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Rural Health Transformation Awards Race Toward Oct. 30What a Rural Emergency Hospital Keeps Open, and What a Small Town Gives UpWhen the Clinic Floods: What Hawaii, Pine Ridge, and New Rural Health Funding Teach Us About Keeping Care OpenRural Health Transformation Awards Race Toward Oct. 30What a Rural Emergency Hospital Keeps Open, and What a Small Town Gives UpWhen the Clinic Floods: What Hawaii, Pine Ridge, and New Rural Health Funding Teach Us About Keeping Care Open
Modular medical facilities for rural and tribal communities. Designed to be factory-built and ready to operate within 72 hours of delivery.

Built for communities
that can't wait
five years.

When a rural hospital closes, the community doesn't get a five-year construction timeline. LouCo is building permanent-quality modular medical facilities designed to arrive complete and ready to operate — and we publish field research on the infrastructure challenges these communities face every week.

734
Rural hospitals
currently at risk of closure
40%+
Rural hospitals operating
at a financial loss, 2026
$50B
Federal Rural Health
Transformation investment, 2026–2030
A conventional hospital costs $300 million and takes five years.

A rural community without care cannot wait five years.

We're building a faster answer.
—
Designed to be factory-built and inspected before it leaves the facility. No surprises on site.
—
Designed for the programs that fund it — RHT state RFPs, IHS Joint Venture Construction, FEMA advance contracts.
—
Built to permanent standards, not temporary workarounds.
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Designed to be off-grid capable, ADA compliant, and telehealth-ready. Everything the community needs, nothing it doesn't.

What We Build

SMB-01
Scout
400–600 sf · Single flatbed · Target: operational within about 72 hours of delivery

A single-provider primary care access point for frontier communities with nothing. Two exam rooms and a telehealth station. Designed to be ADA compliant, off-grid capable, and the fastest path from zero care to operational care.

Now accepting projects
SMB-02
Hub
800–1,400 sf · Two modules · Target deploy: about 5 days

A multi-provider community health center designed to replace the outpatient function of a closed critical access hospital — at a fraction of the cost and in a fraction of the time. Four to six exam rooms, procedure room, lab draw station.

Available by inquiry
SMB-03
Station
2,000–3,500 sf · Campus config · Permanent install

A full-service modular clinic campus with behavioral health, dental, pharmacy, and lab. Designed for permanent installation as a community anchor facility. Eight to twelve exam rooms.

Available by inquiry

How a project works

01

Site and program assessment

We review the community's needs and the funding program.

02

Factory build

The facility will be built and inspected off-site in parallel with site prep.

03

Delivery and setup

Transport, placement on an adjustable pier foundation, and utility connection.

04

Commissioning and handoff

Inspection, walkthrough, and handoff to the operator.

Field Notes

View all field notes →

How These Projects Get Funded

HHS · CMS
Rural Health Transformation Program

Federal funding flowing to all 50 states to create new rural care access points. If your state has received RHT funds and is looking for facility infrastructure to deploy them against, that's exactly what LouCo is built to deliver.

Indian Health Service
Tribal Construction Programs

IHS administers several programs that allow tribal nations to build and modernize health facilities. LouCo is designed to serve as the construction partner when a tribe is ready to move — fast, affordable, and designed to the standards these programs require.

HRSA
Federally Qualified Health Centers

FQHCs receive federal grants for operations and need facilities that match their scale and budget. LouCo's Scout and Hub units are designed and priced for this segment — community-scale, not hospital-scale.

FEMA · DHS
Emergency Response

Medical infrastructure that can be deployed before a disaster is declared, not after. LouCo units are designed to serve in emergency response and transition to permanent community use — so the investment doesn't disappear when the emergency does.

Lucas Righetti
Founder

Lucas Righetti

I started LouCo to get permanent medical facilities into rural and tribal communities faster than traditional construction ever could.

Get in Touch

Let's talk about your community's needs.

Whether you're a tribal health director evaluating construction partners, a state program officer reviewing vendor options, or an organization with an immediate facility need — we want to hear from you. We respond to all procurement inquiries within one business day.