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Healthcare Bosses Don't Work More. We Build Smarter.
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Launch Your Occupational TPA Business From Home.

Run a testing coordination business without ever touching a specimen. No lab coat. No collection kits. No office. No employees. Just you, your laptop, and a business model the healthcare industry cannot function without.

  • No Clinic. No Collections. No Problem.
  • Coordinate Testing. Get Paid.
  • Built-In Demand. Real Profits.
  • Freedom, Flexibility & Financial Power.
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Healthcare entrepreneur working from home
The Occupational TPA Startup Guide

Your Complete Roadmap To Building A Testing Coordination Business From Home

A 33-page, chapter-by-chapter startup guide built directly from my own TPA business. Every revenue number, every outreach script, every workflow template, and every compliance guideline comes from the business I actually operate.

I coordinate DOT drug testing, DNA and paternity testing, background screening, and occupational health testing without ever collecting a single specimen.

This is not a framework I pieced together from research. It is the blueprint from my real business, organized so you can replicate it.

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What People Are Saying

Real words from real healthcare entrepreneurs.

Mary Le'Shaun: I peeked at it and my Lord I can tell you OVER DELIVERED!
Customer testimonial
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Let's Clear Something Up

When most people hear "medical testing business," they picture a physical location, gloves, and a collection cup. They imagine driving to job sites, setting up collection booths, or working inside a clinic handling specimens all day. That image stops a lot of healthcare entrepreneurs from ever exploring this space. Because they do not want that business.

Here is what nobody told you: the most profitable position in the testing industry is not the collector. It is the coordinator. It is the business that sits in the middle, managing clients, scheduling tests, liaising with labs, and delivering results, without ever setting foot in a collection site. Without ever putting on a glove. Without ever leaving the house if you do not want to.

That business has a name. It is called an Occupational TPA (Third Party Administrator). And most people have never heard of it. That is exactly why you are reading this right now.

A Different Way To Think About This

What If You Could Run It All From Your Laptop?

What if you could run a fully operational testing business from your laptop, coordinating tests for employers, attorneys, and healthcare facilities, while labs and licensed collection sites did all the hands-on work? What if your job was to be the organized, professional administrator who manages the process, communicates with clients, and gets paid a markup on every single test coordinated through your business?

That is the Occupational TPA model. You are not the collector. You are not the lab. You are the administrator who makes the whole thing run. Employers need you. Attorneys need you. Healthcare facilities need you.

And right now, most of them are either working with a large national TPA or searching for a reliable local coordinator who actually communicates with them. That gap is your opportunity.

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Introducing

The Occupational TPA Startup Guide

Your Complete Roadmap To Building A Testing Coordination Business From Home

33 Pages · 12 Chapters · Built From A Real Business

This is a 33-page, chapter-by-chapter startup guide built directly from my own TPA business. Every revenue number, every outreach script, every workflow template, and every compliance guideline in this guide comes from the business I actually operate.

I coordinate DOT drug testing, DNA and paternity testing, background screening, and occupational health testing without ever collecting a single specimen. This is not a framework I pieced together from research. It is the blueprint from my real business, organized so you can replicate it.

Get Your Startup Guide For $47
12 Chapters. Everything You Need To Launch.

What You Get Inside

Chapter 1

How The Occupational TPA Model Actually Works

Understand the three-party relationship between your TPA, your clients, and the labs and collection sites. The complete 6-step coordination process is broken down so clearly that by the end of this chapter you will be able to explain your business model to anyone.

Chapter 2

The Revenue Model

A complete pricing table covering 12 services, showing you the lab cost, what you charge the client, and your profit on every single test. Three monthly revenue scenarios are mapped out: Part-Time ($2,190/month), Full-Time ($5,550/month), and Scaled ($12,750/month).

Chapter 3

Services You Can Coordinate

Five service categories broken down in full detail. DOT drug and alcohol testing. Non-DOT drug and alcohol testing. DNA and paternity testing. Background screening. Occupational health testing including DOT physicals and fit-for-duty exams.

Chapter 4

Who Are Your Clients

Six client categories with 35-plus specific prospect types identified for you. Employers, healthcare facilities, legal and government clients, education organizations, small businesses, and specialized niche markets.

Chapter 5

The 8-Step Startup Checklist

Your business foundation to launch roadmap. Business formation. Service menu selection. Lab partnerships. Virtual operations setup. Compliance structure. Marketing launch. Every step includes detailed action items and personal Nurse Tee Notes.

Chapter 6

Your Daily And Weekly Workflow

A complete day-in-the-life schedule from 8 AM to 4 PM showing exactly what a TPA owner does on a working day, plus a weekly rhythm template.

Chapter 7

Marketing And Landing Your First Clients

Six complete, ready-to-use outreach scripts. An employer email and follow-up. An attorney email and follow-up. A healthcare facility email and follow-up.

Chapter 8

How To Price Your Services

The complete pricing guide with recommended client pricing ranges for every service, markup calculation formulas, and volume discount strategies.

Chapter 9

Compliance Essentials

HIPAA requirements for TPA operations, DOT compliance basics, secure systems, and documentation requirements.

Chapter 10

Scaling Your TPA Business

A three-phase growth plan: Foundation (0 to 6 months), Expansion (6 to 18 months), and Scale (18 to 36 months).

Chapter 11

Key Terms Every TPA Owner Needs To Know

Twenty essential industry terms defined in plain, straightforward language.

Chapter 12

10 Common Mistakes New TPA Owners Make

And exactly how to avoid every single one of them.

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Let's Talk About The Money

The Revenue Breakdown

Here is something most people do not realize about the TPA model: your revenue grows with client volume, not with hours worked. You are not trading time for dollars. You are building a coordination business that generates income every time a client needs a test.

The Markup Model in Plain Numbers:

A 5-panel drug test costs you $35 from the lab. You charge the employer client $75. That is $40 profit from one single test. Coordinate 80 drug tests in a month and that is $3,200 just from drug testing.

A DNA paternity test coordinated through your TPA generates $180 in profit. One employer contract can generate $500 or more in recurring monthly revenue.

Part-Time
$2,190
per month · $26,280/year
A handful of consistent clients and a few tests per day.
Full-Time
$5,550
per month · $66,600/year
A growing client base running like an actual business.
Scaled
$12,750
per month · $153,000/year
Systems, volume, and a virtual team supporting your operations.

All three of these scenarios are built into this guide.

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This Guide Is For You If

This Is Not For You If

You Will Never Touch A Specimen. Not Once. Not Ever.

You will never drive to a collection site. You will never need gloves, a lab coat, or collection kits. You will never handle biological material of any kind. Your job is to coordinate. The labs run the tests. The licensed collection sites collect the specimens. You manage the business: intake, scheduling, lab liaison, result delivery, billing, and client relationships. All from your home office. All from your laptop. That is the Occupational TPA model. That is what this guide teaches.

Theresa Pugh, MSN, RN. Nurse Tee. The Healthcare Boss

Who Built This

I am Theresa Pugh, MSN, RN. Most people know me as Nurse Tee, The Healthcare Boss.

I run an Occupational TPA from my home office. I coordinate DOT and non-DOT drug testing, DNA and paternity testing, background screening, and occupational health testing. I do not collect specimens. I have never needed to. My business is built on coordination, client relationships, and systems.

I have built this business alongside three other companies: my private pay home care agency, Nurse Tee Coaching and Consulting (including the Health Care Business Academy), and my online scrub store. I run all four from a home office. I am a wife, a grandmother, and a CEO.

This guide is not what I think would work. It is what I know works because I am doing it right now.

Healthcare Bosses Don't Work More. We Build Smarter.
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Your Investment

The Business Model Healthcare Can't Function Without Is $47.

One DNA paternity test coordinated through your TPA generates $180 in profit. One employer drug testing contract can generate $500 or more in recurring revenue every single month. One healthcare facility account can generate thousands per month in consistent coordination fees.

The Occupational TPA Startup Guide is $47. Forty-seven dollars for 33 pages of real framework, real pricing, real scripts, and a real 8-step checklist built from a real TPA business. One coordinated test pays for this guide more than four times over.

$97 $47
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Frequently Asked Questions

Do I need to be a nurse or have a medical background?

No. The Occupational TPA model is an administrative and coordination business. It is not a clinical business. You do not perform any medical procedures, handle specimens, or provide any form of patient care. If you are organized, professional, and willing to learn the model, you can run a TPA regardless of your background.

Is this the same as a specimen collection business?

No, and this distinction is critical. A specimen collection business involves physically collecting samples at job sites or in a collection facility. An Occupational TPA is the business in the middle that coordinates the process. You never collect specimens. You coordinate from your home office.

Can I really run this entire business from home?

Yes. A laptop, a phone, and reliable internet are your entire physical operation. Client intake happens via email and phone. Scheduling is managed digitally. Results are delivered electronically. This is a fully virtual business model by design.

How much does it cost to start a TPA business?

Most people can launch an Occupational TPA for under $500, depending on their state's business formation requirements and the tools they choose. There is no physical location to rent. No equipment to purchase. No inventory to carry.

How quickly can I realistically start making money?

With focused effort, you can have your business foundation set, your lab partnerships in place, and your outreach to first clients underway within 30 days. The guide includes a 90-day roadmap built around realistic milestone targets.

Are the outreach scripts actually included in the guide?

Yes. Chapter 7 includes six complete, ready-to-use outreach scripts: an employer email and follow-up email, an attorney email and follow-up email, and a healthcare facility email and follow-up email. These are the actual outreach scripts modeled after the approach I use in my own TPA business.

What if I need more support beyond this guide?

The Health Care Business Academy (HCBA) has the full Occupational TPA Startup Training, which includes live group coaching, templates, compliance training, and a community of healthcare entrepreneurs building their businesses alongside you. The guide gives you the complete framework. HCBA gives you the coaching, accountability, and community to implement it faster.

What services can I coordinate as an Occupational TPA?

DOT and non-DOT drug and alcohol testing, DNA and paternity testing (legal, immigration, and family relationship), background screening, and occupational health testing including DOT physicals and fit-for-duty exams. Chapter 3 covers every service category in full detail.

The Demand Is Already There. The Only Variable Is You.

Employers need drug testing today. Attorneys need DNA results today. Healthcare facilities need occupational health coordination today. The testing is happening with or without you. The question is whether you are going to be the TPA that manages it.

Low startup costs. No physical location. No employees required to start. Recurring client relationships. Built-in, legally mandated demand. And a coordination role that puts you at the center of the entire process without ever touching a specimen.

For $47, you get the complete blueprint. Every chapter. Every script. Every pricing table. Every checklist. Built from a real TPA that is operating right now.

$97 $47
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