You trained to sit with the dying — not to run a marketing funnel, chase invoices, and work alone. Quality Death is becoming the place where families find you, and where the work finally pays like the calling it is.
The honest state of the work
Most end-of-life doulas piece together $25–$85 an hour in solo private practice — a median near $24 — with no employer, no benefits, and no coverage: Medicare and Medicaid pay nothing for end-of-life doulas. The field’s own advice is “treat it like a business.” You didn’t train for a business. You trained for a bedside.
Our answer: keep the bedside. Hand the business — the finding, the paying, the paperwork, the aloneness — to a cooperative built to carry it.
What you get
Quality Death is the family-facing front door for dying well — and Reed, our navigator, routes families who need a human to the doulas in the network. You stop marketing; the marketplace does it.
Paid engagements run W-2 through the co-op — payroll, taxes, and insurance handled, no invoicing. And families can often pay with pre-tax dollars: ComfortCard turns HSA/FSA funds toward eligible end-of-life supports where a physician documents medical necessity. Not everything qualifies — we’re honest about what does.
CareGoals is the instrument for your work: the guided conversation, the values workshop, advance directives, the shareable care plan. You facilitate; the software captures and keeps what matters — and the record is there for the family long after.
Circle, not isolation: peer doulas, a care team behind you through the care grid, and a physician of record for the questions that need one. The work is heavy. You shouldn’t carry it alone.
co-op.care’s one rule: the moment you’re paid to give care, you become a worker-owner — patronage equity and a real vote. One owner, one vote. The value your presence creates stays with the people who create it. You cannot commoditize an owner.
Join the founding cohort
We’re forming the founding cohort now — INELDA- and NEDA-trained doulas especially welcome, and experienced uncertified doulas too. Founding members shape how the marketplace, the pay, and the governance work.