Andy A. Hernandez

CEO • Founder • Investor
Business | Culture | Sports 🇨🇺🇺🇸

[Andy A. Hernandez @AH3MiamiFL]

@KobeissiLetter PPI is the number operators feel first. In home health, Medicare locks our rates a year out. Nurse mileage, payroll, employer health plans reprice every month. Add a December hike on credit lines and the thin-margin agencies start closing. Patients feel that next.

[Andy A. Hernandez @AH3MiamiFL]

@MarioNawfal South Florida already watched this movie. Cuban and Venezuelan families didn't leave the Democrats overnight. They left one ignored concern at a time. Take your voters for granted long enough and they stop being yours.

[Andy A. Hernandez @AH3MiamiFL]

@patrickbetdavid Right call. The board did its job.

Lesson for every founder, big or small: build the bench before you need it. Nvidia had its CFO step in the same day. Most home health owners I know couldn't tell you who signs payroll if they disappeared tomorrow.

[Andy A. Hernandez @AH3MiamiFL]

@KobeissiLetter Must be nice. In home health we don't get to raise prices. Medicare sets the rate and we live with it. Nurse wages, mileage, and insurance don't wait for the next rule. You either get efficient or you get squeezed.

[Andy A. Hernandez @AH3MiamiFL]

@MarioNawfal I run payroll for home health nurses every two weeks. Florida has no state income tax and they still feel it: 7.65% FICA on top of federal withholding, then gas for a week of patient visits. Take-home is the raise nobody in Washington talks about.

[Andy A. Hernandez @AH3MiamiFL]

@KobeissiLetter Operator lesson here: when the revenue doesn't match the footprint, dig into the fine print. "Bill to, not ship to" is the whole story. Same in home health — if a referral source sends more patients than its size explains, you look before the auditors do.

[Andy A. Hernandez @AH3MiamiFL]

Bet!

[Cam akers @thereal_cam3]

JIMBO back in Tallahassee. I’m calling it now 🧐🍢

[Andy A. Hernandez @AH3MiamiFL]

@unusual_whales Gas up 9.1% shows up in my business before it shows up in any report. Home health nurses drive patient to patient all day. Medicare sets our rate once a year, so when gas jumps, the agency eats it or the nurse does. Either way the paycheck buys less.

[Andy A. Hernandez @AH3MiamiFL]

@AlexHormozi Learned this my first year running home health. I thought every bad week was a crisis people would remember forever. Nobody did. The nurses only remembered one thing: did payroll clear Friday.

[Andy A. Hernandez @AH3MiamiFL]

@elonmusk Build software for the hardest logistics problem you have and it ends up running the next business too. Same reason I'd rather hire the nurse who handled the toughest caseload than the one with the prettiest résumé.

[Andy A. Hernandez @AH3MiamiFL]

@Codie_Sanchez Most home health owners stall at Level 3. Good money, but they're still the one approving every visit change and returning referral calls at 9pm. Level 5 isn't a bigger number. It's the day the agency runs a full week without your phone.

[Andy A. Hernandez @AH3MiamiFL]

@MarioNawfal “Every bill has gone up” is the whole election in five words. I run home health in Florida. Employer health plan costs rise every renewal, and gas comes straight out of my nurses' mileage. Nobody needed another speech on the economy. They needed someone to own the bills.

[Andy A. Hernandez @AH3MiamiFL]

@KobeissiLetter $225B erased before the opening bell over one person's headline. That's key-person risk at scale. Same lesson in home health, just smaller zeros: if one nurse leader walking out can tank your census, you don't have a company yet. You have a dependency.

[Andy A. Hernandez @AH3MiamiFL]

@Codie_Sanchez Church, early mornings, married, bed by 10. People call it boring. I call it the only way I’ve kept nurse payroll clearing Friday and still been dad at dinner. Quiet habits compound harder than hustle posts.

[Andy A. Hernandez @AH3MiamiFL]

@oguzerkan S&P vs Nasdaq is a headline fight.

In home health the only chart that matters is census quality and whether nurse payroll clears Friday. Multiples swing 30%. My employer plan renewal only goes one direction.

Operators live in cash flow, not bubble debates.

[Andy A. Hernandez @AH3MiamiFL]

Couldn’t agree more my brother!

[freddie stevenson @strugglemade105]

If you wanna win, put Jimbo in

[Andy A. Hernandez @AH3MiamiFL]

@SahilBloom Want a bigger operation? It's on the other side of the call-outs, the hard 1:1s, and the Fridays where payroll still clears when the week didn't.

Embrace the suck or stay the same size.

[Andy A. Hernandez @AH3MiamiFL]

@KobeissiLetter Jobs crush expectations. Cool chart. On the ground in home health I'm still competing with hospitals that just bumped night differentials — nurse payroll every other Friday moves faster than any Fed forecast.

[Andy A. Hernandez @AH3MiamiFL]

@naval In home health the scarce resource isn't capital. It's attention — census quality, nurse payroll every other Friday, and the employer plan renewal. Lose the focus and the rest is noise.

[Andy A. Hernandez @AH3MiamiFL]

VIX +70% is a headline.

In home health, volatility looks like a nurse calling out, a patient missing a visit, and payroll that still clears Friday no matter what the chart did.

Markets get a trading halt. Patients don't. https://t.co/oC0ZWtVOgi

[The Kobeissi Letter @KobeissiLetter]

BREAKING: The Volatility Index, $VIX, surges over +70% on the day, on track for its biggest daily gain since February 2018.

Not even March 2020 saw a daily jump in volatility like we are seeing now.