Residential ALF Owners Are Making a Fortune—Here’s Their Secret

Transcript

00:00:01
hey friend it's Brandon Gustafson with Assisted Living investing excited to have you here today at Assisted Living investing I have beginners like you launch their Assisted Living business in the next 12 months so in our topic today I wanted to get into something this actually came from somebody in our Facebook group and we were talking the question was can a residential assisted living facility really still be profitable in this economy and so I want to dive into that topic today uh because I think there's a lot of you that are

00:00:29
wondering that exact same thing like is this really a good time for me to be jumping into this and and trying to to move things along so um if you're interested in that stick around for today's video um I'm going to throw this up here um and remind you that if you need some help as you're moving things along that make sure you go and grab the business plan checklist again that's a assisted living investing. net slbp checklist we're going to have a ticker going along the bottom there for you um

00:00:59
to to go and grab that as as we go through this so make sure you grab that free resource to really help you in building a strong Foundation as you're getting started and for those of you who don't know me who aren't familiar with me um type in newbie number one because I love to see who's new here and and love seeing the new people that are watching um but number two uh my name is Brandon Guston I own and operate two assisted living facilities and I do that out of state so I live in Utah one of my

00:01:23
facilities is in Colorado and the other one is in Idaho and I've been doing this since uh 2020 so as of recording of this a little over four years now um I have worked in the healthcare industry for over a decade I have a masters in healthcare administration so I've got a lot of experience just in the in the industry and um I have also secured over one and a half million in SBA funding so I'm very familiar with the process of what the SBA needs um how to get you funding how to help you get the funding

00:01:52
that you need so you can launch your business so that's the background on me now let's get into the topic for uh for today's video like is this really profitable um and as I'm going through this if you have questions make sure you're typing those in and I will have time at at the end for some q&as on things uh here at the end of the call or at the end of the the the live and I would love to answer your questions for you but number one I want you to be aware of just some of the economic

00:02:19
challenges that do exist like these are just things that are that are a reality of the world that we're living in today um as of this recording December 2024 things that that that I want you to be aware of there's Rising costs things are more expensive groceries are are way more expenses expensive um interest rates are high real estate is at a premium and it's expensive like those are those are realistic things there's Workforce shortages like people they would rather be on um food stamps and

00:02:54
and and things like that it feels like as an owner like I I get this like it it really does feel that that way um they would rather collect unemployment than be in a job there's Workforce shortages and it's it's a struggle um there's regulations and compliance that you have to deal with like working in the healthcare industry is it's you can do it um but there's this pretty steep learning curve once you figure it out it's it's really not that bad but there's a lot if you've never worked in

00:03:21
the healthcare industry there's just this steep learning curve that you kind of have to figure things out and and that's something that that I want you to be aware of so there are a lot of Alles a lot of barriers to entry to getting into this and and it can it can feel overwhelming as you're trying to get started as you're trying to launch your Assisted Living business is you're trying to figure out how this is going to work from a financial standpoint and how am I going to find the right house

00:03:44
and um what about finding people to hire you know all of those things and I I don't know how to understand I don't know I don't understand how to uh get the the license and what's a administrator license versus a facility license versus getting Medicaid and are those different applications those are probably questions that you ask yourself I have the answers to all of them but um it it's okay to have those questions and and to wonder like how how is this all going to work and and it's something

00:04:12
that you should be asking yourself as you are looking to start this business because I don't want you to get into this blindly I I I just I feel bad for people that don't know what they're doing and they get into this because they saw some YouTube video that says you can make $10,000 a month and it's super easy there's a lot of work that goes into it and there's a lot of complexities and you have to learn how to navigate those things and that's something that I that I want you to be

00:04:37
aware of as you are getting into this now I want to talk about why residential assist living is still viable because I really believe it is despite all of those challenges all of those things that that are barriers to entry those things that can be difficult and and they are difficult and they're they're hard to navigate despite all of that I still think that that assisted living is a very viable business option and something you should should be looking at and the reasons right here are

00:05:04
growing demand the silver tsunami is is coming um it it is on the verge of just exploding and there is such a huge need when you not only is there a housing crisis for um just like for the general population um where there's there's limited housing and there's a lot of um you know high density homes or very high density so apartment living and town home living there's a lot of that throughout the United States right now and I think throughout the world um that that's a reality of what we live in it's

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it's just as bad for those individuals who are aging and start are are starting to need those Assisted Living Services because there's just not been this this big population there's not been this big group of of business owners that have started doing this quite yet I think it's going to get there but you're still on the on the very front edge of this and still able to um put yourself in in a position where you can uh really serve this population that there's going to be this

00:06:05
huge demand for you also have this kind of unique value proposition in the way that you're serving those individuals you're not you're not a nursing home um and this is this is a uh I think a a language thing that that a lot of the population throughout the United States and and probably throughout the world don't get um so there's hey I I'm I'm at home you know I'm doing well I need home health I have nurse coming in and then I go immediately to nursing home and

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that's not the case assisted living is in between those Home Health you know I need a little bit of help here in my home versus I need somebody to do everything for me um which is is more what you're going to see in a nursing home assisted living is still giving people autonomy and you're you're there to support them and help them and and give them some some love and support and meet their needs but um you're not doing everything for them they're still very autonomous and and still have lives and

00:07:01
they can still go visit family family can come visit them like it's it's a very different vibe and you have this unique value proposition and if you put yourself in this this kind of state of in this Frame of Mind for people where they understand the type of service that you're offering it really opens their eyes and makes them think oh you know what that that actually sounds exactly like what my mom what my dad what my grandpa my grandma wants or what they need and they're going to be a lot more

00:07:28
excited to work with you so there's a just amazing unique value proposition that you have inside of assisted living there are multiple ways that you can bring people into your facility so you can do this through Medicaid and I have a ton of videos I think I have one coming out this this Thursday that's on Medicaid um so make sure you like the video here subscribe ring the bell so you get notified when I put that out because Medicaid is such an important um piece of what you're trying to do here

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in the world of assisted living it makes up um a very high mix of the indiv idual that um need these services and so you you can position yourself to be Medicaid only or you can position yourself to be a hybrid Medicaid private pay or if you want you can actually just kind of cater to this private pay population you get to choose exactly how you want to do this which is really um unique um as well in the way that you're able to to serve these different populations and how you're going to Market to to them

00:08:23
and within the Assisted Living Niche there's sub niches and it allows you to to go in there and do that the same with flexible business models you could be working with Elderly Care um you could be doing mental health you could be developmental disabilities um you could be doing kind of like a child daycare type of a of a thing like it's a little bit more than just like daycare but there's there's a lot of opportunities for you to have these flexible business models and if there's a population that

00:08:51
you're super passionate about because you have a family member that has Down syndrome you could create a Down syndrome home if you have you have this this this passion for working with the elderly because you loved being with your grandparents as they were aging and helping them out and you saw some of the difficulties that they had to struggle with and and the the service that they were provided with as they were aging and you don't want that for other people to to have to experience that you can do

00:09:17
an elderly care home there's so many different business options and different business models that you can do and how you can cater that and really knit yourself down and it really can um make a a difference in the way that uh you run your business it adds some variety allows you to get really specific and it's very rewarding because of all that so these are reasons why Ralphs are still viable and I want to share with you a few strategies for success so um these are things that that you can do and and we talked about this

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a little bit in our in our video last week um so make sure you go and watch that but um I want you to think about um once second I need to take a drink of water um how to optimize operation um how how you're going to look at at different ways that you can um just just make things more efficient in in your house um it could be could be adding more rooms could be charging higher rates for for residents could be any number of things but how uh how are you going to optimize those operations could

00:10:21
be Staffing could be looking for ways to to reduce your cost through um your utility bills and things like that um those are are really good leveraging technology is something that um I I think is is very much um uh not leveraged in this industry there's a lot of people that that don't see the value in in using technology the way that they they should be doing it uh here as they get into the world of Assisted Living um ehrs is something that's big if you would like to learn a little bit more about ehrs type in EHR

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down below but that's an electronic Healthcare record it's something that allows you to track all the information of your residents um and and keep information there it is it's gamechanging you can you can keep their medical records on there you can keep um the cares that you're providing them their personal information their cover sheets um a lot of them will have opportunities for you to uh reach out and um you know interact with families and things like that um posting newsletters like there's there's a ton

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of uh really interesting things I'm actually working with a group uh right now and and we might do some kind of a video on that but if you're interested in in ehrs typee in EHR down below to see you know get a tutorial on exactly how that can benefit you um as you're in in this industry and if you're one of those people that are watching this because you're like um you know I I'm interested in this but more my my parents are are kind of the ones that are kind of in the space of of needing

00:11:47
that service and I kind of want to get a feel for what assisted living is um finding facilities that use an EHR system is is going to give you a lot more um Peace of Mind mind that they are taking care of your your family the way that you would like them to be taken care of um the third one is attracting and and retaining staff so this is huge this is in my my opinion this is the hardest part of of of running an assisted living business but if you can find a way to attract good staff and keep them and

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that could be through benefits it could be through pay it could be through the culture that you are creating in the home it could be any number a combination of those things uh or any any single one of them but if you're able to find and attract and and then retain those staff it is a huge strategy you can Implement and allow you to be successful so I I strongly encourage you to to to lead into that one and figure that one out diversifying your Revenue stream so this is something that a lot

00:12:44
of people don't talk about but there are different ways that you can um diversify the way that you are getting money into your business this could be doing adult daycare having other uh seniors come into your home just during the day you feed them uh breakfast and lunch or lunch and dinner if feed them two meals a day um you care for them you do some activities with them and then they go home and they sleep somewhere respit care is another one um where other facilities or individuals may need some

00:13:11
help um caring for their loved one but they need a break because they got to go to Disneyland or they've got to go somewhere else on vacation or business trip or whatever it is and they need somebody to care for them for a one to two week period and and you can do restare and you can bring them in and and have them be there you could do transportation business um you there's there's just a bunch bunch of different types of services that you can Implement into your business now something I do

00:13:35
want to caution you if you're brand new to this I I don't know that I would suggest doing it right off the bat I think you should get really comfortable with how you like optimize those operations that first one there because if you're doing that it's going to allow you to to Really uh get a feel for for how the business runs and what you can do and then you can start looking at okay I don't have to really increase my Staffing model or or add much from an expense standpoint to add in this extra

00:14:01
Revenue stream and start bringing more people in here so it's an incredible way that you can actually leverage a really good uh lever you can pull to leverage um and and bring in more money and and diversify those revenue streams for your facility focusing on marketing is something that is big as well and there's I've done videos on this on in the past if you're interested in learning more about marketing assisted living and how you do that type in marketing down below but um marketing is

00:14:28
something that uh there's there's in my mind two two big streams that you can can try to two big levers you can try to pull one is social media um email marketing uh that type of a thing uh so just kind of internet marketing um and then the second one is is is going to be all about network marketing and getting in and talking with people and building relationships I I think that's the best one to do um especially for smaller communities like the ones that you're probably looking at doing but marketing

00:14:56
is is big and figuring out how to um leverage all of that and and capture ways to to Really hone in on your target market um I think is is something that excuse me that is that is very much misunderstood in this industry and something that you can really Implement and take advantage of um over other other facilities and then you have to stay informed as well there's going to be you're you're working in the healthcare industry there's going to be regulations that change all the time um

00:15:24
it happens so often um and so you have to you have to really on top of the changing regulations make sure you're on the right distribution list to get the right information so that when a change does come into play that you know how to handle that and and you can make the necessary changes so you don't get fines or anything like that it's a it's a huge strategy for Success that um some people they they um they fail to recognize and so as you have surveys and things like that happen uh it it can really be

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detrimental to you as a business because you've missed opportunities for either increased payment or you will be assessed with fines for not complying with the different regulations so that's something that I really want you to be aware of as well so those are some really big strategies that you could Implement to have a successful business and and and make sure that this remains a viable option for you as you are getting into this world of assisted living now I also want to talk with you

00:16:22
about business Foundation this is the way that you're going to um really get things started and and have something that is is um uh allowing you to get off on the right foot and um be successful down the line I teach a five-phase process and if you'd like to learn more about what I teach go to Alim mastermind.com and go apply to The Mastermind program but phase one is building the business Foundation it is the most important part and it's the thing that a lot of people they will not

00:16:52
tell you that you need to do this they just jump right into oh let's go find the facility or let's figure out the funding over here and this is how you get the life they want to run into those things and I have to I tell you push pause let's let's slow down a little bit and let's figure out how we're going to build this foundation and the way that you do that is is going to be doing things like building a business plan and doing the market research that you need to do and

00:17:16
understanding what those expenses are so you know if you know is a six-bed facility going to be profitable is a four bed is it do I need to have a 10 bed what does it look like for me I need to understand what those expenses are and then I got to make sure I'm good with the market and can it sustain a a room rate of 4,000 five six $20,000 you're probably not going to spend you're probably not charging that much but you know just to show you exactly how this could work can your Market um

00:17:43
sustain that can it support that that type of a of a rate and then build a business plan around it and when you build these things trying to find the right house trying to find the perfect house and and how to navigate and answer questions for zoning and and the things that are going to come into play when you're trying to find the right house becomes so much easier and when you're trying to find a lender and you're working with a lender and they see your business plan and you're underwriting

00:18:06
they under they they see that you understand what you're getting into it gives them a lot more confidence in you and and it makes things go so much more smoothly and when you're trying to navigate and and get that that facility license and and navigating the the rules and the regulations that exist inside of the Assisted Living business you've thought about a lot of that stuff you you have it planned out and it's a lot easier to fill out those applications to receive your license and when you're

00:18:29
trying to run the business and and have something that that is actually profitable you have this business plan to fall back on and and think okay these were my goals this is how I'm going to implement it this is this is where it's going and and how I'm going to make tweaks off of that your business Foundation is absolutely crucial to your ability to run a profitable business as you are trying to get things started so I like I cannot stress it enough you have to figure out how to do that I've

00:18:55
got a really awesome solution for you for that actually so if you need some help with It Go check out um the business Foundation Basics Workshop it's Assisted Living investing. netb FB um super low barrier to entry to to get you in and and help you start seeing how you can can make some really good improvements so go go check that out again it's Assisted Living investing. net BFB would love to help you out as you're trying to get things started on on your journey to launching your Assisted Living business so with all of

00:19:24
that said want to remind you um to like the video subscribe and ring the bell we're going to do some Q&A here so if you have any questions make sure you're typing them in um right now so I can go over and see what those comments are um but uh yeah make sure you're doing all those things so you get notified every time we do this content we put out content on Thursdays we do content on Tuesdays though next week we will not be doing it because it's Christmas Eve and I've got to do family stuff so we're

00:19:48
gonna Push pause next week but other than that we do have things on on Tuesdays on a weekly basis these Q&A sessions where can really help you out and if you need some some extra guidance and some help moving things along go apply to The Mastermind program Alim mastermind.com would love to see if I can help you out so with that um I wanted to pop over here and see what questions we've got um so Dana can you take clients from your current employer um to Phil uh to fools I I don't know

00:20:17
the last part of that but um I'm guessing what you're saying is could you like let's say you're a home health person um and um and I don't know what CA means could you give me the give me the acronym for that Dana um so can you take clients from your current employer to full CA or ASI ASL um I don't know what the acronyms are so if you can clarify what those are that would be good um but the idea of taking uh taking clients from them okay from a group home um to to put them into

00:21:00
your home that is something that uh I think it's a personal ethical conversation that you need to have with yourself um now if if you're if you're doing home health and you see that there's uh a need uh for a resident to move over into a group home or to an assisted living home um and and you talk with the families and it's appropriate setting um that I I think is fine um because Home Health versus getting into assisted living is is a slightly higher level of care so that that's okay but if

00:21:33
you're in a group home you're in an assisted living facility and then you're going to leave and you're going to start your own facility or um you're you're an administrator at one facility and you're going to another one or something like that I would strongly caution you against doing that um it just can lead to to different issues we we had we actually experienced a situation like that um in the past few months and we had I had as an owner had to have a conversation with a larger

00:22:02
group um that this was happening with and uh we you know came away on on good terms and everything like that I think we came to an agreement and on what was going to happen on both sides and everything was fine but um it was a a conversation that I would rather not have to have and so um that is up to you and how you want to handle that if there are non-competes that are signed then absolutely not um so you would want to stay away from that but if uh if you're if it's because of a a level of care

00:22:34
reason then I think that's appropriate um depending on the relationship that you have with with a person they will notice that you're taking people from them so just you know I want to point that out they they'll see it U they'll know where they're going um so so be cautious with that and then the other piece of it is um you know if if it's because they're not receiving adequate care for what ever reason um not level of care but adequate care um so they're they're receiving poor

00:23:06
care that that's a different conversation um to have uh and and something that um probably I don't know I don't want to tell you specifically what to do but could potentially need to involve um legal you know attorneys and things like that or complaints against the state um and and things like that so that's something you just you have to kind of be careful with um and how you uh some of that stuff so that's a big non- answer for you but I hope it helps give you some guidance

00:23:36
there uh so Dana am I a nonprofit um uh the clients are treated horribly yeah and and that's that that can happen I'll answer this nonprofit question here in a second um and if it is because the residents are treated horribly um that that's it's an interesting situation to to deal with um sorry I've got a phone call coming in and my phone is over on the other side of the room so we're gonna turn that off um so it's it's something that um you definitely want those residents

00:24:15
to receive the level of care that they need and and to receive good care um and the conversations probably there probably needs to be some kind of a file a complaint filed against the The Entity that is providing these services in this moment um and to let the state know so that Corrections can be made um families should probably me be made aware of that that information of the situation that that's happening there as well um and it really does come down to resident preference and family preference and so

00:24:53
if if they really love you as an individual and you're the one that is leaving the facility and you just let them know hey I'm leaving I'm going over to Sally's assisted living or Dana's assisted living or whatever uh whatever it's called they may be like oh you know what you're the only person here that really loves me and is providing me with the care that I want um I'm going to talk to my my family um about that and and and then they move recruiting them specifically yeah it it is a bit of a

00:25:20
gray area like I don't unless you signed a specific non-compete um there there's no like real rules around it but they could send you a ceent assist letter um there could be legal legal implications on your end especially if you're dealing with a larger type of a of a group of facilities that have those types of resources to pursue you so I would be careful with it and if you haven't signed a non-compete then there's no legal obligation there for you I'm not an attorney so i' talk with one but um

00:25:51
that would be my understanding but you might run into spe certain types of legal situation um yeah no problem um as far as nonprofit no I'm a for-profit organization um we uh we made a decision after talking with attorneys and trying to figure things out we we decided to to stay nonprofit I work um I have worked for nonprofits throughout much of my professional career so I'm very familiar with them um the the specifics of of being a nonprofit um and and how to run those so I I personally am not scared of

00:26:24
doing that I do caution people to jumping in in starting a nonprofit um because a lot of people they see oh nonprofit I could get grant funding and that there's I would say an increased likelihood that you could get grant funding but also um a lot of granting organizations if you're a nonprofit they want you to have been a nonprofit for multiple years um so that you're not just doing a money grab um and that's why you're becoming a nonprofit so you do have to be a little bit careful there

00:26:55
in in doing that um and if if you have never been in a nonprofit uh you're you just have heard about it on YouTube or something like that I would caution you because there's a lot of um intricacies of being a nonprofit and the way you have to have your board set up and and things that you have to do you could you go ahead and set something up on legal zement and and do it and take care of it really cheaply but um if you want to stay out of um a lot of the issues there's there's you want to get at a good

00:27:25
accountant that can track your money and help you track all that you need to have a board advisor there's a lot that goes into being a nonprofit and so um for those reasons we decided to stay for profit it was it just made more sense at some point we may have some kind of a nonprofit arm or may have a nonprofit facility at some point um but that that was just our decision um let's see so you're I don't I see your your question your your comment here about the vant CL client I just want to be read it really

00:27:57
quick and make sure I'm not going to dulge something I shouldn't um uh went to the IG yeah so I think you probably in that situation I'm not going to read it out loud um but for you in that situation um You probably handled that correctly um and yeah like sometimes residents will get violent and it happens we we have a a one of our homes is deals with a a mental health population they're often times younger um they most of them have a a a diagnosis of schizophrenia or bipolar and um they are generally

00:28:33
younger males and um that has led to some physical altercations that have been difficult to handle and and have conversations with our staff about and so it's it can be um difficult to deal with um and yeah it can be a part of this world um you just have to go into into the understanding that it could happen um Jay dolphin um do you think Tennessee can profitable um I believe so if you go back and watch I have a a video that was like my top 10 markets and um inside the business Foundation Basics assisted Liv investing. netb FB

00:29:10
you you get access to my um market research guide where I give you the top 10 and then I really dive into specific markets um but go watch that market research video my top 10 markets uh we did it probably in July so it's been a few months um but if you just go to my my channel and type in um top markets for assisted or something like that should pop up um Tennessee I believe was actually on my top 10 list so yeah I I think Tennessee is great um I think U I think you've got some good advantages

00:29:40
there um your your cost of living is relatively low compared to other states I mean you you see where people are moving to and Tennessee is one of those places where a lot of people are moving and that just means that you're you're going to have higher um compensated people coming in um retirees moving there and those types of things and so I do think Tennessee is a pretty good spot specific markets inside of Tennessee I I I don't know that the market research guide can really dive in and and give

00:30:06
you a lot of that research and if I'm if I'm speaking in Tennessee is not on that top 10 list I do give you the the guidance on how you can do that research for a specific Market inside of that tool so it's really really good um but to ask answer your question here how do I determine if a state is good for assisted living um I look at the market research guide today is very much um based off of uh populations where people are migrating population sizes um and those types of things um a few other

00:30:38
things that I would look into are um like taxing the tax rates for businesses um I would look at um I've got to plug my laptop in and it might ding um as we do this so I need to get a new charger um anyways uh let's see I I I would look at Politics as well politics can actually play a really big role in uh the regulations that you have to deal with more conservative leaning states are easier to operate in than more liberal states more liberal states may have better um uh what's the word I'm looking for

00:31:17
Community programs um so if you're working with like Medicaid they may potentially have higher reimbursement rates though I work in Idaho and Colorado and I have higher reimbursement rates in Idaho and it's easier for me to run a business in Idaho so everything for me points to I would rather expand in Idaho than I would in Colorado um so that's something for you to be aware of but those are things that I would look at um where people are are looking to move um I would look at reimbursement

00:31:43
rates I would look at Staffing like um what what is unemployment rates and and why are unlo unemployment rates the way that they are what are the rates that you're going to have to pay people those are some of the things that I would look at um and our our upcoming market research guide this next year which will probably be in the summer um because a lot of the data that we We Gather um comes from rankings that happen that we compile um and and put into our our little formula um but that happens

00:32:12
generally later in the year so um we'll be putting some of that information together but yeah hope that helps you helps you um Dana you agree about the nonprofit and for profit issues so yeah um and then other question here would working in uh business development for a large assisted company be a good transition if your goal is to own your own Assisted Living uh or transitional housing that's an incredible question um if I actually think it's a really good idea you you might have to be

00:32:42
careful with it um like we were talking about with non-competes um because there could be some kind of thing that they say hey if you leave you can't start your own business using the information you got from us um for two three years whatever um or it can't be within a certain um distance of where we have our facilities at like you know you can't do one within 50 miles of any of our facilities or something like that so that's something that I would want you to to excuse me um that I would caution

00:33:13
you with is make sure you understand uh what that looks like and and you have to kind of navigate it a little be careful with how you navigate that because if they have any inkling that you're just like you're going to be there for two years so you can learn stuff and then start something on your own um they may be less likely to hire you all of those caveats though I think it's an awesome idea um I I think it I think it could really benefit you because you would get a lot of exposure

00:33:42
to working uh doing market research and understanding the financials and doing the underwriting and getting a handle on on how to start the business um and so doing that I think is actually really good I um I actually had a recruiter reach out to me this is probably two three years ago for that specific type of a position I think it was largely because of my experience in healthcare but also um starting assisted living facilities I I I think it's a really interesting I can't remember I think I

00:34:09
didn't do it because they wanted me to go into the office and it was a pretty lengthy drive for me so I was like it just doesn't make sense for me um but the idea of doing it um I I really really like um uh and you're you are welcome Illinois yes and that you make a good point here Illinois outlaw non-competes um I have seen that more consistently that states are outlawing non-competes because um largely because of what California has done with non-competes in the startup World um it

00:34:40
really I think it stifles Innovation um in a lot of areas and so I think it's it's become something that is um it's far less prevalent than it was five to 10 years ago so if there are no non-compete or or anything like that then I think it's a great idea um I think I really think you could um have have some good guidance there uh or I think it's a really good way to to learn what you what you need to learn um um my let's see this question so how I have to lie or be honest with the owner um I don't

00:35:17
know if I understand the question there um lie or be honest with the the owner I I would say if it's like um if we're going back to your questions about how you uh the the residents that were mistreated um I think you can you could like the the oi oig I think is as a governing body there um I think those are ones that um uh submitting complaints to the proper authorities I think is the best way to handle that now if you're going to go and and take some of the residents and bring them to your

00:35:55
facility I it's a difficult convers to have but I think the from an ethical standpoint I think the best way to do that is to have a a direct conversation with with the owner so that's that's what I would say and I don't know if maybe I I'm off base on on the the question that you're asking there um so yeah just if if I need to clarify just let me know my college major good question my major in college um for my my bachelor's degree is actually sports management um I I worked for I worked for an Olympic

00:36:32
Federation here in Utah for a little bit and I worked for the Utah Blaze which is a Arena Football team um in the AFL for uh about a year and did like sponsorship sells and ticket sells game day operations and I realized I hated working in sports and so I went back to to college and got a master's I have an MBA and an mhaa so a MERS in business and a masters in healthcare administration um from the University of Utah so um that is how I got into getting into Healthcare so yeah uh that's how I got into Healthcare and

00:37:05
I actually did it um I was looking for a job while I was working for that Arena Football team um was looking for another job and I I knew I I kind of wanted to get into analytics and so I was applying for a lot of analytic type positions because I I love working with spreadsheets and numbers and things like that and um I found an opportunity that was doing medical billing for a uh a for a church entity out here um in Utah for a group called LDS Family Services um they provide by counseling services and

00:37:36
so I was doing medical billing for them and that's where I got some exposure to insurance and and understanding exactly how that all works and um how to negotiate and how to get um contracted with insurance companies and and things like that and so that was um how I got into it and then from there uh as I was getting into grad school um took an internship at a medical company doing Regulatory Affairs and then that shifted over into um working at that point I moved to Optum and started doing Managed

00:38:06
Care um claims billing for uh a contract here in Sal Lake on mental health and then I've just worked in healthcare ever since then so that's my Pathway to getting uh to to where I'm at um and that's how I know a lot about Medicaid and Medicare too um to go back to that question um just I worked on Medicaid and Managed Care contracts I worked a lot in government programs um Medicare Advantage Medicare programs for um things like um programs that they do around diabetes and Cardiac Care and

00:38:40
quality improvement scores and and things like that uh worked in that area largely in analytics for uh a long time now so that's that's how I've gotten into into that um and then the training classes to bill um so your question here is are there any training classes to build to learn to Bill CMS yes I believe there are um I think you can like get billing certifications it wouldn't surprise me if they're like on em me or something like that um at some point I'd love to create some kind of a video around that

00:39:12
um here on the channel it's just i' would be dealing with the Phi data um of the residents and so I don't know there's a good way for me to get around it so that's that's something um yeah um you work for a sports agency awesome yes I love sports I love watching sports and interact I love going to games and stuff like that I love that but I I cannot I I just couldn't work in it anymore so um yeah that's that's why I got out of sports it was I just it was it was not fun anymore for me to to go

00:39:44
to a game and so now after not having worked in sports for I don't know 12 13 years uh I can enjoy it again so that's that's been good um and thank you thanks for all the questions Dana um and uh Jay was that the other person yeah Jay uh Jay and Dana thanks for all the questions on here I've got a run I don't know if you can hear it but I've got um people pinging me on my other computer uh to to go to a meeting I guess um so I'm gonna hop over there um if yeah um let's move over here have had

00:40:16
that up uh I want to thank everybody for watching thanks for being here I remind you that uh you know does residential Assisted Living sound interesting to you but you're not sure how to get started at Assisted Living investing. net I'm here to help beginners like you launch their Assisted Living business in the next 12 months and remember it just doesn't take a lot it takes just a little bit just keep going step by step by step and I promise you if you do and you're consistent and persistent you're

00:40:39
going to be successful thanks for watching and have a great day