Licensing the survivorship protocol — the honest answers.

No. A franchise under the FTC Franchise Rule (16 CFR Part 436) requires (1) a trademark license, (2) significant control or assistance over the licensee's method of operation, and (3) a required payment. This program is structured to sit outside that definition: the license is non-exclusive, we do not control your clinical operations or set your prices, and the fee is for defined deliverables (curriculum, protocol updates, software access, brand certification) — not the right to operate a Life Spark clinic. Licensees remain independent practices.

No. Because this program is not a franchise, there is no FDD and no state franchise registration (California, New York, Illinois, and the other 11 registration states). You receive a Master License Agreement (MLA) and an Order Form for your tier. We recommend your counsel confirm treatment under any applicable state business-opportunity statute.

No royalty on gross. Pricing is a flat annual license fee plus a per-seat clinician subscription. Your patient revenue, payer contracts, and cash-pay pricing are yours; we do not touch them. Optional add-ons (e.g., outcomes registry participation, marketing co-op) are separately priced.

The license is non-exclusive by default — we can license other practices in your metro. Certified Health System tier licensees can negotiate a limited exclusivity rider for a defined geography and term. There is no post-termination non-compete; you keep your patient base and revert to your own brand.

Solo (1 prescriber, up to 300 active survivors), Group (2–8 prescribers, up to 2,000 active survivors), and Health System (unlimited seats, enterprise SLA). All tiers include the protocol library, treatment-summary and care-plan templates, patient-facing survivorship portal seats, Spark OS software access, quarterly guideline updates, and Life Spark Certified badge usage. Tier upgrades are pro-rated mid-term.

Each prescribing clinician (MD, DO, NP, PA) using the protocol and Spark OS software counts as a seat. Seats are billed monthly, activated within one business day, and can be re-assigned when a clinician leaves. Non-prescribing staff (RN care coordinators, social workers, MAs) are included at no additional seat cost within your tier.

Nothing by Life Spark. You bill patients and payers directly under your own tax ID. If you offer a survivorship membership to your patients (recommended for AYA and cash-pay executive-health cohorts), we provide a membership-agreement template and a Stripe or Chargebee configuration guide; the merchant-of-record is you.

Initial term is 12 months, auto-renewing annually. Either side can terminate on 90 days' notice at the end of a term, or immediately for material breach. On termination you retain patient records (you are the covered entity), stop using the trademark and protocol assets, and export your data via FHIR within 60 days.

Adult and AYA (adolescent and young adult) survivors of solid tumors, hematologic malignancies, and HSCT recipients who are ≥ 2 years off active treatment or transitioning from oncology follow-up. Aligned to NCCN Survivorship, ASCO, and COG-LTFU 6.0 guidelines with quarterly updates.

No. Licensed practices deliver survivorship and long-term follow-up: treatment-summary creation, late-effects surveillance (cardio, endocrine, pulmonary, secondary malignancy, neurocognitive, fertility, psychosocial), care-plan authoring, and transition-of-care handoffs. Active cancer treatment stays with the referring oncology center.

Your clinicians. Life Spark provides the protocol library, decision-support calculators, and templates — none of it constitutes the practice of medicine, and none of it is a clinical order. Your medical director retains all clinical authority and is the responsible party under state medical-practice acts.

Via FHIR R4 endpoints (Epic, Oracle Health/Cerner, Athena, eCW) and CDA documents for legacy systems. Every exchange is logged in the PHI access log, patient-consented, and BAA-covered. Care plans and surveillance updates are pushed to the referring center after each visit.

You are — the licensed practice is the covered entity for its patients. Life Spark is a Business Associate as the software and content vendor and signs a BAA at contract. You own workforce HIPAA training, breach response, and OCR reporting; we provide templates, an annual audit checklist, and the technical safeguards in Spark OS.

Because you are already a licensed practice, CPOM structuring is your existing arrangement — the license does not change your entity structure. We do not require a management services agreement, do not take an equity interest in your PC, and do not participate in clinical governance.

Annual protocol-adherence attestation (self-assessment against a published rubric), 4 hours of licensed-clinician onboarding, and 12 hours of survivorship CE per prescribing clinician per year. Health System tier includes an on-site or virtual QA review every 24 months.

Illustrative pilot pricing (see the Master License Agreement summary for current figures): Solo — $9,600/yr license + $250/clinician/mo. Group — $28,000/yr license + $220/clinician/mo. Health System — starts at $75,000/yr, seat pricing negotiated. Setup is included at all tiers.

Blended: (1) E&M and preventive CPT codes to commercial and Medicare payers, (2) chronic care management (99490, 99487) and principal care management for high-risk survivors, (3) transitional care management post-treatment, (4) employer contracts and cash-pay memberships for AYA and executive-health cohorts, (5) grant-funded research participation. Coding playbook is part of the license.

Practices adding survivorship as a service line to an existing primary-care, oncology, or endocrinology practice generally see 55–70% contribution margin on survivorship visits once the panel exceeds ~200 active survivors, because staffing and space are already in place. Illustrative — not a guarantee. Discussed in detail on the licensing call.