Dr. Timothy W. Swain III, MD — Founder, Cowboy Christian
Timothy W. Swain III, MD
Founder & Cardiac Surgeon · Franklin, TN
The Founder

A Surgeon's Promise.

Put healthcare back in your hands. When patients lead, outcomes win.

After more than 20 years of practicing cardiac, thoracic, and vascular surgery, Dr. Swain is changing his approach to the industry to focus on bringing the best outcomes for patients and surgeons alike.

Years ago, Dr. Swain performed a mitral valve repair on one of the original health cost sharing network founders. He considered it an honor, and the patient did exceptionally well, going home in three days. Weeks later, the patient asked Dr. Swain to provide pricing for future patients. Because Dr. Swain was employed and did not own the hospital, this was not possible. That moment planted a seed.

Dr. Swain believes our healthcare system is shifting toward preferring an all-cash system. He advocates for an all-cash, no-insurance model that restores the surgeon-patient relationship by removing corporate interference from fee-for-service arrangements and directed treatment. When facing a health milestone, deciding whether or not to have surgery is a massive choice. Dr. Swain believes patients deserve the time and space to explore every option, including non-surgical alternatives. While newer surgeons might be quick to operate, seasoned experts know that surgery isn't always the answer, and a conservative approach is often best. That’s exactly why Dr. Swain is building this platform: to foster direct, transparent patient-surgeon relationships where you can confidently weigh the pros and cons before making a decision.

Brooke Swain, RN, a CVICU nurse is Dr. Swain’s wife of 13 years and biggest supporter. Dr. Swain has 4 boys with whom he loves spending time and raising at their home in Franklin, TN. They hope Cowboy Christian, LLC will help change lives for the better.

Cardiac Surgery Thoracic Surgery Vascular Surgery 20+ Yrs Experience Franklin, TN Free Market Advocate Surgeon-Led
The Co-Founder

Built on Modern Rails.

We share the cost, and the conviction, that free market healthcare delivers better outcomes, better service, and better value.

Cowboy Christian was co-founded by technology entrepreneur Chris Sereno, who leads the platform's technology and operations. Chris spent more than two decades building enterprise technology, including more than five years at Amazon Web Services as a Senior Solutions Architect designing cloud systems for some of the world's largest organizations and thirteen years at Caterpillar engineering the network backbone of a Fortune 100 global enterprise.

He left AWS because the mission to provide families with financial choice, better care, and better lives is a calling worth answering. By pairing Dr. Swain's medical authority with the modern digital infrastructure the mission demands, Cowboy Christian can redefine cost, access, and outcomes in healthcare with clean, performant systems built to serve members for generations.

His focus is a premium, transparent member experience with security and compliance designed in from day one, not bolted on afterward. From enrollment to sharing, the platform is being built so members can see exactly where every dollar goes. Every technical decision serves the same purpose: improving members' lives.

Co-Founder Technology & Operations Former AWS Solutions Architect 20+ Yrs Experience Peoria, IL Platform Architecture Security & Compliance
Chris Sereno — Co-Founder, Cowboy Christian
Chris Sereno
Co-Founder · Technology & Operations
The Flywheel

Growth That Pays You Back.

Every new member makes the network stronger. More connections create more options and lower negotiated costs, which means lower prices, a better member experience, and a larger network. Growth compounds for members, not middlemen.

Growth Lower Negotiated Costs Lower Prices Options Customer Experience Larger Network Connections

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