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Cliff Notes: The Licenses You Need To Operate A Healthcare Company · Earn Your Leisure

• 0:00
  Speaker 1: An illegal alien from Guatemala charged with raping a child
• 0:03
  Speaker 1: in Massachusetts. An MS thirteen gang member from Al Salvador
• 0:07
  Speaker 1: accused of murdering a Texas man of Venezuelan charged with
• 0:11
  Speaker 1: filming and selling child pornography in Michigan. These are just
• 0:15
  Speaker 1: some of the heinous migrant criminals caught because of President
• 0:19
  Speaker 1: Donald J. Trump's leadership. I'm Christy nom the United States
• 0:23
  Speaker 1: Secretary of Homeland Security. Under President Trump, attempted illegal border
• 0:28
  Speaker 1: crossings are at the lowest levels ever recorded, and over
• 0:31
  Speaker 1: one hundred thousand illegal aliens have been arrested. If you
• 0:35
  Speaker 1: are here illegally, your next you will be fined nearly
• 0:39
  Speaker 1: one thousand dollars a day, imprisoned, and deported. You will
• 0:43
  Speaker 1: never return. But if you register using our CBP home
• 0:46
  Speaker 1: app and leave now, you could be allowed to return legally.
• 0:50
  Speaker 1: Do what's right, leave now. Under President Trump, America's laws,
• 0:55
  Speaker 1: border and families will.
• 0:57
  Speaker 2: Be protected sponsored by the United States Department of Homeland Security.
• 1:00
  Speaker 3: So what's what do you need? Like, what's the licensing
• 1:04
  Speaker 3: that you need to operate? The hype of business that
• 1:06
  Speaker 3: you know?
• 1:06
  Speaker 4: So for a clinic in our space, right, you need
• 1:09
  Speaker 4: a couple of things right, So the way we operate generally,
• 1:12
  Speaker 4: like I mentioned earlier, we would like to go in
• 1:13
  Speaker 4: the area.
• 1:14
  Speaker 5: We typically wild talk to the Department Feld.
• 1:16
  Speaker 4: So you need like a general stuff that you need
• 1:17
  Speaker 4: for a regular retail business, you need like a business license.
• 1:21
  Speaker 4: For us, you need what it's called a side I
• 1:23
  Speaker 4: D right, so you call the Department Felth. And depending
• 1:26
  Speaker 4: on where you are, if you plan on building like Medicaid,
• 1:28
  Speaker 4: you need like a CMS that much. You typically will
• 1:30
  Speaker 4: contact CMS, which is the sener for Medicaid and Medicare services,
• 1:33
  Speaker 4: so you need a license from that. You might need
• 1:35
  Speaker 4: a you know, clip was saying like NPI numbers, NCPP numbers.
• 1:40
  Speaker 4: So it really just depends on what vertical you're plan doing.
• 1:42
  Speaker 4: So if it's if it's you know, STD or if
• 1:44
  Speaker 4: it's primary care, will determine what type of license you need.
• 1:47
  Speaker 4: But obviously you actually need a physician who has you know,
• 1:50
  Speaker 4: a physician license.
• 1:51
  Speaker 5: But it really just depends. But for us, it's very simple.
• 1:54
  Speaker 4: Is the Department Felth give us what we call a
• 1:56
  Speaker 4: testing side I D number and that what kind of
• 1:59
  Speaker 4: gives you the ability to provide the testing and treating.
• 2:02
  Speaker 4: Then you need to clear us all that way you
• 2:04
  Speaker 4: can be able to you know, draw blood and stuff
• 2:05
  Speaker 4: like that. So there's certain licensing you need. It just
• 2:08
  Speaker 4: varies depending on what state you're in and what modality
• 2:11
  Speaker 4: or what vertical that.
• 2:12
  Speaker 6: You're How long does that take, right, because a lot
• 2:14
  Speaker 6: of times you apply for something, it's.
• 2:16
  Speaker 5: Like, oh, it definitely takes time.
• 2:17
  Speaker 4: Dealing with dealing with the bureaucracy of the government definitely
• 2:20
  Speaker 4: takes a long time and it costs too. Right, So
• 2:23
  Speaker 4: for us to get one of our clinics up and
• 2:26
  Speaker 4: running to get those license, it typically takes about ninety
• 2:28
  Speaker 4: days to get everything, just because there's so many codependencies
• 2:32
  Speaker 4: and stuff, because you gotta wait for this to come
• 2:33
  Speaker 4: in before you can apply for that, and you have
• 2:34
  Speaker 4: to wait for DA You have to wait so certain
• 2:36
  Speaker 4: things that you need. But yeah, but it generally takes
• 2:39
  Speaker 4: about ninety days.
• 2:40
  Speaker 3: And how much would it start? Like if I wanted
• 2:41
  Speaker 3: to open up a clinic, how much operating money you need?
• 2:46
  Speaker 4: So for us to open up a clinical costs about
• 2:48
  Speaker 4: three mis of the fifty k to get a full
• 2:49
  Speaker 4: brick and mortar clinic up and running. To get a
• 2:51
  Speaker 4: mobile clinic, it'll rain you anywhere from two fifty maybe
• 2:54
  Speaker 4: a million, depending on how lavish you want. The mobile
• 2:56
  Speaker 4: clinic hours are pretty small, so we try to keep
• 2:59
  Speaker 4: it between two to three hundred thousand, but that's generally
• 3:03
  Speaker 4: what the barrier entry would be to get into what
• 3:05
  Speaker 4: we do.
• 3:06
  Speaker 7: And the mobile clinics. When we talk about mobile clinics,
• 3:08
  Speaker 7: your mobile clinic could be a two exam room mobile
• 3:12
  Speaker 7: clinic with a waiting room on wheels, or it could
• 3:16
  Speaker 7: be one exam room like ours. Hours are sprinter trucks,
• 3:19
  Speaker 7: So we get sprinter trucks and we put them on
• 3:22
  Speaker 7: the road because it's a lot easier and quicker to
• 3:23
  Speaker 7: get them on the road. So we don't want to
• 3:25
  Speaker 7: have to wait for a build out of a big
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  Speaker 7: mobile clinic that has two exam rooms, or have to
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  Speaker 7: wait for have to worry about licensing for that for
• 3:37
  Speaker 7: that truck on the road, because that truck is that
• 3:40
  Speaker 7: big that means they need to have a CDL license
• 3:43
  Speaker 7: to drive that truck. So now we put ourselves in
• 3:46
  Speaker 7: a whole nother situation financially, which we try not to.
• 3:49
  Speaker 7: So we try to get the smaller mobile clinics so
• 3:52
  Speaker 7: we could get it out the door quicker and we
• 3:54
  Speaker 7: could get to work, and that get to work for
• 3:57
  Speaker 7: us is ten to twenty new patients per day per
• 4:03
  Speaker 7: mobile clinic, right, So that's.
• 4:06
  Speaker 6: Why I was looking at them, like obviously from operations standpoint,
• 4:09
  Speaker 6: I was from the business mind. It's like, before I
• 4:11
  Speaker 6: can create the clinic, I need to know how many
• 4:14
  Speaker 6: things I happen to see exactly on a daily basis,
• 4:17
  Speaker 6: on a monthly basis basis exactly, because that will determine
• 4:20
  Speaker 6: obviously how much profitability.
• 4:22
  Speaker 5: Profitability absolutely so.
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  Speaker 6: When you when you're looking at that, that's something you
• 4:26
  Speaker 6: have to learn. But when do you realize, Okay, we've
• 4:29
  Speaker 6: hit our number here, let's scale to another area, Let's
• 4:32
  Speaker 6: get another truck.
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  Speaker 4: To be honest, like I said, we said earlier, man,
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  Speaker 4: the need is so vast that even with the twelve
• 4:38
  Speaker 4: or fifteen mobile clinks we have now in the eight locations,
• 4:41
  Speaker 4: I think we actually have tens that we signed two
• 4:43
  Speaker 4: new leases this week, we're still not covering the whole
• 4:46
  Speaker 4: state of Florida.
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  Speaker 5: It's still so much, so much that we need.
• 4:48
  Speaker 4: And that's why we created Healthy MD because we feel
• 4:51
  Speaker 4: as if you know, just future thinking and trying to
• 4:54
  Speaker 4: future prove our business, we want to make sure we're
• 4:55
  Speaker 4: able to you know, kind of get you know, more
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  Speaker 4: of a nationwide platfor for them, but you know, you
• 5:01
  Speaker 4: just kind of get the coldomnies of skill. So for us,
• 5:03
  Speaker 4: we know that once we get to a certain amount
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  Speaker 4: of patients, we generally will put two or three mobile
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  Speaker 4: clinics out and then we'll move on to another area.
• 5:11
  Speaker 4: So once we get enough affiliate partners or i say
• 5:13
  Speaker 4: affiliate partners in the community, I'm talking about the Halfway
• 5:15
  Speaker 4: House and substanti these clinics. Once you figure figure that
• 5:18
  Speaker 4: out and we know that this clinics is sustainable with
• 5:21
  Speaker 4: at least about two hundred active patients, then we'll move
• 5:23
  Speaker 4: on to the next because definitely don't want people say.
• 5:28
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• 5:30
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• 7:18
  Speaker 1: An illegal alien from Guatemala charged with raping a child
• 7:22
  Speaker 1: in Massachusetts. An MS thirteen gang member from Al Salvador
• 7:26
  Speaker 1: accused of murdering a Texas man of Venezuelan charged with
• 7:30
  Speaker 1: filming and selling child pornography in Michigan. These are just
• 7:34
  Speaker 1: some of the heinous migrant criminals caught because of President
• 7:38
  Speaker 1: Donald J. Trump's leadership. I'm Christy Noman, the United States
• 7:42
  Speaker 1: Secretary of Homeland Security. Under President Trump, attempted illegal border
• 7:47
  Speaker 1: crossings are at the lowest levels ever recorded, and over
• 7:50
  Speaker 1: one hundred thousand illegal aliens.
• 7:52
  Speaker 2: Have been arrested.
• 7:53
  Speaker 1: If you are here illegally, your next you will be
• 7:57
  Speaker 1: fined nearly one thousand dollars a day in prison and
• 8:00
  Speaker 1: deport it. You will never return. But if you register
• 8:04
  Speaker 1: using our CBP home app and leave now, you could
• 8:07
  Speaker 1: be allowed to return legally. Do what's right. Leave now.
• 8:11
  Speaker 1: Under President Trump, America's laws, border and families will.
• 8:16
  Speaker 2: Be protected sponsored by the United States Department of Homeland Security.
• 8:19
  Speaker 4: You know, don't put all your egg and one basket
• 8:20
  Speaker 4: for us, we like, we're gonna put all our eggs
• 8:22
  Speaker 4: in that basket and going to protect the heck out
• 8:23
  Speaker 4: of the basket. So we put all our eggs in
• 8:25
  Speaker 4: that one basket, in that one clinic, grow it, and
• 8:27
  Speaker 4: then we'll move on to the next location.
• 8:30
  Speaker 7: And because we're so knowledgeable of the industry and what
• 8:35
  Speaker 7: we do today, we don't have to. Our team already
• 8:40
  Speaker 7: did the work on where we're going next. Right where
• 8:43
  Speaker 7: were Yeah, exactly exactly. We know what cities we're going to,
• 8:47
  Speaker 7: we know what states we're going to, we know what areas.
• 8:50
  Speaker 7: We know if we're doing a mobile clinic or a
• 8:52
  Speaker 7: brick and mortar. We know if we're doing brick and
• 8:53
  Speaker 7: mortar and five mobile clinics because some of our brick
• 8:56
  Speaker 7: and mortars just hubs for our mobile clinics, and our
• 8:58
  Speaker 7: mobile clinics go five different directions every morning and go
• 9:03
  Speaker 7: to different communities.
• 9:04
  Speaker 4: Yeah, I guess the reason why we have more mobile
• 9:06
  Speaker 4: clinics than physical locations because our business model is different. Right,
• 9:10
  Speaker 4: We don't open up a clinic like clips set and
• 9:11
  Speaker 4: wait for people to come. We bring the services to
• 9:13
  Speaker 4: people who wouldn't otherwise come to a clinic, you know,
• 9:16
  Speaker 4: I mean otherwise even come to a doctor.
• 9:17
  Speaker 5: It's funny a lot of.
• 9:18
  Speaker 4: The people that we service, I mean, we're like they're
• 9:21
  Speaker 4: source for a physician. I mean because they're like, I'm
• 9:23
  Speaker 4: not going to the doctor. We don't go As a culture,
• 9:26
  Speaker 4: we don't normally go to the doctor unless it's broken,
• 9:27
  Speaker 4: the bleeding.
• 9:28
  Speaker 5: We're not going to the doctor unfortunately.
• 9:30
  Speaker 4: So we have to actually, you know, kind of bring
• 9:32
  Speaker 4: the services to them.
• 9:34
  Speaker 3: So as far as the business model, how you make
• 9:39
  Speaker 3: money from this from Medicaid, people like people coming and
• 9:42
  Speaker 3: you're charging them the Medicaid and the Medicaid is reimbursing it,
• 9:45
  Speaker 3: like right, right, So not.
• 9:48
  Speaker 7: Remember all the healthcare services are free. We don't charge
• 9:52
  Speaker 7: for it at all. We don't build insurance for it.
• 9:55
  Speaker 7: That's another reason why our license structure. We don't have
• 9:58
  Speaker 7: to get as many licenses as what our build another
• 10:00
  Speaker 7: clinic because we're not billing. But it also gives us
• 10:02
  Speaker 7: autonomy in some cases as well. And this is why
• 10:06
  Speaker 7: you need good attorneys, because good attorneys will break that
• 10:09
  Speaker 7: down for you and say, HEO, you're making twenty five
• 10:11
  Speaker 7: dollars to see this patient for a visit. That twenty
• 10:15
  Speaker 7: five dollars does nothing for you. Where's the money at
• 10:19
  Speaker 7: so you could continue to provide this service.
• 10:21
  Speaker 5: The money's in the medication.
• 10:23
  Speaker 7: The medication costs one thousand dollars, two thousand and five,
• 10:27
  Speaker 7: ten thousand, depending on the medication or the ailment that
• 10:31
  Speaker 7: you're providing for, right that you're solving for. So when
• 10:36
  Speaker 7: our attorneys broke it down to us and they said,
• 10:38
  Speaker 7: you could do this, but this is going to stop
• 10:40
  Speaker 7: you from giving away food vouchers, transportation, housing, all of
• 10:46
  Speaker 7: those stuff. You can't give that stuff away when you're
• 10:48
  Speaker 7: own a clinic. When you're on a clinic, that's illegal
• 10:51
  Speaker 7: for you to give out food vouchers. They call it
• 10:54
  Speaker 7: an inducement. So we had to figure out the best
• 10:56
  Speaker 7: way to provide for our community without billing on CMS
• 11:02
  Speaker 7: or Medicaid because CMS and Medicaid that's government charge. They're
• 11:06
  Speaker 7: government funded, so they're paying you. If they're paying you,
• 11:09
  Speaker 7: they got a whole different rules and regulations behind CMS
• 11:12
  Speaker 7: and Medicaid, right, so that's why we don't get involved
• 11:14
  Speaker 7: in them. We don't use them at all.
• 11:15
  Speaker 4: Right, So for us man, so all the testing and
• 11:18
  Speaker 4: all the medical services are free. So the numeration comes
• 11:21
  Speaker 4: from the feeling of the prescriptions, right, So similar to
• 11:24
  Speaker 4: like if you've ever been to like an urgent care,
• 11:26
  Speaker 4: we have like dispensaries in our clinics. So when you
• 11:28
  Speaker 4: come in, if you've ever been to like an urgent care,
• 11:30
  Speaker 4: you're going there. Whatever issue you have. Typically when you
• 11:32
  Speaker 4: walk out, they can give you an antibotic or they
• 11:33
  Speaker 4: will give you a prescription right then and there. So
• 11:35
  Speaker 4: our clinics are kind of built the same way. We
• 11:37
  Speaker 4: have a dispensaries in them where you come in and
• 11:40
  Speaker 4: the medical services, which is the testing, is absolutely free.
• 11:43
  Speaker 4: But the treatment, which is the medication components, where we
• 11:46
  Speaker 4: actually make the revenue. So people will come in and
• 11:48
  Speaker 4: they may not have insurance at all, right because for us,
• 11:50
  Speaker 4: we are open to any and everybody, but our patient
• 11:52
  Speaker 4: services and our case managers would help that person one
• 11:55
  Speaker 4: procure insurance in order to make them a profitable.
• 11:57
  Speaker 3: So okay, so anybody can go in, there's no charge.
• 12:01
  Speaker 4: No charge, but if you actually if you have you
• 12:05
  Speaker 4: have something, and let's say you have something, you have insurance,
• 12:08
  Speaker 4: then we'll obviously we'll build your insurance for the actual
• 12:10
  Speaker 4: medication treatment. But if you come in and you don't
• 12:12
  Speaker 4: have insurance. Obviously the medication is very expensive. Then you'll
• 12:15
  Speaker 4: go through our patient services will help procure your insurance
• 12:17
  Speaker 4: to help you get the actual treatment.
• 12:19
  Speaker 5: So we only make renumeration from the treatment, and that's
• 12:21
  Speaker 5: like Medicaid.
• 12:22
  Speaker 4: So it's not generally it's not Medicaid because for the
• 12:25
  Speaker 4: program that we're on program that we don't we can't
• 12:28
  Speaker 4: build any Medicaid or Medicare. We can't do any government
• 12:31
  Speaker 4: payers because of the fact that we give away the
• 12:33
  Speaker 4: medical services for free. So it's generally is either exchange
• 12:37
  Speaker 4: health plan that they're on or some type of commercial
• 12:39
  Speaker 4: health plan.
• 12:46
  Speaker 1: An illegal alien from Guatemala charged with raping a child
• 12:49
  Speaker 1: in Massachusetts. An MS thirteen gang member from El Salvador
• 12:53
  Speaker 1: accused of murdering a Texas man of Venezuelan charged with
• 12:58
  Speaker 1: filming and selling child pornography in Michigan. These are just
• 13:02
  Speaker 1: some of the heinous migrant criminals caught because of President
• 13:05
  Speaker 1: Donald J. Trump's leadership. I'm Christy Noman, the United States
• 13:09
  Speaker 1: Secretary of Homeland Security. Under President Trump. Attempted illegal border
• 13:14
  Speaker 1: crossings are at the lowest levels ever recorded, and over
• 13:17
  Speaker 1: one hundred thousand illegal aliens.
• 13:19
  Speaker 2: Have been arrested.
• 13:20
  Speaker 1: If you are here illegally, your next you will be
• 13:24
  Speaker 1: fine nearly one thousand dollars a day. Imprisoned and deported,
• 13:28
  Speaker 1: you will never return. But if you register using our
• 13:32
  Speaker 1: CBP home app and leave now, you could be allowed
• 13:35
  Speaker 1: to return legally. Do what's right. Leave now. Under President
• 13:39
  Speaker 1: Trump America's laws, border and families will be protected.
• 13:44
  Speaker 2: Sponsored by the United States Department of Homeland Security,