Absolute transparency down to the general ledger level. I wanted everyone to see what it cost so people could help us get smarter. I wanted to compete on quality and price , focused on direct contracts. No insurance unless the carrier treated every claim as an invoice to be paid. Direct sales to companies 340b markups from cost, of only 15 pct No consultants. Hire people that are great at their jobs and can do the work. A discussion on whether we would spend the money on getting approved for government programs. All the approvals are expensive and may not have been worth it. We could publish quality measures and let 3rd parties audit them. Run the economics like a real business , run the care like every patient is family.

Sixty percent of Texas counties did not have a pharmacy in 2023. In 2025, more than 4.3 million Texans lived in pharmacy deserts, meaning they must travel farther to reach a pharmacy than a supermarket. bit.ly/4bU2iuJ