I've been researching and can't find any real charities like this, either. But in just a few days I've come across
hundreds of posts from people that need emergency surgery, can't afford it, and can't find help!
I've talked to a few "higher-ups", and I really think that I can make this happen. Like you said, I honestly can't think of a better way to honor my Katy <3 I'm thinking of it on a nationwide scale, though, not just localized.
I've been self employed for about 30 years, and took my bootstraps business to a statewide level with 62 locations. And I've worked with local charities for almost that long! So I
hope that I have the expertise to take this nationwide, but I'm not so proud that I can't see if I'm over my head and need someone else to help. In fact, the ideal situation would be for me to get it started and then hand it off to someone else, instead of me being the full time director.
The biggest challenge is that I think I'll need a panel of veterinarians that can review cases and determine (a) fair prices and (b) odds of survival, but finding vets that don't have a personal agenda will be a bit tricky. I realize that I'll need a variety of vets from all over the US (a fair rate in NC probably wouldn't be a fair rate in CA), so that part might take some head hunting and recruitment.
Right now it looks like I'm going to be moving in this direction

My goal is to be ready to go to market in 2 years.