WEBVTT - Cliff Notes: The Licenses You Need To Operate A Healthcare Company

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<v Speaker 1>An illegal alien from Guatemala charged with raping a child

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<v Speaker 1>in Massachusetts. An MS thirteen gang member from Al Salvador

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<v Speaker 1>accused of murdering a Texas man of Venezuelan charged with

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<v Speaker 1>filming and selling child pornography in Michigan. These are just

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<v Speaker 1>some of the heinous migrant criminals caught because of President

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<v Speaker 1>Donald J. Trump's leadership. I'm Christy nom the United States

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<v Speaker 1>Secretary of Homeland Security. Under President Trump, attempted illegal border

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<v Speaker 1>crossings are at the lowest levels ever recorded, and over

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<v Speaker 1>one hundred thousand illegal aliens have been arrested. If you

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<v Speaker 1>are here illegally, your next you will be fined nearly

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<v Speaker 1>one thousand dollars a day, imprisoned, and deported. You will

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<v Speaker 1>never return. But if you register using our CBP home

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<v Speaker 1>app and leave now, you could be allowed to return legally.

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<v Speaker 1>Do what's right, leave now. Under President Trump, America's laws,

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<v Speaker 1>border and families will.

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<v Speaker 2>Be protected sponsored by the United States Department of Homeland Security.

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<v Speaker 3>So what's what do you need? Like, what's the licensing

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<v Speaker 3>that you need to operate? The hype of business that

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<v Speaker 3>you know?

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<v Speaker 4>So for a clinic in our space, right, you need

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<v Speaker 4>a couple of things right, So the way we operate generally,

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<v Speaker 4>like I mentioned earlier, we would like to go in

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<v Speaker 4>the area.

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<v Speaker 5>We typically wild talk to the Department Feld.

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<v Speaker 4>So you need like a general stuff that you need

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<v Speaker 4>for a regular retail business, you need like a business license.

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<v Speaker 4>For us, you need what it's called a side I

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<v Speaker 4>D right, so you call the Department Felth. And depending

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<v Speaker 4>on where you are, if you plan on building like Medicaid,

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<v Speaker 4>you need like a CMS that much. You typically will

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<v Speaker 4>contact CMS, which is the sener for Medicaid and Medicare services,

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<v Speaker 4>so you need a license from that. You might need

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<v Speaker 4>a you know, clip was saying like NPI numbers, NCPP numbers.

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<v Speaker 4>So it really just depends on what vertical you're plan doing.

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<v Speaker 4>So if it's if it's you know, STD or if

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<v Speaker 4>it's primary care, will determine what type of license you need.

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<v Speaker 4>But obviously you actually need a physician who has you know,

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<v Speaker 4>a physician license.

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<v Speaker 5>But it really just depends. But for us, it's very simple.

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<v Speaker 4>Is the Department Felth give us what we call a

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<v Speaker 4>testing side I D number and that what kind of

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<v Speaker 4>gives you the ability to provide the testing and treating.

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<v Speaker 4>Then you need to clear us all that way you

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<v Speaker 4>can be able to you know, draw blood and stuff

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<v Speaker 4>like that. So there's certain licensing you need. It just

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<v Speaker 4>varies depending on what state you're in and what modality

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<v Speaker 4>or what vertical that.

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<v Speaker 6>You're How long does that take, right, because a lot

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<v Speaker 6>of times you apply for something, it's.

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<v Speaker 5>Like, oh, it definitely takes time.

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<v Speaker 4>Dealing with dealing with the bureaucracy of the government definitely

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<v Speaker 4>takes a long time and it costs too. Right, So

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<v Speaker 4>for us to get one of our clinics up and

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<v Speaker 4>running to get those license, it typically takes about ninety

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<v Speaker 4>days to get everything, just because there's so many codependencies

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<v Speaker 4>and stuff, because you gotta wait for this to come

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<v Speaker 4>in before you can apply for that, and you have

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<v Speaker 4>to wait for DA You have to wait so certain

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<v Speaker 4>things that you need. But yeah, but it generally takes

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<v Speaker 4>about ninety days.

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<v Speaker 3>And how much would it start? Like if I wanted

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<v Speaker 3>to open up a clinic, how much operating money you need?

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<v Speaker 4>So for us to open up a clinical costs about

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<v Speaker 4>three mis of the fifty k to get a full

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<v Speaker 4>brick and mortar clinic up and running. To get a

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<v Speaker 4>mobile clinic, it'll rain you anywhere from two fifty maybe

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<v Speaker 4>a million, depending on how lavish you want. The mobile

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<v Speaker 4>clinic hours are pretty small, so we try to keep

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<v Speaker 4>it between two to three hundred thousand, but that's generally

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<v Speaker 4>what the barrier entry would be to get into what

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<v Speaker 4>we do.

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<v Speaker 7>And the mobile clinics. When we talk about mobile clinics,

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<v Speaker 7>your mobile clinic could be a two exam room mobile

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<v Speaker 7>clinic with a waiting room on wheels, or it could

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<v Speaker 7>be one exam room like ours. Hours are sprinter trucks,

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<v Speaker 7>So we get sprinter trucks and we put them on

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<v Speaker 7>the road because it's a lot easier and quicker to

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<v Speaker 7>get them on the road. So we don't want to

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<v Speaker 7>have to wait for a build out of a big

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<v Speaker 7>mobile clinic that has two exam rooms, or have to

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<v Speaker 7>wait for have to worry about licensing for that for

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<v Speaker 7>that truck on the road, because that truck is that

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<v Speaker 7>big that means they need to have a CDL license

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<v Speaker 7>to drive that truck. So now we put ourselves in

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<v Speaker 7>a whole nother situation financially, which we try not to.

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<v Speaker 7>So we try to get the smaller mobile clinics so

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<v Speaker 7>we could get it out the door quicker and we

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<v Speaker 7>could get to work, and that get to work for

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<v Speaker 7>us is ten to twenty new patients per day per

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<v Speaker 7>mobile clinic, right, So that's.

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<v Speaker 6>Why I was looking at them, like obviously from operations standpoint,

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<v Speaker 6>I was from the business mind. It's like, before I

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<v Speaker 6>can create the clinic, I need to know how many

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<v Speaker 6>things I happen to see exactly on a daily basis,

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<v Speaker 6>on a monthly basis basis exactly, because that will determine

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<v Speaker 6>obviously how much profitability.

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<v Speaker 5>Profitability absolutely so.

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<v Speaker 6>When you when you're looking at that, that's something you

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<v Speaker 6>have to learn. But when do you realize, Okay, we've

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<v Speaker 6>hit our number here, let's scale to another area, Let's

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<v Speaker 6>get another truck.

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<v Speaker 4>To be honest, like I said, we said earlier, man,

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<v Speaker 4>the need is so vast that even with the twelve

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<v Speaker 4>or fifteen mobile clinks we have now in the eight locations,

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<v Speaker 4>I think we actually have tens that we signed two

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<v Speaker 4>new leases this week, we're still not covering the whole

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<v Speaker 4>state of Florida.

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<v Speaker 5>It's still so much, so much that we need.

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<v Speaker 4>And that's why we created Healthy MD because we feel

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<v Speaker 4>as if you know, just future thinking and trying to

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<v Speaker 4>future prove our business, we want to make sure we're

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<v Speaker 4>able to you know, kind of get you know, more

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<v Speaker 4>of a nationwide platfor for them, but you know, you

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<v Speaker 4>just kind of get the coldomnies of skill. So for us,

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<v Speaker 4>we know that once we get to a certain amount

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<v Speaker 4>of patients, we generally will put two or three mobile

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<v Speaker 4>clinics out and then we'll move on to another area.

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<v Speaker 4>So once we get enough affiliate partners or i say

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<v Speaker 4>affiliate partners in the community, I'm talking about the Halfway

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<v Speaker 4>House and substanti these clinics. Once you figure figure that

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<v Speaker 4>out and we know that this clinics is sustainable with

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<v Speaker 4>at least about two hundred active patients, then we'll move

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<v Speaker 4>on to the next because definitely don't want people say.

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<v Speaker 8>Earners, what's up. You ever walk into a small business

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<v Speaker 8>and everything just works like, the checkout is fast, the

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<v Speaker 8>receipts are digital, tipping is a breeze, and you're out

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<v Speaker 8>the door before the line even builds odds are they're

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<v Speaker 8>using Square. We love supporting businesses that run on Square

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<v Speaker 8>This episode is brought to you by P and C Bank.

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<v Speaker 1>An illegal alien from Guatemala charged with raping a child

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<v Speaker 1>in Massachusetts. An MS thirteen gang member from Al Salvador

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<v Speaker 1>accused of murdering a Texas man of Venezuelan charged with

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<v Speaker 1>filming and selling child pornography in Michigan. These are just

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<v Speaker 1>some of the heinous migrant criminals caught because of President

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<v Speaker 1>Donald J. Trump's leadership. I'm Christy Noman, the United States

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<v Speaker 1>Secretary of Homeland Security. Under President Trump, attempted illegal border

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<v Speaker 1>crossings are at the lowest levels ever recorded, and over

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<v Speaker 1>one hundred thousand illegal aliens.

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<v Speaker 2>Have been arrested.

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<v Speaker 1>If you are here illegally, your next you will be

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<v Speaker 1>fined nearly one thousand dollars a day in prison and

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<v Speaker 1>deport it. You will never return. But if you register

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<v Speaker 1>using our CBP home app and leave now, you could

0:08:07.480 --> 0:08:11.600
<v Speaker 1>be allowed to return legally. Do what's right. Leave now.

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<v Speaker 1>Under President Trump, America's laws, border and families will.

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<v Speaker 2>Be protected sponsored by the United States Department of Homeland Security.

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<v Speaker 4>You know, don't put all your egg and one basket

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<v Speaker 4>for us, we like, we're gonna put all our eggs

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<v Speaker 4>in that basket and going to protect the heck out

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<v Speaker 4>of the basket. So we put all our eggs in

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<v Speaker 4>that one basket, in that one clinic, grow it, and

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<v Speaker 4>then we'll move on to the next location.

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<v Speaker 7>And because we're so knowledgeable of the industry and what

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<v Speaker 7>we do today, we don't have to. Our team already

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<v Speaker 7>did the work on where we're going next. Right where

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<v Speaker 7>were Yeah, exactly exactly. We know what cities we're going to,

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<v Speaker 7>we know what states we're going to, we know what areas.

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<v Speaker 7>We know if we're doing a mobile clinic or a

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<v Speaker 7>brick and mortar. We know if we're doing brick and

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<v Speaker 7>mortar and five mobile clinics because some of our brick

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<v Speaker 7>and mortars just hubs for our mobile clinics, and our

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<v Speaker 7>mobile clinics go five different directions every morning and go

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<v Speaker 7>to different communities.

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<v Speaker 4>Yeah, I guess the reason why we have more mobile

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<v Speaker 4>clinics than physical locations because our business model is different. Right,

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<v Speaker 4>We don't open up a clinic like clips set and

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<v Speaker 4>wait for people to come. We bring the services to

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<v Speaker 4>people who wouldn't otherwise come to a clinic, you know,

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<v Speaker 4>I mean otherwise even come to a doctor.

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<v Speaker 5>It's funny a lot of.

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<v Speaker 4>The people that we service, I mean, we're like they're

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<v Speaker 4>source for a physician. I mean because they're like, I'm

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<v Speaker 4>not going to the doctor. We don't go As a culture,

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<v Speaker 4>we don't normally go to the doctor unless it's broken,

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<v Speaker 4>the bleeding.

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<v Speaker 5>We're not going to the doctor unfortunately.

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<v Speaker 4>So we have to actually, you know, kind of bring

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<v Speaker 4>the services to them.

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<v Speaker 3>So as far as the business model, how you make

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<v Speaker 3>money from this from Medicaid, people like people coming and

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<v Speaker 3>you're charging them the Medicaid and the Medicaid is reimbursing it,

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<v Speaker 3>like right, right, So not.

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<v Speaker 7>Remember all the healthcare services are free. We don't charge

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<v Speaker 7>for it at all. We don't build insurance for it.

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<v Speaker 7>That's another reason why our license structure. We don't have

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<v Speaker 7>to get as many licenses as what our build another

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<v Speaker 7>clinic because we're not billing. But it also gives us

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<v Speaker 7>autonomy in some cases as well. And this is why

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<v Speaker 7>you need good attorneys, because good attorneys will break that

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<v Speaker 7>down for you and say, HEO, you're making twenty five

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<v Speaker 7>dollars to see this patient for a visit. That twenty

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<v Speaker 7>five dollars does nothing for you. Where's the money at

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<v Speaker 7>so you could continue to provide this service.

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<v Speaker 5>The money's in the medication.

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<v Speaker 7>The medication costs one thousand dollars, two thousand and five,

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<v Speaker 7>ten thousand, depending on the medication or the ailment that

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<v Speaker 7>you're providing for, right that you're solving for. So when

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<v Speaker 7>our attorneys broke it down to us and they said,

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<v Speaker 7>you could do this, but this is going to stop

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<v Speaker 7>you from giving away food vouchers, transportation, housing, all of

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<v Speaker 7>those stuff. You can't give that stuff away when you're

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<v Speaker 7>own a clinic. When you're on a clinic, that's illegal

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<v Speaker 7>for you to give out food vouchers. They call it

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<v Speaker 7>an inducement. So we had to figure out the best

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<v Speaker 7>way to provide for our community without billing on CMS

0:11:02.320 --> 0:11:05.960
<v Speaker 7>or Medicaid because CMS and Medicaid that's government charge. They're

0:11:06.040 --> 0:11:08.800
<v Speaker 7>government funded, so they're paying you. If they're paying you,

0:11:09.040 --> 0:11:12.120
<v Speaker 7>they got a whole different rules and regulations behind CMS

0:11:12.120 --> 0:11:14.000
<v Speaker 7>and Medicaid, right, so that's why we don't get involved

0:11:14.000 --> 0:11:15.200
<v Speaker 7>in them. We don't use them at all.

0:11:15.320 --> 0:11:18.040
<v Speaker 4>Right, So for us man, so all the testing and

0:11:18.080 --> 0:11:20.960
<v Speaker 4>all the medical services are free. So the numeration comes

0:11:21.000 --> 0:11:23.760
<v Speaker 4>from the feeling of the prescriptions, right, So similar to

0:11:24.200 --> 0:11:26.120
<v Speaker 4>like if you've ever been to like an urgent care,

0:11:26.240 --> 0:11:28.600
<v Speaker 4>we have like dispensaries in our clinics. So when you

0:11:28.600 --> 0:11:30.280
<v Speaker 4>come in, if you've ever been to like an urgent care,

0:11:30.280 --> 0:11:32.240
<v Speaker 4>you're going there. Whatever issue you have. Typically when you

0:11:32.280 --> 0:11:33.680
<v Speaker 4>walk out, they can give you an antibotic or they

0:11:33.720 --> 0:11:35.520
<v Speaker 4>will give you a prescription right then and there. So

0:11:35.520 --> 0:11:37.160
<v Speaker 4>our clinics are kind of built the same way. We

0:11:37.240 --> 0:11:40.120
<v Speaker 4>have a dispensaries in them where you come in and

0:11:40.160 --> 0:11:43.640
<v Speaker 4>the medical services, which is the testing, is absolutely free.

0:11:43.720 --> 0:11:46.000
<v Speaker 4>But the treatment, which is the medication components, where we

0:11:46.040 --> 0:11:48.360
<v Speaker 4>actually make the revenue. So people will come in and

0:11:48.440 --> 0:11:50.560
<v Speaker 4>they may not have insurance at all, right because for us,

0:11:50.559 --> 0:11:52.880
<v Speaker 4>we are open to any and everybody, but our patient

0:11:52.920 --> 0:11:55.400
<v Speaker 4>services and our case managers would help that person one

0:11:55.559 --> 0:11:58.200
<v Speaker 4>procure insurance in order to make them a profitable.

0:11:57.920 --> 0:12:02.240
<v Speaker 3>So okay, so anybody can go in, there's no charge.

0:12:01.920 --> 0:12:05.160
<v Speaker 4>No charge, but if you actually if you have you

0:12:05.160 --> 0:12:07.640
<v Speaker 4>have something, and let's say you have something, you have insurance,

0:12:08.080 --> 0:12:10.079
<v Speaker 4>then we'll obviously we'll build your insurance for the actual

0:12:10.120 --> 0:12:12.680
<v Speaker 4>medication treatment. But if you come in and you don't

0:12:12.679 --> 0:12:15.199
<v Speaker 4>have insurance. Obviously the medication is very expensive. Then you'll

0:12:15.240 --> 0:12:17.800
<v Speaker 4>go through our patient services will help procure your insurance

0:12:17.880 --> 0:12:19.240
<v Speaker 4>to help you get the actual treatment.

0:12:19.280 --> 0:12:21.520
<v Speaker 5>So we only make renumeration from the treatment, and that's

0:12:21.520 --> 0:12:22.239
<v Speaker 5>like Medicaid.

0:12:22.480 --> 0:12:25.200
<v Speaker 4>So it's not generally it's not Medicaid because for the

0:12:25.240 --> 0:12:28.200
<v Speaker 4>program that we're on program that we don't we can't

0:12:28.240 --> 0:12:31.120
<v Speaker 4>build any Medicaid or Medicare. We can't do any government

0:12:31.120 --> 0:12:32.800
<v Speaker 4>payers because of the fact that we give away the

0:12:33.640 --> 0:12:37.439
<v Speaker 4>medical services for free. So it's generally is either exchange

0:12:37.520 --> 0:12:39.400
<v Speaker 4>health plan that they're on or some type of commercial

0:12:39.440 --> 0:12:39.880
<v Speaker 4>health plan.

0:12:46.120 --> 0:12:49.720
<v Speaker 1>An illegal alien from Guatemala charged with raping a child

0:12:49.800 --> 0:12:53.600
<v Speaker 1>in Massachusetts. An MS thirteen gang member from El Salvador

0:12:53.840 --> 0:12:58.000
<v Speaker 1>accused of murdering a Texas man of Venezuelan charged with

0:12:58.040 --> 0:13:01.960
<v Speaker 1>filming and selling child pornography in Michigan. These are just

0:13:02.040 --> 0:13:05.800
<v Speaker 1>some of the heinous migrant criminals caught because of President

0:13:05.840 --> 0:13:09.440
<v Speaker 1>Donald J. Trump's leadership. I'm Christy Noman, the United States

0:13:09.440 --> 0:13:14.240
<v Speaker 1>Secretary of Homeland Security. Under President Trump. Attempted illegal border

0:13:14.280 --> 0:13:17.800
<v Speaker 1>crossings are at the lowest levels ever recorded, and over

0:13:17.880 --> 0:13:20.120
<v Speaker 1>one hundred thousand illegal aliens.

0:13:19.679 --> 0:13:20.480
<v Speaker 2>Have been arrested.

0:13:20.800 --> 0:13:24.360
<v Speaker 1>If you are here illegally, your next you will be

0:13:24.400 --> 0:13:28.280
<v Speaker 1>fine nearly one thousand dollars a day. Imprisoned and deported,

0:13:28.720 --> 0:13:31.960
<v Speaker 1>you will never return. But if you register using our

0:13:32.000 --> 0:13:35.199
<v Speaker 1>CBP home app and leave now, you could be allowed

0:13:35.240 --> 0:13:39.840
<v Speaker 1>to return legally. Do what's right. Leave now. Under President

0:13:39.840 --> 0:13:43.960
<v Speaker 1>Trump America's laws, border and families will be protected.

0:13:44.040 --> 0:13:46.199
<v Speaker 2>Sponsored by the United States Department of Homeland Security,