Podcasts about healthcare center

Staff and residents from Prairie Meadows Rehabilitation and Healthcare Center of Floresville wave to onlookers in celebrating National Skilled Nursing Care Week May 12 with a short parade through the city's downtown. Connally Memorial Medical Center, Harmony Care at Floresville, and New Haven Assisted Living & Memory Care also participated in the parade. Last Monday also marked International Nurses Day; Florence Nightingale, recognized as the founder of modern nursing, was born on May 12, 1820.Article Link

Dr. Deb 0:00Welcome to Let's Talk wellness now, the podcast where we deep dive into the science of health, wellness and everything you need to live your best life. I'm your host. Doctor Deb Muth, founder of serenity, Health Care Center and serenity, esthetics and wellness. Here on the show, we don't just talk about […]

The Huntsman Mental Health Institute has cut the ribbon on a new center located in Salt Lake... designed to provide mental health care for Utahns. Joining me live is Behavioral Health Supervisor at the Crisis Care Center Christopher Adams.

Are great leaders born with innate abilities, or can anyone be shaped into a successful leader through practice and mentorship? Leadership is like dancing; some may have natural abilities, but everyone can improve through training and practice. In this episode of the Straight Out of Health IT, J. Bryan Bennett, founder and Executive Director of the Healthcare Center of Excellence, explores the classic debate of whether leaders are born or made. According to Bryan, leadership is like dancing. He believes those with innate leadership traits, such as risk-taking and vision, tend to have a higher leadership ceiling, while qualities like empathy and humility may be more challenging to cultivate. Bryan explains that great leaders take risks, articulate a clear vision, and demonstrate empathy and humility. Poor leaders, on the other hand, are often self-serving, toxic, and uninterested in others' success. Leadership development can be aided by mentors, who play a vital role in guiding both young and seasoned professionals. Bryan emphasizes that leadership is a continuous learning process, and the best leaders are always seeking to grow.  Additionally, Bryan notes that leadership skills are generally the same across demographics, though perceptions may vary. He recommends investing in personal development through reading, attending conferences, and seeking mentorship, with both mentors and coaches playing crucial roles in career advancement. He also stresses the importance of self-reflection, having an external voice through a mentor, and always being open to growth as key strategies for becoming an effective leader. Tune in to discover the key traits that shape effective leadership and learn how you can cultivate them in your own journey!  --- Support this podcast: https://podcasters.spotify.com/pod/show/christopher-kunney/support

Like this? Get AIDAILY, delivered to your inbox, every weekday. Subscribe to our newsletter at https://aidaily.us Google Develops AI to Detect Illness Through Sound Google is developing AI technology capable of detecting early signs of disease by analyzing sound signals, such as coughs and labored breathing. Trained on 300 million audio samples, this AI aims to identify conditions like tuberculosis. In partnership with India's Salcit Technologies, Google plans to integrate this technology into smartphones, potentially aiding populations with limited access to healthcare. AI Models Could Scale 10,000x by 2030, Report Predicts A new report from Epoch AI suggests that AI models could scale up by 10,000 times by 2030, driven by exponential increases in computing power. However, significant challenges, including power consumption, chip production, and data availability, may limit this growth. While technically feasible, continued investment in AI scaling will depend on demonstrating significant returns, with upcoming models facing intense scrutiny to justify the escalating costs.  Indiana Welcomes Its First AI-Powered Caregiver Owen Valley Rehabilitation and Healthcare Center in Spencer, Indiana, has introduced "Robin the Robot," the state's first AI-powered caregiver. Robin, designed by Expper Technologies, is intended to provide companionship and therapeutic activities, particularly for patients with Alzheimer's and dementia. The robot aims to address the caregiver shortage and reduce loneliness among residents, enhancing their emotional and cognitive well-being.  AI in Warfare: The Risks of Ignoring Human Oversight Recent wargames with AI models from OpenAI, Meta, and Anthropic reveal that AI is more prone to escalating conflicts than humans, raising concerns about its role in warfare. Unlike humans, AI lacks self-preservation instincts, which could lead to catastrophic decisions in high-stakes situations. As AI systems gain autonomy, maintaining human oversight is crucial to prevent unintended escalations and ensure that AI aligns with human values Amazon to Launch AI-Powered Alexa Using Anthropic's Claude Amazon plans to release a new AI-powered version of its Alexa voice assistant in October, utilizing Anthropic's Claude AI models instead of its in-house technology. Dubbed "Remarkable" Alexa, this upgraded assistant will offer advanced features like complex conversations, enhanced home automation, and personalized shopping advice. The service will be available as a paid subscription, separate from existing Prime memberships. Accenture Wins $75M Contract to Modernize Patent Office with AI Accenture Federal Services has secured a five-year, $75 million contract to enhance AI use in the U.S. Patent and Trademark Office's examination process. Building on four years of collaboration, Accenture aims to scale AI tools to improve patent examinations and streamline operations, contributing to the agency's future modernization efforts.

Learn more about your ad choices. Visit megaphone.fm/adchoices

Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

John Thomas Quick, Jr., 77 of Powhatan, Virginia, passed away on Friday, June 7, 2024, at Canterbury Rehabilitation and Healthcare Center in Henrico Virginia from complications of dementia. Born in Richmond, Virginia on January 23, 1947, to the late John T Quick and Margaret Harris Quick. He was also predeceased by a brother, William Harris Quick. John was raised in Henrico, John graduated from Hermitage High School and served two tours of duty in Vietnam with the U. S. Army. John's career was spent in the service fields working as a Richmond City police officer, Henrico County firefighter, and numerous...Article LinkSupport the Show.

Alois Zaiontz, a resident of Prairie Meadows Rehabilitation and Healthcare Center in Floresville, celebrates his 82nd birthday in March with a trip to the Tellus John Deere dealership on S.H. 97 in Floresville, where he used to be a regular customer. He was welcomed by employees Hank Davis (l-r), Cole Harvey, and Matthew Boultinghouse, who showed him the latest tractors and gifted him with a small tractor to display in his room. Happy birthday, sir!Article Link

People with disabilities have rights to health care center --- Send in a voice message: https://podcasters.spotify.com/pod/show/eka-pratiwi-taufanti/message

A LAist investigation finds thousands of people with serious mental illnesses are living in CA nursing homes. The man charged with murder of an LA Sheriff's deputy pleads “not guilty” by reason of insanity. A L.A. City Councilman who resisted calls to resign runs for another term. Plus, more. Support The L.A. Report by donating now at LAist.com/join and by visiting https://laist.com.Support the show: https://laist.com

Rob Conover was a skeptic, and still is at heart. His attitude was shaped in part by his early years in Missouri, the Show Me State, his three years in the United States Marine Corps, and his career after that as a private investigator. If he could not see it, hear it, smell it, or touch it then it just didn't exist. It was this attitude that also started him down the path he follows today. In 1992, Rob spent the night in the Tazewell County Healthcare Center with a small group of people that included his best friend Dana Herold, a reporter, a photographer, and Gordon Poquet, the director of the Tazewell County Health Department. It was his goal that night to prove that the building was not haunted. Stories had circulated for years among county employees, including police officers, judges, lawyers, and other respectable citizens of Pekin, that the old building was haunted by a spirit named Hazel. As a private investigator, Rob had heard many of these stories while visiting the courthouse on business. Rob found the stories interesting, but he was not a believer. However, he was amazed that such logical, level-headed people could believe in something so outlandish and more than once he thought about spending a night alone in the old building to prove to them that there was nothing there that couldn't be explained with logic. After hearing that the building was slated for demolition before the end of the year, Rob decided he had to get in there before the building was gone. It was that decision, which seemed so small at the time, that changed his life forever. On the night of Friday March 13, 1991, Rob and a small group of people he assembled spent the night in the Healthcare Center. The building itself was nearly a hundred years old, having been originally built as a poor farm for Tazewell County's less than fortunate. That night, the team experienced many unexplainable events; from muffled voices and cold spots to slamming doors and even a door that refused to open. Reviewing the video tapes the next day, Rob also found that they had captured unexplainable phenomena on tape. Rob became a believer in ghosts that night. Over the next few years, Rob's life changed dramatically. He became friends with local and nationally known psychic Greta Alexander, whom he had previously thought to be a quack, and spent a lot of his free time investigating haunted houses in Pekin. The biggest change, however, came while he was working at a machine shop in Peoria. While working on a computer lathe, Rob lost a finger in a horrendous, and slow, accident. The trauma of the accident left Rob with abilities which at first scared him but that he ultimately embraced as his true calling. Rob gives all credit for his psychic and medium abilities to God.

Rob Conover was a skeptic, and still is at heart. His attitude was shaped in part by his early years in Missouri, the Show Me State, his three years in the United States Marine Corps, and his career after that as a private investigator. If he could not see it, hear it, smell it, or touch it then it just didn't exist. It was this attitude that also started him down the path he follows today. In 1992, Rob spent the night in the Tazewell County Healthcare Center with a small group of people that included his best friend Dana Herold, a reporter, a photographer, and Gordon Poquet, the director of the Tazewell County Health Department. It was his goal that night to prove that the building was not haunted. Stories had circulated for years among county employees, including police officers, judges, lawyers, and other respectable citizens of Pekin, that the old building was haunted by a spirit named Hazel. As a private investigator, Rob had heard many of these stories while visiting the courthouse on business. Rob found the stories interesting, but he was not a believer. However, he was amazed that such logical, level-headed people could believe in something so outlandish and more than once he thought about spending a night alone in the old building to prove to them that there was nothing there that couldn't be explained with logic. After hearing that the building was slated for demolition before the end of the year, Rob decided he had to get in there before the building was gone. It was that decision, which seemed so small at the time, that changed his life forever. On the night of Friday March 13, 1991, Rob and a small group of people he assembled spent the night in the Healthcare Center. The building itself was nearly a hundred years old, having been originally built as a poor farm for Tazewell County's less than fortunate. That night, the team experienced many unexplainable events; from muffled voices and cold spots to slamming doors and even a door that refused to open. Reviewing the video tapes the next day, Rob also found that they had captured unexplainable phenomena on tape. Rob became a believer in ghosts that night. Over the next few years, Rob's life changed dramatically. He became friends with local and nationally known psychic Greta Alexander, whom he had previously thought to be a quack, and spent a lot of his free time investigating haunted houses in Pekin. The biggest change, however, came while he was working at a machine shop in Peoria. While working on a computer lathe, Rob lost a finger in a horrendous, and slow, accident. The trauma of the accident left Rob with abilities which at first scared him but that he ultimately embraced as his true calling. Rob gives all credit for his psychic and medium abilities to God, who for some reason chose him to do His work on earth. - www.robconover.net

LIFESTYLE: Shinagawa opens new comprehensive healthcare center | May 3, 2023Subscribe to The Manila Times Channel - https://tmt.ph/YTSubscribe Visit our website at https://www.manilatimes.net Follow us: Facebook - https://tmt.ph/facebook Instagram - https://tmt.ph/instagram Twitter - https://tmt.ph/twitter DailyMotion - https://tmt.ph/dailymotion Subscribe to our Digital Edition - https://tmt.ph/digital Check out our Podcasts: Spotify - https://tmt.ph/spotify Apple Podcasts - https://tmt.ph/applepodcasts Amazon Music - https://tmt.ph/amazonmusic Deezer: https://tmt.ph/deezer Stitcher: https://tmt.ph/stitcherTune In: https://tmt.ph/tunein #TheManilaTimes #LIFESTYLE Hosted on Acast. See acast.com/privacy for more information.

Rob Conover was a skeptic, and still is at heart. His attitude was shaped in part by his early years in Missouri, the Show Me State, his three years in the United States Marine Corps, and his career after that as a private investigator. If he could not see it, hear it, smell it, or touch it then it just didn't exist. It was this attitude that also started him down the path he follows today. In 1992, Rob spent the night in the Tazewell County Healthcare Center with a small group of people that included his best friend Dana Herold, a reporter, a photographer, and Gordon Poquet, the director of the Tazewell County Health Department. It was his goal that night to prove that the building was not haunted. Stories had circulated for years among county employees, including police officers, judges, lawyers, and other respectable citizens of Pekin, that the old building was haunted by a spirit named Hazel. As a private investigator, Rob had heard many of these stories while visiting the courthouse on business. Rob found the stories interesting, but he was not a believer. However, he was amazed that such logical, level-headed people could believe in something so outlandish and more than once he thought about spending a night alone in the old building to prove to them that there was nothing there that couldn't be explained with logic. After hearing that the building was slated for demolition before the end of the year, Rob decided he had to get in there before the building was gone. It was that decision, which seemed so small at the time, that changed his life forever. On the night of Friday March 13, 1991, Rob and a small group of people he assembled spent the night in the Healthcare Center. The building itself was nearly a hundred years old, having been originally built as a poor farm for Tazewell County's less than fortunate. That night, the team experienced many unexplainable events; from muffled voices and cold spots to slamming doors and even a door that refused to open. Reviewing the video tapes the next day, Rob also found that they had captured unexplainable phenomena on tape. Rob became a believer in ghosts that night. Over the next few years, Rob's life changed dramatically. He became friends with local and nationally known psychic Greta Alexander, whom he had previously thought to be a quack, and spent a lot of his free time investigating haunted houses in Pekin. The biggest change, however, came while he was working at a machine shop in Peoria. While working on a computer lathe, Rob lost a finger in a horrendous, and slow, accident. The trauma of the accident left Rob with abilities which at first scared him but that he ultimately embraced as his true calling. Rob gives all credit for his psychic and medium abilities to God.To listen to all our XZBN shows, with our compliments go to: www.spreaker.com/user/xzoneradiotv.The current edition of The 'X' Chronicles Newspaper is available at www.xchronicles.net.This episode of The ‘X' Zone with Rob McConnell is brought to you by BEAUTIFUL MIND COFFEE - For the coffee that your brain will love, visit Beautiful Mind Coffee, www.beautifulmindcoffee.ca. It's Brainalicious!

Welcome to the Business Legends Podcast! Where we interview business leaders and entrepreneurs so we can learn from their successes and apply them to our own businesses to grow!   On today's episode, we sit down with Dr. Cammy Benton! Cammy is the Owner of Benton Integrative Medicine, an affordable Healthcare Center in Charlotte, that utilizes holistic approaches along with modern medicine to prevent and treat illness! How did censorship make the pandemic even worse? How does corruption from major industries compromise the health of Americans? Why did the government get away with keeping clubs open instead of gyms? Find out the answers to all of these questions and more on today's episode!   Want to learn more about Dr. Benton and what she does? Check out her work here:   Benton Integrative Medicine Website: https://www.bentonintegrative.com/  Benton Integrative Medicine Facebook: https://www.facebook.com/BentonIntegrativeMedicine?fref=ts  Dr. Cammy Benton Linkedin: https://www.linkedin.com/in/cammy-benton-90802568  Connect with us! Website: ⁠⁠⁠⁠http://www.businessmarketingsolutionsgroup.com/⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠https://www.facebook.com/BusinessMarketingSolutionsGroup⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠https://www.linkedin.com/company/businessmarketingsolutionsgroup⁠⁠⁠⁠ ... and don't forget to subscribe! ⁠⁠⁠⁠https://podcasters.spotify.com/pod/show/business-legends⁠

Residents of Prairie Meadows Rehabilitation and Healthcare Center and New Haven Assisted Living and Memory Care of Floresville don their best evening dresses, tuxedos, and party attire Feb. 10 and enjoy a prom-style Valentine's Day dance. The event, held at the Floresville American Legion Post, was made possible by generous donations from many community members, businesses, and organizations.Article Link

As we kick off the first episode of the new year, Mai Ling and James share their thoughts on new year's resolutions. Then Mai Ling sits down with Chanda Hinton, Executive Director of the Chanda Center for Health and Chanda Plan Foundation, to talk about her journey of founding and running the health care center. They also discuss proactive and preventive health care options, the stigma around not-for-profit organizations, how the Chanda Center for Health differs from traditional health care offerings, and a lot more.

In this episode we're joined by Emory D'Andrea, a Speech Language Pathologist and certified LSVT LOUD/eLOUD provider at Carmel Mountain Rehabilitation and Healthcare Center. Emory gives us some insights into how the LSVT LOUD and eLOUD programs can help anyone with Parkinson's who is finding their voice becoming a bit more quiet.Emory can be reached at THINKeLOUD@gmail.com or 410-980-0922.https://parkinsonsassociation.org/

Necessary healthcare leadership skills have been changing for CIOs, CMIOs and other health IT leaders after the industry-changing events of the COVID-19 pandemic. J. Bryan Bennett, executive director of the Healthcare Center of Excellence, offers leaders help in navigating the changing environment.

Renee Santana discusses the challenges and opportunities in healthcare provider onboarding. Renee is a Healthcare Strategist and Senior Director of the Healthcare Center of Excellence for Newgen Software. She develops strategic healthcare technology initiatives using AI and low-code, working with providers and technologists implementing change across departments and organizations. Host, Kevin Craine Do you want to be a guest?

Katy MacDonald, a Nurse Practitioner at the University Health Center's GYN Clinic, joins Lauren to talk about the five things you need to know about birth control, including a brief history, options for birth control and their effectiveness, and what happens when it doesn't work.*We would like to acknowledge that while the terms “woman” and “female” are used often in this episode, this information is still applicable to anyone who menstruates or can become pregnant. Resources:To contact JMU's GYN Clinic click here.For more information about JMU's Pharmacy click here. To contact the Shenandoah Women's Health Care Center click here. To learn more about birth control options, click here.

A daily news briefing from Catholic News Agency, powered by artificial intelligence. Ask your smart speaker to play “Catholic News,” or listen every morning wherever you get podcasts. www.catholicnewsagency.com - The three abortion clinics in Louisiana are leaving the state following the state's Supreme Court August 12th decision that an abortion ban will remain in effect while it is being challenged in the judiciary. It is unclear when the clinics will have finished the process of leaving and where they will relocate. Under Louisiana's trigger laws, abortions may be provided only when "necessary in reasonable medical judgment to prevent the death or substantial risk of death due to a physical condition, or to prevent the serious, permanent impairment of a life-sustaining organ of a pregnant woman.” The laws will continue to be challenged by the state's three abortion clinics: Hope Medical Group for Women in Shreveport, Women's Health Care Center in New Orleans, and Delta Clinic of Baton Rouge. https://www.catholicnewsagency.com/news/252060/each-of-louisiana-s-abortion-clinics-are-leaving-the-state A new report from the United Nations on modern slavery provides further documentation of China's mistreatment of the Uyghur ethnic group, a Muslim minority that according to some human rights groups is suffering genocide. The UN's Special Rapporteur on contemporary forms of slavery, Dr. Tomoya Obokata, wrote that it is “reasonable to conclude” that forced labor among ethnic minorities, including the Uyghurs, “in sectors such as agriculture and manufacturing has been occurring in the Xinjiang Uighur Autonomous Region of China.” Obokata identified two state-mandated systems that have contributed to the forced labor of the Uyghurs, one of which is a system that detains minorities and subjects them to work placements, while the other system shifts rural laborers into other forms of low-skilled, low-paid work. While the Chinese government claims that the programs provide work opportunities for minorities, the report found that “indicators of forced labor pointing to the involuntary nature of work rendered by affected communities have been present in many cases.” In recent years, Uyghurs — with estimates ranging as high as 1.8 million — have been detained in hundreds of “reeducation camps” in China's Xinjiang, where they are reportedly subjected to torture and political indoctrination. China's crackdown on Xinjiang also includes alleged coercion to have contraception devices inserted, forced abortions, and even full sterilization, along with systematic rape. https://www.catholicnewsagency.com/news/252059/un-china-s-mistreatment-of-the-uyghurs-amounts-to-modern-day-slavery Today, the Church celebrates Saint Helena, the mother of Emperor Constantine who according to tradition discovered the resting place of the true cross of Jesus Christ in Jerusalem.

Rob Conover was a skeptic, and still is at heart. His attitude was shaped in part by his early years in Missouri, the Show Me State, his three years in the United States Marine Corps, and his career after that as a private investigator. If he could not see it, hear it, smell it, or touch it then it just didn't exist. It was this attitude that also started him down the path he follows today. In 1992, Rob spent the night in the Tazewell County Healthcare Center with a small group of people that included his best friend Dana Herold, a reporter, a photographer, and Gordon Poquet, the director of the Tazewell County Health Department. It was his goal that night to prove that the building was not haunted. Stories had circulated for years among county employees, including police officers, judges, lawyers, and other respectable citizens of Pekin, that the old building was haunted by a spirit named Hazel. As a private investigator, Rob had heard many of these stories while visiting the courthouse on business. Rob found the stories interesting, but he was not a believer. However, he was amazed that such logical, level-headed people could believe in something so outlandish and more than once he thought about spending a night alone in the old building to prove to them that there was nothing there that couldn't be explained with logic. After hearing that the building was slated for demolition before the end of the year, Rob decided he had to get in there before the building was gone. It was that decision, which seemed so small at the time, that changed his life forever. On the night of Friday March 13, 1991, Rob and a small group of people he assembled spent the night in the Healthcare Center. The building itself was nearly a hundred years old, having been originally built as a poor farm for Tazewell County's less than fortunate. That night, the team experienced many unexplainable events; from muffled voices and cold spots to slamming doors and even a door that refused to open. Reviewing the video tapes the next day, Rob also found that they had captured unexplainable phenomena on tape. Rob became a believer in ghosts that night. Over the next few years, Rob's life changed dramatically. He became friends with local and nationally known psychic Greta Alexander, whom he had previously thought to be a quack, and spent a lot of his free time investigating haunted houses in Pekin. The biggest change, however, came while he was working at a machine shop in Peoria. While working on a computer lathe, Rob lost a finger in a horrendous, and slow, accident. The trauma of the accident left Rob with abilities which at first scared him but that he ultimately embraced as his true calling. Rob gives all credit for his psychic and medium abilities to God.

“Imagine that you are the medical director of a large (>150 bed) nursing home. Two-thirds of the patients in the home now have COVID-19. Seventeen of your patients are dead. The other physicians who previously saw patients in the nursing home are no longer coming to your facility because you have COVID positive patients. You're short on gowns and facemasks. You're short on nurses and nurse aids so now you have to help deliver meals.” This was the opening paragraph that I wrote in March of 2020 when introducing a podcast we did with Dr. Jim Wright, the medical director at Canterbury Rehabilitation and Healthcare Center in suburban Richmond.  That was his literally his life during those spring months of 2020 and it scared the hell out of me.  Lucky, Jim and many others like him were willing to come on to our podcast those first several months of the pandemic and share their experiences and lessons learned caring for COVID positive patients and their family members.   On today's podcast, we look back to those early months of the pandemic and look forward to the future.  We invited Jim back with us along with Darrell Owens, DNP, MSN, who is the  head of palliative care for the University of Washington's Northwest campus.   For those who didn't listen to our podcast with Darrell, when most of us were still trying to figure out what COVID was, he created an on call 24/7 palliative care service to have goals of care conversations with elderly patients in the emergency department under investigation for COVID, and also established an admitting inpatient palliative care service at his hospital for patients on exclusively comfort measures.  What I loved about this March 2020 podcast was that Darrell pushed us to think differently: “Expect that it's not business as usual. Very first thing, you're going to have to do things differently, so be open to that. Be totally open-minded. Now the old, “We're not an admitting service or we don't do that and we don't do this,” don't start with what you don't do. Start with what you can do, what's your capacity. So take a walk down memory lane with us and hear from both Darrell and Jim where they think we are going.

On June 24, 2022, The Unites States Supreme Court overruled the 50 year old case of Roe v. Wade that recognized the right wo women to abortion services in the United States. The case, Dobbs v, Jackson Women's Health Care Center overturned Roe based on a historical telling of the state of women's rights in the 1700s and 1800s.  The historical descriptions have been criticized as overlooking information indicating that it was lawful at those times for women to have abortions. It is important to understand that Dobbs did not make abortion unlawful and the laws of Oregon and many other states do allow women to obtain abortion services. On Tuesday, June 28, we spoke with Planned Parenthood of the Columbia Willamette, including Bend Health Center manager Joanna Dennis-Cook and long-time health services educator Liliana Cabrera.  We were also joined in the studio Shanti O'Connor, host of KPOV's Tuesday afternoon show curiosity Lab, which focuses on women's issues.

On this episode, Dr. Shari Dade is joined by Mr. Seginald Bryant, the Information Technology Area Manager for Durham, North Carolina. Mr. Bryant has a team of 27 IT Specialists that support Veterans from Central NC out to Eastern Coastal NC. This support includes VISN 6 HQ in Durham, two NCAs – one in Raleigh & New Bern, four Raleigh CBOCs, a Wake County Health Care Center, two Vet Centers – One in Greenville & one in Raleigh, a Health Care Center in Greenville, a VBA office in Raleigh, the Durham VAMC, a National Program Office, National Research Office, an Admin office in RTP and numerous remote customers scattered across the AOR. On this episode, he talks about how he has been able to charge past failures of his past and remain encouraged to push himself to success. Listen in for a discussion on how to turn the adversity of today into the success of tomorrow by playing the long game!

info@podcastone.com0d7c8cba-aa08-4070-9083-6ceabfbe6eabTue, 28 Jun 2022 11:59:50 PDT00:12:25The South Florida Sunday Podcast

Young ladies with the Junior Catholic Daughters of the Americas Court Anna Poth celebrate their 10th anniversary March 4, with a Mass in Blessed Sacrament Catholic Church, where they were recipients of a special blessing from the Rev. Damian Jaje. Among the girls' recent projects were collecting dolls in December 2021 to donate to the Seton Home in San Antonio, and singing Christmas carols at Prairie Meadows Rehabilitation and Healthcare Center in Floresville.Article Link

For compassionate care and good health in your retirement, choose Primary Medical Care Center. More details at https://primarymed.com/locations/senior-medical-center-west-palm-beach (https://primarymed.com/locations/senior-medical-center-west-palm-beach)

SHOW NOTES The tragic effects of structural violence & community trauma featuring Howard Pinderhughes, Ph.D. professor and department chair, Social & Behavioral Sciences Dept, School of Nursing, University of California San Francisco   Click here for podcast transcript Click here for Dr. Pinderhughes' biography  You grew up in the Boston neighborhood of Roxbury, which was the scene of three days of rioting in 1967, an event that is said to have “sparked Boston's racial unrest.” Can you tell us about your personal experience with community trauma and how it has informed your work?  “...we developed this framework called ‘adverse community experiences,' which really, for me, was rooted in what I experienced and saw happen to Roxbury growing up and how structural forces and factors and systems and institutions essentially destroyed a vibrant neighborhood and placed the vast majority of people in Roxbury in harm's way - harm from what we have come to understand now as structural violence.”  --Dr. Howard Pinderhughes How has the study of trauma evolved through the years, from its initial focus on post-traumatic stress disorder in military veterans? “...over the last 15 to 20 years, we've come to understand, okay, it's not just veterans coming back from war who are exhibiting these symptoms. We have young people and families and, and adults who are subject to that in their own communities. And in fact, what we understand is post traumatic stress disorder cannot be called post because it's a persistent everyday experience of danger and of exposure and victimization.” --Dr. Howard Pinderhughes How can trauma affect a community? “It increases the hypervigilance, the folks that have it, it impacts their ideas of possibilities and opportunities. It creates a situation where as a community, there's just a narrative that gets developed where there's the expectation of violence. It's the expectation of trauma….And there's really the belief that there's not much they can do about it. And it doesn't help when law enforcement is part of that trauma.” --Dr. Howard Pinderhughes Is there a link between psychological trauma and health?  “[A] study was done among 10,000 middle class, mostly white members of Kaiser San Diego. And they found that ...four or more exposures to adverse childhood experiences results in increased … chronic disease or emotional or psychological problems as an adult…” --Dr. Howard Pinderhughes Get Involved / Take Action   Check out the valuable work of the Prevention Institute, promoting health equity and healthcare justice Subscribe to HEAL California for health policy news with a California focus Join the CalCare Campaign to learn more about AB1400, the Guaranteed Health Care for All Act  Join Health Care for All California to keep up with local actions to support California single-payer health care. Join Healthy California Now  - a coalition working toward a California single-payer system. Individual and organizational membership available Join Physicians for a National Health Program (PNHP) to join the national campaign for to improve and expand Medicare to all residents of the U.S. Helpful Links   Roxbury, Quiet in Past, Finally Breaks Into Riot. Why Did Violence Occur? (The Harvard Crimson) The Forgotten Riot That Sparked Boston's Racial Unrest (Boston Globe) Adverse Community Experiences and Resilience: A Framework for Addressing and Preventing Community Trauma (The Prevention Institute)   Understanding How Trauma Affects Health and Health Care (Center for Health Care Strategies) Historical Trauma as Public Narrative: a Conceptual Review of How History Impacts Present-Day Health (PubMed Central, National Institute of Health)  

Dr. Addie McClintock is an Assistant Professor of Medicine in the Division of General Internal Medicine at the University of Washington School of Medicine. She practices at the University of Washington Women's Health Care Center where she also runs the women's health training pathway for the internal medicine residency. Dr. Tyra Fainstad and Dr. Addie McClintock have teamed up to develop a two-prong approach to help us help our learners manage the impact of impostor phenomenon and exploring the interplay of psychological safety. In this second episode Dr. McClintock will be broadening the conversation to describe how we can design the learning environment to create psychological safety and counter impostor phenomenon by creating healthy and functional teams.

Community outreach to primary health care center offering family planning in gombe state --- Send in a voice message: https://anchor.fm/devcoms-network0/message

Diana Mohr, Director of Business Development of Lakeland Rehab and Healthcare Center in Angola was our guest on this week's Coldwater Area Chamber of Commerce Chamber Chat. See omnystudio.com/listener for privacy information.

Rob Conover was a skeptic, and still is at heart. His attitude was shaped in part by his early years in Missouri, the Show Me State, his three years in the United States Marine Corps, and his career after that as a private investigator. If he could not see it, hear it, smell it, or touch it then it just didn't exist. It was this attitude that also started him down the path he follows today. In 1992, Rob spent the night in the Tazewell County Healthcare Center with a small group of people that included his best friend Dana Herold, a reporter, a photographer, and Gordon Poquet, the director of the Tazewell County Health Department. It was his goal that night to prove that the building was not haunted. Stories had circulated for years among county employees, including police officers, judges, lawyers, and other respectable citizens of Pekin, that the old building was haunted by a spirit named Hazel. As a private investigator, Rob had heard many of these stories while visiting the courthouse on business. Rob found the stories interesting, but he was not a believer. However, he was amazed that such logical, level-headed people could believe in something so outlandish and more than once he thought about spending a night alone in the old building to prove to them that there was nothing there that couldn't be explained with logic. After hearing that the building was slated for demolition before the end of the year, Rob decided he had to get in there before the building was gone. It was that decision, which seemed so small at the time, that changed his life forever. On the night of Friday March 13, 1991, Rob and a small group of people he assembled spent the night in the Healthcare Center. The building itself was nearly a hundred years old, having been originally built as a poor farm for Tazewell County's less than fortunate. That night, the team experienced many unexplainable events; from muffled voices and cold spots to slamming doors and even a door that refused to open. Reviewing the video tapes the next day, Rob also found that they had captured unexplainable phenomena on tape. Rob became a believer in ghosts that night. Over the next few years, Rob's life changed dramatically. He became friends with local and nationally known psychic Greta Alexander, whom he had previously thought to be a quack, and spent a lot of his free time investigating haunted houses in Pekin. The biggest change, however, came while he was working at a machine shop in Peoria. While working on a computer lathe, Rob lost a finger in a horrendous, and slow, accident. The trauma of the accident left Rob with abilities which at first scared him but that he ultimately embraced as his true calling. Rob gives all credit for his psychic and medium abilities to God, who for some reason chose him to do His work on earth. - www.robconover.net ****************************************************************** To listen to all our XZBN shows, with our compliments go to: https://www.spreaker.com/user/xzoneradiotv *** AND NOW *** The ‘X' Zone TV Channel on SimulTV - www.simultv.com The ‘X' Chronicles Newspaper - www.xchroniclesnewpaper.com

Rob Conover was a skeptic, and still is at heart. His attitude was shaped in part by his early years in Missouri, the Show Me State, his three years in the United States Marine Corps, and his career after that as a private investigator. If he could not see it, hear it, smell it, or touch it then it just didn't exist. It was this attitude that also started him down the path he follows today. In 1992, Rob spent the night in the Tazewell County Healthcare Center with a small group of people that included his best friend Dana Herold, a reporter, a photographer, and Gordon Poquet, the director of the Tazewell County Health Department. It was his goal that night to prove that the building was not haunted. Stories had circulated for years among county employees, including police officers, judges, lawyers, and other respectable citizens of Pekin, that the old building was haunted by a spirit named Hazel. As a private investigator, Rob had heard many of these stories while visiting the courthouse on business. Rob found the stories interesting, but he was not a believer. However, he was amazed that such logical, level-headed people could believe in something so outlandish and more than once he thought about spending a night alone in the old building to prove to them that there was nothing there that couldn't be explained with logic. After hearing that the building was slated for demolition before the end of the year, Rob decided he had to get in there before the building was gone. It was that decision, which seemed so small at the time, that changed his life forever. On the night of Friday March 13, 1991, Rob and a small group of people he assembled spent the night in the Healthcare Center. The building itself was nearly a hundred years old, having been originally built as a poor farm for Tazewell County's less than fortunate. That night, the team experienced many unexplainable events; from muffled voices and cold spots to slamming doors and even a door that refused to open. Reviewing the video tapes the next day, Rob also found that they had captured unexplainable phenomena on tape. Rob became a believer in ghosts that night. Over the next few years, Rob's life changed dramatically. He became friends with local and nationally known psychic Greta Alexander, whom he had previously thought to be a quack, and spent a lot of his free time investigating haunted houses in Pekin. The biggest change, however, came while he was working at a machine shop in Peoria. While working on a computer lathe, Rob lost a finger in a horrendous, and slow, accident. The trauma of the accident left Rob with abilities which at first scared him but that he ultimately embraced as his true calling. Rob gives all credit for his psychic and medium abilities to God, who for some reason chose him to do His work on earth. - www.robconover.net******************************************************************To listen to all our XZBN shows, with our compliments go to: https://www.spreaker.com/user/xzoneradiotv*** AND NOW ***The ‘X' Zone TV Channel on SimulTV - www.simultv.comThe ‘X' Chronicles Newspaper - www.xchroniclesnewpaper.com

Rob Conover was a skeptic, and still is at heart. His attitude was shaped in part by his early years in Missouri, the Show Me State, his three years in the United States Marine Corps, and his career after that as a private investigator. If he could not see it, hear it, smell it, or touch it then it just didn't exist. It was this attitude that also started him down the path he follows today. In 1992, Rob spent the night in the Tazewell County Healthcare Center with a small group of people that included his best friend Dana Herold, a reporter, a photographer, and Gordon Poquet, the director of the Tazewell County Health Department. It was his goal that night to prove that the building was not haunted. Stories had circulated for years among county employees, including police officers, judges, lawyers, and other respectable citizens of Pekin, that the old building was haunted by a spirit named Hazel. As a private investigator, Rob had heard many of these stories while visiting the courthouse on business. Rob found the stories interesting, but he was not a believer. However, he was amazed that such logical, level-headed people could believe in something so outlandish and more than once he thought about spending a night alone in the old building to prove to them that there was nothing there that couldn't be explained with logic. After hearing that the building was slated for demolition before the end of the year, Rob decided he had to get in there before the building was gone. It was that decision, which seemed so small at the time, that changed his life forever. On the night of Friday March 13, 1991, Rob and a small group of people he assembled spent the night in the Healthcare Center. The building itself was nearly a hundred years old, having been originally built as a poor farm for Tazewell County's less than fortunate. That night, the team experienced many unexplainable events; from muffled voices and cold spots to slamming doors and even a door that refused to open. Reviewing the video tapes the next day, Rob also found that they had captured unexplainable phenomena on tape. Rob became a believer in ghosts that night. Over the next few years, Rob's life changed dramatically. He became friends with local and nationally known psychic Greta Alexander, whom he had previously thought to be a quack, and spent a lot of his free time investigating haunted houses in Pekin. The biggest change, however, came while he was working at a machine shop in Peoria. While working on a computer lathe, Rob lost a finger in a horrendous, and slow, accident. The trauma of the accident left Rob with abilities which at first scared him but that he ultimately embraced as his true calling. Rob gives all credit for his psychic and medium abilities to God, who for some reason chose him to do His work on earth. - www.robconover.net ****************************************************************** To listen to all our XZBN shows, with our compliments go to: https://www.spreaker.com/user/xzoneradiotv *** AND NOW *** The ‘X' Zone TV Channel on SimulTV - www.simultv.com The ‘X' Chronicles Newspaper - www.xchroniclesnewpaper.com

In this episode, Dr. Mike Gass talks about research in the field of wilderness therapy that is occurring at the Outdoor Behavioral Healthcare Center (obhcenter.org) at the University of New Hampshire. Dr. Gass reviews the history of the center, its leadership team, and the researchers. He shares how researchers address biases and how the center is funded. He educates about the research related to the safety of participants, transports of young people to programs, and a new million-dollar research study. Bio from the OBHcenter.org website. Michael Gass, PhD, LMFT, is a Professor and the Director of the Outdoor Behavioral Healthcare Research Center (obhcenter.org) at the University of New Hampshire. Dr.  Gass received his PhD in educational research from the University of Colorado/Boulder and his postdoctoral work in clinical marriage and family therapy. With Drs. Gillis and Russell, he has published the leading textbook in the field (Adventure Therapy published by Routledge Press). Dr. Gass was the inaugural Chair of the AEE Accreditation Council for its first 10 years of existence as well as President of the Board of Directors of AEE in 1990. Some of his current research projects include: Risk management statistics of adventure therapy programs, adventure competencies for therapists, enhancement of NATSAP Practice Research Network database, researching adventure therapy programs with vulnerable populations, cost benefit analyses of outdoor behavioral healthcare programs, supporting emerging scholars/researchers in adventure therapy, and publishing and presenting in traditional mental health/psychology venues (e.g., APA). He is a licensed marriage and family therapist.

Maxine and her family are known for their active and generous commitment to the Jewish community, mental health, homelessness, and social services.Maxine's husband, Jack Zarrow, joined his father and brother Henry in the family business, Sooner Pipe and Supply. The iconic Tulsa firm enabled a great deal of the family's philanthropy and employed, among other friends and family, the Zarrow's son Scott, who passed away at age 54 in December, 2012. Like his parents, Scott was active in the Tulsa and Tulsa Jewish community. His passing is a loss to the family and to Tulsa.Maxine and Jack created their own family foundation and played a leading role in the formation of the Tulsa Jewish Retirement and Health Care Center, located today near 71st & Lewis. The family's commitment to fighting for the homeless is also celebrated today thanks to their gift, along with the Anne and Henry Zarrow Foundation, of the land that is now occupied by the Tulsa Day Center for the Homeless."Tulsa's really sort of become the model for the whole country in the way that they have provided the right kind of facilities for people who've had some mental health problems."This interview was recorded June 11, 2012 before a live audience at Temple Israel in Tulsa, Oklahoma.

The staff of Floresville's Prairie Meadows Rehabilitation and Healthcare Center celebrate receiving a Pinnacle Quality Insight Award, received for excelling in providing a superior customer experience for their patients/ residents. Celebrating are (back, l-r) Dietary Supervisor Edna Castillo; Vanessa Alaniz, ADON; MDS Coordinator Crisanta Slaughter; Melissa Duncan, BOM; Erica Villalobos, medical records; Cecilia “Sheila” Rodriguez; (front) Housekeeping Supervisor Hope Garay; Brandi Garcia, DBD; Director of Nursing Shelly Williams, Administrator Marti Brende, and Treatment Nurse Janice Wyatt.Article Link

Join Rachael and Dr. Julia Getzelman, founder of GetzWell Pediatrics in SF, CA, as they talk about all things baby gut! Poop, gas, colic, allergies, reflux, "colic" and starting solids are discussed. They also chat about the current state of pediatrics in the US and the need for more holistic and functional medicine. About Dr. Julia GetzelmanJulia Getzelman, M.D. founded GetzWell Pediatrics in 2008 with a passionate commitment to bring pediatric functional medicine to San Francisco. Dr. Getzelman graduated with a bachelor's degree in Psychology from Stanford University with Distinction and Phi Beta Kappa. She later earned her medical degree from Yale University and completed her residency at Children's Hospital Oakland. Thereafter, she was an attending physician in the neonatal intensive care unit (NICU) and pediatric clinic at Highland, Oakland's county hospital, and also worked at After Hour Pediatrics in San Mateo. In the 5 years before founding GetzWell, she practiced at Sutter-Saint Luke's Health Care Center in San Francisco's Mission District where she provided whole kid care to over 1200 patients. She is board certified in pediatrics and is a member of the American Academy of Pediatrics. Dr. Getzelman believes that many factors contribute to health and illness: nutrition, physical activity, emotional/psychological stresses, and the environment, among others. She has a special interest in how nutrition and intestinal health contribute to overall wellness. To that end, she completed the core curriculum of the Institute for Functional Medicine in 2007. Dr. Getzelman has additional training in homeopathy and applied nutritional biochemistry/food as medicine as well as in using genetic polymorphisms as a guide for treating a variety of chronic problems like ADHD, anxiety, behavior issues, autoimmunity, etc. Dr. Getzelman grew up in California and is the oldest of five children. She loves the outdoors and is fascinated by nature. She comes from a musical family, has sung in a variety of venues over the years, and recently recorded Asturiana, a compilation of soothing classics and lullabies. She has a passion for romance languages and is fluent in Spanish and Italian. Dr. Getzelman lives in San Francisco with her husband.Follow GetzWell @getzwellpediatrics or get in touch for your in-person or virtual visit on their website https://getzwell.com/Connect with Kara Ann and Rachael:Kara Ann's Instagram @bloombabywellnessRachael's Instagram @heysleepybabyKara Ann's WebsiteRachael's Website 

Rhythm FM rivers state visit to aa healthcare center of the state --- Send in a voice message: https://anchor.fm/devcoms-network0/message

Good morning, RVA! It’s 38 °F, but this afternoon’s temperatures look extremely pleasant. Expect highs in the 60s and sunshine. I think we’ve got at least one more day of dry weather before some rain moves in later this week.Water coolerAs of this morning, the Virginia Department of Health reports 1,159 new positive cases of the coronavirus in the Commonwealthand 13 new deaths as a result of the virus. VDH reports 116 new cases in and around Richmond (Chesterfield: 43, Henrico: 54, and Richmond: 19). Since this pandemic began, 1,185 people have died in the Richmond region. Michael Martz at the Richmond Times-Dispatch has a one-year-later look back at the early and deadly COVID-19 outbreak at the Canterbury Rehabilitation & Healthcare Center. Over 50 people died, which is shocking—a little less than 10% of Henrico’s total deaths to date. It’s interesting/bizarre/sad to read about how little we knew about this disease back then and how much we learned from this particular outbreak.Over in the vaccine side of the house, for the third week in a row the region vaccinated more than 37,000 people—easily defeating my (and the Governor’s) vaccination goals. You can see a satisfying graph of Richmond, Henrico, and Chesterfield’s steadily increasing vaccination work here. At this point, over 2 million Virginians have received their first dose of COVID-19 vaccine—almost 25% of the Commonwealth’s population! With supply of the vaccine less of an issue these days, that number should just continue to creep upwards. Speaking of supply, I’d never scrolled all the way down to the bottom of VDH’s vaccination data dashboard, where you’ll find this fun graph of types of vaccine received by the state over time. Looks like those of you hoping to get the Johnson & Johnson vaccine will have to wait a minute.Good news! City Council will host their first budget work session today at 1:00 PM, and you can stream it live here. In years past, they’ve posted a list of which departments were scheduled to come present to Council when, but I haven’t found such a list for this year yet—I’ll keep looking. On today’s agenda for sure, though, is a presentation by RPS Superintendent Jason Kamras. Looking at the RPS (PDF) and the City(PDF) budget documents, the Mayor has fully funded RPS’s operating budget request, which I doubt City Council with futz around with. Might could be a short work session! Once the video of today’s meeting gets posted on the City’s website, I’ll get it added to The Boring Show.Mark Robinson at the RTD has an update on the proposed redevelopment of Creighton Court that you should read. Specifically: “The housing authority asked the city for $6.8 million in capital funding for infrastructure improvements at the Creighton site. RRHA officials said the work is a precursor to building new homes, but also crucial to securing coveted low-income housing tax credits that the project’s financing will rely on. The five-year capital improvement plan Stoney pitched to the council earlier this month directs no money to the effort this year, or in any of the next five years.” I don’t know why the Mayor didn’t include money for this project in his CIP—maybe he’s unwilling to commit significant new funding until the agency gets their constant leadership turnover sorted out? Regardless, I do know, that even with the limited coronabudget we’re working with, a couple million dollars could be pulled from other projects. Or, I dunno, we could stop operating with such a scarcity mindset, raise the property tax, and fund basic services like public housing. Several members of City Council have made statements in the past about how strongly they believe in funding public housing, so we’ll see if any of them submit budget amendments to reflect that belief.The Governor went ahead and signed HB 2208, which will remove the statue of Harry F. Byrd Sr. from the Capitol grounds. I’m pretty stoked on this and feel like it’s a significant and important step for the General Assembly to continue acknowledging that racism didn’t end after the early 1900s. Plus, that statue’s proximity to the Barbra Johns statue is just gross.In a related but opposite update, the University of Richmond Board of Trustees issued a statement about removing the names of racists from their buildings, saying in part: “This work has revealed the University’s complicity in slavery in the Ryland era and the advocacy of past-Rector Douglas Southall Freeman for segregation, disenfranchisement, racial purity measures, and eugenics — advocacy arising from false, racist, and abhorrent beliefs. Many of the actions and views brought to light by the research are wholly inconsistent with the institution we are today….We believe, however, that removing building names is inconsistent with the pursuit of our educational mission, which informs all of our actions.” OK. Sounds like, for now, the names are sticking around.I didn’t know this was happening, but the Asian American Society of Central Virginia, the Organization of Chinese Americans’ Central Virginia Chapter, and the Korean American Society of Greater Richmond sponsored a vigil this past Saturday in memory of the people killed in Atlanta last week. If folks know about future events like this, please drop me an email.Today at 2:00 PM, the VCU women’s basketball team takes the court in their first NCAA tournament since 2009! Tune in on ESPNU. The VCU men’s basketball team, though, had to forfeit their opening game against Oregon due to COVID-19, which is a huge bummer. Again, why are we doing these large sporting events?This morning’s longreadThe Pandemic for PedestriansHere’s a good but depressing longread from the folks over at Sports Backers.If you don’t read anything else in this blog post, you should know that in the year of our pandemic 2020, driving in Virginia dropped significantly (16.6%) but traffic fatalities actually increased (2.4%). Speeding-related fatalities increased (16.3%), but overall speeding crashes and injuries decreased (20% each). What this means is that crashes got deadlier – in large part because of speeding and the increased impact energy. Virginia pedestrian fatalities, which hit a record high in 2019 at 126, dropped modestly by 2.4% to 123. However, when compared to the unprecedented drop in driving, pedestrian fatalities actually increased a whopping 17%. That is not a typo – it is a very big increase in pedestrian fatalities relative to their exposure to driving rates.If you’d like your longread to show up here, go chip in a couple bucks on the ol’ Patreon.Picture of the Day

On this eposide, we speak with Tita Evelyn Andamo, the Administrator of Carson Adult Day Health Care Center and one of our Advisory Council Members here at Mabuhay Credit Union, to talk about how Adult Day Health Care Center provides an essential service to our Filipino and greater community.

Loved this episode so much with a mentor and friend Dr. Emily Wong from Hong Kong. We talk about her Integrative Medicine background, Acupuncture background, and the east meets west changes in medicine that are happening today! Dr. Emily Wong received her undergraduate BSc and MD degrees at the University of Washington (UW). She completed specialty training in Internal Medicine at UCLA, and was appointed to the faculty of the UCLA Department of Medicine. Dr. Wong moved back to the UW School of Medicine in 1995 to join the Division of General Internal Medicine and Roosevelt Women’s Health Care Center. Dr. Wong served as Principal Investigator (PI) on the US Department of Health and Human Services (DHHS) Center of Excellence in Women’s Health grant at the UW; this award was funded by the US federal government to advance the health of underserved and minority women, and to promote the leadership of women in academic medicine. Dr. Wong completed her Executive Masters of Health Administration degree (EMHA) at the UW, and went on to serve in multiple administrative leadership roles, including Associate Chair for Clinical Affairs in the UW Department of Medicine. She was elected by her peers to serve on the UW Physicians (UWP) Board of Trustees, and as Chief of Medical Staff at the UW Medical Center (UWMC). Dr. Wong remains an Affiliate Associate Professor at the UW, and is Honorary Clinical Associate Professor at the Li Ka Shing Faculty of Medicine at HKU, in the Department of Family Medicine and Primary Care. She is Fellow of the American College of Physicians (FACP), and Diplomate of the American Board of Internal Medicine. Dr. Wong is a graduate of the Andrew Weil Center for Integrative Medicine (AWCIM) fellowship at the University of Arizona and board certified by the American Board of Integrative Medicine (ABoIM). She completed Integrative Health and Wellness (IHW) coach training at AWCIM, and is board certified by the National Board for Health and Wellness Coaching (NBHWC). She is also a certified coach through The Life Coach School. She currently practices coaching and medical consultation in person and by videoconference from Hong Kong.

 Dr. James Weinstein, is Senior Vice President, Microsoft Healthcare, where he is in charge of leading strategy, innovation and health equity functions. Prior to Microsoft, Dr. Weinstein was president and CEO of Dartmouth-Hitchcock Health, a $2.0 billion academic medical center in Northern New England, where he led the organization to adopt a population health model, including the transition from fee-for-service toward global payments. Prior to becoming CEO, Dr. Weinstein served as president of Dartmouth-Hitchcock Clinic and was director of The Dartmouth Institute for Health Policy and Clinical Practice (TDI), home of the Dartmouth Atlas of Health Care, which for decades has documented the ongoing variations in health care delivery across the United States. Dr. Weinstein is a founding member and the inaugural executive director of the National High Value Healthcare Collaborative, along with Mayo Clinic, Intermountain Healthcare, The Dartmouth Institute, and Denver Health. The Collaborative is a partnership of health systems that has taken on the challenge of improving the quality of care while lowering costs on a national scale. Dr. Weinstein is a member of the National Academies of Sciences, Engineering, and Medicine and held the Peggy Y. Thomson Chair in the Evaluative Clinical Sciences at the Geisel School of Medicine while at Dartmouth; he's a Senior Fellow, for the Healthcare Center and Clinical Professor Tuck School of Business at Dartmouth and a Clinical Professor at the Kellogg School of Business, Northwestern University. Dr. Weinstein is a member of Special Medical Advisory Group for the national Veteran's Administration. He serves on the Boards of Trustees for the Max Planck Florida Institute for Neuroscience, the Intermountain Health System, and IMAGINECARE, a company he started while CEO to use remote sensing to manage patients outside the traditional brick-and-mortar medical system and serves on several other boards. Throughout his career as a researcher and renowned spine surgeon, Dr. Weinstein has received more than $70 million in federal funding and published more than 325 peer-reviewed articles and continues as Editor in Chief, Spine. He also serves on the Board of Advanced Regenerative Medicine Institute (ARMI/BioFAB), a Department of Defense (DoD) program to bio-print artificial organs. He is also the author of "Unraveled: Prescriptions to Repair a Broken Health Care System". 

Watch Download File

Watch Download File

This episode we have a special guest from Mercy Health to discuss school-based healthcare.

Dr. Jim Wright is the the medical director at Canterbury Rehabilitation and Healthcare Center as well as two other long-term healthcare facilities in the Richmond area.  Canterbury in Henrico County became ground zero for COVID-19 pandemic and made national headlines.  Jim has been a longtime advocate for the necessity of quality senior care and leads a group that is working on developing a  dementia care “village” that would house Alzheimer's and dementia patients in a safe, community-style facility. Jim's Vision for Homecoming Memory Village Good Eye Podcast

20200730-Dr. David and Dr. Janet Kim: Beacon Christian Healthcare Center by Kevin McCullough Radio

Ogun state working toward upgrading it primary health care center for more of family planning advocacy --- Send in a voice message: https://anchor.fm/devcoms-network0/message

It's what you need to know to start your day for Wednesday, June 24, 20​20. Our Leadoff story is about whether Congress will extend COVID-19 jobless benefits as businesses reopen. Plus, records show that the Bloomington Rehabilitation and Health Care Center have struggled to provide quality care and adequate staffing, WGLT's Ryan Denham reports.

Advocacy Field Trip to health care center PHC Model Clinic , Paiko, Niger State. --- Send in a voice message: https://anchor.fm/devcoms-network0/message

Prestige fm media chat on Advocacy Field Trip to health care center PHC Model Clinic , Paiko, Niger --- Send in a voice message: https://anchor.fm/devcoms-network0/message

Good morning, RVA! It’s 55 °F, and you can expect potentially soggy highs in the upper 60s. Keep an eye out for rain later tonight. The good news: The seven-day forecast has some sunshine near its end!Water coolerAs of this morning, the Virginia Department of Health reports 752 new positive cases of the coronavirus in the Commonwealth and five new deaths as a result of the virus. VDH reports 53 new cases in and around Richmond (Chesterfield: 14, Henrico: 20, and Richmond: 21). Since this pandemic began, 160 people have died in the Richmond region. Here’s a chart of the seven-day averages of the number of new cases in Chesterfield, Henrico, and Richmond. You can see Henrico’s big, quick spike early on with its nation-leading outbreak at the Canterbury Rehabilitation & Healthcare Center. Now each locality in the entire region sees, on average, about the same number of new cases each day as Henrico did during that terrible outbreak. For whatever reason, VDH’s data dashboard won’t show me the percent positivity for each locality this morning, but the line graph still exists. Even including antibody tests, which, remember, increases the denominator in the calculation, percent positivity across the entire region is up over the last week—slightly up in Chesterfield and Henrico, way up in Richmond.The Governor named a bunch of folks to his COVID-19 Education Work Group, which will “help chart a path forward for determining how schools can safely reopen later this year.” My immediate impression from that very first sentence of the press release is that the group has decided to open schools in 2020 regardless of whatever we learn about COVID-19 between now and then. I’m certainly not saying the Commonwealth needs to cancel even more school—the current situation is untenable and by most counts inequitable—but I’d love to let the work group do some…work…and report back with what they’ve decided as the best path forward. Along those lines, I much prefer this quote, later on in the press release, from the Secretary of Education: “As we begin to think about how Virginia’s education system can operate in the summer and fall, it is crucial that we have the advice of a diverse, thoughtful group of education leaders…This group will use their expertise to guide our approach and help ensure that all voices are heard and all recommendations are made through the lens of equity.” Or even this quote from the Northam himself, from the recap of the Governor’s Monday press briefing by the Richmond Times-Dispatch’s Justin Mattingly: "It is very important for me to get our children back in schools…As soon as we can safely get our students back into the classroom, we will do that. I am hopeful that our students will be back in the classroom this fall.” Unfortunately, scrolling through the list of work group members I don’t see anyone from the Richmond region (unless you count Fredericksburg or Powhatan) and I don’t really see urban school districts represented (other than Chesapeake). I wish I had more time or I would pull the racial demographics of the school districts and the localities represented. A quick, back-of-the-napkin census query shows that the localities represented have a 56% White population—of course, that could be and probably is vastly, vastly different than the demographics of their public schools. Anyway, someone get Jason Kamras on this committee.OK, who wants to run for mayor? Mark Robinson at the Richmond Times-Dispatch says a judge “ruled candidates could appear on the ballot if they submitted 150 signatures from registered voters, with at least 10 in each of the nine City Council districts, by June 23.” 10 signatures in each of the nine districts! That’s an incredibly low bar, and you’ve got an entire month to cross it. Get to work, potential candidates.City Council’s Land Use, Housing and Transportation committee meets today at 1:00 PM. You can download the agenda here (PDF). I’ve got my eye on all sorts of legislation, and all of it appears to have survived Council’s time-honored Agenda Cull and Continue that typically happens before each meeting. A couple highlights: RES. 2020-R016 has City Council asking the CAO to ask the Director of Public Works to figure out how to keep sidewalks and bike lanes open during construction. A sad, sad resolution that shouldn’t have to exist, and, yet! Here we are! Plus, remember, RES. 2020-R034 will surplus a bunch of downtown property and clear the way for RFPs and new development and all sorts of things now that NoBro is dead and buried. Finally, with RES. 2020-R015 Council will attempt to modify the Commission of Architectural Review’s decision to deny demolition of the 1922 section of the old George Mason Elementary School in Church Hill. Remember that whole thing? A simpler time it was!It’s Testing Tuesday! That’s not a thing, but the Richmond City Health District will hold a free testing event today at Diversity Richmond (1407 Sherwood Avenue). You’ve got to live in Richmond or Henrico; have some COVID-19 symptoms; and not have insurance, have insurance that doesn’t cover coronavirus testing, or live in an affordable housing community. Make sure to call 804.205.3501 to register in advance! Even if you don’t meet those qualifications, you can still give the number a call and find a place that will get you tested.I love these #HiddenGemsRVA videos from Richmond’s Parks & Rec! Check out this one on Maury Cemetery (a place I’ve never been!) and this one on Pine Camp (a place I’m at all the time!). I’m looking forward to more of these videos and exploring some of these spots.This morning’s patron longreadContact Tracing ExplainedSubmitted by Patron Casey. Yesterday, I made some jokes about contract tracers moonlighting as disease detectives. Here’s an informative piece from The Forge at Duke explaining a little about what actuallygoes into effective contact tracing.Traditional contact tracing can be classified as active or passive. Active tracing involves proactive data collection by health system staff, while passive contact tracing relies upon voluntary response to surveys and other calls for information. Both are extremely useful, but both also have inherent limitations. The usefulness of active tracing is typically constrained by the number of tracers, the ability to get in touch with identified contacts, and the limitations of memory and willingness of contacts to share sensitive personal information. Passive tracing on the other hand can have a very broad reach, but is limited to the subjective responses of survey participants and is dependent on the good will of the community to respond candidly and at the necessary scale.If you’d like your longread to show up here, go chip in a couple bucks on the ol’ Patreon.

In this week’s episode of One On One With, Food Management’s podcast, we catch up with a dining director in a long-term care facility in the hard-hit state of New Jersey. Between deaths, every-changing rules, regulations and expectations, my guest today has had to deal with it all. I today’s episode, I catch up with Debra Ryan. Debra is the food service director at Oakland Rehabilitation & Healthcare Center in Oakland, N.J. From just the change in mask-wearing policy alone, the past two months have been what Debra calls a roller coaster ride. Throw in a couple of in-person and virtual department audits, and you’ll start seeing just how stressful running a foodservice program in a coronavirus hotbed had been. Here’s what Debra said: “Yes, it’s risky, but the work we’re doing is very fulfilling. The residents here are our family. As we started to see them pass away, especially those that we became bonded with, it’s so emotionally taxing. We are doing everything we can as a team, as a healthcare team, and sometimes it doesn’t feel like it’s enough. In the beginning I thought, how can I expect my team to show up to work knowing what they know and seeing what they’re seen. But they did and they still are. And to me, that’s so commendable.” Listen in to learn more about what the team at Oakland Rehabilitation & Healthcare Center is doing to make it safely through this pandemic. Have a story to share? Email me at becky.schilling@informa.com.

Good morning, RVA! It’s 46 °F, and today looks cooler, cloudier, and rainier than yesterday. You can expect highs in the mid 60s and a chance of rain this afternoon that’ll carry into tomorrow morning.Water coolerAs of this morning, the Virginia Department of Health reports 10,266 positive cases of the coronavirus in the Commonwealth, and 349 people in Virginia have died as a result of the virus. VDH reports 1,290 cases in and around Richmond (Chesterfield: 356, Henrico: 684, and Richmond: 250). Yesterday, the VDH reported the second highest amount of new cases since this crisis began, yet reported just 2,424 tests. For whatever reason, we’re still unable to get over that invisible 2,500 tests per day barrier. The State is now averaging 22 deaths per day (that’s a seven-day rolling average), and we’re about to see how accurate the Institute for Heath Metrics and Evaluation’s models for Virginia are. They forecast tomorrow as our viruspeak when it comes to the number of people who die from COVID-19. Mark Robinson at the Richmond Times-Dispatch says the Richmond/Henrico Health Districts have started free, walk-up testing, although it sounds like you’ll need to call the health district to set up an appointment (804.205.3501).In the RTD’s coverage of the Governor’s regularly-scheduled press briefing, they say that three people have died while 22 residents and 13 employees have tested positive for COVID-19 at a Hanover retirement community. After reading about the horrible situation at the Canterbury Rehabilitation & Healthcare Center in Henrico over the last couple of weeks, the response from this community in Hanover seems fairly cavalier: “The facility said all associates are to wear masks, and that on Tuesday there was a second sanitation done of all common areas at the Hanover retirement community.” Compare that to the response the RTD describes at a different senior community in Henrico: “The senior living community said it is continuing visitation restrictions. Anyone entering the retirement community has to be screened for potential exposure to the virus, Cedarfield said, adding that’s been the community’s practice for the past several weeks. Group events and programs continue to be canceled, dining venues remain closed and residents must remain in their apartments, cottages or rooms unless they have to leave the community for a trip that’s essential to their health and well-being, Cedarfield said. All staff must wear personal protective equipment when delivering direct care to residents.”The General Assembly met apart and socially distanced yesterday. The Senate convened in the Science Museum, while the House gathered under a tent on the Capitol grounds. From afar, both looked like two of the most boring wedding receptions imaginable. However, I appreciate the work that went into setting up this extremely atypical reconvened session. Our state government needs to do stuff during this emergency, yet the virus is no joke. Check out this picture Ned Oliver took of Sen. George Barker—who recently had heart surgery—encased in a protective plexiglass box. Over at the Virginia Mercury, Oliver, Kate Masters, and Robert Zullo recap the session which included, among other things, delaying the the minimum wage increase by four months—pushing back the start date to May 2021.Also of note at the GA, for me at least, the Governor’s amendments to HB 1541, the bill creating the Central Virginia Transportation Authority, were all accepted. This means that if our region’s localities want access to that sweet, sweet new revenue for transportation projects they’ll need to fund GRTC at no less than 50% of last year’s budget. 50% < 100%, but, as originally written, the bill would have allowed localities to decrease their GRTC funding to 50% of this year’s budget. Given the stark financial realities presented by the coronavirus, that would have been catastrophic to the future of public transit in our region. It’s, of course, unclear how much money the CVTA will generate for GRTC or for other cool transportation projects like the Ashland to Petersburg Trail, especially since the whole thing is built upon new sales and gas taxes—which, who knows what those will look like later this year or even ever again. But, honestly, our region is extremely lucky to have a newsource of revenue to support our existing public transit. Many cities across the country are about to have some hard decisions to make around what essential services to provide with extremely limited funds, and we’re lucky to have an additional tool in the toolbox. So, in Richmond, not the best, but, certainly not the worst.Via /r/rva, a charming illustration of Richmond’s skyline.This morning’s longreadConfronting Power and PrivilegeTransportation-related, but a good piece to read for anyone who’s thinking about how the coronavirus can change the way we think about the world.Specifically, I questioned then, and continue to question today, whether the preexisting inequities laid bare by this momentary pandemic are forcing those in power to truly confront the timeless vestiges of colonialism, white supremacy, and racism. In my gut, the answer to that question is a clear no. But I hope that as this thing continues and we continue to lose lives of people of color — particularly black people — at a disproportionately high rate, that people with power start to think about how they can do things differently. I especially hope that is the case in the field in which I’m lucky enough to work: transportation.If you’d like your longread to show up here, go chip in a couple bucks on the ol’ Patreon.

Good morning, RVA! It’s 38 °F? Depending on where you live you may have even seen a bit of snow this morning?? Well, with that out of the way, temperatures should be back up in the mid 50s later this evening with the spring we know and love returning tomorrow.Water coolerRichmond Police are reporting that Francesca Harris-Scarborough, 31, was shot and killed on the 3400 block of Blakey Street this past Thursday. This murder brings the City’s total to 15, according to the RPD.As of this morning, the Virginia Department of Health reports 6,171 positive cases of the coronavirus in the Commonwealth, and 154 people in Virginia have died as a result of the virus. VDH reports 891 cases in and around Richmond (Chesterfield: 241, Henrico: 432, and Richmond: 175). Here’s the Governor’s release on that new coronavirus model out of UVA that I wrote about yesterday—which includes a link to a video of the scientists' briefing if you’ve got spare time this morning. The Gov says that “current social distancing efforts starting March 15 have paused the growth of the epidemic in the Commonwealth of Virginia. In this scenario, ‘paused’ growth means that the rate of new cases is holding steady rather than increasing.” That’s not what I see when I look at the graph of new cases since March 15th, but what do I know! I guess that’s reassuring to hear, but I’m still concerned about how Virginians can know that the rate of new cases is “holding steady” when we’re testing fewer people per capita than almost every other state(Virginia in black marked with Xs, data from The COVID Tracking Project). Again, I know almost nothing other than how to tap a few buttons on a spreadsheet, and maybe over the next few days we will start to see the amount of testing go up while the number of reported positive cases remains constant. Regardless of whether the Commonwealth has paused the spread of the virus or just slowed it down, the Governor still—and rightly—cautions against lifting social distancing restrictions too quickly. No one’s trying to have a second wave of infections. This is in direct opposition to whatever nonsense the federal government is getting ready to recommend according to the Washington Post. Also: If anyone knows anyone at UVA’s Biocomplexity Institute, tell them to publish a CSV of their model’s predicted new cases each day. I want to make a graph of predicted vs. actual!The Mayor also gave a briefing yesterday, and you can watch the video here. For whatever reason, for me, it was nice/reassuring to hear his voice? I didn’t expect to feel that way, but maybe you will, too! The Mayor says that, in Richmond, Black folks make up a disproportionate number of positive coronavirus cases when compared to White folks (62% vs. 24%). For context, in 2016, Black people made up just 57% of the population of the City. Dr. Danny Avula, from the local Health District, was also on hand and says they’ll create some walk-up (not drive-through!) testing sites at lower-income housing neighborhoods maybe as early as next week. Says Dr. Avula, “We’re looking at two populations—residents of long-term care facilities and un- and underinsured people of color throughout our community.” Samuel Northrop at the Richmond Times-Dispatch has a written recap of the briefing if you’re not feeling the video.Michael Martz and Sabrina Moreno, also at the RTD, continue their reporting on the Canterbury Rehabilitation & Healthcare Center in western Henrico. 45 people have now died at the facility, and while officials think they’ve “overcome the crest,” they still expect more folks to die in the coming weeks.Richmond Public School seniors now have free laptops in hand! On Friday, the District will begin distributing laptops to 9th, 10th, and 11th graders, then, once they get through high schoolers, they’ll move on to the middle and elementary school students. Superintendent Kamras has some more details in yesterday’s email (including where to sign up if you or yours needs a laptop).Jonathan Spiers at Richmond BizSense says Henrico County plans on cutting 7% of their proposed budget for this coming year. That’s almost $100 million and a greater percentage cut than the 5% cut proposed by the Mayor for the City’s budget. That link is worth tapping on for the bizarre picture of the press conference alone.I’m not sure what they thought would happen, but top-of-the-class Richmond brewery The Veil released a new beer yesterday and here’s what the line for to-go orders looked like. I really appreciate The Veil’s response, though: “In response to our overwhelming turnout today, starting tomorrow we will no longer be offering sales of to go beer at either of our tap rooms. We unfortunately can not in good conscience continue to move forward with in-person sales in a safe and responsible manner at our tap rooms. We will be moving to 100% deliveries for the remainder of the week while we work on implementing an online order system for curbside pick up.” This is why folks in charge have totally legit fears of a second wave of coronavirus infections if social distancing restrictions are lifted too early!This morning’s longreadPeople fall off cruise ships with alarming regularity. Can anything be done to stop it?Ha. Remember cruise ships? Turns out they were fraught with peril even pre-virus!That a cruise passenger’s statistical likelihood of dying as a result of an MOB is very low cannot be denied. But Michael Lloyd—a former sea captain with 50 years at sea, and now a marine-safety consultant, victims’ advocate, and cruise industry critic—posited a useful thought experiment. He asked me, as a journalist covering the travel industry, to imagine what would happen if, every month, one to two people died on an airplane for a predictable operational reason, such as sustaining a traumatic head injury during turbulence due to failure to wear a seatbelt. It’s a scenario I find impossible to imagine, after years of flight-safety demonstrations, seatbelt checks, and back-of-the-seat cards.If you’d like your longread to show up here, go chip in a couple bucks on the ol’ Patreon.

Henrico officials propose a 7-percent cut to their original proposed budget; an update on Henrico’s COVID-1 case count; the death toll grows at Canterbury Rehabilitation and Healthcare Center; a Henrico principal earns a regional award; Richmond International Airport finds out how much money it will receive from the CARES Act; how you can now make a tax-deductible contribution to the Henrico Citizen; we want to hear your positive stories from the pandemic.(Today’s Henrico News Minute is brought to you by Azzurro Italian restaurant.)Support the show (http://www.henricocitizen.com/contribute)

The new walk-in clinic will be open seven days a week from 8 a.m. to 8 p.m. WBZ NewsRadio's James Rojas reports it's recommended that anyone looking to get tested makes an appointment.

The new walk-in clinic will be open seven days a week from 8 a.m. to 8 p.m. WBZ NewsRadio's James Rojas reports it's recommended that anyone looking to get tested makes an appointment.

Good morning, RVA! It’s 41 °F, and those cooler temperatures have moved in. Today you can expect highs in the mid 50s—but plenty of sunshine to go along with ‘em. Saturday looks pretty incredible and we might see some rain on Sunday. In as much as you’re able, enjoy the weekend!Water coolerAs of this morning, the Virginia Department of Health reports 4,042 positive cases of the coronavirus in the Commonwealth, and 109 people in Virginia have died as a result of the virus. VDH reports 638 cases in and around Richmond (Chesterfield: 158, Henrico: 319, and Richmond: 126). Like most of you, I’m sure, I’ve been keeping my own spreadsheet of the VDH data; how else do you make graphs if you don’t have your own spreadsheet?? So after poking around the data for a couple of weeks, what concerns me most is the continued lack of coronavirus testing in Virginia. The VDH website reports cumulative tests right at the top of the page—33,026 as of this moment—and that seems like a pretty big number. It’s got five digits! But, I think the more helpful way to look at it is number of new tests per day, which I’ve put together in graph form here. Since the beginning of April, the State has averaged just 2,180 new tests per day. That’s for the entire state! At the current rate, it’d take over five years just to get a majority of folks living in Virginia tested. I’d love to know what the Governor’s plan is to massively increase the number of tests available for Virginians over the next couple of weeks. Also, take those previous sentences with a grain of salt, because I can only know what data VDH publishes each day. If there’s secret, unpublished COVID-19 testing going on, great (I mean, not great, but, you know).Michael Martz at the Richmond Times-Dispatch continues his reporting on the tragedy taking place at the Canterbury Rehabilitation & Healthcare Center in western Henrico. 39 folks have died, and the facility’s medical director says, “We will have more deaths.” Absolutely awful. Related, Bridget Balch and Justin Mattingly, also at the RTD, report that the recent jump in statewide deaths due to the coronavirus—doubling in just a couple of days—is due to delays while VDH reviews and verifies data. They say, “The number of deaths jumped Thursday because the state had not entered deaths from the past two weeks at one Henrico County nursing home — where to date 39 residents have reportedly died from COVID-19 — into the state’s count until the past couple of days.”It’s Friday, which, unfortunately, means I get to write about the new unemployment numbers from the Virginia Employment Commission. For the week ending April 4th, they report 147,369 new claims, which brings the total since March 21st to 306,143. Shockingly, this “equals all of the previous weeks’ claims from 2018, 2019, and 2020 combined.” The final map on this page shows that Chesterfield and Henrico have some of the largest increases in unemployment insurance claims over this past week. If it wasn’t about people’s lives, I’d be stoked to read these releases from VEC—they’re absolutely packed with interesting data, charts, and maps.Richmond Police posted these new parking restrictions on Twitter yesterday. I don’t know for sure, but I’d guess this is a continued effort to keep folks from springbreaking the river. The City has closed parking lot access at major river spots, and these are streets adjacent to parking lots that are adjacent to major river spots.Here’s another way for people to help out during the coronacrisis! The excellent folks at Studio Two Three have put together some really great infrastructure to help with making protective masks for “home and public health care workers, behavior health workers, bus drivers, and individual working with homeless populations.” Heck yes! You can donate to the cause, volunteer for a mask making shift, donate supplies, or make masks at home.I’m a sucker for pics of old cobblestones revealed by street milling. From /r/rva, here’s one of Grace Street near 20th.This morning’s longreadMasterpiece TheaterDang, y’all. Art forgery just seems like a ton of work.A successful forger has the ability to produce art of high quality, certainly, and also an inside knowledge of the workings of the art world, from its business dealings to its social mores. A forger is a storyteller, even a performer—someone who can charm customers, appear trustworthy, and spin a convincing tale about where an artwork came from and how they came to possess it. To forge art takes showmanship and a healthy dose of chutzpah. Frauds must be willing to brazenly claim that a work is genuine; some go so far as to approach experts or artists themselves and request authentication.If you’d like your longread to show up here, go chip in a couple bucks on the ol’ Patreon.

Good morning, RVA! It’s 62 °F, and temperatures today will end up in the 80s. Expect some clouds and a small chance of rain throughout the day. Cooler weather returns on Friday.Water coolerAs of this morning, the Virginia Department of Health reports 3,333 positive cases of the coronavirus in the Commonwealth, and 63 people in Virginia have died as a result of the virus. VDH reports 505 cases in and around Richmond (Chesterfield: 128, Henrico: 267, and Richmond: 110). Yesterday’s data reported more new cases (455) than any previous day. Michael Martz at the Richmond Times-Dispatch reports that four more people died at the Canterbury Rehabilitation & Healthcare Center. About half of the COVID-19 deaths in the entire state are in this one facility. Martz also has some more details about other long-term care facilities fighting to control virus outbreaks—but nothing like what’s happening in Henrico. It’s shocking and eye-opening to see how quickly a few infections in a closed environment can quickly ignite into a tragedy.City Council has updated and released their meeting schedule for the FY21 budget season. Beginning with a two hour meeting on April 13th, Council will have two work sessions, three amendment work sessions, two public hearings, and a goal of adopting the budget on May 11th. That seems like a lot of meetings when listed out like that, but it’s four fewer than originally planned, and this year’s schedule already cut a handful from what took place last year. Obviously, I’m bummed about a shorter budget season (the most wonderful time of the year), but I do still plan on tuning in on the 13th—assuming Council staff gets all of the technical difficulties worked out. The biggest question I have at the moment is if the Mayor will submit a new budget (or new budget guidance) to Council, or if Council will just start working on the pre-virus budget they have in hand. The former seems like a significantly better way to move forward to me.Superintendent Kamras has updates on how the School District will calculate grades for students. I appreciate these two goals they had in mind while trying to figure out grades: “1) do no harm to students; and 2) create guidance that is simple to execute and east to understand.” I feel like, applied generally, this is good virustime advice for almost anyone. Elementary school students will not receive final grades, and middle and high school students will receive the “average of the grades for Marking Periods 1, 2, and 3, each making up 33% of the final grade.” If you’ve got a high school student in your life, you probably should read this document that provides guidance on how they can continue to make progress on credit-bearing courses (PDF).Remember all of that cool stuff in the State’s proposed budget? Yeah, well, not so much. Ned Oliver at the Virginia Mercury says the Governor has put a stop to all new spending and that “the state will enter the next fiscal year on July 1 with the same budget it’s currently operating under with the exception of some mandatory spending categories.” Ugh. That’s going to especially hurt locally, where the City planned on taking advantage of millions of new state-level education money. Moving forward, localities are going to need just tons and tons of money from both the federal and state governments to keep people safe and thriving.GRTC has announced their first service cuts due to the coronavirus. Beginning today, most express routes will see reduced trips, and the 28x is suspended until further notice. Note that the 95x Petersburg route will maintain its normal schedule. If service cuts must be made, express routes are the right place to start making them: A lot (but not all) of the folks who ride express buses are stuck at home during This Most Unusual Time.Also bus-related, I talked with the RTD’s Michael Paul Williams about how critical bus operators are during times of crisis and how we need to do everything we can to protect them. What’s a good, easy-to-scale way to show appreciation to bus operators? I’m thinking something simple and visible like the yellow Support Our Troops ribbon? Who’s got good ideas?A couple days ago (I think?), I mentioned the Central Virginia COVID-19 Response Fund, which the Community Foundation helped put together. Already the fund has raised over $4.1 million from foundations, corporations, and individuals. If you’re looking for a way to get involved, you can donate cash through the aforelinked website (matched by the United Way of Greater Richmond for the moment) or volunteer through HandsOn (they’ve got both in-person and virtual ways to help out).This morning’s longreadThe unlisted: how people without an address are stripped of their basic rightsThis piece is kind of all over the place, but I love the idea that a straightforward thing like giving every place an address can massively improve folks' lives.Street addresses tell a complex story of how the grand Enlightenment project to name and number our streets coincided with a revolution in how we lead our lives and how we shape our societies. And rather than just a mere administrative detail, street names are about identity, wealth and, as in the Sonny Carson street example, race. But most of all they are about power – the power to name, the power to shape history, the power to decide who counts, who doesn’t, and why.If you’d like your longread to show up here, go chip in a couple bucks on the ol’ Patreon.

Good morning, RVA! It’s 52 °F, and temperatures today are way up in the 70s. Keep an eye out for some rain later this afternoon. These warmer vibes will continue for the next couple of days.Water coolerAs of this morning, the Virginia Department of Health reports 2,878 positive cases of the coronavirus in the Commonwealth, and 54 people in Virginia have died as a result of the virus. VDH reports 420 cases in and around Richmond (Chesterfield: 108, Henrico: 207, and Richmond: 105). We’ll see how those numbers update today, as Michael Martz at the Richmond Times-Dispatch says that 28 people have died of COVID-19 at the Canterbury Rehabilitation & Healthcare Center in Henrico and 116 residents of the same facility have tested positive for the disease. That’s over half of Henrico’s total reported number of cases. For those of us coping with the enormity and brutality of this situation by tracking data and keeping spreadsheets, here’s an odd sentence several paragraphs down: “The number of deaths from COVID-19 in the Richmond region is not clear because there is no reporting requirement, said Dr. Danny Avula, director of the Richmond and Henrico Health Districts.” Further, a whole team of RTD folks covered the Governor’s press conference and compared the amount of coronavirus testing done in Virginia (24,521) to smaller, neighbor states like North Carolina (40,045). The number of test still has such a huge impact on not only our ability to make spreadsheets but to track and stop the spread of the coronavirus. I don’t know what to make of the apparent low number of tests-per-capita in the Commonwealth.One more bit about data: The Virginia Hospital & Healthcare Association has launched their own data dashboard focusing on the number of folks hospitalized for actual COVID-19 or suspected COVID-19. They’ve also got some stats on ICU beds, ventilators, and hospitals that are having difficulty obtaining supplies.I didn’t know where to fit it in the above two paragraphs, but the Governor also said that Virginians should wear masks when they go outside. Time to put those mask-making resource to good use!Yesterday, Richmond Public Schools launched daily, grade-specific, learning-at-home resources for all students. This is a massive resource that required, I imagine, a massive amount of work to put together. If you’ve got a tiny human at home, consider taking advantage of it. Or, honestly, don’t! I’m extremely empathetic for the very specific overwhelmed feeling that comes from tapping on a link and seeing an array of resources that you totally don’t know how, exactly, to put to use. If that sounds familiar, maybe just bookmark the link so you have it for later? Anyway, clearly students need a computer and internet access to take advantage of all of these resources, and Superintendent Kamras says, “we’re working around the clock to get laptops and wifi hotspots ready for distribution…I’m happy to report that they’ll begin going out later this week.”I know I keep reminding you about this, but the application for Richmond’s no-interest loans for small businesses dropped yesterday. You can find more information and the application itself here. Remember, the Economic Development Authority will consider applications in the the order in which they were received. If you’re planning on applying, do it ASAP!If you’ve ever seen me do my day job, or, really, spent any time with me at all, you’ll know that I think annexation (or, more accurately, the State’s prohibition on any future annexation) is one of the most important and defining characteristics of our region. Lucky for us big-time annexation foamers, VCU and UR have made John Moeser’s book, The Politics of Annexation, free to download! Moeser is the literal expert on annexation in our region, and I’m stoked to move this book to the top of my queue (right after Pride, which I’m really enjoying). You can download The Politics of Annexation in a variety of formats here.Via /r/rva, extremely bad news on the cheap beer front. But, on the other hand, you can now get liquor shipped to your door from Virginia distilleries. During a pandemic you win some, you lose some.This morning’s longreadReal estate for the apocalypse: my journey into a survival bunkerThe things rich people do to prepare for a crisis makes me sad for how they view humanity.Vivos was offering more than just the provision of ready-made bunkers and turnkey apocalypse solutions. It was offering a vision of a post-state future. When you bought into such a scheme, you tapped into a fever dream from the depths of the libertarian lizard-brain: a group of well-off and ideologically like-minded individuals sharing an autonomous space, heavily fortified against outsiders – the poor, the hungry, the desperate, the unprepared – and awaiting its moment to rebuild civilisation from the ground up. What was being offered, as such, was a state stripped down to its bare rightwing essentials: a militarised security apparatus, engaged through contractual arrangement, for the protection of private wealth.If you’d like your longread to show up here, go chip in a couple bucks on the ol’ Patreon.

Imagine that you are the medical director of a large (>150 bed) nursing home. Two-thirds of the patients in the home now have COVID-19. Seventeen of your patients are dead. The other physicians who previously saw patients in the nursing home are no longer coming to your facility because you have COVID positive patients. You're short on gowns and facemasks. You're short on nurses and nurse aids so now you have to help deliver meals. This is what Dr. Jim Wright, the medical director at Canterbury Rehabilitation and Healthcare Center in suburban Richmond is living through right now. I felt overwhelmed just listening to Jim talk about his experience since mid-March, and am so grateful that he joined to talk about COVID in the long term care setting, along with David Grabowski, author of the JAMA piece titled "Postacute Care Preparedness for COVID-19 - Thinking Ahead." A couple key points that I learned from Jim's experience. The first point is that half of patients who tested positive were asymptomatic, so you really don't know who has it or who doesn't unless you test everyone. The only thing you really know is that if you have 5 symptomatic patients who test positive for COVID, assume there are at least 5 asymptomic patients. The second point is that there seems to be different clinical courses for those who are symptomatic that David summarized as the following: - Indolent course, deadly: Initial 24-28 hours of fever and severe respiratory symptoms. Then Stabilization for 3-5 days. Then decompensation on days 5-7 with death within 24 hours - Indolent course, convalescence 1. Fortunately, the majority of our patients. Same course as indolent to death although continued improvement over 7-10 days. - Acute respiratory failure: Symptoms begin with fever and acute respiratory failure with death within 6-12 hours. - Sepsis-like picture: Sudden onset of AMS, hypoxia and hypotension without fever. A small subset of patients in our experience. All have tested positive for COVID (may simply have been asymptomatic carriers who developed sepsis independently In the second half of the podcast David Grabowski walks us through the challenges facing nursing facilities and potential solutions to the looming crisis in long term care, including - creating COVID only specialized post acute care settings - increasing the level of home health care and hospital-at-home model - whether nursing homes that don't yet have COVID should be forced to take COVID+ patients form hospitals. So listen up and comment below. Also, check out some of our past COVID podcasts and new resources on our new COVID page at https://www.geripal.org/p/covid.html.

SHARON HEALTH CARE UPDATE:Brent Colley, Sharon First Selectman and Maria Horn, 64th District State Representative informed Robin Hood Radio that a deal has been reached to take The Sharon Health Care Center off the list to transfer COVID-19 patients to.... Read More ›

Good morning, RVA! It’s 44 °F, and highs today will hit 65 °F at some point this afternoon. Expect the warm and sunny weather to continue through the weekend. Enjoy in the most safe and responsible way you can!Water coolerAs of this morning, the Virginia Department of Health reports 1,706 positive cases of the coronavirus in the Commonwealth, and 41 people in Virginia have died as a result of the virus. VDH reports 212 cases in and around Richmond (Chesterfield: 73, Henrico: 87, and Richmond: 52). Michael Martz at the Richmond Times-Dispatch says that 16 people have now died from COVID-19 at the Canterbury Rehabilitation & Healthcare Center in western Henrico. Just awful—a significant portion of the state’s deaths in one building.If you, like me, have a morbid fascination with virusdata, Alejandro Alvarez, the digital editor at WTOP, has put together this absolutely beautiful coronavirus spreadsheet tracker for Virginia, D.C., and Maryland. If you’re looking for a dark data dashboard to start your day, you probably won’t find anything better than this.The Virginia Employment Commission released this week’s unemployment insurance claims numbers, and they continue to shock me: 111,497 people filed claims, up from 46,277 last week. For sobering context, around this time last year about 2,700 people filed unemployment claims. I mean, look at this absolutely horrifying graph. We’re in truly unprecedented times, and hundreds of thousands of people will need serious assistance from the state and federal governments as soon as possible. Given the number of orange alert boxes on the VEC’s website, it seems like getting that assistance to the people who need it has maybe hit some technical and logistical roadblocks.It only took a pandemic, but the Washington NFL team has agreed to allow the City to eliminate their 2019 and 2020 cash contributions for the Washington Training Camp. That’s great news; the 2019 contribution alone totaled $161,000. The Mayor also announced the Economic Development Authority has created a small business loan program that will offer “interest-free emergency loans of up to $20,000 to small businesses within the city limits.” If you’re a small business owner you should get your stuff in order, because applications for that loan program open on April 6th and will be considered in the ordered they are submitted. That sounds stressful! Take the weekend to prepare, OK?? Mark Robinson at the RTD has more detail about how to qualify. As for the source of the loan money, Mayor Stoney said that cash saved from the Washington Training Camp deal will directly fund this new small business loan program.Alright, y’all. City Council met yesterday for less than four minutes to introduce legislation that will allow them to meet virtually until September (ORD. 2020–093). This ordinance applies not only to City Council, but to a whole slew of public bodies and should get a bunch of the various boards and commissions meeting again, too. Of note: Public bodies wishing to have public comment must allow folks to submit those comments electronically before the meeting. They can, additionally, decide to allow “telephonic or other electronic communication means during the course of the meeting”—which, honestly, sounds terrible. This is definitely step zero in setting up a process for remote, asynchronously civic engagement! However, if you take four minutes and listen the audio from yesterday’s meeting, you’ll see (well, hear, rather) that Council still has a ways to go in figuring out the technical bits. While you could hear Councilmembers Newbille, Grey, and Trammell—who were all sitting in actual Council Chambers—everyone else who dialed in was but a whisper. Council will hold a public hearing on this paper next week on April 9th.For whatever reason, American society has decided to try to carry on life as best it can by moving every possible in-person encounter to a video conference call hosted by Zoom. I don’t know how everyone simultaneously decided on using Zoom as a platform, but it happened. Now, Zoom is both a noun and a verb I say regularly in my professional life when just two weeks ago it only applied to dogs running around in cute circles. So—whether you wanted to or not—you probably know about Zoom, but do you know about ZoomBombing? Nefarious folks have scraped up public Zoom invites and popped into meetings uninvited spraying hate, grief, and offensive material. Bummer yet predictable, I guess. UR has put together this very helpful page of tips for how anyone hosting Zooms can make those meeting a bit more secure. Take note! Especially those of you meeting with kids!This morning’s patron longread‘White-Collar Quarantine’ Over Virus Spotlights Class DivideSubmitted by Patron Blake. It’s a trope at this point, but coronavirus has certainly revealed who the essential workers are and it’s not Richard Florida’s creative class. Kate Masters at the Virginia Mercury has a piece on what this looks like locally.In some respects, the pandemic is an equalizer: It can afflict princes and paupers alike, and no one who hopes to stay healthy is exempt from the strictures of social distancing. But the American response to the virus is laying bare class divides that are often camouflaged — in access to health care, child care, education, living space, even internet bandwidth. In New York, well-off city dwellers have abandoned cramped apartments for spacious second homes. In Texas, the rich are shelling out hundreds of thousands of dollars to build safe rooms and bunkers. And across the country, there is a creeping consciousness that despite talk of national unity, not everyone is equal in times of emergency.If you’d like your longread to show up here, go chip in a couple bucks on the ol’ Patreon.

James: Hey listeners, this is James Kandasamy. Welcome to Achieve Wealth Podcast. Achieve Wealth Podcast focuses on value at real estate investing across different commercial asset class and we focus on interviewing a lot of operators so that you know, I can learn and you can learn as well. So today I have Omar Khan who has been on many podcasts but I would like to go into a lot more details into is underwriting and market analysis that he has. So Omar is a CFA, has more than 10 years investing across real estate and commodities. He has experience in the MNA transaction worth 3.7 billion, Syndicated Lodge a multi-million deal across the U.S. and he recently closed a hundred thirty plus something units in Jacksonville, Florida. Hey Omar, welcome to the show.  Omar: Hey, thank you James. I'm just trying to work hard to get to your level man. One of these days.  James: That's good. That's a compliment. Thank you Omar. So why not you tell our audience anything that I would have missed out about you and your credibility. Omar: I think you did a good job. If I open my mouth my credibility might go down.  James: Yes, that's good. That's good. So let's go a bit more details. So you live in Dallas, right? I think you're, I mean if I've listened to you on other podcasts and we have talked before the show you came from Canada to Dallas and you bought I think you have been looking for deals for some time right now. And you recently bought in Jacksonville. Can you tell about the whole flow in a quick summary?  Omar: Oh, yes. Well the quick summary is man that you know, when you're competing against people who's operating strategy is a hope and a prayer, you have to look [inaudible01:54] Right?  James: Absolutely.  Omar: I mean, and hey just to give you a full disclosure yesterday there was actually a smaller deal in Dallas. It's about a hundred and twenty something units. And I mean we were coming in at 10-point some million dollars. And just to get into best and final people were paying a million dollars more than that, and I'm not talking just a million dollars more than I was trying to be cheap. The point was, at a million dollar more than that there is freaking no way you could hit your numbers, like mid teens that are already 10% cash-on-cash. Like literally, they would have to find a gold mine right underneath their apartment. So my point is it's kind of hard man. But what are you going to do about it? Right?  James: Yes. Yes. Omar: Just have to keep looking. You have to keep finding. You have to keep being respectful of Brokers' times. Get back to them. You just keep doing the stuff. I mean you would do it every day pretty much.  James: Yes. Yes. I just think that there's so much capital flow out there. They are a lot of people who expect less, lower less return. Like you say you are expecting mid teen IRR, there could be someone there out there expecting 10 percent IRR and they could be the one who's paying that $1,000,000. Right? And maybe the underwriting is completely wrong, right? Compared to-- I wouldn't say underwriting is wrong. I mean, I think a lot of people-- Omar: Well you can say that James you don't have to be a nice person. You can say it.  James: I'm just saying that everybody thinks, I mean they absolutely they could be underwriting wrong, too or they may be going over aggressively on the rent growth assumption or property tax growth assumption compared to what you have. At the same time they could have a much lower expectation on-- Omar: Yes. I mean let's hope that's the case because if they have a higher expectation man, they're going to crash and burn. James: Absolutely. Omar: I hope, I really hope they have a low expectation.  James: Yes. Yes. I did look at a chart recently from Marcus and Millichap the for Texas City where they show us how that's like a San Antonio, Austin, Dallas and Houston and if you look at Dallas, you know, the amount of acceleration in terms of growth is huge, right? And then suddenly it's coming down. I mean all markets are coming down slightly right now, but I'm just hopefully, you know, you can see that growth to continue in all this strong market. Omar: No, no, don't get me wrong, when I said somebody paid more than 1 million just to get into best and final, that has no merits on, that is not a comment on the state of the Dallas Market. I personally feel Dallas is a fantastic Market. Texas overall, all the big four cities that you mentioned are fantastic but my point is there is nothing, no asset in the world that is so great that you can pay an infinite price for it. And there's nothing so bad in the world that if it wasn't for a cheap enough price, you wouldn't want to buy it. James: Correct, correct.  Omar: I mean that that's what I meant. I didn't mean it was a comment on the state of the market.  James: Got it. Got it. So let's come to your search outside of the Texas market, right? So how did you choose, how did you go to Jacksonville?  Omar: Well, number one the deal is I didn't want to go to a smaller city. I'm not one of those guys, you know in search of [inaudible05:11] I find everybody every time somebody tells me I'm looking for a higher cap rate, I was like, why do you like to get shot every time you go to the apartment building? You want to go to the ghetto? Do you want somebody to stab you in the stomach? Is that because that's-- James: That's a lot of deals with a higher cap rate. Omar: Yes. There's a lot because I was like man, I can find you a lot of deals with really high cap rates.  James: Yes. Omar: But you might get stabbed. Right?  James: And they are set class 2 which has higher cap rate.  Omar: Oh, yes, yes, yes.  James: So I think people just do not know what a cap rate means or how-- Omar: Yes and people you know, all these gurus tell you today, I mean let's not even get into that right. So specifically for us like I wanted to stand at least a secondary, tertiary market [inaudible 05:48] I mean like, any City over at least eight, nine hundred thousand at least a million, somewhere in that range, right?  James: Okay. Omar: And specifically look, after Texas it was really Florida. Because look, you could do the whole Atlanta thing. I personally, I love Atlanta but it's a toss-up between Atlanta and say either of the three metros in Florida or Jackson. Lords in Central Florida, Jacksonville, Tampa, Orlando. You know based on my [inaudible06:11] experience I was doing this stuff portfolio management anyways, I kind of ran smaller factor model for all the cities where I took in different sort of factors about 30 different factors. And then you know, you kind of just have to do all the site tours and property visits to make all those relationships. And what I see across the board was, I mean Tampa has a great Market, but for the same quality product for the same demographic of tenant, for the same say rent level, Tampa was 20 to 25% more expensive on a per pound basis.  James: Okay. Omar: Let's say a Jacksonville, right? Orlando is kind of in the middle where the good deals were really expensive or rather the good areas were a bit too dear for us and the bad areas were nicely priced and everybody then tells you, "Oh it's Florida." right? James: No, no. Omar: But what they don't tell you is there's good and bad parts of Florida-- James: There's submarket. Yes Yes. Omar: Right? So you got to go submarket by submarket. And then lastly what we were basically seeing in Jacksonville was, it was very much a market which like for instance in Atlanta and seeing parts of say Orlando and Tampa, you can have to go block by block street by street. But if you're on the wrong side of the street, man you are screwed, pretty much. James: Absolutely. Omar: But Jacksonville to a certain degree, obviously not always, was very similar to Dallas in the sense that there is good areas and then there's a gradual shift into a not as a [inaudible07:29] Right? So basically what you kind of had to do was name the submarket properly and if you had a higher chance of success than for instance [inaudible07:38] right down to the street corner, right? And then like I said the deals we were seeing, the numbers just made more sense in Jacksonville for the same level of demographic, for the same type of tenant, for the same income level, for the same vintage, for the same type of construction. So Jacksonville, you know, we started making relationships in all the markets but Jacksonville is where we got the best bang for our buck and that's how we moved in.  James: Okay. So I just want to give some education to the listener. So as what Omar and I were talking about, not the whole city that you are listening to is hot, right. So, for example, you have to really look at the human capital growth in certain parts of the city, right? So for example in Dallas, not everywhere Dallas is the best area to invest. You may have got a deal in Dallas but are you buying in it in a place where there's a lot of growth happening? Right? Like for example, North Dallas is a lot of growth, right? Compared to South Dallas, right? In Atlanta that's I-20 that runs in between Atlanta and there's a difference between, you cross the I-20 is much, you know a lot of price per pound or price per door. It's like a hundred over door and below Atlanta is slightly lower, right? So it's growing, but it may grow it may not grow. I mean right now the market is hot, everything grows. So you can buy anywhere and make money and you can claim that, hey I'm making money, but as I say market is-- Omar: [inaudible09:03] repeatable [inaudible09:04] By the way I look at it, is hey is this strategy repeatable? Can I just rinse and repeat this over and over and over? James: Correct. Correct. I mean it depends on sponsor's cases. While some sponsors will buy because price per dollar is cheap, right? But do they look at the back end of it when the market turns, right? Some sponsors will be very very scared to buy that kind of deal because we always think about, what happens when the market turns, right? So. Omar: Yes, James and the other thing that I've seen is that, look, obviously, we're not buying the most highest quality product. James: Correct. Omar: But what I've seen is a lot of times when people focus on price per unit, say I will go for the cheapest price per unit. Well, there's a reason why it's cheap because you know, there's a reason why Suzuki is cheaper than a Mercedes. Now, I'm not saying you have to go buy a Mercedes because sometimes you only need to buy a Suzuki. Right? I mean that's the way it is, but you got to have to be cognizant that just because something is cheap doesn't mean it's more valuable and just because something is more expensive doesn't mean it's less than.  James: Correct. Correct. Correct. And price per door is one I think one of the most flawed metrics that people are talking about. Price per door and also how many doors do people own? Omar: And also cap rate, man. [inaudible 10:09]  James: Cap rate, price per door and-- Omar: How many doors have you got? James: How many doors do you have? Three metrics is so popular, there is so much marketing happening based on these three metrics. I mean for me you can take it and throw it into the trash paper, right? Omar: The way I look at it is I would much rather have one or two really nice things, as opposed to 10 really crappy things.  James: Correct. Correct. Correct. Like I don't mind buying a deal in Austin for a hundred a door compared to buying a same deal in a strong Market in another-- like for example, North Atlanta, right? I would rather buy it in Austin. It's just different market, right? So. Absolutely different. So price per door, number of doors and cap rate, especially entry cap rate, right? I went back and cap rate you can't really predict, right? So it's a bit hard to really predict all that. But that's-- Omar: Yes but my point is with all of these things you have, and when people tell me cap rate I'm like, look, are you buying stabilized properties? Because that's the only time you can apply this. James: Correct. Correct. Omar: Otherwise, what you really going to have to look at is how much upside do I have because at the end of the day, you know this better than I do. Regardless of what somebody says, what somebody does, everything is valued on [inaudible11:15] James: Correct. Omar: Pretty much. You can say it's a low cap rate and the broker will tell you, well yes the guy down the street bought it for a hundred and fifty thousand a unit so you got to pay me a hundred fifty, right? And then that's the end of the conversation.  James: Yes. Omar: Literally, I mean that is the end of the conversation, right? What are you going to do about it?  James: Yes. Correct. I mean the Brokers they have a fiduciary responsibility to market their product as much as possible, but I think it's our responsibility as Sponsor to really underwrite that deal to make sure that-- Omar: Oh yes. James: --what is the true potential. Omar: And look, to be honest with you sometimes the deal, that is say a hundred and fifty thousand dollars a unit might actually be a better deal-- James: Oh absolutely. Omar: [inaudible 11:51] fifty thousand dollars a unit. I mean, you don't know till you run the numbers. James: Correct. Absolutely. Absolutely. I've seen deals which I know a hundred sixty a door and still have much better deal than something that you know, I can buy for 50 a door, right? So. You have to underwrite all deals. There's no such thing as cap rate or no, such thing as price per door. I mean you can use price per door to a certain level.  Omar: [inaudible 12:15] in this market what is the price per door? That's the extent of what you might potentially say, in the submarket.  James: Correct. Omar: All the comps are trading at 75,000 a door. Why is this at 95 a door?  James: Yes. Omar: That's it.  James: I like to look at price per door divided by net square, rentable square footage because that would neutralize all measurements. Omar: Yes, see, you know we had a little back and forth on this, I was talking to my Analyst on this but my point is that I would understand [inaudible 12:46] at least to my mind. Okay. I'm not, because I know a lot of Brokers use it.  James: Sure. Omar: In my mind that would apply to say, Commercial and Industrial properties more. But any time I've gone to buy or say rent an apartment complex, I never really go and say like, hmm the rent is $800. It's 800 square feet. Hmm on a per square foot basis. I'm getting one dollar and then I go-- James: No, no, no, I'm not talking about that measurement. I'm talking about price per door divided by square footage rentable because that would neutralize between you have like whether you have a lot of smaller units, or whether you have a larger unit and you have to look-- but you have to plot it based on location. Right? So. Omar: Yes, so you know as you get into those sort of issues right? Well, is it worth more than that corner?  James: Yes. Yes. You're right. Yes. You have to still do rent comes and analyze it.  Omar: Yes. James: So let's all-- Omar: I mean look, I get it, especially I think it works if you know one or two submarkets really well. Then you can really-- James: Correct. Correct. That's like my market I know price because I know the market pretty well. I just ask you this information, just tell me price per door. How much average square feet on the units and then I can tell you very quickly because I know the market pretty well. Omar: Because you know your Market, because you already know all the rents. You already know [crosstalk13:57] James: [crosstalk13:57] You have to know the rent. I said you have to build that database in your mind, on your spreadsheet to really underwrite things very quickly. So that's good. So let's go back to Jacksonville, right? So you looked-- what are the top three things that you look at when you chose Jacksonville at a high level in terms of like the macroeconomic indicators? Omar: Oh see, I wasn't necessarily just looking at Jackson. What I did is I did a relative value comparison saying what is the relative value I get in Jacksonville versus a value say I get in a Tampa, Atlanta or in Orlando and how does that relatively compare to each other?  James: So, how do you measure relative-- Omar: What I did is for instance for a similar type of say vintage, right? Say a mid 80s, mid 70s vintage, and for a similar type of median income which was giving me a similar type of rent. Say a median income say 40 Grand a year or 38 to 40 Grand a year resulting in an average rate of about $800. Right? And a vintage say mid 70s, right? Board construction. Now what am I getting, again this is very basic maths, right? This is not I'm not trying to like make up.  James: Yes. Absolutely. Omar: A model out of this, right? So the basic math is, okay what is the price per unit I'm getting in say, what I have a certain crime rating, I have a certain median income rating and I have a certain amount of growth rating. And by growth I mean not just some market growth, [inaudible 15:21] are Elementary Schools nearby? Are there shopping and amenities nearby? Is Transportation accessible, you know, one or two highways that sort of stuff. Right? So for those types of similar things in specific submarkets, [inaudible 15:33] Jacksonville had three, Tampa had two and Orlando had three and Atlanta had four, right? What is the average price per unit I'm facing for similar type of demographics with a similar type of rent profile? With similar type of growth profile I mean you just plot them on a spreadsheet, right? And with the similar type of basically, you know how they performed after 2008 and when I was looking at that, what I was looking at again, is this precise? No, it's not a crystal ball. But these are just to wrap your head around a certain problem. Right? You have to frame it a certain way.  James: Okay. Omar: And what I was seeing across the board was that it all boils down to when you take these things because at the end of the day, all you're really concerned is what price am I getting this at, right? Once you normalize for all the other things, right? James: Correct. Correct. Omar: Right? And what I was seeing was just generally Jacksonville, the pricing was just like I said compared to Tampa which by the way is a fantastic market, right? But pricing was just 15 to 20% below Tampa. I mean Tampa pricing is just crazy. I mean right now I can look at the flyer and tell you their 60s and mid 70s vintage is going for $130,000 $120,000 a unit in an area where the median income is 38 to 40 Grand. James: Why is that? Omar: I don't know. It's not one of this is that the state Tampa is actually a very good market, okay. Let's be [inaudible 16:47] it's very good market. It's a very hot market now. People are willing to pay money for that. Right? So now maybe I'm not the one paying money for it, but there's obviously enough people out there that are taking that back. So. James: But why is that? Is it because they hope that Tampa is going to grow because-- Omar: Well, yes. Well if Tampa doesn't grow they're all screwed James. James: No, but are they assuming that growth or are they seeing something that we are not seeing? Because, if people are earning 30, 40 thousand median household income and the amount of apartment prices that much, they could be some of the metrics that they are seeing that they think-- Omar: Well, yes. Tampa's growth has been off the charts in the past few years, right? James: Okay. Okay. Omar: So what look-- first of all this is the obvious disclaimer is I don't know what I don't know. Right? So I don't know what everybody else is looking at. Our Tampa's growth has been off the charts, there is a lot of development and redevelopment and all that stuff happening in the wider metro area. So people are underwriting five, six, seven, eight percent growth.  James: Okay. So the growth is being-- Omar: No, the growth is very-- look the growth has been very high so far. James: Okay. Got it. Omar: My underlying assumption is, as I go in with the assumption that the growth must be high but as soon as I get in the growth will go down.  James: But why is that growth? I mean that is specific macroeconomic.  Omar: Oh yes, yes. There's first of all, there's a port there, number one. The port -- James: In Tampa. Okay. You're talking about Jacksonville or Tampa right now? Omar: No, I'm talking Tampa. James: Okay. Omar: Jacksonville also has it, but Tampa also has it, okay. James: Okay. Got it. Got it. Omar: Tampa is also fast becoming, Tampa and Orlando by the way are connected with this, what is it? I to or I for whatever, it's connected by. So they're faster like, you know San Antonio and Austin how their kind of converging like this? James: Correct. Correct. Omar: Tampa and Orlando are sort of converging like this. James: Got it. Got it. Omar: Number one. Number two, they're very diversified employment base, you know all the typical Medical, Government, Finance, Healthcare all of that sort of stuff, right? Logistics this and that. And plus the deal is man, they're also repositioning themselves as a tourist destination and they've been very successful at it. James: Okay.  Omar: Because there's lots to do you know you have a nice beach. So, you know that kind of helps all this, right? Have a nice beach. James: Correct. Correct. Omar: Really nice weather, you know. So they're really positioning it that way and it also helps that you've got Disneyland which is about 90 minutes away from you in Orlando. So you can kind of get some of the acts things while you come to Tampa you enjoy all the stuff here. Because Orlando relative to Tampa is not, I mean outside of Disneyland there's not a lot to do though. But a lot of like nightlife and entertainment and all that.  James: But I also heard from someone saying that like Orlando because it is more of a central location of Florida and because of all the hurricane and people are less worried about hurricane in the central because it you know, it has less impact. Omar: James. James. James: Can you hear me? Omar: When people don't get a hurricane, they are not going to be the people who get the hurricane. Other people get hurricanes. Not us. James: Correct, correct. Omar: But that's not always the case but that's the assumption.  James: Okay. By Tampa is the same case as well? Like, you know because of-- Omar: I don't know exactly how many hurricanes they've got but look man, they seem to be doing fine. I mean if they receive the hurricane they seem to be doing very fine after a hurricane.  James: Okay. Okay. So let's go to Jacksonville, that's a market that did not exist in the map of hotness, of apartment and recently in the past three, four years or maybe more than that. Maybe you can tell me a lot more history than that. Why did it pop out as a good market to invest as an apartment? Omar: Well, because Jackson actually, we talk to the Chamber of Commerce actually about this. And the Chamber of Commerce has done a fantastic job in attracting people, number one. Because first of all Florida has no state income tax. What they've also done is a very low otherwise state a low or minimum tax environment [inaudible20:29] What they've also done is, they reconfigured their whole thing as a logistical Center as well. So they already had the military and people always used to say, oh Tampa, Jacksonville's got a lot of military, but it turns out military's only 11% of the economy now. James: Okay. Okay. Omar: So they've reposition themselves as a leading Health Care Center provider, all that sort of, Mayo Clinic has an offshoot there by the way, just to let you know. It's a number one ranked Hospital.  James: Oh Mayo Clinic. Okay. Okay. We always wonder what is Mayo Clinic, but now you clarified that. Omar: Right? So Mayo Clinic is in Rochester I think. One of my wise colleagues is there actually. Think it's in Rochester Minnesota. It's one of the leading hospitals in the world. James: Okay. Got it. Omar: And now they've actually had an offshoot in basically Jacksonville, which is the number one ranked Hospital in Florida. Plus they've got a lot of good healthcare jobs. They've really repositioned themselves not only as a great Port because the port of Jacksonville is really good and they're really expanding their ports. You know Chicon, the owner of Jacksonville Jaguars, man he's going crazy. He is spending like two or three or four billion dollars redeveloping everything.  James: Got it. Got it. Omar: [inaudible 21:32] what they've done is because of their location, because they're right, I mean Georgia is about 90 minutes away, Southern Georgia, right? And now you have to go into basically, Florida and basically go to the Panhandle. What they've also done is because of their poor, because of their transportation Network and then proximity to the East Coast they repositioned themselves as a Logistical Center as well.  James: Got it. That's what I heard is one of the big drivers for Jacksonville. And I also heard about the opening of Panama Canal has given that option from like importing things from China. It's much, much faster to go through Panama Canal and go through Jacksonville. Omar: Oh, yes. James: Makes it a very good distribution centre. Omar: Because the other board right after Jacksonville in which by the way is also going through a big redevelopment and vitalization is Savannah, Georgia.  James: Okay. Yes. Omar: [inaudible 22:17] big enough and I think Jacksonville does something like, I mean don't quote me on this but like 31% of all the cars that are imported into the U.S. come through the Jacksonville Port. So there's a lot of activity there, right? But they've really done a good job. The Government there has done a fantastic job in attracting all this talent and all these businesses.  James: Okay. Okay. Got it. So let me recap on the process that you came to Jacksonville and going to the submarket. So you looked at a few big hot markets for apartments and looked at similar characteristics for that submarket that you want like for closer to school, in a good location and you look at the deal flow that you are getting from each of these markets. And then you, I mean from your assessment Jacksonville has a good value that you can go and buy right now for that specific demographic of location I guess, right? Omar: Look I love Atlanta as well. I was actually in Atlanta a few weeks ago looking at some, touring some properties. So that doesn't mean Atlanta isn't good or say Tampa or Orlando is good. We were just finding the best deals in Jacksonville.  James: Okay. Okay. So the approach you're taking is like basically looking at the market and shifting it to look for deals in specific locations of submarket where you think there is a good value to be created rather than just randomly looking at deals, right? Because-- Omar: Because man it doesn't really help you, right? If you really go crazy if you try to randomly look at deals.  James: Yes. Yes. I think a lot of people just look at deals. What, where is the deal? What's the deal that exist? Start underwriting the deals right? So-- Omar: Oh I don't have that much free time and I have a son who's like 18 months old man My wife is going to leave me if I start underwriting every deal that comes across my desk.  James: Yes, I don't do all the deals that comes across. Omar: I'm going to kill myself trying to do all that. Yes man it's very surprising I see a lot of people especially on Facebook posting. I mean I get up in the morning and I see this, [inaudible 24:05] who loves to underwrite deals? And I'm like, dude it's 1 a.m. Go get a beer. Why are you underwriting a deal at 1 a.m., man?  James: Yes. Yes. Yes I think some people think that you can open up a big funnel and make sure you know out of that funnel you get one or two good deals, right? But also if you have experience enough you can get the right funnel to make sure you only get quality data in, so that whatever comes in is more quality. Omar: My point is man, why do you want to underwrite more deals? Why don't you underwrite the right deal and spend more time on that deal or that set of deals. James: Correct. Omar: Because there's just so many transactions in the U.S. man. There's no way I can keep up man. James: Correct. Correct. Correct. So let's go to your underwriting Jacksonville because I think that's important, right? So now you already select a few submarkets in Jacksonville, right and then you start networking with Brokers, is that what you did?  Omar: Yes. Yes but you know with Brokers also, you kind of have to train them, right? Because what happened is every time what are you looking at? All that after all that jazz, wine and dining and all that stuff. We had to train Brokers [inaudible25:08] here are only specific submarkets we're looking at. So for instance Jacksonville, it was San Jose, San Marcos, it's the beaches, it was Mandarin and orange [inaudible25:16]  James: Okay. Omar: And Argyle Forest was certainly, right? If it's anything outside of that, unless I don't know it's like the deal of the century, right? Literally, somebody is just handing it away. We don't want to look at it. Don't waste my time. And invariably what the Brokers will do, because it's their job they have to do it. They'll send you deals from other submarkets because they want to sell. Hey, I think this is great. You will love this. James: Yes. Omar: And you have to keep telling them, hey man I really appreciative that you send me this stuff, not interested. Not interested. So, but what that does is you do this a few times and then the Broker really remembers your name when a deal in your particular submarket does show up. Because then you go to the top of the pile. James: Correct. Because they know that you asked specifically for these right now.  Omar: Yes. [inaudible25:58] You know the deal. Right? So that's kind of what we get, right? James: So let's say they send a deal that matches your location. So what is the next thing we look at? Omar: So what I basically look at is what are the demographics. Median income has got to be at the minimum 38 to 40 thousand dollars minimum. James: What, at median household income? Omar: Median household income. Right? James: Got it. Got it. Why do you think median household income is important? Omar: Because look, again this is rough math I didn't do a PhD in [inaudible 26:27]  James: Sure, sure, sure. Go ahead. Omar: Typically, you know, where [inaudible 26:30] everybody says BC but really everybody is doing C. Okay, you can just-- I think people just say B to sound nice. Right? It's really C. Okay, let's be honest. Right? Typically with a C if you're going to push [inaudible 26:41] within one or two years, in these submarkets at least, I don't know about other areas. Typically you want to push the rents to around a thousand dollars a month, give or take. Average rate. I'm just talking very cool terms, right? Which basically means that if you're pushing it to a thousand dollars a month and the affordability index is it should be 33%, 1000 times 12 is 12, 12 times 3 is 36. So I just added an extra 2,000 on top or 4000 on top just to give a margin of safety.  James: Okay. Omar: Right? It's very simple math, right? There's nothing complex in it. Right?  James: Correct. Omar: Because my point is if you're in an area where the average income is 30,000, man you can raise your rent all you like. Nobody's going to pay you. James: Yes. Yes, correct. So I think we can let me clarify to the listeners, right? So basically when you rent to an apartment, we basically look for 3x income, right? So that's how it translates to the household income, average household income and if you want to do a value-add or where deals, you have a margin of buffer in our site and you're buying it lower than what the median household income, that's basically upside. That means you can find enough renters to fill up that upside, right?  Omar: Yes. James: Just to clarify to the listeners. So go ahead. So you basically look up median household income. What is the next step do you look for? Omar: Then I basically look at crime. Basically, I just-- I mean look, there's going to be a level of crime, what I'm really looking at is violent crime. Right? James: Violent crime. Okay. How do you look for which tools to use?  Omar: Well, you can go to crime map, crime ratings, you can subscribe to certain databases and they can give you neighborhood Scout is one by the way.  James: Okay. Okay. Omar: You can use that. And then on top of that because it's harder to do this for Texas, but you can do this in other states like Florida, Georgia and all of that. But for instance, what you can do is see what the comps in the submarket are. Right? And that kind of helps you in determining basically, look if all the properties for a certain vintage around you have traded for a certain amount of money, then if something is up or below that there's got to be a compelling reason for that. Now I'm not saying if it's above it's a bad reason and don't do it. There's got to be a compelling reason. Now they might be actually a very good reason. Right? James: Got it. Omar: So, you know that's like a rough idea and then basically I'm looking at rent upside. Basically look at co-stars and see what the average rents are for this property. What is roughly the average rent upside and you can also seek [inaudible29:04] place that I had a few contacts in Jacksonville and you can also call those up. Right? Again, rough math kind of gives you hey, do I send five hundred two hundred dollars and then basically see what is the amount of value [inaudible29:16]. Because for instance, if all the units have been renovated which by the way happened yesterday. Yesterday we came across [inaudible29:22] in Jackson where I know the Broker and I mean he sent me the email. You know, the email blast out and basically what we saw was the location was great, there's a lot of rent up, supposedly there's rent upside, but when I called the guy up, we know each other. He's like, bro, all the units have been renovated. There's maybe 50, 75, I know you so I'm going to tell you there's only 50, 75 so the price isn't going to be worth it. James: Yes, and they'll ask you to do some weird stuff, right? Like go there, washer, dryer, rent the washer dryer out. Omar: Yes. Yes. James: But charge for assigned parking, right? So very small amount in terms of upside, right? Omar: My point is if it was so easy why don't you do it? James: Yes. Correct. Omar: That's the way I look at it.  James: Yes, usually I mean when I talk to the Brokers I will know within the few seconds whether it's a good deal or not. They'll be really excited if it matches what we are looking for, right? Especially-- Omar: Yes because I think the other deal is if you develop a good relationship with Brokers and they know what you're specifically looking for, good Brokers can kind of again look they have to sell but they can also give you some guidance along the way. James: Correct. Correct. Omar: Right? They can do a lot bro, it doesn't really work for you I think, but I'm just going to be honest with you, and look you still have to take it with a grain of salt but it is what it is.  James: Correct, correct. Okay. So look for rent upside by looking at rent comps and you said in Texas which is a non-disclosure state it's hard to find sales comp but…  Omar: Yes, but look, you know if you're in a market you're going to know who the people are doing deals. Which people are doing deals.  James: Okay. Omar: And even if you don't know it, say your property manager kind of knows it, or your  loan broker or lender knows kind of what deals have traded in the market. You got me. You can pick up a phone and call some people, right? Maybe you don't get all the information but you can get, I mean if you're in submarket or sometimes even in Texas, you can't know.  James: Yes, exactly. Exactly. So when do you start underwriting on your Excel sheet?  Omar: Oh bro after I've done the property tour because if these don't even pass this stuff why you even bothering to underwrite it.  James: Oh really? So okay. So you basically look at market-- Omar: [inaudible 31:28] My point is, if it passes all these filters and then I have a conversation, I talk to my property manager, I talk to the Broker, I talk to my local contacts there and if it's all a go and these are all five-minute conversations or less. It's not like a two hour long conversation if it passes through all this they're just going to [inaudible 31:45] property door, man.  James: Okay, so you basically-- but what about the price? How do you determine whether the price they asking is reasonable or not. Omar: Well, obviously because I can do a rough math and compare it against the comps, right?  James: Okay. Okay. Got it. Got it. So you basically do [inaudible 31:59]  Omar: Oh, yes. Yes, because my point is why waste myself? Because look, the price could make sense, all the Brokers pictures we all know look fantastic. It looks like you're in like Beverly Hills, you know. So the pictures you know are kind of misleading, right? And the location might be really good but hey, you might go there and realize you know, the approach is really weird. Or for instance we were touring this one property and then 90% of I think the residents were just hanging out at 12:00 noon. James: Correct. Omar: Outside smoking.  James: At 12 o'clock. Wow. Omar: I said, well what the hell is this. Right? So my point is some things you only know when you do tour a property, there's no amount of videos and photos because the Broker isn't going to put a bad photo on.  James: Yes. Yes. Their Excel spreadsheets are going to tell you that, right?  Omar: Yes. James: So basically, you know, you have to go. What about what else do you look for when you do a property tour other than…  Omar: So you know when they're doing a property tour, like obviously I'm taking a lot of notes, I'm taking a lot of pictures, a lot of times the Broker will say one thing and then you kind of turn back around and ask the same question a different way just to kind of see. But what I also like to do is I also like to tour the property. On the property tour I like to have the current property manager and look I'm not stupid enough to say that the Broker hasn't coached the property manager. The broker has obviously coached the property manager that's his job. But a lot of times you'll realize that they haven't been coached enough. So if you ask the right questions the right way you can get some level of information. Again you have to verify everything and another trick I also figured out is. You should also try to talk to the maintenance guy and have him on the property tour and then take these people aside and so the Broker can be with somebody else. Ideally you should tour with two people. So if one guy takes care of the Broker and you take care of the property manager or the other way around. Because then you can isolate and ask questions, right? So especially if you take like say a maintenance guy and you ask him, hey man so what kind of cap X you think we should do? What do you think about the [inaudible 33:54]? A lot of times those people haven't been coached as much or at all. James: Correct.  Omar: And to be honest with you, man, we are in a high trust society. Most people aren't going to completely just lie to your face. They might lie a little bit but people aren't going to say red is blue and blue is purple. James: Correct. Omar: You know you can see that. You know when somebody says it, you can feel it. Come on. James: You can feel, yes. That's what I'm coming. You can actually see whether they are trying to hide stuff or not. But you're right, asking the maintenance guy is a better way than asking the property managers or even the other person is like leasing agent.  Omar: Yes. James: Who were assigned to you. They probably will tell you a lot more information. Omar: And that's why I feel like it's better to have two people like you and a partner touring. James: Okay. Omar: Because then different people, like one because look, and there is nothing wrong. The Broker has to do this. The Broker always wants to be with you to see every question is answered the way he wants it to be answered. So then one of your partners or you can tackle the Broker and the other person can tackle somebody else. James: Got it. Got it. So let's go to, okay so now you are done with the property tour. Now you're going to an [inaudible35:01] underwriting, right? So, how do you underwrite, I mean I want to talk especially about Jacksonville because it's a new market for you and you are looking at a new, how did you underwrite taxes, insurance and payroll because this-- Omar: Taxes was very easy to do. You talk to a tax consultant and you also see what historically the rate has been for the county. Right? James: Okay. Omar: But again, just because your new doesn't mean you don't know people. James: Correct. But how do you underwrite tax post acquisition? Because I mean in taxes is always very complicated-- Omar: No but taxes is harder, right? But [inaudible 35:32] in Florida it's easier because the sale is reported. They already know what price it is. James: So do they, so how much let's say how many percent do they increase it to after-- Omar: Typically in Duval County where we bought, it's about 80 to 85% [inaudible35:46]  James: Okay. Okay. That's it.  Omar: But the tax rate is low, right? Just to give you an idea the tax rate is [inaudible35:51] in Texas a tax rate is higher. So you understand there's lots of things and for instance in Florida there's an early payment discount. So if you pay in November, so it's November, December, January, February, right? So if you pay in November, which is four months before you should be paying you get 4% off your tax return.  James: Oh, that's really good. Omar: And if you pay in December you get 3% off, if you pay January you get well, whatever 2% off. In February you get 1% off. James: So what is the average tax rate in Florida?  Omar: I don't know about Florida. I know about Douval. It was like 1.81.  James: Wow, that's pretty low. Yes compared to-- Omar: Yes, but you also have to realize you have the percentage of assessed value is higher, right? Depending on which county you are in. You're in San Antonio and Austin where Bear county is just crazy. James: Bear Travis County, yes. Omar: Yes. Bear and Travis are just crazy but there are other counties in for instance Texas where the tax might be high but percentage of assessed value is really low.  James: Correct.  Omar: No, I mean it balances out. Right? My point is-- James: Yes. So but what about the, do you get to protest the tax and all that in the Duval County in Jacksonville? Omar: I think you can. No you were not, I think I know you can because we're going to do it. But you need to have a pretty good reason, right?  James: Okay. Okay. Omar: Right? And obviously look, you can show that yea, look I bought it for this price, but my income doesn't support this tax or this or that. I mean you have to hire the right people. I'm not going to go stand and do it myself.  James: So basically they do bump up the price of the acquisition, but it's very easy to determine that and 80 to 85% of whatever.  Omar; Yes. Yes. Yes. James: That's-- Omar: But look man, on the flip side is that when you go in, you kind of have a better control of your taxes in Texas where taxes can just go up and you [inaudible37:29]  James: Yes. Yes. You have no control in Texas. So we usually go very very conservative to a hundred percent. So which-- Omar: Look my point is it's good and bad, right? It depends where you are. So now people will say, oh the tax person knows all your numbers and like, yes but I can plan for it.  James: Yes, yes, correct. But it also gives you an expectation difference between buyer and seller because the buyer is saying this is my cap rate whereas the seller is saying, this is what, I mean the seller is going to say this is one of the cap rate whereas the buyer is going to say this is my cap rate will be after acquisition because-- Omar: Yes. Of course. James: So when it's smaller [inaudible38:03] between these two, the expectation is more aligned compared to in Texas because you know, it can jump up a lot and there's a lot of mismatch of expectations. Right? Omar: Well actually a deal in Houston, it's near Sugar Land and yesterday I was talking to this guy who wanted me on the deal and the other deal isn't going anywhere because the taxes were reassessed at double last year. Now he has to go to this the next week to fight it. Man, there's no way you're going to get double taxes in Florida or Georgia where there's our disclosure state, right? James: Correct. Correct, correct. So that's a good part because the buyer would be saying that's not my, the seller would be saying that's not my problem and buyer is going to say I have to underwrite that, right? So. Omar: I mean man, you can have a good case, right? Because it's not like somebody is saying something to you like, look man this is the law.  James: Yes, correct. So let's go back to Insurance. How do you underwrite Jacksonville Insurance? Because I know in Florida there is a lot of hurricane and all that-- Omar: [inaudible 38:58] just to give you an idea that is a complete myth because Jacksonville has only had one hurricane in the past eight years.  James: So is it lower than other parts of Florida? Or it just-- Omar: Yes. So the first it only depends where you are in Florida. Number one, right? Number two, it depends if you're in a flood plain or not, but that's in Texas as well. Right? And number three, it also depends a lot of times, well how many other claims have happened in your area? Right? Because that kind of for the insurance people that's kind of like a you know, how risky your area is quote unquote for them. So yes, so in Jacksonville, and apparently I did not need to know this information but we were told this information. Like the coast of Florida where Jacksonville is the golf coast is really warm where Jacksonville is, not golf courses on the other side, it's the Atlantic side. These are really warm waters relatively speaking. So apparently there's like some weather system which makes it really hard for hurricanes to come into Jacksonville. So that's why it's only had one hurricane in the 80 years.  James: So when you get your insurance quote, when you compare that to other parts of other markets-- Omar: Oh yes, Tampa was way higher, man. James: What about like Houston and Dallas?  Omar: I don't know about Houston because I haven't really lately looked at something in Houston. Right? So I can't really say about Houston and Dallas was maybe like say $25, $50 less maybe. James: Oh really. Okay.  Omar: Yes. It wasn't because that was a big question that came up for everybody. I was like look man, literally here's all the information and you don't even have to take my word for it because I'm giving you sources for all the information. Right? [crosstalk40:24] James: [crosstalk40:25] rate at different markets? Omar: Sorry? James: Are you talking about the insurance rate for-- Omar: Yes. Yes. Yes. Because a lot of guys from Chicago, I had a few investors they were like, but Florida has real hurricanes. I was like, yes but Jacksonville doesn't. James: Okay, got it. So you basically got a code from the insurance guy for the-- Omar: Oh yes man, I wasn't just going to go in and just put my own number that has no basis in reality.  James: Correct, correct. So, what about payroll? How did you determine the payroll?  Omar: So the payroll is pretty easy man. You know how much people get paid on per whatever hour. You know, you can have a rough idea how many people you are going to put on site and then you know what the load is, so then it gets pretty easy to calculate what your payroll is going to be. James: What was the load that you put in? Omar: So the load in this particular case was like 40% which is very high. James: Okay-- Omar: Yes it is pretty high. But the-- James: That is pretty high is very high. Omar: No. No. No. But hold on. They put our wages really low, right?  James: Oh really? Okay. Omar: Then you have got to [inaudible41:16] around. I was paying roughly the same that I was paying in [inaudible41:19]  James: Really? So why is that market…  Omar: I have no idea man, and I tried to check I asked multiple people. We did all that song and dancing. It's all kind of the same.  James: So you looked at the current financials and looked at the payroll? Omar: No. No, I was talking about my payroll would be going forward. I don't really care what the guy before me paid. Why do I care? James: So you got that from your property management?  Omar: Yes. Yes. Yes. And then I verified it with other property managers and blah blah blah blah blah checked everything, you know did all the due diligence. James: Got it. Yes. It's interesting that because 40% is really high. I mean usually-- Omar: Yes but [inaudible41:52] basis was really low. Like people salaries are really lower.  James: Is that a Jacksonville specific? Omar: I don't know what it is specifically. I think it's a Florida-based thing relatively speaking. But yes, that's what I mean. I thought it was kind of weird too. But then I mean I checked with other people.  James: So the deal that you're doing, I presume is a value ad deal. Is that right? Omar: Oh yes, all the deals-- James: How deep is the value at? I mean roughly at high level, how much are you putting in? Omar: Man, nothing has been touched for ten years. In fact, let's put it this way. We have enough land we checked with the city that we have enough land at the back to develop 32 more units.  James: That's really good because it's hard to find deals now, you know. Like ten years not touched, right? All deals are being flip right now, right? So within a couple of years. So that's good. That should be a really good deal. And what is the-- Omar: A hundred percent we could do basically.  James: What was your expense ratio that you see based on income divided by your expenses? I mean first-- Omar: Hold on man, let me just take it out. I don't even have to tell you. Hold on.  James: Okay. Omar: Why even bother you know?  James: Because usually like 50 to 55% is common in the [inaudible 42:59] industry. Omar: Oh no in basically in Jacksonville. You can get really lower expense ratios.  James: Okay.  Omar: It depends if it's submarket [inaudible43:05]  James: Yes, and I know like in Phoenix, I think it was like 45, or 40% which was surprising to me [crosstalk43:13]  Omar: [crosstalk43:13] this right now. Hold on let me open this model I can tell you right now. I don't want to give you something [inaudible 43:21] then variably one person's going to be like, I looked at your deal your numbers--Like, yes I'm sorry. I don't like have like numbers with second decimal points. Because people always do that to try to catch you. Right? And they're like, yes it's off by like $2 man. So hold on, divided by, oh yes so it was operating at 52 and yes first year we're going to be at 56 because you know we are repositioning-- James: Yes. First year of course, it will be higher-- Omar: And then we just go down.  James: Okay. Okay, okay that's interesting, that's good. So, and then as the income grows and your expenses stabilize, I think that expenses should be-- Omar: That's the only reason why the expense ratio goes down. Right? Because you're basically your top Line growth is way higher than your basically your expense growth.  James: Got it. Got it. Got it. Okay, that's really good. And you look for mid teens IRR. Omar: Mid teens IRR, a 10% cash flow and stabilized, all that jazz. James: Got it. Got it. Got it. Okay, that sounds good in terms of the underwriting. So-- Omar: Am I giving you all my secrets James?  James: Yes, absolutely. I will be very specific to Jacksonville. Right? I like to see you know, how each market is being underwritten and so that a business can learn and you know, it's very specific to people who do a lot of analysis on the market because I think that's important, right? You can't just go and buy any deal out of the gate right there, right? So it's good to know that. And these three things like payroll, insurance and taxes are very tricky when you-- Omar: Oh yes. James: --in different markets. So it's good to understand how does that county or that particular city or state determines their property taxes? Because we have different things in taxes here where I buy so it's good to understand. That's good. What is the most valuable value ad that you think that you're going to be doing to this deal? Omar: Oh well look man, because nothing had been touched. I think everything is valuable.  James: Okay. Omar: Hold on but that we lucked out also, right? There's a part of this is work and preparation. Or part of this is luck also. I mean you can't just take that portion away, right? James: Oh yes yes. Absolutely. Omar: All my hard work. Right? James: Absolutely. Absolutely. Omar: Because there's lots of people-- James: It's really hard to find that kind of deals nowadays, right? So how much was your rehab budget?  Omar: So rehab is about a million dollars. James: A million dollars. So let's say your million-dollar today become 500,000 right? I'm showing million dollar you're bringing into your exterior everything upgrade. Right? So let's say then-- Omar: Your exterior is roughly split 70/30. Interior [inaudible46:01]  James: Okay. Okay. So between interior and exterior which one do you think is more important?  Omar: I think if you only had a few dollars, exterior. James: Exterior, okay. Omar: Because people make a-- again this doesn't mean you should ignore the interior. Just to add a disclaimer. The point is, my point is a lot of times we as humans make decisions on first impressions. So if you come into a property and the clubhouse looks [inaudible 46:28] the approach looks [inaudible 46:29] the trees are trimmed, the parking lot is done nicely, then you go to an apartment which may, I mean I'm not saying it should be a complete disaster, but it might not be the best apartment in the world. You can overcome that. Right? But if you come in and the approach looks like you know, somebody got murdered here, right and the clubhouse looks like you know fights happen here, then no matter how good your indeed a renovation is, there's a good chance people will say well, I mean, it looks like I might get killed to just get into my apartment. James: Yes. Omar: Right? So it's the first impression thing more than anything else. It's like any other thing in life I feel. James: Absolutely. So let's say you are 300,000 for exterior. Right? Let's say that 300,000 become a 150,000, what are the important exterior renovation that you would focus on? Omar: So we did all the tree trimming because man, there's first of all living in Texas you realize how much a mystery still [inaudible 47:26] right? So first of all, tree trimming. Trees hadn't been trimmed for 10 years man. They were beautiful Spanish [inaudible 47:34] oak trees with Spanish moss on them. But they just hadn't been trimmed. James: Okay. Okay. Omar: So doing all the tree trimming, all the landscaping, then basically resealing the driveway and then making sure all the flower beds and all the approach leading up to all of that was done properly and the monument signage.  James: Okay, got it. So this is what you would focus on. And what about-- Omar: But also putting a dog park by the way. [inaudible 47:57] you said if my $300,000 budget went to 150 what I do and that's-- James: Yes. Dog park is not very expensive. Omar: Yes. But I'm saying it's stuff like dog park and [inaudible 48:06] to your outdoor kitchen, you're swimming pool, put a bigger sign in. You know [inaudible48:11]  James: Yes and dog park is one of the most valuable value ad because you spend less on it, but a lot of people want it, right? So for some reason, I mean people like pets and all that. So what about the interior? You have 700,000, how much per door are you planning to put for each-- Omar: So roughly say I can do the math roughly. There was six something. Right? So and James: [inaudible48:32]  Omar: Yes, so we're not even-- so we're planning on doing roughly say 75% of the unit's right? So I think that's  104 units if you go 700 divided by 104, roughly we were going to be around $6500 per unit. James; Okay. That's a pretty large budget.  Omar: Yes, man you should see some of these units man, I was like why God how do people even live here?  James: Yes. Omar: Because it's a very affluent. I mean relatively middle class, upper middle class submarket, right? They just haven't done anything.  James: So are you going to be using the property management company to do the renovations? Omar: They have a very fantastic reputation and they were highly recommended a few of our other contacts also use them so that's why. James: Okay. Omar: Because we were seeing problems with a lot of other people's property managers. Either they didn't have the right staff or didn't have the right professionals and this and that indeed these guys were properly integrated across the value chain. James: So at high level, what are you doing on the interiors? Omar: High level Interiors, it's a typical, [inaudible 49:29] back splashes, change the kitchen appliances, countertops, medicine cabinets, lighting packages. The other small little thing which we realized was a very big value add but was cost us less than two dollars and fifty cents per outlet was the [inaudible 49:45] Yes it was the biggest value add-- James: Yeah, biggest value add; that is the most valuable value add. Right? Omar: Yes. James: Like I've never done it in any of my properties but I was telling my wife, Shanti and I said, hey, you know, we should do these, you know, because it's so cheap and a lot of people, a lot of-- Omar: Yes, it was like two dollars or whatever, it was cheaper than that and people cannot get over the fact that they have so many USB out, I was like, everywhere there is a plug there's got to be a USB outlet. James: So do you put for every outlet? The USB? Omar: Not for every, I was dramatizing but I mean for the ones that are accessible say around the kitchen, living room. James: Okay interesting I should steal that idea.  Omar: I didn't invent the idea go for it man.  James: Yes. Omar: [inaudible 50:25] USB port so take it.  James: I know a few other people who do it mentioned that too but I'm not sure for some reason we are not doing it. But that should be a very simple-- Omar: People love it man. And I don't blame them man. Like it's freaking aggravating sometimes, you know, when you got to put like a little thing on top of your USB and then you plug it in. James: Yes, imagine how much you know, this life has changed around all this electronic [crosstalk50:46] devices and all that. So interesting. So did you get a lot of advice from your property management companies on how to work and what are the things to renovate and all that? Or how-- Omar: Yes, and no because we had been developing a relationship with them six months prior to this acquisition. So we had a good relationship with not just them but with other vendors in the market. And especially luckily for us the regional we have for this property right now, actually in an earlier life and with an earlier employer had actually started working on this asset 15 years ago as a property manager. This is sheer dumb luck. This is not by design. So she really knew where all the [inaudible51:24]  James: Yes. Yes, that's interesting. Sometimes you get people who have been in the industry for some time. They say yes, I've worked on that property before they, which is good for us because they know. Got it. Got it. So let's go to a more personal side of things. Right? So you have been pretty successful now and you're doing an apartment syndication now and all that, right? So why do you do what you do? Omar: James, I know a lot of people try to say they have a big "why" and they have a really philosophical reason James, my big "why" is James, I really like-- my lifestyle is very expensive James. So all these nice suits. James: Okay. Omar: All these nice vacations man, they're not cheap. Okay. Real estate is a pretty good way to make a lot of money man.  James: Okay.  Omar: I want to give you a philosophical reason, I know a lot of people say they have the Immigrant success story, Oh I came from India or I came from Pakistan, I ate out of a dumpster, I worked in a gas station and no I had five dollars in my pocket, and everybody tells me that and I say, okay what did you do man? I don't know did you just swim from India, you had two dollars in your pocket you need to get on a plane buddy.  James: You can't be here, right?  Omar: No Indian shows up to America and [inaudible 52:37] Are you kidding me? All the Indians are educated. Everybody's an engineer or doctor or lawyer. You kidding me. He shows up with five dollars, man. So no I didn't show up to this country with five dollars James. I didn't eat out of a dumpster. I didn't work at a gas station, and I'm very grateful for that. Right? I've always had a very good lifestyle and I don't need to have a philosophical reason to say I'm doing this to, I don't know, solve world hunger or poverty or whatever. I have a pretty good lifestyle. I'm very grateful and very blessed. And the biggest thing in my life is being that, look I moved to Texas man I didn't know anybody. Right? But people have been so generous, people have been so kind to me. I'm not just saying investing with us, which is very nice, which I'm very grateful but also connecting me with other people, right? Hey, hey just opening a door. They didn't have to do it, but people have been so generous and so kind, So I quite enjoy the fact man that it's a good way to  make an honest living, right? I have a very expensive lifestyle that needs to get financed and that's just the way it is. And I didn't show up with two dollars in my pocket. So I'm very  grateful for that.  James: That sounds good. So, can you give some, do you have any daily habits that you think makes you more successful? Omar: No man, I just get up every day and I try to put one step after the other but consistently work in the same direction. So every day I'm reaching out to people and that's a lot of small little tasks. First of all, I never like getting up early but I've always known the value of getting up early. So I get up in the morning, right? 5:45, 550 ish I kind of up. Most days not always, right? I read a lot of books man. I reach out to Brokers all the time. I'm always looking at deals, coordinating with my team to do stuff and a lot of these like you do in your business there are a lot of small little tasks there's no one task that is, oh my God, you do this and [inaudible 54:33] But it's just small little tasks that you do daily, every single day in and day out. So even if you're feeling sick, even if your head is hurting you just do it.  James: So can you give a few advice to people who want to start in this business? Omar: Regularly communicating. So in my particular case, I don't know like when you're starting out specifically everybody has a different pain point, right? So in my particular case for instance on a daily, I can't say about weekly I can tell you, staying in touch with my marketing people, emailing Brokers, emailing investors, following up with people I've had conversations with, especially leads, you know people who use this stuff. A lot of word of mouth and just doing the stuff over and over and over. But it's not like I have a 9:00 to 5:00 now, right? It's not like oh Friday, I'm done and Saturday, Sunday I'm relaxing. I mean I could relax on a Monday now, but Saturday and Sunday I'm working. Right? So that's a good-- but it's like the same as you were doing with your business, right?  James: Yes. Absolutely. Absolutely. Well, Omar it has been really a pleasure to have you on this podcast. Is there anything that you have never mentioned in other podcasts that you want to mention? Omar: No James, I don't want to go down that route man.  James: Is there something that you want to tell, you know people who listen to you that you think that would be a good thing to talk about? Omar: Yes, what I want to tell people is listen, I don't think you should take words of wisdom for me. But what I should tell people is guys, honestly, I don't l

Lewinsville Adult Day Healthcare Center, Lock and Talk, glass recycling and more on the News to Use Podcast.

Lewinsville Adult Day Healthcare Center, Lock and Talk, glass recycling and more on the News to Use Podcast.

In this episode Scott Becker interviews Bryan Bennett, Executive Director at Healthcare Center of Excellence and Author of "Prescribing Leadership in Healthcare".

Let’s face it, we’d all like to think we’re great leaders, but thinking isn’t getting and I’ve heard managers admit that deep inside, they have doubts about their ability to lead. Our guest today, Professor Bryan Bennett,  believes that inside of every manager there can be Superpowers if tapped and nurtured. In this program with host Jim Obermayer, Professor Bennett tells us why you have superpowers that can be accessed and appreciated by your team. Professor Bennett is an author, professor, consultant and data scientist. What are leadership superpowers? How did you arrive at this concept? How many of these superpowers does a leader need to have to be effective? Explain how leaders can obtain these superpowers? Who are some of the leaders you’ve met who possess some of these superpowers? Are there any limitations to these superpowers?  About Our Guest Professor Bennett is the Executive Director and founder of the Healthcare Center of Excellence. He is the primary researcher and blogger for the Center of Excellence website as well as a blogger for the HIMSS Future Care website on the subjects of Big Data and healthcare technology transformation. ProfessorHe is a course developer and adjunct professor for Northwestern University’s School of Professional Studies where he is responsible for the development and teaching of predictive analytics management courses for international and domestic markets. He also teaches consumer behavior for West Virginia University’s Integrated Marketing Communications graduate program as well as leadership and analytics courses for Judson University’s Management and Leadership program. AuthorHe is the author of Competing on Healthcare Analytics: The Foundational Approach to Population Health Analytics. The book is a practical guide to implementing population health analytics and makes a clear argument for how an analytics initiative should be implemented using his foundational approach. Consultant / Data Scientist He started the Center of Excellence after hearing the challenges healthcare executives were having to implement predictive analytics programs. Many were concerned with ‘reinventing the wheel’ when it comes to analytics since successes experienced by other healthcare organizations were not being shared and they were challenged with identifying and keeping analytical talent. He is a certified data scientist and certified lean six sigma green belt.

The one-size-fits-all approach to leadership development offered by other programs doesn’t consider an individual’s personality and capabilities. You can’t learn ‘skill x’ one day and expect to be a better leader the next. True leadership growth requires ongoing development and feedback. ----more---- What is billed as leadership development today is usually focused on leadership as a skill. It actually is a process that must be prescribed and practiced every day using the same approach taken by professional athletes worldwide for decades. Added to this is the confusing advice on what is needed to be a good leader, when, in actuality, all that is needed is for the leader to be them self. Leadership is a process that must be practiced every day like a maintenance drug using the same approach taken by professional athletes worldwide for decades. About, Bryan Bennett Professor Bennett is the founder and Executive Director of the Healthcare Center of Excellence, a privately-funded research, training and advisory organization established to help healthcare organizations transition to be more analytics-focused. Bryan is also an adjunct faculty member at Northwestern University, the University of Chicago and Judson University, where he develops and teaches courses in business analytics, leadership and marketing to international and domestic students both online and in the classroom. He is the author of the books, Prescribing Leadership in Healthcare: Curing the Challenges Facing Today’s Healthcare Leaders and Competing on Healthcare Analytics: The Foundational Approach to Population Health Analytics both available on Amazon and at healthcarecoe.org. His upcoming book, The Path to Professional Leadership, which examines leadership in other challenging industries, is expected to be published 2nd Quarter 2019. Professor Bennett is a highly requested international speaker on the strategic implementation and use of analytics in healthcare, leadership and population health management. Bryan has a Master of Business Administration from Northwestern University’s Kellogg School of Management and a Bachelor of Science degree from Butler University. He is a Certified Lean Six Sigma Green Belt, Certified Data Scientist, Certified Public Accountant and Certified Adjunct Faculty Educator.

This show begins with a report from Savannah GA on the Parkers Emergency & Trauma Center. Parkers high end convenience stores sponsors this Health Care Center, and even provides gas cards to patients who need ongoing medical treatment. We also report on the life lessons learned in the Boy Scouts of America. Be prepared! Learn […]

Dr. Mike Gass is a Professor in the Outdoor Education Program in the Department of Kinesiology at University of New Hampshire as well as the Director of the Outdoor Behavioral Healthcare Center.  Mike shares his journey of being recruited to play college football at St. Olaf College, in Minnesota, to becoming one of the foremost researchers and teachers in the field of wilderness/adventure therapy. He is one of the creators of the Browne Center, a program development center on adventure learning that serves over 8,000 clients a year with educational, therapeutic, and corporate clients.  Mike also serves as the Director of the NATSAP Research Database Network and has published numerous books and research articles about the field of wilderness/adventure therapy.

What is billed as leadership development today is usually focused on leadership as a skill. It actually is a process that must be prescribed and practiced every day using the same approach taken by professional athletes worldwide for decades. ----more---- The one-size-fits-all approach to leadership development offered by other programs doesn’t consider an individual’s personality and capabilities. You can’t learn ‘skill x’ one day and expect to be a better leader the next. True leadership growth requires ongoing development and feedback. Added to this is the confusing advice on what is needed to be a good leader, when, in actuality, all that is needed is for the leader to be themself. Leadership is a process that must be practiced every day like a maintenance drug using the same approach taken by professional athletes worldwide for decades. About our guest, Bryan Bennett Professor Bennett is the founder and Executive Director of the Healthcare Center of Excellence, a privately-funded research, training and advisory organization established to help healthcare organizations transition to be more analytics-focused. Bryan is also an adjunct faculty member at Northwestern University, the University of Chicago and Judson University, where he develops and teaches courses in business analytics, leadership and marketing to international and domestic students both online and in the classroom. He is the author of the books, Prescribing Leadership in Healthcare: Curing the Challenges Facing Today’s Healthcare Leaders and Competing on Healthcare Analytics: The Foundational Approach to Population Health Analytics both available on Amazon and at healthcarecoe.org. His upcoming book, The Path to Professional Leadership, which examines leadership in other challenging industries, is expected to be published 2nd Quarter 2019. Professor Bennett is a highly requested international speaker on the strategic implementation and use of analytics in healthcare, leadership and population health management. Bryan has a Master of Business Administration from Northwestern University’s Kellogg School of Management and a Bachelor of Science degree from Butler University. He is a Certified Lean Six Sigma Green Belt, Certified Data Scientist, Certified Public Accountant and Certified Adjunct Faculty Educator.  

Will interviews Dr. Anita Tucker, Professor of Social Work at University of New Hampshire (UNH), Associate Director, Outdoor Behavioral Healthcare Center at UNH. Co-Coordinator, Dual Masters Program in Social Work and Outdoor Education.  Dr. Tucker talks about her long journey into the field of wilderness therapy and how she has become one of the foremost researchers in the field.  

Hartford HealthCare Center for Healthy Aging

Jud Knox has served as the president and CEO of York Hospital since 1982. He graduated with a master of arts in Healthcare Administration in 1972 from George Washington University and worked as an administrator at several hospitals including Naval Regional Medical Center in Newport, Rhode Island; Camden Community Hospital and Health Care Center in Camden; and Mid-Maine Medical Center in Waterville, which has since merged with Kennebec Valley Medical Center in Augusta. https://www.themainemag.com/radio/radio-guests/jud-knox-ceo-york-hospital/

Coming up on today's Halftime broadcast, a unique celebration of World Radio Day with Gracious Living Adult Day and Health Care Center located in Huntersville, North Carolina. For additional information on services provided by Gracious Living, log on to https://www.graciouslivingadhcc.com or call (704) 997-5032.

On this week’s program, Dr. Debbie Minor welcomes in Dr. Scott Rodgers, Professor and Chair, UMMC Department of Psychiatry and Human Behavior to talk about the Open Arms Healthcare Center. See acast.com/privacy for privacy and opt-out information.

Interview with Diana Contreras of Avalon Gardens Rehabilitation and Health Care Center of Smithtown, NY - discussing types of services offered to help our community.

Interview with Diana Contreras of Avalon Gardens Rehabilitation and Health Care Center of Smithtown, NY - discussing types of services offered to help our community.