108 - The First Bitcoin-Native HSA: Stu Lackey on Sound Money for Healthcare

In this episode, Stu Lackey, CEO and co-founder of Sound HSA, explains how Bitcoin can live inside a Health Savings Account — not as an ETF, but as actual bitcoin in a self-directed, tax-advantaged HSA.

Stu covers why HSAs are one of the strongest vehicles in the U.S. tax code and why pairing them with bitcoin’s fixed supply fits rising healthcare costs. He walks through how SOUND HSA works: cash in, buy real bitcoin, multi-sig custody, an IRS-designated trustee, and the path from idea to live product. You’ll also hear the founder story — two decades in health-tech, the balance-sheet moment that crystallized the idea, partnerships, and building a compliant product on existing HSA rails.

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🌴 Join us at Mita TechTalks 2026 — an exclusive gathering for operators, family offices, and industry leaders exploring the future of capital through Bitcoin, AI, and Energy. Oct 25-27, Punta Mita.

Request your invitation: https://2026.mitatechtalks.com/

⚡ Get personalized onboarding at River for Bitcoin-only financial services: https://partner.river.com/buildwithbitcoin⏤ ⏤ ⏤

Chapters

00:00 Introduction to Stu Lackey and Sound HSA

02:10 Stu's background in healthcare and discovery of Bitcoin

04:00 What is an HSA and its benefits

06:48 The vision for integrating Bitcoin into HSAs

09:58 Market opportunity and initial conviction

16:48 How the Sound HSA product works step-by-step

20:00 Custody, partnerships, and security measures

25:00 Business model, monetization, and fundraising journey

28:59 Use of funds and growth strategy

32:04 Bitcoin treasury management and long-term vision

35:49 Go-to-market strategy and customer acquisition

40:01 Innovative features like move-to-earn and wellness programs

43:12 Advice for newcomers and industry outlook

52:04 Getting involved and final thoughts

Resources:

https://soundhsa.com/

Build With Bitcoin:

https://www.buildwithbitcoin.xyz/https://x.com/BuildwBitcoin

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❗ DISCLAIMER: This show is for entertainment purposes only. Before making any decisions consult a professional.