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

<p>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.</p>

<p>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.</p>

<p>⏤ ⏤ ⏤ </p>

<p>🌴 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.</p>

<p>Request your invitation: <a href="https://2026.mitatechtalks.com/">https://2026.mitatechtalks.com/</a></p>

<p>⚡ Get personalized onboarding at River for Bitcoin-only financial services: <a href="https://partner.river.com/buildwithbitcoin%E2%8F%A4">https://partner.river.com/buildwithbitcoin⏤</a> ⏤ ⏤</p>

<p>Chapters</p>

<p>00:00 Introduction to Stu Lackey and Sound HSA </p>

<p>02:10 Stu's background in healthcare and discovery of Bitcoin </p>

<p>04:00 What is an HSA and its benefits </p>

<p>06:48 The vision for integrating Bitcoin into HSAs </p>

<p>09:58 Market opportunity and initial conviction </p>