zion HealthShare Legit? Pre-Existing Conditions, Maternity, GLP-1s and Direct Primary Care Explained

    26 FÉVR.

    Is Zion HealthShare Legit? Pre-Existing Conditions, Maternity, GLP-1s and Direct Primary Care Explained

    Episode Summary: After our episode about Zion HealthShare sparked more listener questions than almost any other episode this season, we brought together Preston Guthrie, Head of Sales at Zion HealthShare, and Camila Guerrero, Practice Manager at Brock Family Care in North Carolina and a Zion member herself, to answer everything. We discuss pre-existing conditions and the 24-month pre-membership rule, maternity care and the six-month waiting period, GLP-1 medications, how Zion pairs with a Direct Primary Care membership, the IUA and three-claim family protection rule, international emergency care benefits, state insurance mandates, and whether Zion is financially stable. If you or someone you know is looking for an affordable health insurance alternative, this episode is required listening. In This Episode: Preston Guthrie, Head of Sales at Zion HealthShare, spent over a decade in traditional insurance before joining the health sharing community. Camila Guerrero is Practice Manager at Brock Family Care, a DPC practice in North Carolina. She is a Zion member herself and guided her own maternity care through the program. Key Topics: Pre-existing conditions and the 24-month pre-membership window, maternity care after the six-month waiting period, GLP-1 and weight loss medication benefits, how the Essential Membership pairs with Direct Primary Care, the IUA and the three-claim family protection rule, emergency care benefits outside the United States, state individual mandate requirements, and real patient outcomes including cancer, surgery, dental claims, and end-of-life benefits. Resources: Zion HealthShare: zionhealthshare.org Previous episode with Ashton Casper and Camila Guerrero: LINK HERE  My DPC Story is hosted by Dr. Maryal Concepcion, family physician and DPC owner in rural Northern California. Support the show GET your FREE MONTHLY BUSINESS TOOL DOWNLOAD Become A My DPC Story PATREON MEMBER! SPONSOR THE POD My DPC Story VOICEMAIL! DPC SWAG! FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

    46 min
  7. 22 FÉVR.

    Community, Advocacy, and Autonomy: Dr. Aisha Harris on Building Flint’s First Direct Primary Care Practice

    We’re closing out February with Dr. Aisha Harris of Flint, Michigan, a board-certified family physician, community advocate, and the founder of Harris Family Health, the first Direct Primary Care clinic in her hometown. In this episode of My DPC Story, Dr. Harris shares how returning to Flint to open a DPC practice allowed her to practice medicine with purpose - addressing trust, environment, and health literacy upstream while creating real opportunities for prevention, especially around heart and metabolic health. Her journey weaves together entrepreneurship, advocacy, and deep community commitment, showing how Direct Primary Care offers physicians autonomy while strengthening the communities that raised them. We chose Dr. Harris for February because she embodies what it means to practice medicine rooted in service, ownership, and accountability, proving that sustainable, relationship-based care can thrive even in communities shaped by systemic barriers. Osprey CFO handles your DPC financial infrastructure so you can focus on patients and growth. Get your FREE Osprey + My DPC Story Financial Decision Tree HERE.  DPC gives you autonomy. But autonomy without financial clarity becomes stress in disguise. Cash flow. Owner pay. Hiring timing. Tax strategy. These aren’t afterthoughts. They’re what protect your freedom long term. Book a free 30-minute strategy call with Osprey CFO to see how they can help you handle the financial infrastructure of your DPC so you can focus on patients  Earn money WHILE running your DPC! Join SERMO for FREE today! Support the show GET your FREE MONTHLY BUSINESS TOOL DOWNLOAD Become A My DPC Story PATREON MEMBER! SPONSOR THE POD My DPC Story VOICEMAIL! DPC SWAG! FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

    1 h 10 min
  8. 15 FÉVR.

    Practicing Pediatrics at the Intersection of Policy & Purpose: Dr. Jalan Burton on DPC, Home-Based Care, and Intentional Medicine

    In this previously aired episode of My DPC Story, host Maryal Concepcion sits down with Dr. Jalan Burton, a Washington, DC/DMV–based pediatrician practicing at the intersection of healthcare policy and deeply relational care. As the founder of Healthy Home Pediatrics, Dr. Burton shares how Direct Primary Care allows her to deliver unrushed, home-based pediatric care in a policy-dense environment while protecting both physician autonomy and patient trust. Her story highlights values-driven medicine, proactive cardiovascular and metabolic health conversations for children, and the power of designing a practice that supports families and physician wellbeing.  We chose Dr. Burton for February because her journey reflects intentional, equity-centered care at the crossroads of policy and practice and later this season, we’ll be bringing you an update as her DPC story continues to evolve! Osprey CFO handles your DPC financial infrastructure so you can focus on patients and growth. Get your FREE Osprey + My DPC Story Financial Decision Tree HERE.  DPC gives you autonomy. But autonomy without financial clarity becomes stress in disguise. Cash flow. Owner pay. Hiring timing. Tax strategy. These aren’t afterthoughts. They’re what protect your freedom long term. Book a free 30-minute strategy call with Osprey CFO to see how they can help you handle the financial infrastructure of your DPC so you can focus on patients  Earn money WHILE running your DPC! Join SERMO for FREE today! Support the show GET your FREE MONTHLY BUSINESS TOOL DOWNLOAD Become A My DPC Story PATREON MEMBER! SPONSOR THE POD My DPC Story VOICEMAIL! DPC SWAG! FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

    1 h 10 min

À propos

As the Direct Primary Care and Direct Care models grow, many physicians are providing care to patients in different ways. This podcast is to introduce you to some of those folks and to hear their stories. Go ahead, get a little inspired. Heck, jump in and join the movement! Visit us online at mydpcstory.com and JOIN our PATREON where you can find our EXCLUSIVE PODCAST FEED of extended interview content including updates on former guests!

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