Jade House Recovery
COO STARTER PACK
Welcome to
Jade House
Version 0.9 — February 2026 (Pre-Lease Execution)
Brian — Your line about the "two parts of the treatment business" stuck with me: do the treatment right, and build the business to keep the doors open.
This starter pack shows exactly how Jade House is building that second part — launch status, DCF/REMS dependencies, unit economics, RCM guardrails, and the patient portal prototype. It is designed to skim in minutes, with every claim tied back to the financial model and licensed industry research.
— John
Section One
Origin & Model
Jade House is designed as a rapid-access outpatient psychiatric + addiction clinic focused on:
Medication-Assisted Treatment (injectables + med management)
Interventional psychiatry (Spravato, TMS)
Evidence-based psychotherapy
Structured outpatient detox
Clean RCM + documentation discipline from day one
Speed to intake + compliance discipline + clean claims = durable margin.
Section Two
Launch Status
Facility Control
West Palm Beach — LOI submitted; lease in negotiation.
5,600 SF · Parking appears strong (600–1,000)
Target: Execute lease + proof of control → unlock DCF site steps
Strong access + timeline; maintained as backup until lease executed.
Phased activation optionality.
Watch-outs: life safety/egress constraints for phased occupancy; humidity/mold risk if mothballed.
Potential speed advantage if zoning/use classification + parking interpretation are clean.
Controlled-Document Note: Current policy manual address fields are placeholders. Upon executed lease, we will trigger a single controlled-document update (policy manual + evacuation routes + signage + DCF packet + payer enrollment profiles). No licensure or DEA documentation will rely on placeholder addresses.
Licensure + Compliance
DCF licensure sequencing mapped
Spravato REMS workflow built into clinical model
Documentation completion SLA: 24–48 hours
Authorization + front-end eligibility controls embedded in intake workflow
LAUNCH GATING ITEMS
Executed lease
Final floorplan approval
Proof of control submission to DCF
Final vendor install scheduling
Section Three
Capital & Runway
This section is intentionally concise: runway, burn, capital sources, and the cash-conversion assumptions that must be true for collections to start.
Capital Stack
$350K SBA (in process)
$350K invested
$50K additional private commitment secured
Additional lender conversations active
Month 9
Break-even target
55–60
Active patients at break-even
Cash Discipline
Front-end auth required before service
Documentation completion within 48 hours
Weekly denial review cadence
DSO monitored against 45-day base / 60-day stress scenario
NOTATION
Industry benchmarks are cited where applicable. All other figures are financial model assumptions (Feb 2026) and will be re-baselined after payer contracting + first 60 days of live claims.
Section Four
Service Mix
Year 1 Service Mix (Financial Model, Feb 2026):
MAT Injectables (Sublocade + Vivitrol)
Interventional Psychiatry (Spravato + TMS)
Therapy (individual + group)
Psychiatric E/M (eval + med management)
UDS + ancillary services
SCALE STRATEGY
Scale interventional services only after REMS execution + RCM SLA stability are demonstrated.
Operational Reality: Spravato requires REMS-compliant monitoring + clean documentation + prior authorization discipline. Throughput is constrained by operations, not demand.
Section Five
Operating System
Intake → Treatment → Documentation → Claim
Access Discipline
Same-day callback standard
72-hour intake target
No-show salvage protocol
Documentation Discipline
24–48 hour completion SLA
Modifier-25 applied correctly when E/M is billed with injection
Injection inventory reconciliation weekly
RCM Guardrails
Eligibility verified before service
Authorization logged before scheduling
Denial root-cause tracking weekly
Target denial rate: ≤10%
Target A/R days: <30
Section Seven
Patient Portal Prototype
12-screen interactive portal:
Admission workflow
Consents
Mood tracking (Kipu outcomes sync)
Messaging
Medication tracking
Scheduling
SOS
Goals
Referrals
Preview
The patient portal is not marketing — it is an operational extension of documentation, engagement, and retention discipline.
Section Eight
The Bottom Line
Jade House is not betting on a single procedure.
It is building a compliance-tight, documentation-disciplined, specialty-driven outpatient engine.
The treatment must work.
The business must stay open.
This portal shows how both are being built — in parallel.
Jade House Recovery
John Visciano, Founder & CEO
917-960-1508
Prepared February 2026 — Confidential