WELCOME to Assisted Living Investing
assisted living investing brandon gustafson getting started Sep 18, 2023
Hi! I’m Brandon
I’ve worked in the healthcare industry for over a decade. Throughout my professional career, I’ve gained a lot of experience working in the health system, including time as a CNA, medical billing, and working with Government Programs (think Medicare and Medicaid). In addition to my work in the healthcare industry, I have an MBA and MHA (Master’s of Healthcare Administration) from the University of Utah. All this is to say; I’m quite familiar with the healthcare system!
In 2020 I started getting interested in real estate investing, and when I found residential assisted living, I knew this was the asset class for me! As I went along in the process, I thought it would be a good idea to help others learn the process of acquiring a facility; I couldn’t find many resources myself when I was getting started, so I decided to launch AssistedLivingInvesting.net along with its partner YouTube channel.
I created AssistedLivingInvesting.net to help you learn the ins and outs of investing in assisted living. As you follow me, you’ll learn:
– How I purchased two assisted living facilities using an SBA loan.
– How I found my deals
– How to work with a broker
– What the licensing process is like
– How to operate a facility out of state
– And a WHOLE LOTE MORE!!!
Here’s how I got started investing in assisted living:
In June 2019, my daughter woke up sick, and I had to stay home from church and a family dinner to take care of her. I had been meaning to read Rich Dad, Poor Dad for years, but I had never gotten around to it, and I decided that today was the day! I started reading, and I COULD NOT put it down! I finished the entire book in one day! I had found exactly what I was looking for!
In August 2019, I joined a local real estate group to further my education on investing in real estate and start building a foundational understanding of the ins and outs of real estate investing. As I was doing this real estate education, I became particularly interested in the asset class of assisted living. Assisted living was attractive to me because of its tie into my healthcare background and my newfound passion for real estate. As 2019 came to a close, I was wrapping up my real estate education, and I started gearing up for a big year in 2020.
As 2020 started, I began putting my education into practice despite the COVID-19 pandemic. As my full-time job shifted from office work to working from home, I found an abundance of time, and rather than binging on shows or video games; I started putting into practice my real estate education; I did this by looking for potential residential assisted living facilities on LoopNet and cold calling brokers. It didn’t take long before I found my first opportunity!
Once I found this opportunity, I started creating an assisted living-specific underwriting calculator heavily modeled from multi-family real estate underwriting calculators; my background in analytics lent itself very well to this project. Once I finished the calculator and analyzed the deal, I found it was not a profitable opportunity. Despite the excellent location and the desire to get into assisted living investing, I wasn’t comfortable with the risk of purchasing an asset that wasn’t going to produce.
Rather than getting discouraged by this initially failed opportunity, I doubled down on my efforts. I started networking through my real estate group and found somebody who had just purchased an assisted living facility in Denver, CO. Through that conversation; I found the sellers of the Denver facility had another facility in Colorado Springs, CO. I was introduced to the listing agent and had an immediate connection with him. Through the conversation with the broker, I received financials for the facility in Colorado Springs, and I ran these numbers through my calculator. I also took this opportunity to further refine my calculator and understanding of the underwriting process. The Colorado Springs facility showed promise with positive cash flow, an existing business structure (including key staff willing to stay on), and a great real estate asset. I was now ready to move forward, but I had a problem; I didn’t have sufficient funds to move forward with the purchase on my own. As I went through the real estate education process, I had been having conversations about a desire to invest in assisted living with several people. My father was particularly interested, and when I brought the deal to his attention, my father, who had sufficient funds for the deal, jumped at the opportunity.
My father and I went under contract on the Colorado facility in May 2020. Through continued due diligence, including a site visit, vetting of employees, and a deeper dive into financials and running different scenarios for profitability, we closed on the purchase in September 2020. We used an SBA 7A loan to complete the purchase. This experience was extremely valuable in learning the lending process and understanding how to scrutinize a deal, specifically with a government-run program like the SBA.
Upon closing the deal in Colorado Springs, my father and I found there were sufficient funds available for another facility, and we started looking to expand our portfolio. We loved the Colorado Springs real estate market but had already experienced several roadblocks associated with running a business in Colorado. I started doing a deeper dive into market research to find a good market to expand into. In addition to market research, I set some more specific criteria for an assisted living facility; specifically, we were looking for something with a purchase price between $600K-$750K, a cap rate of 10%, a facility with 10+ beds, and in our markets of interest. Our criteria were set based on analyzing the Colorado Springs facility and some other opportunities along the way. In truth, while the Colorado Springs deal was a good deal and is still one I would do again, I was probably a little too aggressive in wanting to get started on my investment journey. I learned a valuable lesson from this first acquisition and used that experience to better define my criteria for finding a new deal.
Having recently gone through the acquisition process, this second go-round went much more smoothly. I engaged the broker who helped us purchase the facility in Colorado Springs to start searching for a new opportunity with defined criteria in place. In October 2020, we found an opportunity that met our criteria in Nampa, ID, and we went under contract on that facility shortly after. We were able to close the deal in Nampa in February 2021.
Since they were acquired, I have been operating these two facilities remotely; I live in West Jordan, UT. Through operating the facilities, I have learned a great deal about running two separate businesses, have dealt with many issues at each facility with residents and staff, and have found ways to effectively and efficiently manage my time.
I hope this story is helpful and inspiring to you!
I’d love to hear from you, where you’re at on your journey, and how I can help you be successful on your journey of investing in assisted living.
Have a great day!
Brandon
Download Your FREE Calculator
Stay connected with news and updates!
Join our mailing list to receive the latest news and updates from our team.
Don't worry, your information will not be shared.
We hate SPAM. We will never sell your information, for any reason.
Categories
All Categories $1 million dollar grant 1031 exchange for real estate investors 12 week year framework a place for mom accounting tools for assisted living ach payments for assisted living ach payments in assisted living ada compliance in assisted living admission agreement adult foster care license advantages of business credit cards affordable assisted living locations alf administrator training alf application process alf financial planning alf licensing step-by-step alf marketing strategies alternatives to assisted living and offering professional development opportunities. learn more at assisted living investing apply for assisted living license approval apps for assisted living facility apps for running assisted living homes asset protection assisted living asset protection for business owners assisted living assisted living accelerator assisted living acquisition calculator assisted living administator assisted living administration assisted living administrator assisted living administrator hiring guide assisted living administrator license assisted living administrator requirements assisted living agreements assisted living application guide assisted living banking options assisted living behavior management assisted living boise assisted living bookkeeping assisted living business assisted living business banking assisted living business challenges assisted living business checklist assisted living business consultant assisted living business cost assisted living business credit cards assisted living business documents assisted living business efficiency assisted living business expenses assisted living business finances assisted living business financial planning assisted living business financing assisted living business for sale assisted living business funding assisted living business growth assisted living business guide assisted living business income assisted living business investment assisted living business launch assisted living business medicaid assisted living business milestones assisted living business model assisted living business models assisted living business operations assisted living business opportunities assisted living business organization assisted living business partnership assisted living business plan assisted living business plan checklist assisted living business planning assisted living business policies assisted living business processes assisted living business productivity assisted living business profitability assisted living business registration assisted living business regulations assisted living business resources assisted living business rewards assisted living business setup assisted living business start assisted living business startup assisted living business strategy assisted living business structure assisted living business success assisted living business tips assisted living business tools assisted living buyer tips assisted living calculator assisted living care assisted living caregiver wages assisted living caregivers assisted living cash flow assisted living cash flow strategies assisted living cell phone policy assisted living challenges assisted living coaching assisted living competition analysis assisted living compliance assisted living compliance checklist assisted living consultant assisted living contracts assisted living costs and expenses assisted living course assisted living debt service assisted living employee management assisted living expenses assisted living experience tips assisted living facebook groups assisted living facilities assisted living facility assisted living facility acquisition assisted living facility administrator assisted living facility administrator salary assisted living facility agreement assisted living facility conversion assisted living facility evaluation assisted living facility for beginners assisted living facility for veterans assisted living facility forms assisted living facility growth assisted living facility hiring assisted living facility hiring tips assisted living facility idaho assisted living facility investment assisted living facility license assisted living facility licensing assisted living facility licensing requirements assisted living facility loans assisted living facility management assisted living facility owner assisted living facility pay structures assisted living facility procedures assisted living facility profits assisted living facility regulations assisted living facility renovations assisted living facility requirements assisted living facility services assisted living facility start-up assisted living facility tips assisted living facility tour assisted living facility transition assisted living facility upgrades assisted living fees assisted living finances assisted living financial management assisted living financial planning assisted living financial planning tools assisted living financials assisted living financing options assisted living financing tips assisted living fire department inspection assisted living fire safety assisted living for disabilities assisted living for tbi assisted living franchise vs. consultant assisted living funding assisted living funding options assisted living grants assisted living hiring process assisted living idaho assisted living in boise assisted living in boise medicaid assisted living in colorado springs assisted living in idaho assisted living in nampa assisted living in nampa medicaid assisted living in nampa. assisted living in treasure valley assisted living in treasure valley. assisted living in utah assisted living income assisted living inspection tips assisted living insurance assisted living insurance expenses assisted living investing assisted living investing mastermind assisted living investing tips assisted living investing tools assisted living investment assisted living investment analysis assisted living investment banking assisted living investment in boise assisted living investment in nampa assisted living investment opportunities assisted living investment strategies assisted living investment strategy assisted living investment tips assisted living investment tools assisted living job satisfaction assisted living joint venture assisted living landlord assisted living launch formula assisted living lease agreement assisted living legal structure assisted living lenders assisted living levels assisted living license assisted living license application assisted living license application florida assisted living license application process assisted living license benefits assisted living license by state assisted living license checklist assisted living license documents assisted living license process assisted living licenses and permits assisted living licensing assisted living licensing and compliance assisted living licensing department assisted living licensing fees assisted living licensing process assisted living licensing requirements assisted living licensing rules assisted living llc setup assisted living llc vs s corp assisted living management assisted living management tips assisted living market analysis assisted living market research assisted living market saturation assisted living marketing assisted living marketing strategies assisted living marketing strategy assisted living mastermind assisted living medicaid assisted living medicaid billing assisted living medicaid provider assisted living medicaid reimbursement assisted living mentorship assisted living nampa assisted living net income assisted living network groups assisted living networking assisted living operational guidelines assisted living operations assisted living operator assisted living operator lease assisted living operator salary assisted living options assisted living organizational chart assisted living organizational structure assisted living ownership structure assisted living partnership assisted living partnership success assisted living partnerships assisted living payment methods assisted living payment options assisted living payment systems assisted living payments assisted living payroll assisted living payroll software assisted living payroll solutions assisted living placement agencies assisted living planning assisted living planning tools assisted living policies assisted living policies and procedures assisted living policies for tbi assisted living policy and procedure guide assisted living policy creation assisted living procedures assisted living productivity tips assisted living profit margins assisted living profit medicaid assisted living profit model assisted living profitability assisted living proforma projections assisted living property assisted living property conversion assisted living property search assisted living property selection assisted living property zoning assisted living purchasing process assisted living real estate assisted living regulations assisted living regulations and licensing assisted living regulations idaho assisted living reimbursement assisted living reimbursement model assisted living residents assisted living resources assisted living revenue streams assisted living roles assisted living safety regulations assisted living scalability assisted living services assisted living software assisted living staff assisted living staff compensation assisted living staff management assisted living staff pay assisted living staff promotion assisted living staff ratios assisted living staff retention assisted living staff training policies assisted living staff turnover assisted living staffing assisted living staffing challenges assisted living staffing costs assisted living staffing efficiency assisted living staffing requirements assisted living startup assisted living startup capital assisted living startup costs assisted living startup financing assisted living startup funding assisted living startup guidance assisted living startup guide assisted living startup loans assisted living startup options assisted living startup planning assisted living startup steps assisted living state survey preparation assisted living success assisted living success tips assisted living tax benefits assisted living tax deductions assisted living tools assisted living tour guide assisted living training assisted living underwriting assisted living underwriting calculator assisted living utilities assisted living vendor contracts assisted living without a license assisted living zoning laws assisted living zoning regulations assisted living zoning requirements assisted lving bullet journaling attract medicaid residents attracting hospice residents avoiding bank fees for assisted living backup plans for assisted living banking for assisted living banking for assisted living in boise becoming a medicaid provider beewell assisted living behavior plans for group homes behavioral issues tbi benefits of assisted living consultants benefits of business partnerships benefits of working with a broker best apps for care home management best bank for assisted living business best banks for sba loans best business entity for assisted living best business structures for assisted living best credit cards for assisted living owners best credit cards for groceries best credit cards for rewards best home for assisted living best location for assisted living best locations for assisted living homes best payroll software for small businesses best places for assisted living best places to find caregivers best software for senior care best states for assisted living big-box assisted living facility bizbuysell tutorial boise assisted living brain injury care policies brandon gustafson broker payment structure build assisted living facility building a profitable assisted living facility building a successful assisted living facility building an assisted living empire building an assisted living home building business credit building business credit for startups building community relationships building relationships with case managers building relationships with private lenders building trust with lenders bullet journaling bullet journaling and google calendar bullet journaling for business bullet journaling for entrepreneurs bullet journaling for planning bullet journaling for small business owners bullet journaling in assisted living business business bank account business bank account for assisted living business banking for assisted living facilities business broker relationships business credit card tips business credit cards business credit cards for assisted living business credit for assisted living business debit cards business development programs business entity for assisted living business entity formation business entity registration process business launchpad for assisted living business partner vetting business partnerships business plan business plan assisted living business plan checklist business plan checklist for lenders business plan for assisted living business plan for assisted living facility business planning business planning for assisted living business registration business startup business structure business structure for care home buy a business online buy an assisted living facility buy assisted living business buy assisted living facility buy assisted living home buying an assisted living facility buying an existing business buying assisted living facilities buying assisted living facility buying property for assisted living cap rate calculation for assisted living care assessment care facility management apps care home care home business plan care home insurance care home profitability care home vs residential assisted living care plan documentation caregiver benefits caregiver cell phone guidelines caregiver compensation caregiver job description caregiver loyalty caregiver pay rates caregiver responsibilities assisted living caregiver to resident ratio by state caregivers caregivers in assisted living cash back rewards cash flow analysis cashback credit cards for business owners certificate of occupancy certificate of occupancy requirements change of ownership (chow) assisted living checklist choosing a business credit card choosing a business partner choosing business partners choosing the right location for assisted living city and state registration for assisted living city planner role city regulations city zoning assisted living city zoning for care homes city-specific licensing cloud storage for small business coaching for assisted living cognitive decline in elderly colorado assisted living facilities commercial broker commercial insurance for assisted living commercial real estate loans assisted living communication in assisted living communication strategies for caregivers competition analysis compliance compliance in assisted living compliance in assisted living facilities conducting virtual tours consistent communication in assisted living construction for assisted living construction loans for assisted living construction loans for assisted living facilities consultant cost considerations contingency planning for assisted living conventional mortgage assisted living convert home into assisted living convert home to assisted living converting a home into assisted living converting a house to assisted living converting home into assisted living cost creating a business partnership creating a vision for business creative financing for senior housing credit credit card point conversion credit card point values credit card reward comparison credit card reward systems credit card rewards credit card rewards for assisted living credit card rewards for small business credit card rewards for small businesses credit options for assisted living investors credit unions for assisted living business crime rates crowdfunding for assisted living daily life management tools daily organization methods daytime vs. nighttime caregivers debit vs. credit cards for entrepreneurs defining business goals delegating tasks in assisted living developing relationships with sellers dietitian for elderly differences between administrator and operator digital records direct deposit for assisted living direct deposit setup directed care assisted living discover strategies to mitigate turnover in assisted living facilities by fostering open communication do assisted living facilities need an npi does my care home need an npi down payment for assisted living facility due diligence process economies of scale in assisted living effective communication in assisted living effective daily planning effective underwriting tools for real estate efficiency in assisted living operations elder law attorney elderly care communication emergency exit requirements for assisted living emergency preparedness for staff emergency preparedness in assisted living employee benefits for caregivers employee documentation employee training records end-of-life care in assisted living enforcing workplace policies entrepreneur time management tools entrepreneurship lessons estate investing evaluating assisted living facilities existing assisted living facility extra operating capital facility administrator facility administrator assisted living facility design facility due diligence facility evaluation facility inspection facility licensing process facility maintenance facility maintenance and updates fair housing act family caregiver reimbursement filling assisted living vacancies financial agreements for business partners financial analysis for assisted living financial automation for assisted living financial calculator real estate underwriting financial considerations for hospice care financial freedom in assisted living financial management financial management for assisted living financial management in assisted living financial planning for assisted living financial planning in assisted living financial projections financial projections for lenders financial tips for assisted living investors financial tools for small businesses financial underwriting financial underwriting for assisted living financial underwriting for partnerships financing financing an assisted living facility financing options for assisted living finding a business partner finding a partner for assisted living finding assisted living facility finding off-market deals finding property for assisted living finding residents for assisted living fire and safety regulations for assisted living fire department approval for assisted living fire department inspection assisted living fire inspection checklist for assisted living fire marshal inspection fire safety in assisted living fire suppression for assisted living homes fire suppression systems for care facilities fitness for seniors forming an llc franchise vs. established business free notion account funding funding an assisted living facility funding for assisted living funding for assisted living business funding for assisted living in treasure valley getting started google calendar google calendar productivity google calendar scheduling government grants for assisted living grandfathered in assisted living grant funding for assisted living grant proposal grant reporting grant writing for assisted living grant writing template grants grants for assisted living grants for assisted living business grants for assisted living facilities gross income growing assisted living facilities guaranteed payments guaranteed payments in assisted living gusto for small businesses gusto payroll review gusto payroll tutorial gusto setup hard money loans hard money loans assisted living hard money loans for assisted living hard money loans for real estate health agency licensing health care facility license health department inspection assisted living healthcare access in senior living healthcare business opportunities healthcare compliance assisted living healthcare provider npi for assisted living healthcare service providers high-interest debt in business finance hiring a consultant for assisted living hiring a consultant for assisted living business hiring administrators hiring an assisted living administrator hiring an assisted living consultant hiring an assisted living facility administrator hiring caregivers hiring for assisted living hiring for assisted living facilities hiring staff for assisted living hoa bylaws and business hoa restrictions home equity line of credit assisted living hospice care hospice care integration hospice care regulations hospice in assisted living hospice provider partnerships hospice services in assisted living hot to obtain license hourly vs. salary wages house manager how assisted living facilities get paid how much to pay an assisted living administrator how to become a medicaid provider how to become an assisted living administrator how to buy an assisted living business how to choose an assisted living property how to connect with sellers how to create assisted living policies how to fill beds in assisted living how to fill out assisted living forms how to finance assisted living how to find a business partner how to find an assisted living consultant how to find the right lenders how to fund an assisted living business how to get an assisted living license how to get an npi for assisted living how to get an sba loan how to get medicaid certified assisted living how to get more residents how to get va funding for assisted living how to hire an assisted living administrator how to invest in assisted living how to manage resident care levels how to obtain an assisted living license how to open a care home how to open an assisted living facility how to open an assisted living home how to partner in assisted living how to pay assisted living operators how to pay for assisted living how to raise medicaid rates in assisted living how to raise private capital how to register an llc for assisted living how to run an assisted living facility how to run payroll in gusto how to serve different populations in assisted living how to start a care home how to start an alf how to start an assisted living business how to start an assisted living business with a partner how to start an assisted living facility how to start an assisted living home how to start an assisted living home for veterans how to start an unlicensed care home how to start assisted living how to stay organized in assisted living how to use notion for beginners how to work with brokers hud grants for assisted living hud loans for assisted living idaho medicaid for seniors ideal cities for assisted living identity protection implementing processes in assisted living in-person facility tours in-person meetings for assisted living in-person tour income ranges increase medicaid payments assisted living independent living vs assisted living institutional knowledge in assisted living insurance broker benefits intake form integrating hospice into assisted living integrating notion and google calendar intellectual disability home care investing in assisted living investing in senior housing investment investment property evaluation investment strategy investor partnerships invoicing software for assisted living joint venture in assisted living joint ventures launching an assisted living business launching assisted living launching assisted living business lease assisted living facility legal issues in assisted living legal partnership agreements legal requirements for assisted living legal requirements for assisted living business legal requirements for hospice care legal structure for assisted living lender organizational chart lender relationships for assisted living lenders levels of care in assisted living liability insurance for assisted living liability protection liability protection in assisted living licensed assisted living facility licensed vs unlicensed care homes licensing licensing and regulations for assisted living licensing assisted living facilities licensing for assisted living licensing for tbi care licensing process for assisted living limited liability company limited partners live-in caregiver live-in caregiver impact llc benefits llc benefits for assisted living llc for assisted living llc for care home loans local assisted living referral services local regulations for assisted living local vs national bank assisted living location selection long-term care for veterans long-term care insurance long-term care insurance assisted living long-term care insurance for assisted living management flexibility llc managing assisted living facilities managing assisted living facilities from a distance managing assisted living staff managing employee spending with credit cards managing expenses remotely managing tbi behavioral issues market market research market research assisted living market research for assisted living marketing an assisted living facility marketing assisted living services marketing hospice services matrix planning matrix planning tutorial maximizing business credit card points maximizing credit card points maximizing medicaid revenue med tech certification med tech in assisted living medicaid and assisted living medicaid and private-pay assisted living medicaid application process for assisted living medicaid assisted living medicaid assisted living certification medicaid assisted living myths medicaid assisted living rates medicaid assisted living reimbursement medicaid billing and coding medicaid billing for assisted living medicaid case management medicaid certification for assisted living medicaid certification process medicaid codes for assisted living medicaid compliance for assisted living medicaid direct deposits medicaid eligibility medicaid for assisted living medicaid funding for assisted living medicaid managed care organizations (mcos) medicaid managed care organizations idaho medicaid overview medicaid payments assisted living medicaid provider certification medicaid provider for assisted living medicaid reimbursement medicaid reimbursement assisted living medicaid reimbursement for assisted living medicaid reimbursement process medicaid reimbursements medicaid waiver for assisted living medicaid waiver funding medicare and assisted living medicare and medicaid hospice care medicare basics medicare coverage assisted living medicare parts explained medication protocols in assisted living memory care facility license mental health assisted living mental health services in assisted living minimum wage for caregivers modernizing senior care homes mortgage calculator multi-tenant assisted living rooms multiple-state assisted living facilities nampa assisted living national provider identifier for senior care nerdwallet credit card reviews net income net operating income (noi) net operating income (noi) analysis network marketing for assisted living networking for assisted living professionals networking in assisted living industry new hire file management non-licensed assisted living non-medical senior housing nonprofit notion notion customization notion for assisted living notion for business notion for business organization notion for productivity notion plans comparison notion pricing tiers notion resources notion setup guide notion templates notion tips for business owners notion to-do list tutorial notion vision board npi for assisted living npi number for assisted living facility npi registration for assisted living businesses nurse delegation in assisted living off-market assisted living deals oles in assisted living onboarding employees in gusto onboarding in assisted living onboarding process for assisted living online property tours opening an assisted living facility operating costs for assisted living operating expenses operating multiple facilities operational costs for hospice services operational organizational chart organizational chart organize assisted living business organizing new hire files organizing with google calendar organizing with notion organizing your day out-of-state assisted living out-of-state assisted living operations overcoming business failure owner-operator assisted living partner distributions partnering for assisted living business partnership agreement partnership agreement in business partnership due diligence partnership in assisted living passion for assisted living paying for senior care payroll payroll and tax efficiency payroll for assisted living payroll for assisted living facilities payroll services for small business payroll vendors for assisted living permits for assisted living homes personal care assisted living personal productivity methods personalized elderly care placement agencies for assisted living plan of correction planning assisted living business planning methods points and miles rewards explained policies and procedures for assisted living political landscape positive reinforcement in assisted living premium business credit cards preparing for assisted living business preparing for state inspection preparing for state inspections price per bed in assisted living facilities pricing for assisted living consultants private foundation grants for senior care private funding for assisted living private grants for senior care private insurance for hospice care private investors assisted living private investors for assisted living private investors for senior care private lending for assisted living business private money private money lenders private money lending mistakes private pay assisted living private pay assisted living facilities private pay residents private pay residents in assisted living private pay vs medicaid assisted living pro forma analysis for assisted living investments productivity strategies productivity systems for entrepreneurs productivity tips for assisted living facilities productivity tips for entrepreneurs productivity tools for assisted living professional business setup profit first method for assisted living profit margins in assisted living profit sharing in assisted living