Introducing AIM: Advaita Integrated Medicine

Tripp and Jake introduce their latest venture, Adviata Integrated Medicine (AIM), in this week's episode. Since they've been building out a substance use disorder treatment program for the past several years and want to provide the best possible treatment, AIM started as a way to offer psychiatry in-house. The practice will include psychiatric, therapeutic, and primary services.

The partners saw a need in the health care ecosystem for a practice model that provides deeper, more holistic treatment options than the standard "here's a pill, see you later" approach to mental health treatment, and were able to leverage their network to organically cultivate a talented team committed to creating the change they'd like to see in the healthcare system.

Adviata Integrated Medicine launches on November 15, 2021 in Raleigh, NC.

Find us on the web:

• Advaita Integrated Medicine
• Green Hill Recovery

Transcript

Jake Summers (00:00):

All right. Well, now we're recording.

Tripp Johnson (00:05):

Welcome trip. The tables have turned. I'm going to interview you today.

Jake Summers (00:09):

Ooh. This is going to be fun. Is this a partner corner? I don't know what this

Tripp Johnson (00:13):

Gardner corner. Um, today we're going to talk about aim. So why don't we jump right in what is aim?

Jake Summers (00:19):

So aim, aim stands for Advaita integrated medicine and it is the newest company that we have officially launched now a kind of a soft launch, but it is an integrated care practice. So we have psychiatry, some kind of basic primary care, and we will have a therapy group therapy eventually. Um, and it was, uh, just a need that we saw kind of in our own healthcare ecosystem as well as in the community.

Tripp Johnson (00:52):

Um, so yeah, if we, if we take a look back at our last two annual reports, medical has been this topic that you've been pretty big on, right? So in 2019 and 2020, uh, one of the biggest initiatives that we were working on was, you know, adding some sort of medical component to green hill. Um, so, you know, fast forward two years, we've arrived at this moment and we've decided to, to start, you know, a standalone integrated psychiatry practice that you know is also going to do primary care. Um, so take us back through that journey a little bit. Tell us how you arrived at, you know, why starting AIM was, was the best approach.

Jake Summers (01:30):

Yeah. So, uh, we've been working, you know, for the past few years, building out a substance use disorder treatment program. And as you start to dig into any sort of work, but especially in healthcare, you see how interconnected everything is. So for us in order to deliver the best possible care and work collaboratively with our clients or patients, uh, you know, we saw that we had a need for psychiatry in house. I think both you and I, and our own kind of journeys with substance use, uh, didn't have quite the same mental health component that we see a lot these days. So I think like a lot of our clients, like at Greenhill are, uh, struggling with some mental health disorders and in addition to substance use disorders. And so in the past, what we've had to do is refer out to local providers in the community and is good as some of those providers are, it's just tough when it's not their full-time job. And we really expect that kind of boutique a high touch care. And that's something that's really difficult if this isn't their day job.

Tripp Johnson (02:41):

Yeah. That makes sense. Um, so, you know, we talked about the, the interaction with Green Hill. What do most other treatment providers do for psychiatry out there? Kind of like, what are the options and how does aim stack up in relation to what other treatment programs are doing? Well, it's

Jake Summers (02:59):

Tough and I don't, I certainly don't want to throw shade on any other programs because I think everyone's doing the best they can to deliver high quality care or at least I hope so. And, but generally what happens is you contract with a medical provider, typically a psychiatrist, maybe a nurse practitioner, maybe a primary care doc, and they're kind of your medical director. And so you basically just buy a certain amount of time per week. That might be four hours a week, might be eight hours a week, but really you're just contracting with an outside provider for a certain number of hours per week. And, uh, that has its own limitations. Like we really believe at Greenhill and everything that you and I are kind of building together is we like this kind of full employment model. It's not always in our best financial interest.

Jake Summers (03:48):

Any comments there you're laughing. Yeah. Finance guys laughing, but it's something I think is really important. And I think it's going to be more and more important as, as healthcare evolves is, you know, we're seeing this transition to digital health, but what happens is like you don't have that collaborative integrated work environment. So we decided that instead of, you know, basically having a contract medical director or someone who can see our guys, and it just feels like one more appointment on their schedule that we wanted to bring it all in house. And unfortunately, or maybe it's fortunately, but in North Carolina, there's this whole corporate practice of medicine where, uh, we, you know, you have to navigate having, having a professional corporation in addition to, for us what are limited liability companies.

Tripp Johnson (04:35):

Um, okay. So, so it sounds like, so the, the most basic option out there is bringing a contract psychiatrist. And, and as you mentioned there, the beauty of that is you can, you can buy exactly the amount of hours that you need to service your clients, but you don't have control over that person. So I think, you know, you're somebody who likes to have your arms around everything. And I think something that's important to you is that, you know, everything goes back to our brand and who we are as an organization. So, you know, the more contractors we use, the less control we have over, you know, how that provider is really interacting and supporting our brand. So it's a kind of the other flip side option is that you hire a full-time psychiatrist. But I think, you know, where that gets scary from, from my finance seat is that most treatment programs like ours at Greenhill, we don't have enough clients to fill an entire psychiatrist caseload.

Tripp Johnson (05:29):

So then on the flip side, we have financial exposures. You know, we have this big bill to pay, you know, psychiatrists are not very cheap positions to employ. Um, so we have this big bill to pay and now we have this problem where we have to go out and, and find enough clients to fill that psychiatrist time because Greenhill doesn't do it. Um, but you were fairly sure of the fact that, that, that, you know, that gamble was worth taking. And, and I think that really is where we are right now is why do we arrive at that point? Why do you think that, you know, what is this field need that, that justifies us taking the risk of creating this entity that we now have to build out and find clients and generate demand. So kind of what, what are you seeing out, um, you know, in the field of psychiatry that, that justifies us taking that leap? Well, just,

Jake Summers (06:18):

Well, let's talk about kind of the addiction or substance use field. And we know for a fact that the majority of our patients or clients are coming with co-occurring mental health disorders in addition to their substance use. And so it's, it's really ridiculous to think that, you know, siloed healthcare is effective. You don't want to go one place for your therapist, another place for your psychiatrist where they're, you know, maybe they talk once, but we need to have that all integrated the idea being that eventually what we want to create here in the triangle is really a recovery oriented system of care. Something that can kind of meet people at different stages all the way from kind of prevention, trying to prevent the onset of substance use disorder, um, to the intervention stage, to the treatment stage, which is what Greenhill is, and then to the recovery management or kind of the maintenance phase.

Jake Summers (07:11):

So the idea being that people want to graduate from Greenhill, people want to graduate treatment, but they may need continual support for them to live their kind of best lives. So the idea for me was let's just do it all and let's figure it out. We think that in psychiatry, in general, there's a huge demand. You know, most psychiatrists are kind of months on months, long waiting list just to get an initial appointment. So it's scary. I mean, this is by far our biggest, you know, payroll expense, but we think that, um, it, it justifies kind of our mission and what we want to see in the world.

Tripp Johnson (07:50):

Um, yeah, I love that.

Jake Summers (07:52):

And one thing you said, and which I do think is, is important. Uh, you talked about control and I would say the flip side of that is it's not that we want to control people, but what we're really talking about is like, we want them to be bought in. We want them to be allocating all of their time and energy to helping us solve the same problems because you and I know how hard it can be when we've got too many plates spinning. And that's how it is for most providers, you know, an average psychiatrist or is carrying a caseload of two to 300 individuals. And that may sound crazy, but it's really not. Um, because some of those people might just be coming in every two months for a medication refill. And primary care is typically, you know, three to 600 patients per year. And so doctors carry these very large seeming caseload's, but they're not doing treatment. They're not doing intensive work on a daily basis. Um, so yeah.

Tripp Johnson (08:49):

Um, yeah, you kind of scratched the surface on the culture of, of different practices out there. Um, so talk a little bit about that. Like, you know, how does, how does aim stack up compared to other, because, you know, in some ways it's just a group psychiatry practice and that's not something that we're inventing, you know, there's a, there's other groups, psychiatry practices in the triangle. Um, so, so you're a big culture guy in values. And like you said, like building a team and a culture. So, so tell us a little bit about how AIM stacks up against other groups, psychiatry practices.

Jake Summers (09:22):

When I think about psychiatry in particular, um, you know, you have a few options. If you're a practicing psychiatrist, you can work in a group practice. And, uh, often this can be private pay. This can be insurance driven. This can be Medicare, Medicaid based. So there, there are these different options and you get paid a different amount depending on kind of what population you treat. One of the drawbacks to working in just with other psychiatrists can be that you don't actually get to practice the kind of care you really want. I mean, though, you know, psychiatrists go to med school and they come out with these enormous medical school debts. And so they need to be paid well just to cover their costs, but they also went into this part of the field because they wanted to treat people more holistically. A lot of times they don't want to look at medication as the primary or main kind of focus for treatment, but they get kind of put in a corner where that's, that's what they get paid to do. And so in integrating care together, having a team of therapists, nurse practitioners, primary care providers, all working in conjunction with the psychiatrist, you allow them to practice it kind of the peak of their, um, peak of their degree, as well as, you know, getting to do the stuff they actually want to do. Did that make sense? That was a little rambling.

Tripp Johnson (10:47):

Um, yeah, that definitely makes sense. Um, and I think that, you know, one of the things that I didn't realize really until you and I started looking in a little bit more into this business, but a lot of these practices are owned by investment funds. So there's, there's kind of this dark side in the, you know, mental health psychiatry world where, um, these providers, they come out of school and, and they, you know, they want to change the world. Like, you know, most doctors are, you know, pretty altruistic people and they, and you don't go through that, all the training, it requires without, you know, some inner drive and passion to do something other than making money. Um, so yeah, I, I heard a lot of that in, what were you saying that, like, you know, some of these, these practices are owned by investment funds and it, and it really, at the end of the day, it is about the bottom bottom line. And, and unfortunately writing prescriptions and getting people out the door with a pill based solution oftentimes is the fastest and most efficient way to treat this. And it just doesn't feel good for providers. Um, so I think that's, you know, I heard a lot of that in the culture. Like we are, we want to put a culture that it's not about, you know, we have to pay the bills, but it's, it's not about, you know, maximizing, you know, the, the money side of things is about, you know, maximizing the patient experience.

Jake Summers (12:01):

Yeah. And just to kind of hop on that as far as kind of the investor mindset or people who may be coming in and owning these organizations behind the scenes, uh, you know, I think it's, it's really difficult for, I lost my train of thought. I totally lost my train of thought.

Tripp Johnson (12:19):

I'm going to come in and save you. Well, I got another trailer.

Jake Summers (12:22):

No, but just, uh, yeah, just shoot me with something else.

Tripp Johnson (12:27):

Just, uh, we're, we're going to start with another one, uh, integrated care. So we keep using that word and, and just to start, so there's integrative care and there's integrated care and they mean different things. And oftentimes those terms are used interchangeably. So why don't we start there, tell us what the differences between integrative care and integrated care is.

Jake Summers (12:47):

So integrative I V E care is really like holistic care in the sense that you might be incorporating some Eastern medicine, some mindfulness, some alternative therapies to what we would consider Western medicine. That's integrative care. Now integrated care is you, you can be doing integrated integrative care, but integrated care, which is what we are seeking to provide is when you have all of the different kind of specialties, communicating and collaborating among one another for the benefit of one patient. So you're not going to see a psychiatrist at, you know, west Johnson, psychiatry, and then going over to see a therapist at Glenwood, you know, whatever. Um, and then going to see primary care somewhere else, because back to what we were, what I was actually gonna say was that, you know, if you want, if all you want is a psychiatrist appointment right now, you can go online, you can find a psychiatrist, you can get the pills you want.

Jake Summers (13:51):

It's really not that hard. And there are some perverse incentives to it, but that's not what we're about. And what really is going to separate AIM from other practices is that we really are focused on this human flourishing. And we don't think that, you know, simply a weekly, monthly prescription is going to cut it. We want to have integrated health coaching, you know, group therapy, individual therapy, just all sorts of stuff that people can really pick and choose from, but then create an environment where all of the providers are collaborating together. And so it's really important to him, to me and to us that we're, we're not booking their caseload. We're not trying to maximize the number of patients they can see in a given week because we need to save time for that collaboration.

Tripp Johnson (14:40):

Yeah. And just to chime in from the finance, I think that, you know, something you and I have always kind of talked about is, is it shocking? Like we can get a margin of profit margin that feels great and, and do it the right way. And it's like, it's crazy how these, you know, investor backed, um, medical entities. Th they, they cut so many corners and sacrifice, you know, so many elements of good care just to get, you know, an extra three or 5%. And so, so that's, that's another crazy trend out there is that like, yeah, we're, we're not gonna make as much money as most other psychiatry practices out there that are operating at some sort of scale, but, but, but you can really unlock this, these great elements of care and the time it, you know, it all goes back to time. It's like giving the psychiatrist that extra 15 minutes with a patient, you know, and being able to unlock like, you know, really good care.

Jake Summers (15:37):

And then to have them again, coordinate with their therapist or anyone else who's working with them. It's important. And yeah, that's kind of like one of my big, uh, theses around healthcare in general is like, we, we understand what the numbers look like. A lot of times these are pretty standard insurance contracts. And I think we'll get into some insurance related stuff in a minute, but we know that there is a very healthy profit margin to do things the right way. And one of the things that's frustrating to me is we have this corporate practice of medicine, which is intended to keep the investor mindset out of patient care, but it's really a flimsy, you know, kind of construct. Um, that's a whole nother, that's a three-part series. We'll bring on our, our buddies from Y Rick Robbins to talk about the pros and cons of the corporate practice of medicine. But all that to say like, yeah, like you can make a very healthy profit margin and do things the right way. What's really infuriating to me is that, uh, that's just not typically how things are grown, you know, you, and, and there's some misnomers around insurance, how much money you can make, uh, from insurance. And these are all things that over the course of us operating successfully, we want to share because we think it's really important that we don't just try and help our patients, but actually move healthcare forward.

Tripp Johnson (16:55):

Um, I'm going to ask a more nuts and bolts questions, um, that kind of ties into this integrated care idea. So our aim in Greenhill related, how so, and just in a basic sense, like, can somebody be in Greenhill, can they be an AIM? Are they mutually exclusive? So talk a little bit about that.

Jake Summers (17:12):

So the original vision behind aim and where it started was that we needed to provide medical services at Greenhill. And what we found again was that the contract model didn't work for us. So Greenhill and AIM are, you know, really conjoined at the hip. I mean, the, uh, individuals who are in the green health program will be seen by AIM providers. Uh, our buildings are a couple doors down, so not only are they located in proximity, but actually our, like our psychiatrist at AIM will be our medical director at Greenhill. Um, what AIM allows us to do again is, is to actually build his whole caseload out so that it's a financially viable organization, so that he'll be seeing people outside of Greenhill. So there is a really, really symbiotic relationship between Greenhill and aim. And we hope that people who, you know, go through the Greenhill program, um, when they kind of graduate that they'll continue working with their providers, if that's what they want to do.

Tripp Johnson (18:14):

Yeah. That makes sense. Um, that's awesome. Um, we're going to play a little, uh, vocabulary roulette now. Uh, um, so you use a lot of terms, you know, when you're talking about aim and this integrated care, so I want to kind of roll through some of these, let you define them. Um, kind of say what they mean, and then we'll kind of talk about them all in relation to aim. Um, so the first one is you always use this, this notion of a medical home. What the heck does that mean? Okay.

Jake Summers (18:44):

Okay. So, uh, I am not probably qualified to speak on this entirely, but what I'll the easy way to think about it is to have one place to go to triage all your medical needs, you know, a primary care provider plays that gatekeeper role in the healthcare system, but unfortunately a lot of times primary care providers don't have the ability to say, Hey, why don't you walk down the hall and talk to a therapist? Or why don't you just go back to the front desk? And we're going to set you up with a case management appointment and we're going to bring all our providers in. So what we want to do is create a medical home, focusing at first on individuals in or seeking recovery. So this is really important to us because unfortunately, you know, in medical school, I just had a buddy graduate.

Jake Summers (19:28):

And I think they did, you know, two hours on addiction training and all of med school. So doctors aren't coming out of school with a lot of knowledge or experience in the addiction field. And one of the worst things that can happen to someone in recovery, especially early recovery, is that they go to their primary care provider, complain about anxiety and walk out with the Xanax prescription, not thinking anything of it. And so we want to create a medical home. That is a really good, uh, container for individuals who are in recovery and want to get all of their services with an eye to that kind of underlying condition.

Tripp Johnson (20:06):

Um, and, and that sounds like you always talk about primary care being an element of this, but it's like, you know, if somebody comes in for a psychiatry, we want their blood pressure taken. And it's like, you know, talk about like this stuff is all related to mental health diet, exercise, you know, all your lab results. So I, I think that, that makes sense. So it's like, don't do these things in a vacuum. Don't go talk to one guy about your cholesterol. And, you know, that might be a result of, of all the meds you're taking on the psychiatry side, stuff like that.

Jake Summers (20:35):

And that's really important just in, we think about, you know, the people who are on our team, both at aim and at Greenhill is that everyone buys into this idea of wellness. Everyone wants to improve their own lives. Like we are not a stagnant organization. So I am thrilled that Matt Bader is joining our team as the medical director at aim and Greenhill. He's a psychiatrist, some cool stuff. Like we really hit it off because we were talking about, you know, ultra marathon running. We were talking about, uh, mindfulness practices. We were talking about, uh, both of us have a vegetarian or plant-based diet now. So just the idea that our providers are not, you know, the, I think one of the worst things you see in healthcare is like, you see a cardiologist who smokes. Like that's not good and that's not that that's just not what we're going to do at aim. Like, you know, we really want people to walk the walk.

Tripp Johnson (21:28):

Um, well that transitions us to our next word perfectly. We're going to, we're going to travel to the Mediterranean, um, and define the Greek word. So I I've heard you say it two different ways. So you diamond IA is I think the Greek pronunciation, but, but everybody seems to say eudaimonia.

Jake Summers (21:44):

So I always said eudaimonia and then I was corrected by someone with a PhD in, uh, I guess Greek philosophy, uh, shout out Christina, Shen V uh, who said you diamond IA. And she said it multiple times to me. So I'm going with you diamond Nia from now on. If you hear

Tripp Johnson (22:01):

Eudaimonia, we're talking about the

Jake Summers (22:02):

Same, your diamond near eudaimonia. I don't know.

Tripp Johnson (22:05):

Um, so what does it mean? Why does it matter us? Why, why bring this, this crazy Greek word into our lexicon? He says every day,

Jake Summers (22:14):

Uh, a hundred times a day, probably. So I actually just learned this word less than a year ago or came across it in a book I was reading. And I, it finally captured the essence of what I think we're all about, and it's the notion of human flourishing, it's it that we want to beyond being happy or joyful. It's this idea that we, you know, we live with a purpose and we are, you know, we're happy and contented, but it's that purposeful, deep seated content that we are a part of something larger than ourselves. Um, I think that's what we're all after. And that often different practices, like everyone knows I have a big yoga and meditation practice, and these are great tools to help in flourishing, but it's not the only, they're not the only tools. And so the idea being that all of us want to experience flourishing, whatever that means for us and that that's what our healthcare system needs to provide.

Jake Summers (23:09):

So I get really frustrated even when we talk about treatment, like, we don't want people going around being dry drunks, right? Like we don't want people who are just sober but miserable. We want people to experience the joy of life. Um, and that's really, that's what I think it's about. And this is where I think as a healthcare system, we have so much room to improve. You know, we shouldn't be going to our, like, I go to a primary care visit and they're just give me a thumbs up, come back in a year. Like, no, how about you help me optimize my health? Like, are you really asking me much about my sleeping? Are you asking me about my nutrition? You know, have so yes, eudaimonia. The, a very important term to me, that's kind of our north star. We want people to flourish, whether they're on our team is providers or whether our patients.

Tripp Johnson (23:54):

Yeah. That was why I brought that up. Cause all this stuff that you were talking about with Dr. Bader is just this idea, like you two initially connected on this idea of human flourishing, that's something that is woven woven through our DNA. And really that's like the ai m difference, right. Is that we're building this, this practice that's based on thriving and not surviving. That's like, like heuristic is like, you're not coming here just to S to get a prescription and survive. You're coming here to make your life better. Yeah. Um, which is just, is awesome. Um, so the, uh, the last word in vocabulary roulette is Aveda. So, so it's, it's kinda hidden in the name. Um, and it's, it's a term that we've connected on a, for a long time, but tell us what a Veda means and, and you know, why it's the first word in an AIM or Aveda integrated medicine. So,

Jake Summers (24:46):

Uh, again, I originally came across this really from my kind of study of Eastern philosophy. Uh, there's a school of thought called Advaita Vedanta and, uh, there are dualistic thoughts or dualistic schools where, and then there are non dual schools. Advaita Vedanta is a non dual school of thought, meaning that, you know, really there isn't this, um, there isn't this like little part of us inside that is separate from the rest of the world. So we're all just having one experience. That experience includes the thoughts we're having, the smells, the sights, the things we feel, all of that is integrated into just what is our experience. So typically Aveda would be used kind of on a personal level, but I just really liked the notion of non-duality and the fact that, you know, the human mind really likes to categorize things and put things in a box.

Jake Summers (25:41):

But really, again, what we're after is flourishing and understanding how interconnected everything is, is paramount to helping us flourish. If we think we can go, you know, just tackle one problem at a time without understanding the ramifications. Like if I want to get, you know, make more money or have a better professional career, I have to understand the impact that plays on my wife and my family. And like, that's, that's really important. And so like, that's the approach that we want all of our providers to take. And it's, it's why as a company culture, we're really big on personal and professional development. Like, we don't want you to just get better at your job.

Tripp Johnson (26:21):

Um, I'm sitting here laughing and most people start companies with a business plan and a financial model. You start them with a nice cocktail of Eastern and Western philosophy.

Jake Summers (26:32):

Yeah. I mean, I, yeah, best of

Tripp Johnson (26:35):

What's out there. Yeah. And it's, and it truly is woven through the DNA. Um, cool. So that, that, that all makes sense. So we're building aim, it's a standalone medical practice. Um, we have this awesome rock star psychiatrist who, you know, fits our values, you know, north star, as you mentioned, um, who's coming in and, uh, and we're excited about it.

Jake Summers (26:56):

And one of the coolest things that we haven't really touched on, no reason to, but everyone who is coming into our orbit now is like, no, one's coming through indeed. No one's coming through a recruiter. I don't really believe in recruiters for the most part, uh, check, check with me in a few years as things grow, but everyone's coming because they're attracted to what we're doing and they're coming as personal recommendations. You know, I met Dr. Bader because of my connection with UNC and their collegiate recovery program. He's worked with a lot of young adult, uh, young adults in the past, especially at UNC. And so it's just really cool that we're now kind of at a size where we get the ability to just attract the people that we want to work with. Um, and we don't have to go out there and, you know, pay a recruiter and, you know, whatever else. So I'm just super excited about that.

Tripp Johnson (27:50):

Um, yeah. And, and everybody's coming in for the right reasons, which is, it was really cool to see. Um, all right. Do you want to chat about the finances at all? Um, so I think, you know, one of the, the ideas about this and, you know, we've done the same thing with green Hills is we want this high quality product, but we also want to be in network with everybody, make it accessible. So just talk a little bit about that.

Jake Summers (28:15):

So this is the bane of my existence and also the most enjoyable thing. Uh, this is a really, really hard nut to crack and it's how do we provide high quality care? That's also accessible, affordable, et cetera. And so I think there are a lot of misnomers out there, but our goal, just to answer the question succinctly is we want to be known as building a high quality recovery oriented system of care that is in network with commercial insurance, meaning we're going to go in network. We already are in network with a few providers, but our goal is to go in network with everyone. And even if we don't get great rates initially, like what we want to do is say, Hey, we are here to make the healthcare system better. Keep working with us, you know, let's share what's going well for us, what isn't and then advocate for what policy should look like, because I get really frustrated.

Jake Summers (29:07):

Yes, you can. You can be in private practice and just charge a flat, hourly fee one that data isn't collected anywhere. Like that's not helping drive longterm outcomes. Insurance companies have phenomenal data that can actually help move the field forward. And if we're just, you know, circumventing that system as a whole, like we're not actually buying into what's going to make it better. Also. I don't care how much money you make. You can have the Cadillac insurance plan, but you might be trying to go to providers that aren't in network. And for some people that's okay, but I don't know anyone who's happy about, you know, not healthcare covered by insurance. And so I personally believe that we can do better and I want to challenge anyone who's in the healthcare field. I don't just assume you can't make money. You know, being in network, don't assume that this isn't good enough for you. I really wish people would at least go through the process to get a contract extended and then, you know, build out their pro forma and see what it looks like. So yeah, we want to build high quality insurance driven treatment options.

Tripp Johnson (30:14):

All right. Is there anything we've missed? Give you a kind of an open-ended here?

Jake Summers (30:19):

No, I mean, we, we just did our soft launch. Um, I'm really excited. We've got a, uh, a great team it's still, you know, coming together. I think my, my guess is that this will grow fairly quickly, but we've already started recruiting additional providers with, uh, different kinds of subspecialties. And we just, we really want to deliver tailored care to specific populations. So, um, you know, we started out in the substance use or addiction field. We saw how much that bled over into the mental health field. And so we needed to integrate those recently. We've also seen a number of clients that have struggled with disordered eating. So that's something that's kind of top of mind for me. Um, but no, we're really just super excited. There are a lot of people, uh, who've chipped in to make this happen. It's been a lot of hard work and it's still pretty scary. I mean, I, I just want to flag, like we've got some big bills to pay and, uh, I don't think it's going to be a problem, but it is scary. It feels like, you know, we're suiting up for game day. So I'm just excited and I couldn't be more grateful to you as a partner and, you know, bearing with me over the craziness. We're having fun. It's a lot of fun. Um,

Tripp Johnson (31:33):

So keep an eye out for details on aims to we're we're setting,

Jake Summers (31:38):

Launch fiscally like the full launch, November 15th, but we are seeing patients. Our website will be up soon. That's www dot aim, wellbeing.com. And you can find us on Facebook. Yeah. Reach out trip, aim, wellbeing.com info at aim, wellbeing.com. Let's do it. Let's make healthcare better and more fun. And that's about it. We're going to flourish flourish, baby. You diamond. All right. Well, thanks

Tripp Johnson (32:10):

For filling us

Jake Summers (32:10):

In. All right. Let's go figure out these bank accounts. Now what's on our list now back to the grind. All right. Thanks everyone.