Family-owned. Purpose-driven. Momentum Skilled Services VP of Finance Forrest Threadgill breaks down how a mission-first approach can still win on operations and the bottom line. From acquisition strategy to why building layout can save millions in staffing, we dig into the real levers of successful SNFs.

In this episode:

• Growing from 1 to 10 communities without “growth for growth’s sake”
• How facility design (K-plan vs. circular/two-story) drives staffing levels & cost
• Medicare Advantage realities: denials, delays, and factoring cash-flow solutions
• Managing Medicaid pending risk and AR processes
• Where expenses swing most (labor, transportation/ambulance), and KPIs that matter
• The state survey climate, fines, and staff morale
• THCA board insights: unity across operators to negotiate better terms
• Early AI use cases (risk lists) and back-office opportunities
• Forrest’s purpose: creating communities where residents, families, and staff feel loved

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