When Corporate DPC Took Over, He Built His Own: Dr. Josh Chow of Ohana Medical

What happens when the DPC practice you love gets sold to a corporation? For Dr. Josh Chow, DO and his wife Katherine, the answer was clear: build your own. In this episode, we close out Financial Sustainability Month with the story of Ohana Medical in Centennial, Colorado. Dr. Chow spent five and a half years in an employed DPC position that started as a dream job and ended when corporate ownership changed everything. After months of searching for another DPC opening and finding nothing, he and Katherine made the decision to open their own practice in October 2025. In this conversation we cover what that decision actually looked like financially, operationally, and personally, including startup costs, family loans, non-compete clauses, in-house pharmacy strategy, insurance broker relationships, employer group outreach, tax strategy for new practice owners, Roth IRAs, 529s, moonlighting as a 1099 contractor, and what it looks like to run a business alongside your spouse while raising three kids and playing cello at elementary school orchestra on Tuesday and Thursday mornings. This is one of the most honest and relatable conversations we have had all month. If you are thinking about leaving an employed position, opening your own DPC, or just trying to understand what financial sustainability actually looks like in this model, this episode is for you. 00:00 Introduction 00:00 Meet Dr. Josh Chow and Katherine of Ohana Medical 00:00 How Dr. Chow discovered DPC in residency 00:00 What changed when corporate ownership took over 00:00 Non-compete clauses and what they actually mean 00:00 The decision to open Ohana Medical 00:00 Startup budget and funding sources 00:00 Pricing strategy and Colorado DPC market research 00:00 Insurance brokers and open enrollment strategy 00:00 In-house pharmacy and procedure non-negotiables 00:00 Tax strategy for new DPC owners 00:00 Roth IRAs, 529s, and retirement planning 00:00 Running a practice with your spouse 00:00 The future of Ohana Medical 00:00 Match Day message Connect with Dr. Josh Chow and Ohana Medical: Website: ohanadpc.com Katherine's book: Silly Shrimphony (https://www.simonandschuster.com/book...) Connect with My DPC Story: Website: mydpcstory.com Instagram: @mydpcstory Facebook: My DPC Story Subscribe to the My DPC Story newsletter and find a DPC solutions partner for your DPC journey near you at The DPC Directory (thedpcdirectory.com) #DirectPrimaryCare #DPCPhysician #FamilyMedicine #PrivatePractice #DPCFinance #PhysicianEntrepreneur #OhanaMedical #MyDPCStory #HealthcareReform #PhysicianAutonomy #DPCStartup #FamilyMedicinePhysician #DirectPrimaryCareDoctor #FinancialSustainability #SmallBusinessPhysician