diff --git a/docker-compose.yml b/docker-compose.yml
index bd9d597..97787db 100644
--- a/docker-compose.yml
+++ b/docker-compose.yml
@@ -306,6 +306,43 @@ services:
       - api-postgres
     restart: unless-stopped
 
+  # Second Listmonk instance for the HEALTHCARE HOT stream (dual-stream email
+  # design, see docs/healthcare-email-stream-plan.md). Fully isolated from the
+  # trucking-discipline instance above:
+  #   - its own DB (listmonk_hc) => separate contacts / bounce / complaint state
+  #   - its own sliding-window cap (the healthcare 10k/day ceiling), driven by
+  #     pw-hc-rampcap off /etc/postfix/hc-warmup-start
+  #   - sends ONLY via the host Postfix hc submission ports 2526/2527/2528, which
+  #     egress from the dedicated hc IPs .107/.108/.109 (hcmta01-03). Configure
+  #     these three as Listmonk SMTP servers so it round-robins the hc IPs.
+  # Reaches the host MTA via the docker bridge gateway 172.18.0.1 (in postfix
+  # mynetworks 172.16/12). host.docker.internal is mapped for convenience.
+  listmonk-hc:
+    image: listmonk/listmonk:latest
+    ports:
+      - "9101:9000"
+    extra_hosts:
+      - "host.docker.internal:host-gateway"
+    environment:
+      - LISTMONK_app__address=0.0.0.0:9000
+      - LISTMONK_db__host=api-postgres
+      - LISTMONK_db__port=5432
+      - LISTMONK_db__user=pw
+      - LISTMONK_db__password=${DB_PASSWORD:-pw_dev_2026}
+      - LISTMONK_db__database=listmonk_hc
+      - LISTMONK_db__ssl_mode=disable
+      - LISTMONK_db__max_open=25
+      - LISTMONK_db__max_idle=25
+      - LISTMONK_db__max_lifetime=300s
+      - LISTMONK_ADMIN_USER=${LISTMONK_USER:-admin}
+      - LISTMONK_ADMIN_PASSWORD=${LISTMONK_HC_PASSWORD:-${LISTMONK_PASSWORD}}
+      - TZ=America/New_York
+    volumes:
+      - listmonk-hc-uploads:/listmonk/uploads
+    depends_on:
+      - api-postgres
+    restart: unless-stopped
+
   umami:
     image: ghcr.io/umami-software/umami:postgresql-latest
     ports:
@@ -444,6 +481,7 @@ volumes:
   erpnext-sites:
   erpnext-mariadb-data:
   listmonk-uploads:
+  listmonk-hc-uploads:
   umami-pgdata:
   prometheus-data:
   grafana-data: