May 8th, 2020 
reply to the students’ response and not the question in 150 words minimum and provide 1 reference. Respond to the students response as though you are talking to them, use name
question
Please share three relevant things you have learned last week about your project , and cite sources (maybe documents or data), people or things you met or talked to, to gather information. Thanks.
students response
One of the concerns I have was diving in to the potential real estate markets to find potential sites for development. I spoke with a friend of mine Sam Collins about what my potential options would be. He suggested Camarillo, CA as a great potential market. There is lot of adult facilities, senior living, and memory facilities in the area. They city is not a stringent on getting licensing and getting documentation done. He mentioned to me that pricing is still somewhat fair for an acquisition.
I sat with an accountant, David Zadeh, to describe the M&A background on what potential costs would be. One issue that continuously arises is securing a loan to acquire the real estate and for development. The plan laid out with David was potentially one route of acquiring the real estate developing and then doing a sale leaseback to gain back all the capital contributed to the project. That way that leaves us with a focus on the people and not worrying about underlying debt. The drawback is that you won’t own the real estate and you have a landlord to deal with afterwards.
A concern that arose was finding the right staff. We spoke with several colleagues of my brother who are family medicine doctors and some neurologists. We spoke with my wife and her colleagues who are nurses and nurse practitioners that will be required for daily needs. After our review, we had to maintain our labor around 30-40% potentially, however with the way that costs have arose through this proforma. The MD’s will be the x-factor in deciding how many we bring on board because they have a significant cost compared to nurses and nurse practitioners. The nurses and nurse practitioners are close to half the amount of labor payroll. There is a method used by the urgent care space where they have one MD on staff and the rest are all nurses, nurse practitioners, and physician assistants.
Resources:
Sam Collins, Real Estate Agent, CALBRE
David Zadeh, Business Consultant
Dr. Daniel Aminpour MD, Dr, Shawn Banafshein, MD, Mrs. Lina Aminpour RN, Mrs. Jacqueline Farnam, FNP
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