SPARK Senior Health
SPARKSenior Health™
Your Medicare Story. Ignited.
The Spark OpportunityOctober 2026

The SPARK Opportunity

💰

Raise $4M – $5M to launch a 10 county Medicare FFS primary care network in NE Georgia ($4M with leased facilities or $5M with owned real estate)

🏥

Address the National Priority of access to quality health care for underserved rural seniors in America by delivering their care FIRST

👥

Led by reputable, experienced executives with deep healthcare industry expertise — from startups to multibillion-dollar P&L responsibility

⭐

Build and scale a 5-Star operating platform powered by The SPARK Standard for People, Process, Technology and Product

❤️

Create a purpose driven legacy company that closes the disparity of access to quality rural healthcare for Seniors

Investment Thesis

Business Assessment

Targeting Criteria
🔄

Recurring or Subscription Revenues

📈

Margin Expansion

⚙️

Operationally Scalable

📊

Business Resilience

🤖

Technology with AI Integration

Deep Diligence
🧠

Deep Analytics with AI Enablement

🌬️

Tailwinds & Headwinds

🎯

TAM / SAM / SOM Analysis

⚖️

Regulatory & Hurdles

🗺️

Regional Market Knowledge

The National Crisis — Rural Health — Overview

Market Assessment →

Why rural healthcare is a national priority — the structural crisis driving CMS overspend, and why NE Georgia is ground zero.

46M
Rural Americans served by only 10% of US physicians — a structural supply gap
HRSA AHRF 2023
149+
Rural hospital closures since 2010 — 30+ currently at immediate risk
Chartis Center for Rural Health 2024
60%
Of rural US counties are HPSA-designated — federally recognized shortage areas
HRSA HPSA Find 2024
$8,400
Annual CMS overspend per unmanaged rural FFS member vs managed baseline
CMS Geographic Variation PUF 2022
US → Georgia → NE Georgia
Deep Context →
Nationally: 46M rural Americans without adequate PCP access.
Georgia: Ranked #10 worst nationally for rural health outcomes.
NE Georgia: HPSA-designated · Habersham #1 HPSA score in GA (8.30) · 24% of seniors have no established PCP.
Why This Market, Why Now
CMS is actively funding scalable primary care models that reduce total FFS cost. Fixed-clinic + transportation removes the last access barrier. At 400 enrolled members with documented outcomes, Spark Senior Health™ qualifies for a CMMI Innovation Award — converting savings into non-dilutive expansion capital.
Re-admissions & ER Cost Burden
  • 22% 30-day readmission rate (vs 15% national avg)
  • 192 ER visits / 1,000 members / yr (vs 84 national)
  • $3,100 / member in preventable hospitalizations annually

The National Crisis — Rural Health — Staggering Disparities

Market Assessment →

These 10 counties are not just underserved — they are dying earlier and with less dignity than the rest of America. SPARK is a mortality intervention wearing a FFS billing infrastructure.

+32%
All-cause mortality above national average — driven by chronic conditions primary care manages daily
NORC Walsh / ETSU — RHIhub 2025
+34%
Heart disease mortality above national — 234 deaths per 100k vs. 174 nationally
ARC Health Disparities in Appalachia
+39%
COPD hospitalization rate above large metro counties in the same region
ARC Key Findings — Mortality Domain
86%
Of hospices located in urban areas — rural patients die without infrastructure to support them
MedPAC March 2025 Report Ch. 9
Cause-Specific Mortality Premium vs. National
Condition SPARK Counties (est.) Premium vs. National
All-Cause Mortality ~415 / 100k +32%
Heart Disease Mortality 234 / 100k +34%
COPD Hospitalization +39% above metro +39%
Diabetes Mortality Above metro +36%
Cancer Mortality Above national +18%
PCP Density Quartile vs. All-Cause Mortality · U.S. County-Level Data
Quartile PCP / 100k All-Cause AAMR vs. Q4
Q1 — SPARK Zone ★ ~13 / 100k 828 +22%
Q2 ~37 / 100k 798 +18%
Q3 ~56 / 100k 737 +9%
Q4 (Highest Density) ~108 / 100k 679 —
ScienceDirect 2024 / CDC WONDER · Basu et al., JAMA Internal Medicine 2019 — every 10 additional PCPs/100k → 51.5-day life expectancy gain
Chronic Disease Prevalence — NE Georgia vs. National FFS (2022 CMS CCW)
Condition National FFS Est. NE GA Premium
Hypertension 66.8% 72–76% +8–14%
Diabetes 26.4% 33–38% +25–44%
COPD 13.1% 18–22% +37–68%
Chronic Kidney Disease 18.7% 24–28% +28–50%
Ischemic Heart Disease 23.0% 27–31% +17–35%
Heart Failure 14.5% 17–21% +17–45%
Depression 17.0% 19–22% +12–29%
2+ Chronic Conditions ~67% 75–80% +12–19%
Sources: CMS CCW 2022 (pub. Aug 2024) · ARC Health Disparities in Appalachia · Augusta University Healthy Georgia Report 2025
End-of-Life Gap — Dying Without Care
  • 833 rural hospices in 2023 — down from 861 in 2019; rural patients are losing end-of-life infrastructure
  • Rural Medicare decedents spend $3,000–$5,000 less in last 6 months of life — not efficiency; access failure
  • Without a PCP relationship, patients die in hospitals, not at home, presenting at ER late in disease course
  • No advance care planning — these conversations require trust built over repeated visits; no PCP = no plan
These counties are not just a billing opportunity. They are a mortality intervention waiting to happen. SPARK is the infrastructure that delivers it.

The Burgeoning Medicare Market

Market Assessment →

Why Spark's revenue grows structurally — not just operationally.

12,000
Americans turn 65 every day
58% vs 44%
rural Medicare FFS vs. urban
2×
Medicare spend at 85+ vs. 65–74
Sources: U.S. Census Bureau; KFF Medicare Rural Analysis, 2025; Health Affairs; CMS Medicare Monthly Enrollment; Commonwealth Fund. Data as of 2024–2025.
Three Structural Pillars
Demographic Engine

Demand Floor That Never Drops

12,000 Americans turn 65 daily — a structural inflow no competitor, cycle, or regulation can stop. In Spark's 10-county North Georgia footprint, this means continuous, automatic replenishment of Medicare-eligible patients who need a primary care home.

4.4M
New Medicare Eligibles/Year
Peak boomer wave now
77–81M
Total Medicare by 2030
MedPAC / CBO projections
Longitudinal Revenue

Patients Age Up in Acuity, Not Out of the Practice

A patient enrolled at 67 stays for 15+ years — and becomes more valuable each year. As chronic conditions accumulate, visit frequency rises, CCM/APCM billing activates, and per-patient revenue compounds. Medicare spending at 85+ is 2× that of the 65–74 cohort.

67–70
Early Enrollment
4–5 visits/yr
71–75
Condition Onset
5–7 visits/yr
76–80
Multi-Chronic
7–9 visits/yr
81–85+
High Acuity
9–12+ visits/yr
Panel Durability

Attrition Is Offset by Structural Inflow

Natural panel losses are continuously replaced by newly eligible community members — all residents who've lived in the county their whole lives, have limited alternatives, and for whom Spark's RHC clinics are the most accessible primary care option.

44%
Rural Counties ≥70% FFS
vs. 6% of urban counties
10.5%
Rural MA→FFS Switch Rate
vs. 5.0% nonrural (Health Affairs)

Market Sizing — TAM · SAM · SOM

Market Assessment →
TAM
$74B+
Total Addressable Market
Annual CMS rural FFS overspend above managed baseline · 31M+ Traditional Medicare beneficiaries nationally · $480B annual FFS program spend
SAM
~$3.5B
Serviceable Addressable Market — Georgia
Rural Georgia FFS market · ~417K rural Medicare FFS members (RUCC 4–7) · $8,400 CMS overspend per member · Georgia ranked #10 worst nationally for rural health outcomes
SAM
$816M
Serviceable Addressable Market — Georgia
417k members @ $163 PMPM
SAM
$373M
Serviceable Addressable Market — NE Georgia
10-county NE Georgia FFS pool · 44,376 confirmed FFS members · $8,400 CMS overspend per member · all 10 counties HPSA-designated
SAM
$87M
Serviceable Addressable Market — NE Georgia
44,376 @ $163 PMPM
SOM
$93M
Serviceable Obtainable Market
11,097 members · $8,400 overspend by CMS
SOM
$21.7M
Serviceable Obtainable Market
11,097 @ $163 PMPM
Initial Target Revenue: 2% of GA

County Portfolio & Rollout Map

44,376
Confirmed FFS Members
~11,097
Target at 25% Penetration
10
Counties HPSA-Designated
8.30
Habersham · #1 HPSA in GA
Rollout Phases
Phase 1 · Y1 Seed Habersham · Lumpkin · Stephens
Phase 2 · Y2 Expansion White · Rabun · Union
Phase 3 · Y3 Self-Funded Fannin · Gilmer · Gordon · Chattooga
10-County Portfolio
# County FFS HPSA Launch
1Habersham5,066✓ 8.30M1 · Y1
2Lumpkin3,946✓ HPSAM3 · Y1
3Stephens3,554✓ HPSAM5 · Y1
4White3,766✓ HPSAM13 · Y2
5Rabun3,251✓ HPSAM13 · Y2
6Union5,571✓ HPSAM15 · Y2
7Fannin5,078✓ HPSAM25 · Y3
8Gilmer5,460✓ HPSAM25 · Y3
9Gordon6,107✓ HPSAM27 · Y3
10Chattooga2,577✓ HPSAM29 · Y3
TOTAL44,37610~11,097
🗺️
County Intelligence
10-county data · HPSA scores · FFS pools · composite scoring
Explore →
📍
Density & Logistics Map
Patient density · deployment stages · transport routing
Explore →
The Birth of SPARK Senior Health™

Executive Team

Org Structure →
Board of Directors
Imtiaz Sattaur
Pending
Pending
Executive Team

Imtiaz Sattaur

Founder & CEO
View full bio →

Chief Medical Officer/Advisor

Pending

Chief Growth Officer

Filled
View full bio →

Chief Digital and Information Officer

Filled
View full bio →

Chief Operating Officer

Filled
View full bio →

Chief Financial Officer

Filled
View full bio →

Chief HR Advisor

Pending

Chief Legal & Compliance Advisor

Filled
View full bio →

Imtiaz "MT" Sattaur

Founder & CEO
✦ SPARK Senior Health
Investor Brief · 2025–2026
Founder Bio
Imtiaz "MT" Sattaur
Founder & CEO · SPARK Senior Health, Inc.
M(954) 774-0775 Emtsattaur@gmail.com LCumming, Georgia

MT Sattaur is a dynamic, purpose-driven healthcare executive with over 40 years of ground-up experience building, scaling, and turning around health plans, clinics, and value-based provider organizations — now bringing that full capability to bear as Founder & CEO of SPARK Senior Health, Inc.

Medicare & Health Plan Leadership

MT has led Medicare operations at the highest levels of the industry. As President & CEO of Physicians United Plan, he grew revenues from ~$80M to $550M+ while reversing an $8M loss to $12M net profit — and launched the first Apple/CMS-approved iPad field enrollment system in the country. As Executive Officer at WellCare Health Plans and President of Florida and Louisiana, he helped scale the company from ~$800M to over $6B+ in P&L in 3.5 years, turned Florida operations from ~$600M into a $1.8B+ P&L, and led the team that won Georgia's first $1B+ Medicaid Managed Care contract. Earlier, as COO of Affinity Health Plan, he drove revenues from ~$50M to $350M+ and achieved a zero-defect New York State audit.

Clinical Turnaround & Operational Excellence

MT is a proven turnaround leader. At Family Physician Group, he took over as President & CEO of 21 Medicare value-based clinics, renegotiated health plan contracts, eliminated unprofitable entities, and delivered a $6M+ profit run-rate from prior losses — growing market value from ~$25M to $100M+. Through SPARK Senior Health, Inc., he has also served as interim CEO for a 3,800-member clinic turnaround and has advised 15+ C-suite executives through complex market situations and crises.

Technology & Software Roots

MT's ability to align technology with clinical and billing operations was built from scratch. As Founder & President of RiskAlert — an AON/Frank B. Hall subsidiary — he designed and developed a comprehensive 10-module clinical software platform covering Claims, Quality, Utilization Management, Credentialing, Risk, Workers' Compensation, Infection Control, Patient Relations, Safety, and Bio-Hazard Waste, marketed nationwide to hospitals through Aon's brokerage network. This foundational discipline directly informs SPARK Senior Health's EHR, RPM, and billing infrastructure strategy.

Clinic & Real Property Acquisition

MT applies the same operational rigor to physical assets. Through SPARK Senior Health, Inc., he has acquired, completely rehabbed, and operationalized 101 units of low-to-middle income housing, uplifting five city blocks. This hands-on track record in identifying, acquiring, and improving real property directly informs SPARK Senior Health's strategy for securing and building out fixed-clinic locations across HPSA-designated NE Georgia counties.

Community & Purpose

MT is the developer of Purposeful Excellence, a values-based leadership transformation program rooted in Leadership, Partnership, and Stewardship — the same three pillars embedded in SPARK Senior Health's operating culture. His lifelong commitment to healthcare access, housing, education, and quality of life for seniors and underserved populations is not a brand statement. It is a 40-year track record.

By The Numbers
$6B+
President & Executive Officer while company scaled from $800M to $6B+ across multi-state operations · WellCare Health Plans
$550M
Revenue scaled from $80M with 55K Medicare Advantage members · Physicians United Plan
200K+
Medicare Advantage members grown & managed · WellCare Health Plans
$100M
Market value built from $25M · Family Physician Group turnaround
10
Clinical software modules built & deployed · RiskAlert / AON
$1B+
First Georgia Medicaid Managed Care contract won & launched
101
Housing units acquired, rehabbed & operated · SPARK Senior Health, Inc.
Core Capabilities
Medicare FFS, MA Plan & Clinic Operations
Health Tech, EHR & Billing Infrastructure
Clinic & Property Acquisition · Build-Out
Turnaround & Multi-Entity Governance
Rural & Underserved Population Strategy
CMS Compliance · HPSA · Value-Based Care
Ability to Scale from Seed to Multi-County to Multi-State
Track Record of Industry-Leading Innovations

Emilio Noble

Chief Growth Officer
✦ SPARK Senior Health
Investor Brief · 2025–2026
Executive Bio
Emilio Noble
Chief Growth Officer · SPARK Senior Health, Inc.
Eenoblefc@yahoo.com LLand O' Lakes, Florida LIlinkedin.com/in/emilionoble-3aa11456

Emilio Noble is a bilingual healthcare growth executive with more than 35 years of experience building and scaling Medicare Advantage, managed care, and senior-focused delivery organizations — now bringing that full growth infrastructure to bear as Chief Growth Officer of SPARK Senior Health, Inc.

Medicare Advantage Growth & Market Expansion

Emilio has driven Medicare Advantage growth at every scale of the industry. As Chief Growth Officer of The Villages Health — one of the nation's premier senior-focused delivery systems, acquired by CenterWell/Humana in November 2025 — he architected an integrated, enterprise-level sales and marketing platform that delivered sustained double-digit, year-over-year membership growth while maintaining full CMS and MCMG compliance. Earlier, at Affinity Health Plan, he expanded membership from 62,000 to 150,000 while helping grow organizational revenue from approximately $100M to over $400M. At WellCare Health Plans, he turned a struggling market from 40% of enrollment targets to 97% of goal within six months — a 110% market penetration increase.

Community-Based Outreach & Dual-Eligible Programs

Emilio built one of the most effective community-based Medicare enrollment engines in the industry. As Senior Director of Community Development & Partnerships at Physicians United Plan, he led a grassroots movement targeting SNP and dual-eligible populations across Central, South, and West Florida — consistently delivering 500+ dual enrollments per month through faith organizations, MSOs, CBOs, and grassroots ACCESS partnerships. He established a repeatable referral and outreach system across 300+ sales brokers, a mobile fleet of 50+ branded vehicles, and 1,000+ strategic partner relationships spanning providers, health systems, community organizations, and government agencies across New York, New Jersey, and Florida.

Payer-Provider Alignment & Value-Based Care

Emilio brings deep expertise in aligning payer and provider incentives within value-based care models. At The Villages Health, he led enterprise growth strategy through a complex Humana acquisition and integration cycle, successfully expanding into dual-eligible and underserved populations while building Salesforce CRM infrastructure, KPI-driven accountability frameworks, and ROI-visible performance systems aligned to Fortune 100 governance standards. His ability to navigate payer relationships, health plan contracting, and CMS regulatory requirements while simultaneously driving top-line growth is a rare combination — and directly maps to SPARK Senior Health's FFS billing, CCM/APCM/RPM revenue model, and NGHS hospital partnership strategy in NE Georgia.

Sales Infrastructure & Organizational Scale

Emilio has built and managed growth organizations exceeding 140 employees spanning sales, marketing, outreach, retention, and support functions. He has designed and deployed integrated sales and marketing platforms that generated 55% single-year membership growth, managed marketing and growth budgets exceeding $12M while consistently surpassing membership and revenue targets, and developed mobile community outreach infrastructure — including a fleet of 50+ wrapped RVs — that drove patient acquisition at a fraction of traditional channel costs. At Nobility Group, he served six years as Senior Vice President of Business Development, providing strategic sales, community outreach, and growth consulting to health and medical-related organizations across Florida.

Mission, Culture & Bilingual Engagement

Emilio is bilingual in English and Spanish — a meaningful competitive advantage in culturally diverse, underserved markets. His leadership philosophy centers on advancing health equity while building sustainable financial performance. He has consistently converted fragmented growth operations into scalable, acquisition-ready platforms that improve organizational value and patient outcomes simultaneously. This purpose-market alignment — serving seniors who lack access to primary care while building a durable, compliance-first growth engine — is precisely the mandate at SPARK Senior Health across the 44,000+ Medicare FFS members of NE Georgia's 10-county HPSA corridor.

By The Numbers
$400M+
Revenue scaled from ~$100M while growing membership from 62,000 to 150,000 · Affinity Health Plan
55%
Single-year Medicare Advantage membership growth through statewide initiative · The Villages Health
500+
Monthly dual-eligible enrollments via community-based ACCESS partnerships · Physicians United Plan
100%
Increase in CHP member recertification through rollout of an innovative mobile system — first of its kind in New York · Affinity Health Plan
50
Vehicle fleet of wrapped vans deployed at Physicians United Plan · drove an industry-leading 6.5 PCP visits per member annually
110%
Medicaid market penetration increase in 6 months · WellCare Health Plans turnaround
1,000+
Strategic partnerships built with providers, health systems, CBOs, FBOs & government agencies · NY, NJ & FL
Core Capabilities
Medicare Advantage & Senior Market Growth
Community-Based & Dual-Eligible Outreach
Sales Force Development · KPI Accountability
Payer-Provider Alignment · Value-Based Contracts
CMS Compliance · MCMG · MA Marketing Rules
Mobile Fleet Management · Last-Mile Access Gap Closure
Bilingual English/Spanish · Culturally Competent Engagement

Raouf Sattaur

Chief Digital and Information Officer
✦ SPARK Senior Health
Investor Brief · 2025–2026
CDIO Executive Bio
Raouf Sattaur
Chief Digital and Information Officer · SPARK Senior Health, Inc.
Eraouf.sattaur@proton.me Lilinkedin.com/in/rhsattaur LNew York, NY

Raouf Sattaur is a self-directed full-stack engineer and digital studio founder with 7+ years of platform development experience and 12+ years of health and fitness leadership. His early immersion inside a 55,000-member Medicare Advantage plan and ongoing collaboration with SPARK Senior Health, Inc. to build SPARK Senior Health's complete technology infrastructure make him a rare CDIO with equal depth in both disciplines.

Full-Stack Development & Platform Architecture

As Founder of Feathermode since January 2019, his own web design and development studio, Raouf independently designed, built, and delivered production-quality digital platforms for a diverse client base, mastering React.js, TypeScript, Next.js, JavaScript, HTML, CSS, SQL, Native App development using Expo, Progressive Web App Architecture, Agentic workflows using N8N/Zapier, and Context Engineering for AI-integrated developer workflows along the way. Working as a solo founder and principal engineer, he managed the full project lifecycle end-to-end: client discovery, branding, scope definition, contract negotiation, iterative build, and live deployment. He coached clients on digital best practices, integrated email automation, CRM software, and social media pipelines, and consistently delivered 90%+ Lighthouse performance scores on every web property.

Healthcare Technology Exposure · Physicians United Plan

Before founding Feathermode, Raouf served as Copywriter and Article Writer at Physicians United Plan, the 55,000-member Medicare Advantage plan led at the time by MT Sattaur as President & CEO, where he developed firsthand fluency in Medicare member communications, managed care terminology, and the operational language of health plan technology at scale. This early immersion established the bridge between clear human communication and complex healthcare operations that now directly informs SPARK's platform.

SPARK Rural Health Technology Partnership · SPARK Senior Health, Inc.

Through an ongoing engagement with SPARK Senior Health, Inc., Raouf has worked directly alongside MT Sattaur to conceptualize, research, and build out SPARK Senior Health's business plan and complete technology architecture, including evaluating and selecting the EHR platform (Athelas AIR vs. Athenahealth), integrating Tenovi 4G RPM devices, structuring the Commure Ambient AI documentation and RCM workflow, configuring Chronic Care IQ for CCM/APCM panel management, and designing the fiber-primary, LTE-failover connectivity architecture required for rural NE Georgia clinical operations. His full-stack development background directly informed the API integration logic, HIPAA-isolated network segmentation, MDM device enrollment via Rippling, and the offline-first EHR requirements that underpin the entire 10-clinic technology strategy.

People-First Technology Philosophy

For over 12 years, Raouf has operated Sattaur Fitness as a personal trainer, health and nutrition coach, and boxing instructor, ranking among the top 5 revenue earners at Crunch Fitness with clients retained for over 7+ consecutive years. This long-form coaching practice is the lens through which he evaluates every platform decision: technology built for rural Medicare members must meet the same standard as a training plan — clear goals, accessible progressions, and no tolerance for complexity that defeats the end user.

Education & Credentials

Raouf holds a Bachelor of Arts in English Language and Literature from the University of Central Florida (2013), a foundation in analytical clarity that complements his self-directed engineering discipline, formalized through Codecademy Full-Stack Engineer, Hubspot and Salesforce Administrator Certifications. On the health side, he has maintained an ACE Personal Trainer certification, an ACE Health Coach certification, a Precision Nutrition credential, and active CPR & AED certification throughout — a parallel credentialing arc that reinforces the people-first philosophy behind every platform decision he makes. The result is the rare CDIO who can build the platform, document it for compliance, and explain it to every stakeholder, from the NP at the clinic to the investor reviewing the stack.

By The Numbers
7+
Years as Founder & Principal Engineer · Feathermode digital studio · 90%+ Lighthouse scores · high client retention
12+
Years operating Sattaur Fitness · clients retained 7+ years · personal and health training · nutrition · boxing
15+
Full-stack technology disciplines built at Feathermode · React · TypeScript · Next.js · SQL · Expo · N8N/Zapier · Context Engineering
1 yr
SPARK Senior Health, Inc. / SPARK rural health technology partnership · EHR · RPM · RCM · AI documentation · connectivity architecture
10
Clinical & operations vendors in SPARK's finalized technology stack — evaluated, integrated & documented by Raouf
Core Capabilities
Context Engineering · Agentic Workflows · N8N / Zapier
Full-Stack Dev · React · TypeScript · Next.js · SQL · Expo
EHR · RPM · RCM Platform Architecture & Integration
PWA · Offline-First · HIPAA Network · MDM · Device Mgmt.
SEO · CRM · API Integration · Patient Engagement
Human-Centered Design · Clinical Staff UX
Technology Certifications
Codecademy Full-Stack Engineer · 2024
Hubspot Inbound Certification · 2024
Salesforce Administrator · 2025
Professional Development
Jamstack Conf · 2020 & 2021
PWA Summit · 2022
IPFS & Filecoin Builders Summit · 2021
Smashing Meets · 2021
2nd Online Handshake Conference · 2022
Bun 1.0 Launch Event · 2023

Rashad Sattaur

Chief Operating Officer
✦ SPARK Senior Health
Investor Brief · 2025–2026
Executive Bio
Rashad Sattaur
Chief Operating Officer · SPARK Senior Health, Inc.
M (954) 707-1777 E Rashad@srpvisuals.com L Atlanta, Georgia

Rashad Sattaur is an operations-minded entrepreneur who founded, built and scaled SRP Visuals into an 11-year, full-service production enterprise — now bringing that same ground-up operational discipline to SPARK Senior Health, Inc. as Chief Operating Officer, with a year of direct development work on the company's NE Georgia rural Medicare strategy.

Operational Leadership & Venture Execution

As Founder & CEO of SRP Visuals, Rashad has owned every operational function of a multi-client enterprise for over a decade: client acquisition, project scoping, pre-production planning, crew coordination, on-set direction, post-production oversight, and billing. Managing concurrent productions across Fortune 500 corporations, healthcare systems, and nonprofits — including Deloitte, Fiserv, EcoLab, AbbVie, Porsche, Mercedes-Benz, The Home Depot, and Wellstar — he has operated with the same cross-functional accountability as a chief operating officer from day one, building systems and workflows that sustained consistent delivery across 400+ productions.

Enterprise Client Strategy & Brand Execution

Rashad's track record of long-term enterprise client retention is built on consistent delivery and proactive brand consultation across healthcare, finance, automotive, and nonprofit sectors. He produced gala fundraising films that served as direct catalysts for major donor campaigns at Big Brothers Big Sisters, Wellroot, and Christian City — and delivered conference and corporate event highlight reels for national organizations including BDT&MSD four consecutive years, reinforcing executive messaging at scale. His ability to manage multi-vendor crews end-to-end — coordinating talent, equipment, logistics, and scheduling across concurrent productions — directly mirrors the operational rigor required to stand up SPARK's multi-site, multi-county clinic model.

SPARK Rural Health Initiative · SPARK Senior Health, Inc.

Over the past year, Rashad has worked directly alongside Founder & CEO MT Sattaur through SPARK Senior Health, Inc. to conceptualize, research, and build the full operational infrastructure for SPARK Senior Health's NE Georgia rural Medicare strategy. His contributions span investor portal development, brand identity, operational workflow design, tech stack planning, and deployment sequencing for the 10-county HPSA-designated service area targeting 44,376 Medicare FFS beneficiaries. This year of immersive build work — bridging content, operations, and strategy — forms the direct foundation of his COO mandate at SPARK.

Healthcare & Community Mission

Rashad's engagement with healthcare and underserved communities predates SPARK. His production work with Wellstar Health System and multiple Georgia nonprofits reflects a sustained commitment to purpose-driven impact — translating complex missions into content that moves people to action. At SPARK Senior Health, he brings the same discipline: building the operational and brand infrastructure that will ignite Medicare access across rural NE Georgia, guided by the same Leadership, Partnership, and Stewardship pillars embedded in SPARK's operating culture.

By The Numbers
450+
Productions completed for Fortune 500, healthcare, automotive & nonprofit clients
11 Yrs
Full-service production enterprise built & operated independently as founder-executive
12+
Named Fortune 500 & major enterprise brands served · Deloitte · Fiserv · Porsche · Mercedes-Benz · The Home Depot
4
Agencies retaining SRP Visuals as preferred production partner for 7+ consecutive years — hired repeatedly for their own clients across industries
26+
States and international markets including India, Greece, Panama & Canada — Traveled for Client Production
$500K–$1M
Fundraising yield attributed to gala production work · nonprofit events featuring SRP Visuals films
Core Capabilities
Multi-Site & Multi-State Execution
Strategic & Operational Modeling for Business Development
Enterprise Client Acquisition & Retention
Cross-Functional Team & Vendor Management
Investor Materials & Brand Infrastructure
Healthcare & Nonprofit Communications

Chief Legal & Compliance Officer

CLO · CCO
✦ SPARK Senior Health
Investor Brief · 2025–2026
CLO/CCO Executive Bio
Chief Legal & Compliance Officer
CLO · CCO · SPARK Senior Health, Inc.
CHCCertified in Healthcare Compliance CHPCCertified in Healthcare Privacy Compliance JDUniversity of Florida · Honors

SPARK Senior Health's Chief Legal & Compliance Officer is a seasoned healthcare attorney and compliance executive with more than 20 years of experience building legal infrastructure, directing regulatory governance, and guiding private equity-backed healthcare organizations through growth, turnaround, and acquisition — now bringing that full depth to bear on SPARK Senior Health's MSO structure, CMS enrollment, and OIG compliance strategy.

Healthcare Legal & Compliance Infrastructure

At a major Medicare Advantage plan with more than 55,000 members, she built the legal department from the ground up — elevating compliance posture across sales, marketing, health plan contracting, and health services — while directing CMS compliance audits (CDAG/ODAG) covering more than 40,000 member enrollees. At a 21-clinic Medicare value-based provider group, she again constructed the legal and compliance department from scratch — standardizing operations for scalable growth, navigating CMS, DOL, and HHS regulatory shifts, and managing the full payor contracting lifecycle — ultimately leading the legal and compliance transformation that positioned the organization for acquisition by a Fortune 500 health system.

Private Equity Operations & M&A Integration

Her private equity experience follows a consistent pattern: enter post-acquisition, rapidly diagnose legal and compliance risk, build durable infrastructure, and place the business on a sustainable growth path. Most recently, at a major private equity-backed women's healthcare organization, she drove the formalization of full legal operations — introducing case management, document management, and e-billing systems — while managing employment law matters, supporting multiple M&A transactions end-to-end, and overseeing credentialing, revenue cycle management, healthcare IT governance, and multi-state regulatory compliance across a large national platform.

Federal Government & Litigation Background

Before transitioning to healthcare compliance leadership, she served four years as an Assistant United States Attorney with the U.S. Department of Justice — an experience that directly informs her rigorous, enforcement-aware approach to regulatory risk and proactive compliance culture. Prior to DOJ, she represented clients in employment litigation, white-collar defense, and contract negotiations at two national law firms, bringing full-spectrum legal perspective to every governance challenge.

SPARK Senior Health Application

Her capabilities map directly to SPARK Senior Health's most critical legal and compliance priorities. MSO structure and governance, CMS enrollment and HPSA-designated county strategy, OIG compliance, payor contracting, Stark Law and Anti-Kickback navigation, and the risk management framework required to scale a fixed-clinic platform across NE Georgia are precisely the domains where she has built institutional-grade programs from zero — repeatedly, and at organizations operating in CMS-regulated environments far more complex than SPARK's initial footprint.

Education & Credentials

Juris Doctor, with honors — University of Florida, Fredric G. Levin College of Law. Bachelor of Arts, with honors, Criminal Justice — University of Georgia. Dual-certified: Certified in Healthcare Compliance (CHC) and Certified in Healthcare Privacy Compliance (CHPC) — among the most rigorous credentialing standards in the industry.

By The Numbers
20+
Years of healthcare legal & compliance leadership spanning health plans, PE-backed organizations, and federal government
40K+
Member enrollees covered under CMS compliance audit (CDAG/ODAG) oversight at a major Medicare Advantage plan
20
States covered for provider group & senior-focused clinic compliance following a major health system acquisition
3×
Legal departments built from the ground up at distinct healthcare organizations across two decades
$100M
Market value generated through strategic turnaround & acquisition positioning at a Medicare value-based provider group
2
Dual certifications — CHC & CHPC — the industry's highest standards in healthcare compliance and privacy
4 yrs
Assistant United States Attorney · U.S. Department of Justice — federal enforcement foundation
Core Capabilities
MSO Structure, Governance & OIG Compliance
CMS Regulatory Governance & Audit Oversight
Private Equity Operations & M&A Integration
Payor Contracting · Stark · Anti-Kickback
Employment Law & HR Risk Management
Healthcare Privacy · Enterprise Risk Control

Mark R. Miller

Chief Financial Officer
✦ SPARK Senior Health
Investor Brief · 2025–2026
CFO Executive Bio
Mark R. Miller
Chief Financial Officer · SPARK Senior Health, Inc.
M(786) 859-9052 Emarkr.miller@live.com LKissimmee, Florida

Mark R. Miller is a healthcare finance executive and entrepreneur with over 20 years of experience in financial planning and analysis, accounting, and executive leadership across health plans, provider groups, and founder-led ventures, now bringing that discipline to bear as Chief Financial Officer of SPARK Senior Health, Inc.

Entrepreneurial Ownership, Growth & Exit

Mark built and led a healthcare services company as Owner and Chief Financial Officer of Rockio Holdings, LLC, doing business as Comfort Keepers, growing annual revenue from $0 to $5M in three years and expanding into Houston from $0 to $1.2M. At peak scale, the company maintained operating profit margins of ~20% to 30%, generating ~$1M to $1.5M in annual operating profit on $5M in revenue. He held full P&L, budgeting, forecasting, and capital allocation responsibility, recruiting and managing 80+ employees while building the financial controls and automated workflows needed to scale the operation. Mark reinvested company profits to acquire ARCpoint Labs in Dallas, leading its due diligence and integration, and ultimately positioned the business for sale, completing the sale of Comfort Keepers and Rockio Holdings in 2026.

Shared Roots with SPARK Leadership

Mark's healthcare finance career overlaps directly with SPARK Senior Health's leadership team. As a Business Analyst at Physicians United Plan from 2012 to 2014, he worked through the final years of Founder & CEO MT Sattaur's presidency, building a commission application that corrected a flawed process across more than one million transactions and cut the plan's late enrollment process from one week to five minutes. He then joined Family Physicians Group as Manager of Financial Planning and Analysis from 2015 to 2020, arriving during the same private equity transition that MT Sattaur led as President & CEO. There, Mark was responsible for budget and planning at FPG, a $275M top-line revenue company. During the acquisition, Mark provided investor ROI reporting. After FPG's acquisition, he built a 10-year, bottom-up financial model with the new ownership supporting 60 new clinic acquisitions, and renegotiated vendor contracts for savings of more than $200K per year.

Financial Systems, Controls & Revenue Cycle

Mark's financial discipline was forged in public company and controls-heavy environments. As Senior Financial Analyst and Corporate Accountant at Workstream, Inc., he maintained a rolling 13-week cash forecast, tested Sarbanes-Oxley controls, and analyzed the treatment of $20M in warrants under FASB No. 150. At Family Physicians Group, that same discipline scaled to provider group operations: producing monthly service fund entries including Medicare Risk Adjustment, Part D accruals, and IBNR reserves, managing a payroll implementation across 400 employees, and automating accounts payable across 22 office locations. This direct fluency in CMS-driven reserve accounting and multi-site clinic finance gives SPARK a CFO who has already built these systems once, inside a Medicare value-based provider group operating at a scale SPARK is built to reach.

Education & Professional Foundation

Mark holds an MBA from Nova University in Fort Lauderdale, Florida (2010), and a BBA in Accounting, with a Minor in Finance, from the University of Miami (2004). This blend of formal training and 20+ years of ground-up experience — from staff accountant through founder and CFO — gives SPARK Senior Health a finance executive equally comfortable building a P&L from zero and reporting it to investors and a board.

By The Numbers
$275M
Top-line revenue company where Mark led budget & planning, ahead of FPG's private equity acquisition
$5M
Revenue grown from $0 in three years as Owner & CFO, at peak margins of ~20% to 30% · Comfort Keepers
80+
Employees recruited, developed & managed across a multi-market platform
$1.2M
Houston market built from $0 · geographic expansion · Comfort Keepers
$200K+
Annual vendor savings delivered through contract renegotiation · Family Physicians Group
99%
Operating budget accuracy achieved · Family Physicians Group
20+
Years of healthcare finance & FP&A leadership spanning health plans, provider groups & founder-led ventures
Core Capabilities
Financial Planning, Budgeting & Forecasting
M&A Due Diligence, Valuation & Integration
Multi-Entity & Multi-Site P&L Management
Investor, Board & Private Equity Reporting
MSO & Healthcare Revenue Cycle Systems
Financial Controls, Automation & SOX Compliance

Achievements & Innovations

Innovative Firsts Track Record
🩺

6.5 Visits per Member to Doctor

First in FL for Medicare Members with chronic illnesses, setting a new standard for proactive care.

📄

GA Medicaid Managed Care Contract

First company to win the billion-dollar Georgia Medicaid Managed Care contract.

📲

Mobile Tech Home-Based Recertification

First implementation of mobile technology for home-based recertification in NY.

📱

iPad CMS Approved Enrollment App

First fully compliant mobile enrollment technology approved by CMS.

🏥

Medicaid Long Term Care Diversion

First company to roll out Long Term Care Diversion for the frail and elderly in FL.

🧠

Behavioral Health Managed Care

First company to rollout behavioral health managed care in FL and existing state territories.

✅

Zero-Defect Audit in NY Medicaid

Achieved the first-ever zero-defect audit result in the New York Medicaid program.

Five Elements — S.P.A.R.K.

Market Assessment →
SPARK
Senior Health
Your Medicare Story. Ignited.
Brand Palette — Stage 6
Navy
Gold
Amber
Rust
Voice: Warm for members · Data-driven for CMS · Capital-efficient for investors
Typography: Libre Baskerville (headlines) · IBM Plex Sans (body)
SPARK Brand Model
Story · Purpose · Audience · Reach · Keep — five elements of a durable brand
S
Story
Rural Georgia seniors deserve the same primary care as anyone in Atlanta. We bring the clinic to them — a real, permanent facility with their own care team, staffed by people who know their name. no long drives. No waiting room. No barrier.
P
Purpose
Eliminate the healthcare access gap for Medicare FFS and dual-eligible seniors in NE Georgia — and demonstrate a scalable model that CMS should replicate nationally. Our Senior's Health and Well-Being comes FIRST.
A
Audience
Primary: Medicare FFS and dual-eligible (QMB/SLMB) seniors 65+ in HPSA-designated NE Georgia counties — no established PCP, chronic conditions, limited mobility.
Secondary: CMS/CMMI,rural communities, community centers.
R
Reach
Faith organizations as trust anchors. Hospital discharge referrals via NGHS ADT feed. Senior centers, food banks, county health departments. Transportation as the enrollment offer — "We will come get you."
K
Keep (Retention Promise)
APCM + CCM + RPM creates a continuous relationship between visits. Members know we'll call monthly, monitor their devices, and be at the clinic next week. The fixed location builds the trust that leads to member retention and enduring health and well-being.

The Spark Standard — Five Commitments. Every Clinic. Every Visit. Every Day.

📋 Market Assessment →
01
Clinical Excellence

Evidence-based medicine with AI enablement, CCM / APCM / RPM, telemedicine and transportation. Members' health is the product.

02
Compassionate Care

We know our members by name, their families, their struggles. Clinical excellence without human warmth is just billing. We are part of the Medicare Story.

03
Accessibility & Convenience

The van comes to you. The clinic is in your community. You call, we schedule, we pick you up. No long drives. No insurance barriers.

04
Gold Standard Operations

PTACR methodology — every clinic runs the same playbook. Every member gets the same standard of care regardless of county.

05
Experience & Continuity

CCM, APCM, and RPM create a continuous relationship between visits. Our members never fall through the gap between appointments.

The Ignition Moment
Spark is the moment a rural Medicare senior realizes for the first time that they have a primary care provider who knows their name, monitors their health between visits, and makes sure they never miss a follow-up. That ignition — from unmanaged to managed — is what we exist to create.
44,376
FFS Members Waiting
24%
No Established PCP
18% Rural vs 48% National
Annual Visit Rate
Annual Visits / Member by Type
Visit Type National Avg Rural NE Georgia The Spark Way
Primary care (PCP) 3.5 1.4 2.0 → 4.0 to increase Annual Visit rate of ≥ 65%
Specialists 5.7 — reduced via PCP / APCM / CCM / RPM
ER / outpatient / other 3.8 — reduced via PCP / APCM / CCM / RPM
Total ~13 — reduced $8400 overspend
Transition of Care Protocol
Touchpoint The Spark Way
ADT discharge notification Within 24 hr
7-day telephone follow-up CPT 99495
30-day face-to-face visit CPT 99495/99496
30-day readmission target 12% to 16% (chronic prevalence) vs 22% nationally

5-Star Operating Methodologies

✔️
The PTACR Standard
Our Operational North Star
P
roductive
T
imely
A
ccurate
C
omplete
R
esults
📦

Product

Delivering excellence through market-fit solutions and continuous innovation.

  • Scalable Design
  • Value Proposition
👥

People

Cultivating a culture of leadership, ownership, and continuous development.

  • Talent Acquisition
  • Training & Retention
⚙️

Process

Optimizing workflows for efficiency, compliance, and repeatability.

  • Standardization
  • QA / Compliance
💻

Technology

Leveraging AI and modern stacks to drive automation and insights.

  • AI Enablement
  • Data Analytics
Critical Thinking — Decision Making Framework
W
WHO needs to be involved?
W
WHAT is the root problem?
W
WHEN must this be solved?
W
WHERE is the impact felt?
W
WHY is this happening?
H
HOW do we fix it systematically?

Technology & Equipment Stack

Platform Summary
🖥️ EHR & Ambient AI
Athelas AIR · Commure
📋 Care Management
Chronic Care IQ · CCM/APCM
💓 RPM & Telehealth
Tenovi 4G · Doxy.me
💬 Intake & Engagement
Klara SMS · Bamboo ADT
🔒 Compliance & HR
Compliancy HIPAA · Rippling
📊 Ops & Billing
Samsara · Palmetto GBA J-J
🖥️
SPARK Tech Stack
EHR · Ambient AI · RPM · CCM · Billing
Explore Full Stack →
Equipment Summary
🧪 Clinical Diagnostics
i-STAT · ECG · Urinalysis · POC labs
📋 AWV Compliance
Vitals · MoCA · PHQ-9 · STEADI
🏥 Facility & Safety
Exam tables · DEA safe · ADA access
🚐 Transport
1 van/clinic · $46,500 incl. WAV conversion · logistics only
⏱ Month 6 Additions
Butterfly iQ+ POCUS · spirometer · wound care
💓 Day 1 — RPM Suite
Tenovi 4G hub · BP · glucose · weight · SpO2 · $40/mo
🏥
Clinic Equipment Stack
30 items · Day 1 → Month 9 · ~$75–90K CapEx/clinic
Explore Full Stack →
Competitive Advantage

SPARK clinics deliver modern advanced clinical tools and technology-enabled care to our Members beyond the capabilities of most clinics in Georgia.

Organization & Operating Platform

Spark Senior Health™, INC  (MSO)
Delaware (investor-friendly) · For-profit corporation
  • → Holds investor equity
  • → Owns facilities, equipment, vehicles, tech
  • → Employs all non-clinical staff
  • → Holds all IP, brand, software contracts
  • → Board-governed · investor rights attach here
  • → Earns management fee from PC under MSA
Management Services Agreement
SPARK Senior Health Transport, LLC
Georgia · Transportation subsidiary
  • → Mobile clinic van fleet operations
  • → Patient transport & logistics
  • → Owned by INC · subsidiary structure
Spark Senior Health™, PC
Georgia · Physician-owned clinical entity
  • → Holds CMS PECOS enrollment & NPI
  • → Employs or contracts NP/APRN, LPN, Medical Director
  • → Holds GA professional licenses & malpractice coverage
  • → Holds CLIA Certificate of Waiver per clinic site
  • → Physician ownership required (GA law)
  • → Pays management fee to MSO under arm's-length MSA
SPARK Senior Health Real Estate, LLC
Georgia · Fixed or Mobile · Property subsidiary
  • → Owns fixed clinic sites & mobile units
  • → Asset on balance sheet · strengthens exit
  • → Owned by INC · subsidiary structure
⚙️

Centralized MSO

Built for scale and quality — centralizes back-office functions to drive efficiency across all operating entities.

📋

Standardization

Standardized KPIs, QA/compliance protocols, and a unified technology stack across all entities.

🔄

Integration Playbook

Rigorous change management discipline to seamlessly onboard new clinics and realize synergies quickly.

🌐 Entity Jurisdictions
Delaware
MSO · investor equity · institutional capital
Wyoming
Holding company · privacy
Nevada
Friendly corporate tax structure
Strategic holding structure · MSO (Delaware corp) holds investor equity · Clinical PC (Georgia) holds CMS enrollment and all clinical licenses.

Medical Recruitment Strategy

📖 Staffing Model →
Physicians

🩺 Medical Director Hub Model

Georgia law confirms a 1:8 physician-to-APRN ratio — one physician covers up to 8 NPs or PAs. Three Medical Directors cover all 22 NPs/PAs (18.5 FTE) across 10 clinics.

→ Phase 1: Vendor-placed collaborating physicians (fixed retainer) while Clinics 1–2 launch — no revenue-sharing arrangements
→ Phase 2: 3 Regional Medical Director hubs aligned to SPARK's geographic county clusters — Toccoa, Blairsville/Blue Ridge, Calhoun
→ Phase 3: CMO for central clinical governance + 1 MD per 8 NPs/PAs as SPARK expands statewide
→ Georgia-only sourcing required (licensed in-state or within 50 miles) — hub geography matches existing county cluster structure
Full 10-Clinic Coverage
3 MDs
Nurse Practitioners & Physician Assistants

🎓 Six-Pillar Pipeline Strategy

Georgia's restricted-practice environment is reframed as a structured onboarding advantage — not a compliance burden candidates must solve on their own.

→ Grow-Your-Own: Precept NP students from UNG (Dahlonega), Piedmont (Demorest), and Brenau (Gainesville) — 3 programs inside SPARK's footprint
→ SPARK Geriatric Residency: Structured onboarding modeled on HRSA's NoGAPP — directly addresses the #1 reason new NPs avoid rural posts
→ Debt-Relief Sequencing: GA APRN LRP + NHSC LRP + Nurse Corps LRP applied in sequence — materially changes take-home math vs. suburban offers
→ Physician Delegation Built In: Nurse protocol infrastructure established before candidates start — no structural barriers to solve independently
→ Market-Aware Compensation: Base + productivity bonus tied to panel outcomes + explicit relocation/signing bonus — priced above rural GA average. Provide corporate rental until permanent relocation.
→ National Sourcing Bridge: LinkedIn Recruiter + staffing agencies as a bridge for early clinics and to fill the AGPCNP credential gap (no regional feeder exists)
• Groom Chief Nurse Practitioner
State Loan Repayment Eligible
9 of 10 Counties
LPNs & Care Coordinators

🏥 Local Pipeline, Built-In Retention

All 10 SPARK counties are served by a Technical College System of Georgia (TCSG) LPN program. The challenge isn't access — it's keeping them. SPARK sponsors the path forward rather than competing against it.

→ Tuition-for-Service RN Bridge: Fund the LPN→RN transition at NGTC in exchange for a 2-year post-completion SPARK commitment — turns attrition into a funded pipeline
→ Clinical Rotation Hosting: Host TCSG Practical Nursing rotations at SPARK clinics — first-look recruiting before graduation, low-cost, high-relevance
→ Wage Progression: Step increases at 12, 24, and 36 months — incentivizes retention through the highest-attrition early window
→ Role Design: LPN + Care Coordinator combined into a broader-scope role — clinically engaged positions are inherently more resistant to attrition
In-County TCSG Campuses
4 of 10 Counties

Site Acquisition Strategy

📖 Clinic Design →
Ownership Philosophy

🏢 Own, Don't Lease Long-Term

Clinical real estate sits in a separate single-purpose realty holding LLC — not inside the Georgia PC. The PC leases from the LLC at fair market rent. Building equity accrues independently of clinical economics.

→ SBA Eligible Passive Company: Realty LLC is a recognized SBA structure — PC as operating tenant, LLC holds title and debt, MSO/investors capture building appreciation
→ CPOM-compliant: Clinical revenue and real estate equity remain legally separate — no commingling that could expose the PC-MSO structure
→ Lease-to-own default: 12–24 month entry lease with fixed/capped purchase option or ROFR in every county — decouples clinical launch from real estate closing in thin markets
→ Key lease term: Fixed or capped option price negotiated upfront — avoid uncapped "fair market value at exercise" language; credit tenant improvements toward purchase
Target Footprint Per Clinic
2,200–2,500 sq ft
Financing

💰 Three Paths to Ownership

Qualifies for SBA 504. USDA B&I is a rural backstop all 10 counties qualify for. Conventional is fastest where appraisal is strong. Site selection is the pacing item for both RHC certification and SBA/USDA closing.

SBA 504
10% down (15% for startups/special-purpose) · 50% bank / 40% CDC debenture / 10% borrower · up to 25-yr fixed rate · 45–75 day close · no rural requirement
USDA Business & Industry — Rural Backstop
10–20% down · up to 30-yr amortization · all 10 target counties qualify (population <50,000) · parallel conversation recommended in thinner markets
Conventional — Fastest Close
25–30% down (startup/limited history) · 30–45 day close · no CDC/SBA review layer · ties up more of the $5M raise as equity · use where strong appraisal supports it
USDA B&I Rural Eligible
All 10 Counties
Market Depth

📍 County-by-County Inventory

Inventory depth varies sharply across the 10 counties. Site selection and lender conversations should run in parallel across 2–3 counties at once — one thin market cannot stall the broader rollout.

Deepest: Gordon (Calhoun), Fannin (Blue Ridge), Gilmer (Ellijay)
Moderate: Rabun (Clayton), Stephens (Toccoa), Habersham (Cornelia), White (Cleveland)
Thinnest: Union (Blairsville), Lumpkin (Dahlonega), Chattooga (Summerville) — lease-to-own entry required
⭐ Priority Lead
White County, Hwy 129 (Cleveland–Gainesville corridor) — the only property across all 10 counties that explicitly self-markets as suited for office or medical use. Ample parking called out. Recommend direct broker contact ahead of all other candidates.
Beyond "office": Bank branches and former medical/dental space convert most efficiently. Rural convertible sites surface through direct broker relationships more than public listings — a dedicated local-broker canvass + FDIC branch-closure check per county is the recommended next step.
Statewide GA Medical Listings
~200+ Active
The 5 Year Plan
1

Year 1

Foundation & Launch
$5M Raise · 3 Owned Clinics
  • Launch Habersham (M1), Lumpkin (M3), Stephens (M5)
  • ~1,737 enrolled members by year end
  • All 3 Y1 clinics EBITDA positive by their 8th month open
  • PECOS enrollment & EHR go-live
  • CMMI Innovation Award application at 400 members (~M5)
  • Community trust building: faith orgs, senior centers
  • Net Revenue: ~$1.4M
2-3

Years 2–3

Expansion & Refinement
Self-Funded · 6→10 Owned Clinics
  • Y2: Add White, Rabun, Union (M13–M15)
  • Y3: Add Fannin, Gilmer, Gordon, Chattooga (M25–M29)
  • ~5,039 → ~9,105 enrolled members
  • Portfolio EBITDA positive in Y2
  • Year 3 is self-sustaining — no external raise needed
  • Net Revenue: $5.7M → $11.8M
4-5

Years 4–5

Scale & Recapitalize or Exit
Self-Funded · 10 Owned Clinics Mature
  • All 10 clinics at their NP-capacity-derived terminal panel
  • ~11,097 enrolled members · ~$163 PMPM
  • EBITDA: $5.5M - $6.7M
  • $93M potential annual CMS savings
  • Exit Valuation: $55 to $65M
$4M–$5M
Upfront Ask
~Mo 8
Each Y1 clinic EBITDA+
$18.6M
Y5 Net Revenue
$5.5-6.7M EBITDA
Investor Return Basis

P & L — Annual Portfolio Summary

Market Assessment →📊 Financial Model →

Base scenario · Owned buildings ($5M raise) · 25% FFS penetration · 18-month Spark ramp · 2.0→4.0 visits/member/yr · bottom-up CMS billing codes (no PMPM ceiling) · 10 clinics by Y3 · Stage 3 Financial Model

Line Item Year 1 Year 2 Year 3 Year 4 Year 5
OPERATING CONTEXT
Active Clinics (EOP)36101010
Enrolled Members (EOP)1,7375,0399,10511,09711,097
REVENUE
E&M Visits$227,158$834,713$1,996,705$3,172,061$3,993,933
AWV (G0438/G0439 + G2211)$443,504$1,270,340$2,270,081$2,722,724$2,682,414
APCM G0558 (QMB/Dual)$154,334$715,816$1,438,028$2,081,342$2,187,151
CCM (99490/99487/99489)$167,111$775,076$1,557,077$2,253,649$2,368,217
APCM G0557 (Standard FFS)$40,165$186,287$374,239$541,658$569,194
APCM G0556 (Low Acuity)$2,974$13,793$27,710$40,106$42,145
PCM (99424/99425)$22,918$106,293$213,536$309,064$324,776
Other Visit-Based Codes (BHI · TCM · ACP · Tobacco · Screenings · Immunizations)$226,232$1,128,774$2,397,694$3,615,850$3,965,758
Net Ancillary (Lab + RPM + Vaccine Products)$163,869$884,107$1,868,100$2,821,126$3,051,691
Claim Denial Write-off($42,590)($173,928)($355,137)($511,474)($555,861)
TOTAL NET REVENUE$1,405,676$5,741,271$11,788,033$17,046,105$18,629,417
OPERATING EXPENSES
MSO Staff$1,400,000$1,750,000$2,750,000$3,125,000$3,125,000
MSO Operations$171,500$309,000$434,000$534,000$534,000
Clinic Staff + Driver$664,167$1,816,250$3,425,083$4,276,542$4,626,250
Clinic Operations$428,175$999,075$1,627,065$2,062,700$2,062,700
Tech Stack$177,906$582,124$1,116,943$1,510,304$1,596,965
TOTAL OPERATING EXPENSES$2,841,747$5,456,449$9,353,091$11,508,545$11,944,915
EBITDA($1,436,072)$284,822$2,434,941$5,537,560$6,684,502
All figures are projection-basis estimates · CMS MPFS 2026

Assumptions: Stage 3 Financial Model · Owned buildings ($5M raise) · 25% FFS penetration · 18-month per-clinic ramp · 2.0→4.0 visits/member/yr · ~$163 gross / ~$140 net PMPM at steady state (Y5)

Net Revenue & EBITDA by Year — 10-Clinic Portfolio
$1.4M
-$1.4M
Y1
3 clinics
$5.7M
+$0.3M
Y2
6 clinics
$11.8M
+$2.4M
Y3
10 clinics
$17.0M
+$5.5M
Y4
10 clinics
$18.6M
+$6.7M
Y5
Steady State
Net Revenue
Key Insights
📉

Initial Investment Phase (Y1)

3 clinics in ramp mode. Net loss ~$1.5M (EBITDA ~–$1.4M) as MSO overhead precedes clinic revenue. By their 8th month open, all 3 Y1 clinics (Habersham, Lumpkin, Stephens) are clinic-level EBITDA positive.

⚡

Inflection Point (Y2)

6 clinics active. Portfolio EBITDA turns positive at ~$0.3M. Net income positive from Y2. Y2–Y3 expansion funded from single M1 raise.

🚀

Value Creation (Y3–Y5)

All 10 clinics open by Y3 and at terminal panel by Y4. Exit valuation: $55–65M.

Capital Structure

📊 Financial Model →
Target Capital Raise
$4M or $5M
($4M if building leased · $5M if building owned)

⚙️ Instrument Structure

SAFE or Equity (convertible note kept as an option). 20% Equity.

Potential Tax Advantage · Section 1202

🏛️ QSBS — Qualified Small Business Stock

QSBS eligibility is potentially available, subject to qualification analysis from a tax accountant. Qualifying investors may exclude 50% to 100% of capital gains — up to $15M — from federal income tax upon exit.

100%
Exclusion @ 5 yrs
$15M
Per-Investor Cap
3 yrs
Exclusion Starts
Tiered exclusion (stock issued after July 4, 2025): 50% @ 3 yrs · 75% @ 4 yrs · 100% @ 5 yrs
✅ Delaware C-Corp — eligible at issuance
✅ Gross assets under $75M at launch
✅ Original issuance — no secondary market
✅ 5-year hold aligned with Spark's exit timeline
The Numbers: What QSBS Could Mean for You
Illustrative · $5M investment · $65M exit · 5-year horizon · 20% equity
Without QSBS With QSBS
Investment Amount$5,000,000$5,000,000
Est. Exit Proceeds (20% of $65M)$13,000,000$13,000,000
Capital Gain$8,000,000$8,000,000
Federal Tax Rate (LTCG + NIIT)23.8%0%
Federal Tax Owed~$1,904,000$0
NET INVESTOR RETURN~$11,096,000$13,000,000
Tax savings on this example: ~$1,904,000. The exclusion applies per investor — spouses filing jointly each qualify for the full $15M exclusion on separately held shares.
💡
Maximize Deployment Schedule — Single Capital Raise
💰 Sources of Capital

Leased Building Scenario

Lower upfront CapEx · faster launch

$4M

Owned Building Scenario (preferred)

Higher CapEx · asset on balance sheet · stronger valuation

$5M
📊 Use of Proceeds
Clinic CapEx (buildout, equipment, vans; building down payments if owned) · all 10 clinics · $2.0M Lease / $2.8M Own
MSO Formation (legal, tech, staff, operations)
Operating Shortfall (loss months M1–M16 · ~$1.7M Lease / $1.8M Own)

Waterfall Example

📊 Financial Model →

Planned Base Case · $5M Raise · $65M Exit · Same IRR · Different instruments.

IRR = after 23.8% federal capital-gains tax on the exit gain · IRR (w/ QSBS) = exit gain federally tax-free under §1202 · cash dividends taxed in both.

SAFE or Equity Investment
YearPrincipal
Year 1$5,000,000
Year 2$5,000,000
Year 3$5,000,000
Year 4$5,000,000
Year 5$5,000,000
Sale Price$65,000,000
Investors (20%)
$13,000,000
Founders (70%)
$45,500,000
+ ESOP (10%) $6,500,000
Investor Payout at Exit (20%)
$13,000,000
IRR: ~17%  ·  IRR (w/ QSBS): ~21%

Legal, Compliance & Risk Management

⚖️ Legal, Compliance & Risk →
📋 Operating Terms Agreement
Capital Structure
  • 📌 Purpose & Business Outline
  • 📌 Capitalization Table (CAP)
  • 📌 Founders Common Stock
  • 📌 Preferred Equity (SAFE or Equity · convertible note optional)
Governance & Control
  • 📌 Board Control & Protective Provisions
  • 📌 Issuance of Shares
  • 📌 Selling of Company
🔒 Company Compliance
Entity Structure
  • →Two-entity MSO model — DE INC + GA PC
  • →Arm's-length Management Services Agreement (MSA)
  • →Anti-kickback & Stark Law safe harbor protections
CMS & Billing Compliance
  • →CMS PECOS enrollment — CMS-855B & NPI registration
  • →Palmetto GBA J-J MAC · NP direct billing at 85% of MPFS
  • →CLIA Certificate of Waiver — per clinic site
  • →OIG 7-element compliance program in place
Georgia State Requirements
  • →GA Medical Board — Nurse Protocol Agreement required
  • →Physician supervision · 8:1 NP ratio (GA 2024)
  • →Malpractice coverage · GA professional licenses
  • →HIPAA/HITECH compliance · BAAs with all vendors
The SPARK Culture

Purpose & Constituents — Member Centric Philosophy

🏘️
Community
Social Responsibility
🏛️
Government
Compliance & Trust
OUR
HONORED
AND
RESPECTED
MEMBERS
To Improve Your Health
and Well-Being
👥
Employees
The engine of our success
🤝
Partners
Service Providers & Shareholders
Our Purpose
To improve our Member's Health and Well-Being.
Our Vision
To become the CMS CMMI-recognized model for FFS rural Medicare primary value care in GA — and replicate it across America.

Philosophy, Principles & Values

📋 Our "HANDS OF LOVE" Business Principles
Do GOOD on Purpose — Do WELL in Business
Synergize a PASSIONATE Heart and a WILLFUL Mind to strive for EXCELLENCE
Be of timeless VALUES before being VALUED
Exemplify great DEEDS to yield win-win RESULTS
Be of tireless SERVICE to uplift HUMANITY
Be the LIGHT in the path of life to create a POSITIVE journey
💎 Our Core Value Pillars
🧭
Leadership

We take responsibility for our actions to deliver excellence in our work that fulfills our Purpose and serves our Constituents.

🤝
Partnership

We build trusting relationships that promote teamwork to achieve positive results for our Constituents.

🛡️
Stewardship

We drive a culture of service that values accountable and quality workmanship for our Constituents.

Leadership & Management Style

🧭
Leadership

🎯 Purpose-Driven

Exhibits dedication to our Purpose and Constituents. Generates optimism and treats others with courtesy while pursuing the mission.

🛡️ Integrity

Stands up for what is right, fair, and honest. Conducts oneself without corrupting motive to build lasting, constructive relationships.

⭐ Excellence

Champions a learning culture and drives self and others to excel beyond the status quo with energy and perseverance.

🤝
Partnership

🔒 Trust

Inspires confidence through reliability. Promotes fairness in all dealings and protects confidential information to enable enduring trust.

👥 Teamwork

Builds on people's strengths to create cohesive teams. Shares wins and seeks proactive actions to improve outcomes for all.

💛 Respect

Supports a diverse culture of inclusion. Integrates the best ideas from varied voices and believes in the intrinsic worth of all people.

🛡️
Stewardship

🏆 Service

Considers service paramount. Interacts regularly to gain feedback and strives to exceed requirements with a positive work ethic.

✅ Accountability

Takes ownership of business results. Sets performance expectations, measures progress, and adheres to all rules and regulations.

📊 Quality

Sets measures tied to our Purpose. Seeks ways to improve via PTACR (Productive, Timely, Accurate, Complete, Results) methodology.

The SPARK Dream

County Intel →
The Dream
From Rural Georgia to a National Movement
Georgia
417K
FFS Members
$163
PMPM
$816M
Total Addressable
4
Regions
Georgia Revenue Milestones
10% Penetration · 41,700 Members $82M
25% Penetration · 104,000 Members $203M
The National Horizon
$1B+
Multi-State Revenue Company

Every rural state has a Medicare access crisis. Georgia proves the model. The playbook replicates. The dream is a company that ignites healthcare for millions of seniors left behind — nationwide.

NE Georgia
10 Counties · Launch
→
4 GA Regions
$82M – $203M
→
Multi-State
$1B+ · National Impact

Why SPARK — Medicare as it was Intended

📖 FFS vs MA →
The Core Case

Original Medicare + SPARK vs. MA

Nearly half of all Medicare beneficiaries — and the majority in most SPARK anchor counties — remain on Original Medicare even as MA plans market $0 premiums aggressively. SPARK delivers clinically what MA advertises on a glossy mailer.

→ No network restrictions: any provider nationwide accepting Medicare — no referrals, no prior auth, no forced mid-year plan switch
→ Monthly clinical contact: SPARK CCM/APCM delivers care planning and 24/7 access every month — not just an annual wellness visit
→ Remote monitoring included: SPARK RPM tracks blood pressure, glucose, and weight with clinical follow-up — a paid add-on or nonexistent in most MA plans
→ Preserved Medigap access: no MA enrollment history to complicate underwriting — members keep their future options open. Approx. 87% of FFS beneficiaries carry supplemental coverage; ~43% specifically in Medigap
→ Guaranteed stability: Original Medicare cannot be discontinued or exit a market — 1-in-10 MA enrollees forced to switch plans for 2026, rural areas hardest hit
SPARK care value per qualifying patient
~$183/mo
The Money — What $0 Premium Actually Means

$0 Premium ≠ $0 Cost

$0 premium means cost shifts from monthly bill to copays and coinsurance. For a high-usage year, MA's "free" plan can hit its $8,000–$8,485 out-of-pocket maximum — comparable to uncapped FFS risk.

Scenario
FFS + Medigap G
FFS + Medigap G w/ PDP
MA $0 Premium
Low-use year
~$4,375–$5,224
~$5,239–$6,088
~$2,435–$3,000
High-use year
~$4,660–$5,510
~$5,524–$6,374
Up to $8,000–$8,485
~75% of FFS members in SPARK's 10 counties carry a standalone Part D PDP (~$72/mo GA avg), adding ~$864/yr to the Medigap cost picture. Even with PDP, Medigap G provides a predictable ceiling vs. MA's $8,000–$8,485 OOP cliff. SPARK's model adds monthly clinical care on top — CMS-funded.
MA OOP max · our anchor counties
$8,000–$8,485
2026 Market Reality

Rural MA Is Destabilizing — FFS Is SPARK's Moat

Insurer exits and forced disenrollments have surged to their highest levels in the program's history. Rural beneficiaries bear the brunt — 23% of all 2025 plan terminations came from rural counties that hold only 14% of MA enrollment.

→ MA forced disenrollment jumped from ~1% historical to 10% in 2026 — a tenfold increase in two years (Johns Hopkins / JAMA, Feb. 2026)
→ Total MA enrollment projected to decline for the first time in two decades — from ~50% to ~48% of Medicare beneficiaries nationally choosing Advantage in 2026
→ 6 of 10 SPARK counties are FFS-majority on raw CMS data — Stephens (50.3%), Gilmer (55.4%), Rabun (53.2%), Union (52.9%), Fannin (53%), Lumpkin (51.6%)
→ 74% of MA plans in our counties are PPOs — plans that advertise "see any doctor" but offer no guarantee of a contracted local provider actually existing in a thin rural market
→ CMS explicitly relaxes network adequacy standards in rural counties (42 CFR § 422.116) — allowing 70–95 min travel times and 85% compliance thresholds. A plan can be "available" in a county with no local provider
Discounting PPOs with no PP, FFS majorities in SPARK footprint
10 of 10
Why SPARK
Experienced Leadership Team with Deep Industry Expertise in Patient-FIRST care
Purpose Driven, Value Oriented and Principled Executives
Scalable rural primary care model advancing the national priority of delivering quality healthcare to underserved seniors
Successful Strategic and Operating Entrepreneurs
Business driven by Demographic Engine with increasing longitudinal revenue as members age
Ground floor-up wisdom and execution knowledge
Led by Executives with start-ups to multibillion-dollar P&L responsibility
Innovative, changing mindset and courageous leadership
LET'S IGNITE CHANGE!