OnSite Wellness Uber, Inc.
Where wellness Insight happens OnSite!!!
Prepared November 2018
Prepared By:
Brandon Adjet, CPA BarGraph Solutions LLC
‘
[email protected]
713.237.0338
‘ew ttps://wwreonsitewetinesstle.comOnsite Wellness Uber
Table of Contents
Executive Summary
The Premise.
Team.
Financial Plan
Forecast
Cal
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Executive Summary
The Premise
Executive Summary Overvi
Onsite Wellness Uber (OWUS,
designed to help employers rediice health care costs, enhan
retain high-quality employees to create a positive return
will remove the constraints of inefficien
serving metropélitan area businesse
will enable thao
of the Tax
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become a premier Occupatior
WORD due to off (cigozsby
*$ as a cOnGierge facilitator of onsite heatthcare. This
tions to increase productivity and when combined with benefits
A growjhg number of studies have showit that wellness progeams have a positive effect
onyg bottom line, no matter the size of you ese ‘Here's a few statistics:
Hera dyvrl yeh
* Employer portion of healthcare benefits are projected to average $7,00
Companies that provide wellness programs reduce healthcare costs by $3.27 for +
every dollar invested, which
* On average, employees engaged in corporate wellness programs gain an
additional 10.3 hours of productivity per year.
* Employees who participate in company wellness Programs sie mone HCTF T
maintain a healthy weight, saving employers over $358 fer year per employee.
means a great deal of savings.
Po?
* 61% of companies surveyed agree wellness programs help mingpigg healthcare
costs.
* 90% of healthcare costs are spent on preventable illnesses, —
* When an effective wellness program is engaged by employers, statistically
there's a significantly higher rate of employee retention.
Asa concierge provider of healthcare services, our proposed model is to bring
healthcare insight, onsite to our clients. Through our a netyork of
physicians, nurse practitioners, labs,
~ ae
and the lates| }technolog: Ge create a
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seamless process of facilitating the use of healthcare without taking away from
Beoductivity.
For every fulltime employee the employer'sburden rate ranges between 19%-20%, qee wen
Ie
ct erable
4
5 vy}
varying from state to state. Our goal is to play a role in reducing that by 2
accomplishing this goal in a pesasemar save our clients a ee
aqnount of money, in adlitiofT6 that ofthe Tax omit OS
=n
‘The health of your employees impacts more than just medical costs. An effective
Corporate Wellness Programs can dramatically improve your business in several
pation ways - increased employee Bee ees aad reputation he eho
the employee, the more likely they are to adopt and maintain healthy behaviors both in
and outside of the workplace. By empowering your employees with wellness programs,
you help improve their lives offsite as well as Wellness Onsite.
Market & Market Trends 4
The vast majority of industries within the Healthcare and Social Assistance sector
are characterized by a low degree of capital intensity. The chart below reflects growth
strategies within our industry.
‘Tools of the Trade: Groweh Stratagies for Success
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The Healthcare ana Social Assistance sector has a low level of revenue volatility. Over |
the five years to 2018) sector revenue has risen by as much as 449% in 2015 and by as cayrayey
ile little as 0.8% if'2013) Fluctuations in the performance of the overall US economy and
nent ;hatiges influence ene for a range of services provided by this
recent . Changes in household flisposable-income and the level of healthcaré 7 fage
etc [ also have an impact on consumer demand for services; yuh at
wa Diy dcapntine
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‘The Healthcare and Social Assistance sector is subject to a high degree of policy and
regulation. Broadly speaking, many industries in the sector must adhere to complex
regulations and navigate a changing health policy environment.
Over 25 industries within this sector are characterized by a heavy degree of
regulation and policy, with the remaining industries in the sector being characterized
by a medium level of regulation and policy. As a result, the sector as a whole is
greatly impacted by changes to health policy and the prevailing political environment,
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Federal healthcare reform The sector is one of the largest in the United States and
continues to attract much legislative interest and public attention. In 2010, the
‘Obama administration passed the Patient Protection and Affordable Care Act (PPACA)
and the Health Care and Education Reconciliation Act. The reforms aimed to provide
insurance coverage for an additional 32.0 to 34.0 million Americans by 2019 through
a Medicaid expansion that began in 2014 and private health insurance reforms
that began in 2010, Additionally, the acts made several changes to
government healthcare programs. For those with private insurance, lifetime caps
on coverage were slated to ae children able to stay on parents’ policies until age
26.
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Furthermore, insurers will not be able to cancel coverage except in the case of
fraud. However, since the 2016 election, a number of provisions laid out ACA
have been stripped or repealed. tebe connec flr ee
Most notably, tax reform legislation passed in late 2017 under the
Trump Administration repealed the PPACA’s individual mandate, which required
most Americans to have health insurance ot pay a steep tax fine if uninsured. Given the
current political environment, with
Republican party controlling both Congress and the presidency, the future of
— nite policy remains unclear and is subject to change. Pa
“
Electronic health records (EHR) kely the most significant development for the sector
during the past decade, federal mandates for digital recordkeeping for both private and
Public healthcare providers to qualify for funding has reshaped how operators provide
cate. In 2008, Congress passed the Health Information Technology for Economie and
Clinical Health (HIITECH) Act, dedicating billions of dollars in federal funding to the
Promotion of information technology for healtheare applications, The HITECTY Act also
set forth a national goal for healthcare providers to adopt not just electronic medical
record (EMR) systems, but also the meaningful use of interoperable BHR systems, To
Pursue this goal, HITECH established Medicare and Medicaid payment incentives and
Penalties based on meaningful use of EHR systems, As of 2014 (latest available data),
Medicare alone accounted for an estimated 20.0% of US health spending, according to
data from the Centers for Medicare and Medicaid Services; therefore, US\kealthoar:
Providers have scrambled to adopt BHIR systems in recent years to learn Mdjicare
incentive payments. Physicians participating in Medicare or Medicaid must ©
with the regulations pertaining to these programs.
There is a high level of government assistance directed toward the healthcare sectoy Bee:
articular, expenditure directed toward doctors’ services from Medicare, Medicaid, wha.
TRICARE and Veteran’s Affairs reimbursements\F
state-by-state.
Ambulatory healthcare services Many industries within the ambulatory healthcare
services subsector are represented by individual orgenizations that support operators
through research, education, funding and lobbying, Medical professionals in the
subsector have several organizations that lobby the federal government on their behalf,
SS
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set industry poe and work ie en the industry as a whole. Herein lies our
opportunity ar & te oe L tory Dindrdtory sli pPoiresne
Furthermore, the aging of the US population and "Baby Boomer" generation will
that the healthcare field remains a growing market for this industry. The time is
or our mission of bringing care insight onsite.
Competition
‘The Healthcare and Social Assistance sector has steadily grown over the past five years.
‘The majority of services offered by subsectors in the industry, which includes hospitals,
ambulatory healthcare services, nursing and residential care facilities and social
assistance services, experienced steady demand during the fveyeae period, driven by
demographic changes and
increasing total health expenditure. At the same time, many nash providers have had
to adjust to a complex and changing regulatory environment. Past and future changes
to the Patient Protection and Affordable Care Act will continue to have profound effects
on operators in the sector.
Rising total health expenditure and federal funding for Medicare and Medicaid were
the principal drivers of sector revenue during the current period. Total health
expenditure, which
‘measures private and public spending on health, grew at an annualized rate of 3.5% to
$3.2 trillion over the five years to 2018, according to IBISWorld estimates. In addition,
federal funding for Medicare and Medicaid graw-at an-annualized zate-of 4.5% to $890.2
billion during the same period. Broadly speaking, an aging US population and longer
life expectancies
brought about by advancements in the medical field fueled sector growth.
(remy ompettions oth locally and nationally:
© Ceridian Lifeworks - For over 25 years, Ceridian has been helping thousands of
companies create more productive, enjoyable workplaces through a wide range
of assistance and training programs for employees and management. Their
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mbOnsite Wellness Uber
solution covers all aspects of employee assistance, wellbeing, recognition, social
communications, rewards, is
* St. Luke's CHI Corporate Wellness Solutions - An integrated continuum of
healthcare services, providing holistic person-centered care to more than four
million people each year.
* Provant - a wholly-owned subsidiary of Hooper Holmes, Inc, is a leader in
comprehensive workplace well-being solutions with a growing, global presence.
Provant partners with employers and brokers to improve member health and
productivity and support healthcare cost management.
* StayWell -is a health engagement company that helps clients e
Sducate people to improve health and business results. They bring decades of
experience working across the health care industry to design solutions that
address the clients’ evolving needs. They fuse expertise in health engagement
and the science of behavior change with an integrated portfolio of solutions and
robust content assets,
Opportunity to Take Market Share
2
Number of people with priv: insurancPeople covered by private health
insurance typically use healthcare services more frequently, and their insurers often
ay more for healthcare services than public insurers. As more of the US population
's covered by private health insurance, demand and spending on health services will
tise. The number of people with private health insurance is expected to decrease
in 2018, posing a potential threat to the sector. Federal funding for Medicare and
Medicaid Operators in this sector are influenced by the level of funding provided by
the federal government. Rebates and funding arising from Medicare and
Medicaid enable services to be charged at lower costs to patients,
Imaddition, as the babyboomer generation ages and average life expectancy rises,
‘more people will need assistance for medical coverage, expanding Medicare
expenditure, Federal funding for Medicare and Medicaid is expected to increase in
2018, representing a potential opportunity for the sector.
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Why Us?
Our Mission is to bring Care Insight Onsite. Itis the passion of our CEO,
Jones, to see OWU become a premier wellness partner of employers anc
providers alike in order to collaborate in enhancing the health@? our communi
In their attempt to reduce health care costs, employers "want" occupational medicine
clinics that provide them with the following components: accessibility, drug screening,
services, high quality staff, hi-tech care, and a wide scope of services Aven} be able
to address these concerns
OWU's platform is based on two simple facts:
1. Healthy employees are more productive than chronically ill employees.
2. It costs less to preemptively engage personnel's health than to treat preventable
issues afterwards.
With our available services:
* Employers will be to play a role in helping employees change their behavior
patterns and choose more healthy lifestyles.
* Lower a company’s health care expenditures, while raising worker productivity.
Health care expenditures will decrease due to reduced medical insurance
premiums.
* Reduce absenteeism
© Reduced turnover rates
© Enhance risk management by reducing liability exposure due to worker's Y }
compensation claims.
At OWU we recognize that there are competitors, however, each of us are wv ¥
overwhelmingly subscribed to the sme thats, "to enhance the health of the *
general population.” This isecauise a lOtefpeople in the US are needing care insight
regardless of their employment status. However, our premise is to be distinct from the
competition in many positive ways, but here are a few items to consider:
‘We are local - Our hometown in the Houston Metropolitan Area, which host the largest
medical center on the planet!
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lee
Privately Held Entity - We are not beholden to concerns offiivestors, which allows us to
focus on the needs of our patients,
Diversified Management Structure - Our leadership team includes individuals with ygpne
extensive business acumen, as well as healthcare. Additionally our board includes ‘teu
Physicians and our team has decades of experience in various areas of business,
tonot have great barriers of entry, but potent
ion to employers and their personnel. Essentially
Partner for employers and quickly be able to engage
ee —
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Opportunity
Problem & Solution
Problem Worth Solving
Wellness programs are viewed as "optional" instead of a "strategic imperative." Millions
of corporate dollars are wasted needlessly while barriers to achieving optimal
productivity remain. Rising healthcare costs for an aging workforce is not sustainable.
Our solution
Onsite Wellness designs turn key data driven wellness programs, initiatives, and
support systems for corporate communities. We understand no two companies are the
same. Solutions are customized to support the needs of your business to reduce costs &
increase health
By tailoring services and developing customized programs for companies and
individual employees, OWU will develop a reputation for quality and customer service.
OWU services will be directly marketed to employers via telephone calls and on-site
consultations. The strategy is to target all industries within the services area, with a
primary focus upon the government and service industries, which are the major
components in the market. Once OWU becomes a recognized program, we will rely
more on reputation and word of mouth and less on direct marketing,
Expectations
Forecast 17
ee ‘ vecting MS of 3
projections are bold yet conservative. We are projecting Sales of {$3M in fiscal year
Land to more than $5M in fiscal year 2. We are anticipating YOY growthbf an average
50% in the first 36 months. This presumes our capitalizing on our strategic relationships
with employers, increasing network of physician affiliates, effective marketing
campaigns to payroll service providers, and successful grant awards,
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bh
Our founder will draw only a minimal sal
year-end. Our dedicated personnel will be/converted tractors to phased-in full-
time hires, and we'll make use of grad stytient volunteers as supported by our
scholarship program. Additionally, oh ecute effective turnover protocols and
iy, but ownersAve'll Yeceive a dividend at
acquire assets in tranches. Such item®¥Mbll pe a combination of new, pre-owned, and
repurposed items. Together these effdrteWill aid in cash flow practices that will retain a
viable plan of growth.
Financial Highlights by Year
Enevenve © xpanses 6 Cocti Met promt (i Wet leas
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Sources & Use of funds
Source of Funds:
We will project that start up cost will be ~$630K and will be obtained thyough a mix of
secured financing, credit, donation/grants, and investment. Will obtain’a line of credit of
$350K designed for healthcare professionals, start-up capital from investment of $155K,
and the remaining amount from grants $125K.
Grants from organizations such as Aetna, the Caruth Foundation, Comell Douglas
foundation, and the Kresge’s foundations are available to entities with an interest in
bringing awareness to community health and addressing issues faced by those at-risk.
fo 1
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wsOnsite Wellness Uber
Such grants awards range from $10K - $500K and may be disbursed during a1-3 year
xpesiad With our strategic alliance with UTTAC Outreach, Scholarsi Sa
Brad students associated with our 501A, expert grant writer, and seeking a nominal
amount of $125k we've gauged a probability of success obtaining grant award(s).
Us ds:
Personnel Q1 2019 $100K
Equipment and Tools $444K*
Professional Filings 501C3 - 501A $4k
Insurance, EMR Subscription, and Compliance related $10K
Legal & Professional $20K
CashOn-Hand $28K
Cash for Contingency 3% $22K
Total need $630K
“Equipment and Tools $444K are as follows:
Freightliner Motocoach, 6.7L Lé DIESEL MOTORHOME 12kW Onan
Generator $120,000
Branded Medical Vans - (Example Mercedes 3500 Sprinter Medical Van) Configured for
MedCare (2) $120,000
Plx112b High Frequency Mobile C-arm System Laser Machine Clinic X-ray Medical
(1) $70,000
AEDs (3), Medical Supply Carts (3), Welch Allyn 4700-60 Mobile Stand (3), Medical
Point of Care Workstations (3) - $9,000
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An allotment of $125,000 is set for for various medical devices/tools, medical
assessment furniture and tables, medical lights, ADA compliant furnishings, office
furniture, computers, tablets, branding, office supplies, non-branded company vehicles,
etc.
Total is approximately $444,000
Target Market
Key Customers
Our customers individually are diverse, but there are several major categories that we
consider primary. Accordingly, we'll directly target
* Payroll Service Providers
* Physicians & Physician Groups
* Customers and Business Owners within our network or that we've previously
assisted. For example, for the year end December 31, 2014, we had secured
AT&T, which accounted for over 50% of consolidated revenue that year.
* Human Resource Directors and Benefits Administrators
* Independent School Districts
* Local and City Government Entities including Federal Agencies such as HUD,
TSA, ete,
Market Size & Segments
IBISWorld estimates that revenue for the Healthcare and Social Assistance sector rose
an annualized 2.6% to $2.7 trillion over the five years to 2018, Over the next five years,
Tevenue for the sector is forecast to continue steadily rising. Spending on sector services
is expected to be driven by aging and growing populations, which will require more
health services and care from the nursing and residential care facilities subsector, in
particular. In addition, to combat rising labor expenses and costs of care, many
companies operating within the sector are expected to engage in merger and acquisition
activity to achieve economies of scale. As a result, sector revenue is estimated to grow at
an annualized rate of 2.3% to $3.0 trillion during the five-year period to 2023,
3
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Consequently,
gyrumber of enterprises in the sector is expected to increase, at an
annualize rate of (ist) 3.1 million of the next five years, 2023. US Employment is
forecasted to follSw-stiit. This means that more employers will be hiring more personnel
and thereby potentially yield additional patients to be engaged by our team,
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OWU would be considered a cross between the Ambulatory Health and social
assistance market segments, Itis our intent to capture market share and develop our
model firstly in the home of the largest medical center in the world, Houston's TMC
area, and then branch out satelite networks regionally throughout strategic
metropolitan areas.
Competition :
Competitive Landa el? ale
uw
The bay anelndsry is competitive, which could result in loss of our
marketshare due to pressure to reduce prices or increase services without charging
additional fees. For screening services, we compete primarily with private companies
who provide screening services in certain geographic areas in the United States. There
are also a few national providers with the ability to service customers nationally like we
do. For health and wellness, we compete primarily with established wellness and care
management providers, startup companies, and health plans that offer their own
proprietary solutions. Our focus is to be the area leader in health and wellness
providers that offers a fully integrated, end-to-end screening and wellness solution to
5
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our customers then recycle our business model in major cities throughout the region
then nationally. We believe this gives us an advantage over our competitors who also
serve companies with more than 1,000 employees, our primary target market,
Our advantages
Through the entity's strategic alliances with physicians and laboratory, partner
networks, along with focus on small business within target region welllbe able to
increase our market share as well as branding. & ey
Accomplishing our goal of being recognized as Sou helps expedite our ability to
serve the needs of existing client relationshigs. Our expert advisers and personnel
combine for decades of healthcare experience ag well as overall operational compliance
and execution,
\
Collaborating with university programs will allow us to be a conduit of real world
education. Our grad / med student participants will obtain real world exposwyé ill
ing in rotation with physicians within our network. This will enable these stents to
be more confident, experienced, and have opportunities after graduation. All while that
patients needs are being provided for and their expectation exceeded.
8 Additionally, this service offering would be ideal for payroll service providers and
enhances the value add proposition presented to their clients. Lastly, physicians that
choose to join our network will be able to expand their reach and help many more
patients than anticipated. This will give them more time to focus on patients, and less
time spent on patient business development.
16
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Execution
Marketing & Sales
Marketing Plan
Our Keys to Success depends on:
* Development and implementation of a successful marketing strategy/plan to
employers.
* Attract, retain and deploy health professionals and other medical personnel.
* Recruitment of experienced medical advanced Kinesiology students, and
administrative talent,
* Entering the Occupational Medicine market and building a
distinguishable "brand" name from the competition.
© Commitment to continuously improve the quality of service,
* Demonstrate a financial return on investment.
* Commitment from Senior Management
* Development of intellectual proprietary software that integrates across ERM and
provides participants with accurate results.
Sales Plan
‘The Company will have multiple OWU Sales Funnel
sources of revenue streams that are
strategically aligned to maintain and
enhance cash flows. The business eS
strategy during the initial phase of Ba
implementation is to generate consistent
working capital then reinvest into
OWU. Eventually as our business model
‘matures we'll be able to implement tet Sttne
expansion phase into specific markets
thereby extending our network's reach
7
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first regionally and then national syndication.
Revenue Streams:
Wellness Service - Billable insurance services for wellness related activities as provided
by OWU to our clients. This will include physicals, biometric screenings, and related
services, For non-self insured entities we will bill the insurance coverage provider
directly
Donations & Grants - As a non-profit we will accept donations. These will support our
UTTAC and Prevention 24/7 initiatives as well as fund scholarships for students
pursuing education in healthcare at a graduate level and work with us via strategic
higher education partners our team. Separately OWU will utilize grant writers to obtain
funding sources as necessary .
Membership Dues & Subscriptions - Physicians, Physician Groups, and Payroll Service
Providers alike will pay an annual subscription service fee to be a part of network as
Affiliated Care Providers. This will give the participating physician access to.
our network patient pool from our wellness services, Dependent upon individual tax
treatment these ACPs would be able to include as a business expense for their
operational purposes. The Physicians and Physician Groups would pay a flat fee
annually. Note, however, that for Physician Groups, we recognize that participation is
not mandatory nor would we require it to be mandatory of all affiliated with said
group. Accordingly the Physician Group's rate would depend on the number of
participants and not the group as whole. Separately for a Payroll Service Provider (PSP)
such as ADP or Insperity, the rate would be based on payroll clients and not PSP as an
entire entity. For example, ADP has two payroll clients, but only one desire to include
concierge healthcare. Accordingly then ADP would pay our pre-negotiated subscription
rate then offer the service as a value-add to said payroll client.
Master Services Agreements (MSA)- We'll negotiate in-depth terms as to the rates
associated with our MSAs between ourselves and affiliates. Currently we have an
executed MSA with Ancillary Health Lab Services for 60% of billings recoverable by
their team, For example, if AH bills $150 for services, but receives $100 from the insurer
then we'd expect to receive $60 as relates to those services.
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Operations
Locations & Facilities
‘The Company will be setup a headquarter office that's centrally located in the Houston
‘Texas Medical Center area. In the initial phase our HO office will house our
administration, IT team, conference terminals, training rooms, tele-medicine control
room, break areas, and other useful space. As we expand operations our goal is to
setup a private first-class gymnasium accessible by our client along with their personnel
as a subscription based service. Additionally, welll house a specially engineered pool
for aquatic therapy purposes. However, these secondary phases are pursued due to our
strategic relationships, customer needs, and vision for our business model,
Our providers will work onsite atthe client's office during set times as will be agreed
Follow up care will be obtained by the patient atthe care provider's facility as
warranted.
Logistics
ee
Onsite Wellness Uber - Billing Logieties
Se Mcinaes ther Billing Logieties_
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OWU will coordinate site visits with our client and execute intake with their personnel
scheduled for services. Once checked-in we'll obtain consent for agreed upon services to
be provided.
Next we'll use our company’s Health Risk Assessment (HRA) questionnaire to
supplement our care provider's evaluation. Next the patient will be provided services as
requested including wellness lab proctoring, x-ray, physical assessment, etc, The HRA
will grade the patient and depending upon our team’s care provider services rendered,
the patient will then be referred to one of our Affiliated Care Provider (ACP) as needed
for follow up.
A file will be created in both both our EMR and CRM platforms whereby patient's
services, results, and next steps are logged. All sensitive details are maintained in a
HIPPA compliant manner and follow up actions are executed as necessary.
Once the process is complete our team will log billing codification, this is then reviewed
by appropriate personnel, and then provided to our insurance billing team for
recoverable invoicing.
Technology
Technology plays a large role in the Healthcare and Social Assistance sector and is
expected to continue to redefine many facets of healthcare over the coming years.
Sector-wide investments in new technologies are expected to reduce costs, improve
operational efficiencies, inctease access to previously underserved populations and
improve care overall.
Electronic health records systems and computerized systems manage patient records,
while medical equipment enables quicker, more efficient treatment. Computerized
physician order-entry systems enable physicians to electronically order medications,
tests and consultations while also providing advice on best practices and alerts to
the possible adverse effects of treatments.
Additionally, Telemedicine is a rapidly developing application of clinical medicine
wherein medical information is transferred through interactive audiovisual media
for medical consulting and, sometimes, for remote medical procedures or examinations.
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Specialized surgical equipment and devices increase the speed and success of surgical
Procedures, while new drugs, equipment and medical procedures can increase
efficiency and reduce costs. The development of new technologies and medical
Procedures will also lead to new hospital services, which will boost overall demand.
One of the largest areas of technological growth in healthcare is connected devices,
Connected devices are medical devices that can send patient data and communicate
with other devices wirelessly. These devices are becoming increasingly prevalent in the
Healthcare and Social Assistance sector, especially inthe hospitals and ambulatory
healthcare services subsectors, However, these devices carry the risk of being hacked
to steal patient data or threaten patients,
Asa result, hospitals and ambulatory healthcare providers have invested in cyber
security software. This software has needed to be frequently updated and advanced to
keep up with hackers,
Technological breakthroughs in surgical techniques, hardware, pharmaceuticals and
anesthesia are also expected to redefine a number of industries in the ambulatory
healthcare services subsector.
In the advent of BHR developments we want to incorporate technology ina HIPPA
compliant manner as much as we viably can, We will incorporate:
ZOHO -Is a straightforward CRM interface that is easy to adopt and helps track and
communicate with leads along with contacts anytime. It generates pre-defined reports
to help us understand our data and management projects seamlessly. Additionally,
with Zoho's Finance platform we'll be able to invoice, forecast, and maintain accounting
records for our business needs.
HRA - We will incorporate Health Risk Assessment (HRA) questionnaire and the
algorithms. An HRA is a survey or questionnaire used to collect relevant information
about the health status and health risk factors of an individual or population, Such
information will provide a clear understanding of our patient's health status and health
risks so that we may efficiently address those risks in a meaningful, targeted, and
impactful way with our network of healthcare providers,Onsite Wellness Uber
EMR - In the advent of our industries technologies policies and advancements we'll be
implement with available technologies. With Electronic Medical Records, (EMRs) we'll
be able to maintain Intakes, Patient Records Management, and statistics with a HIPPA
Compliant interface. We are evaluating industry tools available such as Dr. Chronos,
Praxis, and Kareo, Of these three Praxis appears to be the most reasonable tool given
our setup,
App Development - In our subsequent phase of business infrastructure we will develop
intellectual properties, including a mobile application. Technology goes a long way in
our business, and successful wellness programs are driven by data. The intent is offer
customized health portals to help our clients meet ambitious goals. We want to develop
a streamlined participant experience that drives engagement but that is also intuitive.
This will help retain those initially encountered while onsite and provide a portal for
more effective screenings and health coaching,
IT’- Our infrastructure is critical, given the amount of sensitive data in our highly
regulated industry. Accordingly, we'll do our due diligence to mitigate hackers, extract
useful data from our patient interactions, audit billing codes to ensure that
we're effective and profitable, protect patient record information in HIPPA compliant
storage, and maintain IT security overall.
Equipment & Tools
Ttems needed varies, but we project that these items specifically would be warranted for
acquisition. We believe that with our network resources and having a mix refurbished
along with new items, that our team will be cognizant budget and will choose
qualitative items that are cash flow friendly:
Freightliner Motocoach, 6.7L L6 DIESEL MOTORHOME 12kW Onan Generator
$120,000
Branded Medical Vans - (Example Mercedes 3500 Sprinter Medical Van) Configured for
MedCare (2) $120,000
[2 |
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Plx112b High Frequency Mobile C-arm System Laser Machine Clinic X-ray Medical (1)
$70,000
AEDs (3), Medical Supply Carts (3), Welch Allyn 4700-60 Mobile Stand (3), Medical
Point of Care Workstations (3) - $9,000
‘An allotment of $125,000 is set for for vatious medical devicesjtools, medical
qisesement furniture and tables, medical lights, ADA compliant furnishings, office
furniture, computers, tablets, branding, office supplies, non-branded company vehicles,
etc.
Total is approximately $444,000
Pricing
Pricing Strategy
Following is a pricelist for the most commonly performed procedures at OWU and the
tentative pricing schematic:
Pricing Scrasnings
Physical $75 Chest X-Ray $125
DOT Physical $65 Back X-Ray $145
Fit for Duty $50 Audiometry $60
Spirometry $45
Laboratory
Immunization
Drug Screen DOT $55
‘Drug Screen ‘$45 DT (Tetanus Shot) $15
DrugScreen Collection $20 Hepatitis B Vaccination $70
Alcohol BAT $25 Peo/rs $15
Blood Alcohol/Lead/zpp ‘$50 Flu Shot $15
Blood Lead $30
Be $40
‘Chem 24 $25
Bc w/IFF $16
B
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Milestones & Metrics
Milestones Table
Milestone Due Date Details
Promotion of UTTAC. ‘August 11, 2018
Demo
Sercuring Medical Biting | August 17, 2018,
Services
Incorporation of new Novernber 30, 2018
‘Onsite Wellness Not for-
profit
Need to have all three Licensed MD board named
Need Milton to complete the questionnaire previously
sent July
Certification of 501A in
the state of Texas
January 34, 2019
‘Approval of 501a Application by TMB is required
Dialogued with Lisa Brewer
Application ts $2500
Implementation of
Telemedicine
This will increase revenues considerably
Permits access to increase client service in real time
without having to increase personnel.
Go lve with internally
‘developed EMR Platform
uly 01, 2020
Key metrics
“This will become intellectual property for the biz and
be funded from reinvestment nto the business.
Our primary focus is on the most basic metrics: daily revenue, increasing care
provider network, variable costs, payroll, and profit margins.
Healthcare costs are expensive for mid to lange size businesses. A medical concierge
service like ours is inherently a
close eye on our margins as we scale up.
-margin operation, but it is critical that we keep a
ae
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‘The primary goal is obtaining and retaining key clients that fit our target market. Being
able to accomplish repetitively will organically produce results that meet or even
exceed our expectations,
Intellectual Property
AS we grow, itis our intent to use data analytics obtained collectively from operations,
as well as experience from our affiliates to develop intellectual property that would aad
value to our and patients alike. We envision developing a mobile that is designed tobe
an intuitive portal but effective for screenings and health coaching,
y Separately we would care to also develop an internal Electronic Medical Records (EMR)
Platform that is easy, accurate, and compliant with Electronic Health Records (EHR) |}
regulations along with those of HIPPA. Eventually this would be scrubbed, beta
tested, and then eventually licensed out to the marketplace, Thereby creating an
sadditional revenue stream and healthcare efficiencies, .
25
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Company
Overview
Ownership & Structure
Onsite Wellness Uber is a non-profit taxable entity as filed with Internal Revenue
Services having appropriate board members and officers. OWU is organized as a 501a
registered and incorporated in Texas and promulgated under the Texas Medical Board
Rules concerning nonprofit certification as found in Chapter 177 related to 162.001(b) of
the Texas Occupations Code. OWU is committed to providing customized services to
‘meet the occupational health, safety, and rehabilitation needs of area businesses and
industries in its target market. OWU is based on the belief that healthy employees offer
employers more efficiency and productivity. For this reason, we provide wellness
strategies/programs to businesses. This combines promotion of total health of body,
mind and spirit~designed to facilitate positive lifestyle changes of a company's work
force.
SWOT Analysis
Strengths:
> Our executives have decades of experience in the healthcare field, sales, and data
analytics.
> Key Strategic Relationships with major customers such as AT&T, M&M Lighting,
the City of Houston, and the World Series Champion Houston Astros!!!
> Being a nimble operation located in Houston, the home of the world’s largest
medical center packs a potent dynamic is gleaning from market share untapped
by larger competitors.
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Weaknesses
> Lack of dedicated EMR
> Lack of Intellectual Property
Opportunities
® Development of App for EMR intergration that is HIPPA compliant
> Fast growth
Threats
» Our business results would be adversely affected if we were alleged or found to
have violated certain regulatory requirements,
» Dependency on exclusive laboratory service provider Ancillary Healthcare
Management (AHM) as our exclusive laboratory services provider. If AHM fails
to perform adequately under the Limited Laboratory and Master Services
Agreement or we face difficulties in managing our relationship with AHM, our
results of operations could be adversely affected.
> Allegations of negligent or improper actions by our affiliated health
professionals or other personnel could result in claims against us and/or our
incurring expenses to indemnify our clients.
> Attacks on our information technology systems, or failure in these systems, could
disrupt its operations and cause the loss of confidential information, customers
and business opportunities or otherwise adversely impact its business,
Roadmap
wIP
Risks Factors, Regulatory, & Mitigation
Governmental Regulation
We are subject to federal and state regulations relating to the collection, testing,
fransportation, handling, and disposal of the various specimens oblained in the course
of a wellness screening, such as Clinical Laboratory Improvement Amendments
(“CLIA"). The health professionals we utilize are subject to certain licensing and
certification requirements and regulations with respect to the drawing of blood and
a
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needle disposal, such as the Occupational Safety and Health Act (“OSHA”). In addition,
many of the services we provide are subject to certain provisions of the Health
Information Portability and Accountability Act of 1996, as amended ("HIPAA"), other
federal and state laws relating to the privacy of health and other personal information,
and state and federal laws designed to guard against healthcare fraud and abuse.
HIPAA, Privacy Laws, and Data Security (Federal Privacy Laws)
The HIPAA Privacy Standards and Security Standards under establish a set of national
privacy and security standards for the protection of individually identifiable health
information by health plans, healthcare clearinghouses and healthcare providers
(referred to as “covered entities”) and their “business associates,” which are persons or
entities that perform certain services for or on behalf of a covered entity (or another
business associate) that involve the use or disclosure of protected health information.
Asa "business associate”, we are subject to HIPAA with regard to certain aspects of our
business, such as managing employee or plan member health information for
employers or health plans. With respect to our services platform and related services,
HITECH creates obligations for us to report any unauthorized use or disclosure of
protected health information, known as a breach, to our covered entity customers.
Violations of HIPAA may result in civil and criminal penalties.
As part of the payment-related aspects of our business, we may also undertake security-
related obligations arising out of the USA Patriot Act, Gramm-Leach-Bliley Act and the
Payment Card Industry guidelines applicable to card systems. These requirements
generally require safeguards for the protection of personal and other payment related
information.
Americans with Disabilities Act
The Americans with Disabilities Act ("ADA") prohibits discrimination on the basis of an
employee's disability or perceived disability. Among other things, it limits employers
from inquiring about the disabilities of employees unless the questions are job-related
and consistent with business necessity. The ADA also limits the circumstances in which
an employer may require physical examinations or answers to medical inquiries.
However, the ADA allows employers to conduct voluntary medical examinations and
activities, including voluntary medical histories, as part of a voluntary wellness
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Program. A wellness program is “voluntary” if the employer neither requires
Participation nor penalizes employees who do not participate. Records acquired as part
of a wellness program must be kept confidential and may not be used for 4
discriminatory purpose. Many states and localities provide similar protections to
employees,
State Privacy Laws
Im addition to federal regulations issued under HIPAA, some states have enacted
Privacy and security statutes or regulations, or state privacy laws, that govern the use
and disclosure of a person's medical information or records and, in some cases, are
‘more stringent than those issued under HIPAA. These state privacy laws include
regulation of health insurance providers and agents, regulation of organizations that
perform certain administrative functions such as utilization review or third-party
administration, issuance of notices regarding privacy practices, and reporting and
Providing access to law enforcement authorities. These laws may require us to modify
our operations and procedures to comply with these more stringent state privacy laws
or be subject to applicable sanctions,
CLIA
The Centers for Medicare & Medicaid Services ('CMS") regulates all laboratory testing
(except research) performed on humans in the US. through the CLIA. The Division of
Laboratory Services, within the Survey and Certification Group, under the Center for
Clinical Standards and Quality ("CCSQ") has the responsibility for implementing the
CLIA Program. The objective of the CLIA program is to ensure the quality of laboratory
testing, All clinical laboratories must be properly certified to receive Medicare or
Medicaid payments.
OSHA.
‘The federal, OSHA blood-borne pathogens standard, as amended pursuant to the
Needlestick Safety and Prevention Act of 2000, prescribes safeguards to protect workers
against the health hazards caused by bloodborne pathogens. Its requirements address
tems such as exposure control plans, universal precautions, engineering and work
Practice controls, personal protective equipment, housekeeping, laboratories, hepatitis B
29
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vaccination, post-exposure follow-up, hazard communication and training, and record
keeping. The standard places requirements on employers whose workers can be
reasonably anticipated to contact blood or other potentially infectious materials. Some
states operate their own OSHA-approved state program, which state programs are
required to adopt a bloodborne pathogens standard that is at least as effective as the
Federal OSHA standard.
Healthcare Fraud Statutes
Federal statute identifies a class of federal crimes known as the “federal healthcare
offenses,” including healthcare fraud and false statements relating to healthcare
matters. The Federal Anti-Kickback Statute prohibits payment of remuneration to
induce referrals of federal or state healthcare program beneficiaries. The Federal
Healthcare Fraud statute prohibits, among other things, executing a scheme or artifice
to defraud any healthcare benefit program, and the Federal Health Care Benefit
Program False Statements Statute prohibits, among other things, concealing a material
fact or making a materially false statement in connection with the payment for
healthcare benefits, items or services. Violation of these statutes is punishable by fines
and/or imprisonment. Most states have similar statutes relating to state (and sometimes
private) healthcare benefit plans.
False Claims Act
The Federal Civil False Claims Act imposes liability on any person or entity who,
among other things, knowingly presents, or causes to be presented, a false or fraudulent
claim for payment by a federal healthcare program. The “qui tam” or “whistleblower”
provisions of the False Claims Act allow a private individual to bring actions on behalf
of the federal government alleging that the defendant has submitted a false claim to the
federal government, and to share in any monetary recovery. There are also state law
corollaries to the Federal False Claims Act.
Genetic Information Nondiscrimination Act
The Genetic Information Nondiscrimination Act ("GINA") restricts the collection or use
of genetic information for underwriting purposes, and treats the offering of incentives
or disincentives for completing an Health Reimbursement Arrangement ("HRA") or
participating in a wellness program as underwriting.
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Regulation of Wellness Incentive Programs
The HIPAA Nondiscrimination Provisions generally prohibit group health plans from
charging similarly situated individuals different premiums or contributions or
imposing different deductible, co-payment, or other cost-sharing requirements based on
2 “health factor.” Such differentials are, however, acceptable under the HIPAA
Nondiscrimination Provisions if the differentials are applied through “wellness
Programs.” The Department of Labor, in coordination with the Departments of the
Treasury and HHS, has issued regulations (finalized in 2013) that define “wellness
Programs” for purposes of the HIPAA nondiscrimination provisions, establishing
Specific requirements for wellness programs that reward participants who satisfy a
standard related to a health factor (referred to as “health-contingent wellness
Programs") and for other types of wellness programs, Programs that do not meet these
requirements may be subject to enforcement actions,
Consumer Protection Laws
Federal and state consumer protection laws are being increasingly enforced by the
United States Federal Trade Commission (“FTC”), the Federal Communications
Commission ("FCC"), and the various state's attorneys general to regulate the
collection, use, storage and disclosure of personal or patient information, though
‘websites or otherwise, to regulate the presentation of website content, and to regulate
direct marketing, including telemarketing and telephonic communication. Courts may
also adopt the standards for fair information practices promulgated by the FTC.
concerning consumer notice, choice, security and access,
Services
We provide on-site screening services and flu shots, laboratory testing, health risk
assessment, and sample collection services to individuals as part of comprehensive
health and wellbeing programs offered through organizations sponsorships. Such
organizations include corporate and government employers, health plans, wellbeing
companies, disease management organizations, reward administrators, and academic
institutions.
3
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Through our comprehensive health and wellbeing services, we also provide health
coaching to support positive health risk mitigation, access to a wellbeing platform with
individual and team challenges (including youth development with UTTAC) and
rewards management, interoperability with third party digital health providers, data
analytics, and reporting services.
We deliver these services throughout the Houston area via a network of health
professionals, all of whom are trained and certified to deliver quality service then
eventually regional. In addition, we leverage our network of health professionals to
support the delivery of other similar products and services,
‘The majority of large employers that currently offer health benefits also make available
health and wellbeing programs. This effort helps to promote employee health and
productivity as well as to reduce health-related costs. Through biometric screening
services, plan sponsors help employees learn of existing and/or potential health risks.
‘Through corporate wellbeing, they provide educational and health improvement tools
that can be tailored into personalized goal objectives for said employee. Program
sponsors also gain the ability to systematically reward employees for good, healthy
behaviors and for actual health augmentation metrics.
Some common examples of these rewards include contributions to an employce’s
Health Savings Account ("HSA"), credits that are redeemable through an online
merchandise mall, and reductions in annual medical premiums thereby more income
for that employee. Under the Tax Reform additional credits may be available to the
employers because of health based. By combining both the screening and corporate
wellbeing services under a single organization, we create a seamless, end-to-end
experience for members and drive improved engagement for our clients,
Our screening services include:
© Scheduling of individual and group screenings and organizing health and wellbeing
events;
« End-to-end screening event management at health fairs or corporate events, also
UTTAC.
Provision and fulfillment of needed supplies (eg., examination kits, blood pressure
cuffs, stadiometers, scales, centrifuges) at screening events
[—2 1]
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* Our Mobile App based on tablet platform that will have technology to streamline the
screening experience for participants eliminating the need to fill out paper forms and
interface with physicians’ Enterprise Risk Management (ERM)
* Performing biometric health screenings (e.g, height, weight, body mass index, the
taking of a person's hip and waist measurements, as well as his or her pulse, blood
pressure, cholesterol, glucose and triglycerides)
* Administration of flu shots, cotinine, HbA1c and other specialized testing
* Coordination of lab testing of blood specimens and other fluids
* Onsite participant health and wellbeing coaching
* Data processing and transmission;
* Analytics to identify critical values of lab tests and notification services to individuals
and customers to better manage risk;
* Support of data collection for academic and clinical research organizations.
Our comprehensive health and wellness services include:
* Wellness assessments utilizing the University of Michigan Health Risk Assessment
(FIRA) questionnaire as accepted an industry standard by major health insurance
providers
* Incentive management
services .
Year-round education, activities, and individual and team challenges;
* Health coaching for lifestyle and health risk improvement, delivered onsite,
telephonically or via a mobile app, currently in development.
* Health coaching for chronic condition management;
* Data analytics and reporting services;
* Communication and engagement services
* Wellbeing program advisory services.
We provide screening results on an expedited basis through our web portal that will
provide participants to access test results as soon as available,
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Market Growth
The PricewaterhouseCoopers ("PwC") 2017 Health and Well-being Touchstone survey
indicates that 79% of employers offer wellness programs, up from 76% in the prior year
survey. The most common wellness initiative is biometric screening (83% which is up
from 77% a year ago), health risk questionnaires (82% also up from 80% in the prior-
year survey), followed by tobacco cessation programs which jumped 8 percentage
points, (81% up from 73% in the prior year survey). The prevalence of health coaching
increased to 76% from 61% a year ago. The PwC survey further indicates that biometric
screenings are not only widely-offered by employers but are also the most utilized by
employees.
‘The latest 2017 survey on wellness programs from Fidelity Investments and the
National Business Group on Health ("NBGH’) reveals that employers continue to
expand their wellness programs to improve employee health and create a more positive
workplace culture, Moreover, employee incentives continue to play a critical role in the
utilization of corporate well-being programs with nearly 75 percent of companies
offering incentives to employees. According to the survey, the average employee
incentive amount in 2017 increased by $91 to $742 from $651 a year ago.
Partners & Resources
WIP
Team
Management team
‘As the company is 501A, our by-laws will rely upon the rebuttable presumption test of
section 4958 of the Internal Revenue Code and Treasury Regulation section of 53.4958-6.
We understand that board members receiving compensation for their services can lose
immunity in lawsuits as volunteer board members. For this reason, we will likely adopt
a travel reimbursement policies for our board members so that there are common
expectations and guidelines to follow which reduces the risk of such exposure or one
board member receiving financial preferential treatment. Board members, like any other
volunteers, may deduct expenses they incur in connection with their volunteer service,
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including mileage, to travel to meetings using their own car. Ifboard members are paid
more than $600 per year, then we must issue them a 1099-MISC. Our CEO will be
compensated based on negotiations with the board, but it will be fair and reasonable
The following table summarizes our personnel expenditures for the first few years, with
5 percent compensation increases and applied a 15 percent benefits burden rate, These
figures in the table below are solely for the non-contractor personnel,
The medical professionals will be compensated as follows:
* The provider contract is currently being developed but in essence these are the
stipulations. The physician will be compensated on a 80:17 productivity basis
with 3% going to a "cash pool." The physician will be compensated 17% and be
éligible to receive the additional 3%, if the quarterly chart audit shows a 90%
accuracy achieved in the coding process, Additionally They'll be reimbursed
from their work billed to the insurance companies,
* $83,276 wage for physician coverage. The coverage will be contracted to Med
Residents from a mix of local schools; BCM, UTMB, or the University of
Houston.
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Personnel Table
2019 2020 2021
Sales & Marketing (0.94) $100,000 $123,600 $127,308
IT & Data Analytics (1.89) 170,000 $210,120 526,424
Nurse Aid (1.94) 49,500 $55,620 $57,288
Rad / Lab Tech (1.89) 65,000 $80,340 $82,750
Family Nurse Practitioner (FNP) (1.94) $170,500 $186,000 $186,000
Receptionist / Administrative / Clerical
an $48,000 953,148 $54,702
Accounting, Finance, & Legal (1.94) $146,668 $164,800 $169,746
General & Administrative 2) $58,200 $60,564 $62,380
Grant Writer (0.92) $33,750 $45,000 $45,000
Totals $837,218 $979,192 $1,001,636
Advisors
wre
[3%]
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Financial Plan
Forecast
Key assumptions
Revenue projections we relied upon a comprehensive review of both the CPI and PHC.
The Consumer Price Index (CPI) reflects the adjusting for purchasing power changes in
out-of pocket-only expenditures. The Personal Health Care price (PEIC) index reflects
the adjusting for general medical price changes, It Includes personal health
expenditures (out-of pocket and third-party) only. However, it excludes government
administration, net cost of insurance, noncommercial research, and private capital
investment. Essentially it's built from CPT and PPI (Producer Price Index) components.
There is no single gold standard for adjusting health expenditures for
inflation. However, itis possible to describe best practices, in particular, the PHC
deflator appear to provide the most appropriate measures of inflation in medical prices
in the United States. Also it yields a rate of medical inflation that historically has been
approximately one percentage point per year lower than that calculated using the
medical CPI.
‘The financial plan depends on important assumptions, most of which are shown in the
following table as annual assumptions. We understand how critical collection days are
for our cash flows, but this why we have engaged multiple streams of revenues and
aligned with strategic partners, The objective is to not have our business model
beholden to reliance on insurance companies.
Interest rates, tax rates, and personnel burden are based on conservative assumptions, It
is our goal to apply stringent cost management policies and relevant tax planning
projocols that are sensitive to the Tax Reform Act of 2017. Together this will help
mitigate the risk impeding the health our cash flow.
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Revenue by Month
: | | :
Jan Feo Mar Agr Mayne oy A Seat OR Dae
Expenses by Month
sae miecpemes
ea
VES HOSP SRF HS
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Net Profit (or Loss) by Year
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Financing
Statements
Projected Profit and Loss
2019 2020 2021
Revenue $3,240,780 $5,873,353 97,843,381
Direct Costs $1,897,452 $3,061,383 $3,865,174
Gross Margin $1,343,328 $2,811,970 $3,978,206
Gross Margin % an% 48% 51%
Operating Expenses
Salaries & Wages $202,218 $323,512 $331,866
Employee Related Expenses 529,816 $33,422 $34,404
Butlaing Facility 210,000, $210,000, $210,000
Utitties §25,000 $25,000 $25,000
Sales & Marketing $35,000 $35,000 $35,000
Financing & Interest 8,750 $15,000 $15,000
CRM and Related Expenses $4,560 $4,560 $4,560
EMR Subscriptions 4,800 4,800 $4,800
5O1A Licensing Fee $3,500
Regulatory and Licensing $5,000 $5,000 $5,000
Professional Services $29,791 $32,500 $32,500
Insurance 7,500 7,500 $7,500
General & Administrative $27,500 $27,500 $27,500
Health Disposat $6,600 $7,200 $7,200
Data Storage & Records Management $3,300 $3,600 $3,600
Fuel, Transportation, & Storage 67,000 $75,000 $95,000
‘Amortization of Other Current Assets $43,449 $143,581 $175,583
Total Operating Expenses $793,784 $953,175 $1,014,533,
[a
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Operating income $549,544 $1,858,795 $2,963,673
Interest incurred so $30,514 $34,259
Depreciation and Amortization $45,971 $78,329 $7,329
Income Taxes $100,714 $349,991 $570,217
Total Expenses $2,837,922 $4,473,304 $5,562,512
Net Profit $402,858 $1,399,962 $2,280,869
Net Profit / Sales 12% 24% 29%
a
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Contents or ideas withOnsite Wellness Uber
Projected Balance Sheet
Starting Balances 2019 2020 2021
oar 000 $2,708 $876,435 Sore 77
Accounts Receivable $140,000. $299,545 $264,605 $353,553
Inventory
Other Current Assets $102,581 $177,000 $233,417
[econ $190,000 $724,834 $2,320,040 $4,666,686
sets
Long-Term Assets $492,000 $742,000, ‘$742,000,
Deprecaton ($45,971) ($124,300) ($202,629)
Total Long-Term
Mane $446,029 $617,700 $539,371
Total Assets $190,000 $1,170,863 $2,937,740 $5,206,058
Accounts Payable 60,000 $233,161 $203,676 sn0375
Income Taxes Payable ‘$72,527 $85,559 $142,089
Sales Taxes Payable $287,297 299,646 $299,207
Short-Term Debt 0 $100,000 $227,098 $100,337
Prepaid Revenue
eaerane $60,000 $663,005 $821,978 $992,108
Long-Term Debt $107,942 $75,261
Total Liabilities $60,000 $663,005 $929,920 $1,067,369
Paid-In Capital ‘$130,000, $130,000 $380,000 ‘$380,000
Retained Earnings $0 ($25,000) $227,858 $1,477,820
Earnings: $402,858. $1,399,962, ‘$2,280,869
Hiatal owners $130,000 $507,858 $2,007,820 $4,138,689
Equity
‘Total Liab tities i: $190,000 $1,170,863 $2,937,740 $5,206,058
Equity
[a
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Projected Cash Flow Statement
2019 2020 2021
‘Net Cash Flow from Operations
Net Prot 07,58 $1,399,962 5,780,889
Depreciation & Amortization 0,421 221,908 253,912
‘Change in Accounts Receivable ($159,545) $34,940 ($88,948)
Change in Inventory
‘Change in Accounts Payable $173,181 ($23,505) $60,699
‘Change in Income Tax Payable $72,527 $13,032 $56,530
Change in Sales Tx Payable 251,297 $0,349 $95,061
Change in Prepaid Revenue
‘Net Cash Flow from Operations $835,738 $1,688,688 $2,662,723
investing & Financing
Assets Purchased or Sold ($638,030) ($468,000) ($232,000)
Investments Received $250,000
Change in Long-Term Debt sto7,942 2,681)
‘Change in Short-Term Debt $100,000 ‘$127,098 ($46,761)
Dividends & Distributions ($25,000) ($150,000) ($150,000)
Pesca now fram iorentng ($563,030) 132,961) $461,441)
Gash at Beginning of Paving $50,000 32,708 Sara aS
Net change n Cash s272,708 1,555,727 $2,201,281
‘Cash at End of Period $322,708 $1,878,435 $4,079,717
4a
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