Many banks are at the national level.  

My lending entity (i.e. my LLC) has a bank account at a national bank. 

Half of two examples above and about 15-20% lower than national median.For desirable cities, there'll always be demand.

I know CMS becomes less of a payor and more of a National Health Service every year, but you aren't having to actually get your facility accredited or medicare certified are you?

It's been a while and I realize I've been posting a lot less, but I came to the opinion that THERE ARE LOTS OF YOUNG PEOPLE WHO ARE A WASTE OF SKIN and IT'S VERY POSSIBLE TO FAIL AS A PARENT through my experience as a teacher.The worst failure as a parent that I ever saw in my position was a Greek national lottery winner.

@Cameron Davis  If you took the training, NAR-National Assoc. of Recovery Residences, you would be able to screen a sober house operator or start your own. 

Avoid the national players.

this is somewhat true. depending on the size of the "skeleton". what we found from being in renovations for 8 years and new construction for the last 5 years nationally is that what actually makes the money is design, entitlement, land acquisition, etc. you can pull every lever in new construction. it's more active and you have all the control. if you don't make money it's your own fault. talk to any lender who looks at deals they would agree. banks prefer ground up at the regional level who see deals than existing renovations.

that's why I relocated the national institutional markets want florida and net migrations in miami dade is #1 of any county in the USA 

Most national or mainstream mortgage lenders do not offer Super Jumbo mortgage loans (typically above $1.5-$2.5M) Although Super Jumbo Loan Lenders can provide loan amounts from $3M-30M+The majority of these buyers obtain their mortgage recommendation through their real estate professional or frequently through their existing private or premium banking relationship.