MD Senior Living Academy


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Unveiling the Blueprint Series: Ignite Your Path to Success! 

Discover the Blueprint to RAL Success video series—a comprehensive guide unveiling the secrets behind launching and scaling a thriving Residential Assisted Living (RAL) business. From industry insights to property acquisition, staffing, marketing, and exceptional care, this engaging series equips you with the knowledge and tools to build a successful RAL venture and make a meaningful impact.

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Learn from experts and take the first step towards financial freedom and making a difference in seniors' lives.

An Inside Look of Residential Assisted Living Homes


A single assisted living home can generate monthly cash flows of over $10-15K...yes monthly! Assisted Living property 

How would an extra $10,000 or $15,000 a month transform your life?

Do you really want to practice medicine the way you have been working...all the way till retirement? Investing in stock markets and passive syndications is unlikely to get you the financial freedom you seek. Residential Assisted Living communities, or RALs for short, can give you the freedom to practice medicine the way you want to. Not because you have to.
There has never been a better time to invest in RALs than now!

But It’s Not Just About the Money

You got into the medical field because you wanted to help people, and helping seniors in your own RALs is a perfect extension of that. Why not make an gratifying impact beyond just investing?

You make an impact by providing seniors with safe, beautiful housing and personalized care - especially in their most vulnerable, golden years. And now is the perfect time to start because the “Silver Tsunami'' isn't just coming…

The “Silver Tsunami” is Already Here!

According to the US Census Bureau, by 2040, the number of Americans aged 65 and older will more than double. There are over 75 Million Baby Boomers out there, and the oldest won’t even reach their 80s for another decade - which is the typical age at which they will enter assisted living. Therefore, we are only on the rising tide of demand for assisted living.

But even today, the demand for senior living communities greatly outweighs the supply - and it’s only going to increase! This makes Residential Assisted Living a recession proof business that’s independent of market cycles. Seniors will always need assistance in their daily living beyond a certain age and the nation needs high-quality RAL facilities to provide that assistance to them.

10,000 People Turn 65 Every Day!

And you're the perfect person to provide this support while making a healthy profit because...

You Have a Huge Advantage in This Industry

When it comes to this industry you have a big advantage over your competitors, and that means you can provide a higher quality of care for your residents, while also making a great return. It’s an easy way to differentiate your facility from other homes in the area and create higher quality care to help seniors live longer, stronger, and healthier.

So what is this advantage?

It’s the fact that you’re a medical professional, of course!

It's one of the key reasons we were able to grow to owning 10+ RAL homes as rapidly as we did with leveraging of our physician partners!

Advantages of Physician Ownership


Physician Oversight

Families highly value care homes with physician oversight, as it brings a sense of comfort and assurance knowing their loved ones are in good hands. With medical professionals just a phone call or short visit away, residents can avoid unnecessary and costly ER trips or hospitalizations, ultimately improving their quality of life.


Health Technologies

As a physician gives you the opportunity to utilize various health technologies and medical services that are exclusively available to seniors with chronic care needs and require physician prescription. By doing so, you not only have better control over your residents' health conditions but also generate additional income.


High Demand

Physician-led homes are always in high demand, no matter where they are located. Expect your homes to fill quickly and have waiting lists, setting a new standard for other homes in the community. Families recognize the significant value and credibility that physicians bring, and are even willing to pay more for such high-quality care.

The Complete A to Z Guide to RAL Investing

MD Senior Living Academy was founded to specifically guide physicians on starting their own RAL homes and communities to help them achieve their own financial independence and life goals. We strongly believe that physician backed homes will offer superior value and quality to our aging senior population.

When I started out in this niche, I realized there was little out there that provided the complete blueprint to starting and running a successful RAL community.
There were bits and pieces here and there, but I had to figure out most things through trial and error and I don’t want you to have to do the same.
That’s why in the Academy we will guide you through every step of the process - from finding the right real estate, finding the right partners, building out your team, running the business successfully, and much more.
I’ll show you the exact strategies that worked for us and help you avoid the ones that didn’t. You will also discover how the power of your background and skills in medicine can help create high quality homes to help your seniors live healthier and stronger.

The MDSL Academy will guide physicians on how they can create highly profitable RAL homes with use of evidence based medical expertise and technologies. Academy homes will also freely participate in exchange of strategies, information, and tips across all homes to improve the standard of living for all our senior residents.

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Module One

Why Get into Senior Assisted Living?

This module provides a critical foundation to getting started in RAL. We’ll go over the opportunity in senior assisted living, the one KEY aspect that could be the difference between success and failure, and how you can get started even if you don’t have that much capital. (We started two RAL care homes with only about $25K each!)

Module Two

Real Estate: Understanding the Real Estate Opportunity in Senior Living Care Homes

This module is all about the real estate and property side of an RAL - including renovation strategies, acquisition strategies, and in-depth guides to every step of the process. You’ll get detailed breakdowns of different strategies of getting into the RAL space. I will share real-life examples of renovation budgets, and a concrete process to do due-diligence so you don’t overpay for your RAL. Finally we will cover the various financing strategies on how you can acquire your first RAL.

Module Three

Effective RAL Operations

Having a great team is key to running a successful RAL, but hiring the right people can be incredibly hard. That’s why in this module I’ll walk you through the exact process you can use to hire for every single position - from the manager and administrator to the caregivers. You’ll also get step-by-step processes on how to get licensed no matter what state you reside in. We will break down all the steps you will need to know what needs to prepared so the State licensing department can sign you off correctly - the first time. Finally, I will teach you how we utilize numerous marketing strategies we use to keep a near full occupancy rate across all of our homes. While many other homes in our region have struggled to stay afloat, our homes have consistently outperformed our expectations. .

Module Four

Leveraging Your Medical Expertise into Your RAL

Help your residents thrive and live safer (live longer and stronger) There are numerous personal health technologies, 3rd party services, and service organizations you can use if you’re a physician to further care for your residents. In this module I’ll go over the best options I’ve found and how you can make them work for you. Using remote health tech, you can closely track the health of your residents while also generating extra passive income - without becoming their primary care provider! It won’t matter what your speciality is in medicine having your medical license will allow you to tap into these service. By implementing some of these strategies, you will learn how this will set your home lightyears apart from the competition to the point your RALs will be setting a new standard for others in your area to emulate!

Module Five

Growth Strategies, Case Studies, & More

Want to know the exact revenues and operational costs behind my RALs? What about the powerful strategies I used to grow and acquire them? This module contains a lot of insider information you will not find anywhere else. Did you know once you have your first RAL up and running you will not need much additional revenues to get your 2nd and 3rd started? With just 2-3 RALs you can be financially independent, and I’ll show you how I accomplished that goal within 5 years!

But That’s Not All!

I cover a lot of content in the videos but I wanted to overdeliver which is why you’ll also get exclusive documents to speed up the process and make the complex process of creating policies, procedures, and licensing agreements much easier.
Here’s what you’ll get inside:

A comprehensive resource guide that supplements the course and has additional course information from renovations, to licensing and marketing strategies

(nearly 200 pages of information expanding on all sections of each module.)

A resident lease agreement document - utilize this as a model to set up a lease agreement between your home and your future residents

Policies and procedures for running a successful RAL community - the backbone documentation for all RALs and Assisted Living Facilities around the country

Information on specific licensing requirements that encompasses all 50 states.

Two Private Strategy Sessions with myself upon course completion so you can start your next steps. (Growth package has 1 session)

Access to an exclusive Inner Circle group and Monthly Webinar Series for ongoing support and education x 1 year. (Prestige Package)

Additional information on tax strategies, leveraging health tech, acquisition strategies, case studies, and much, much more!

Listen to Dr. Krishnan Discuss RAL Investing



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img I recently completed Dr. Krishnan’s Residential Assisted Living webinar and course and was unaware of the potential for growth in this field. As a full-time physician, I could never wrap my mind around how I would find time to take the first step into this arena. But after his step-by-step instruction, I feel that I am ready to move forward in opening up my first RAL. I appreciate the fact that I can simultaneously provide a service to my patients and open the door to financial freedom. Take his course; You won’t regret it!
— Dr. S. Natarajan, MD
img Excellent faculty, clear and concise! I appreciate Sendhil’s conversational style and candor in helping me better understand the RAL and ALF space. Real estate investing is an entirely new beast for me and Sendhil helped walk it through from the basics. With MDSL's help I have partnered and now own two cash flowing RAL homes - thanks Sendhil and the team!
— Dr. Sandeep, MD
img Dr. Krishnan and the MDSL Academy were instrumental in getting me started in my investing journey. His educational resources as well coaching sessions really guided me in understanding the fundamentals of investing starting with the absolute basics. I was better able to understand the fundamentals of different investment vehicles and I fell in love with RAL and this niche. I was able to see MDSL homes in operation directly, and the level of professional, enthusiasm and care they provide to their seniors is just inspiring. Investing in RALs (and ultimately joining the MD Senior Living organization) was the best thing I ever did for my financial future! Thank you so much for your help, patience, and sharing your wisdom!
— Dr. M. Ranat, MD
img Dr. Sendhil Krishnan is the pioneer of MD owned and operated residential assisted living for seniors and his knowledge and experience in this field is invaluable.
I first came across his work when I listened to the ‘Rich Doc Poor Doc’ podcast in February 2022. I was inspired and motivated after listening to his mission to serve our elderly population while running a very profitable business. A few days later, I decided to listen to the podcast again and research Dr. Krishnan's background - that is when I realized he was my senior resident in 2006 at the University of South Florida when I was an intern. Soon after I sent him an email commending his great work and success in assisted living as well as inquiring about how I can get into the business.
Dr. Krishnan has been an integral part of my residential assisted living journey. I have read all his Bigger Pockets posts and attended his MD Senior Living educational course which provided me guidance, knowledge, and motivation to pursue my goal of creating MD owned and operated senior living facilities in Northern California. I am currently in contract to purchase a residential assisted living home and Dr. Krishnan continues to provide support and guidance to ensure optimal success.
I can not say enough about how Dr. Krishnan has inspired, guided, and encouraged me to get to where I am today. I now look forward to opening the doors to my own residential assisted living home to help seniors live quality lives.
I strongly encourage anyone interested in getting into residential assisted living to follow the guidance of Dr. Sendhill Krishnan. He is an integral and invaluable part of my journey.
— Raj
Raj Kalra MD
San Francisco Bay Area
img As a general surgeon with limited time, Dr. Krishnan’s personalized guidance helped me enter into the RAL space. The team has been knowledgeable….You will not be disappointed and the value has been tremendous. I chose to ultimately invest with the MDSL team because of their professionalism, their attention to details, and the amazing compassion their team shows towards their senior residents. I cannot rave enough about them and if you are even slightly considering this amazing niche, I strongly encourage you to stop thinking and just do!
— Dr. Harish Yalamanchili
General Surgery,
Pomona, CA
img My wife and I have attended Sendhil’s Residential Assisted Living webinars and teachings. We were both very impressed with the quality and high-yield content that he delivered. His teaching style is engaging and his advice is actionable. He has a deep understanding of the operations of RALs and walks you through all the steps from start to finish. We aim to own our own RALs, and his course is just what we need to take the next steps!
— Dr. Jack Temple, MD

Meet Your Instructor

Dr. Krishnan is a board-certified interventional cardiologist in Southern California and co-founder of MD Senior Living, a leading provider of high-quality Residential Assisted Living Facilities in Arizona. With his passion for elder care and expertise in real estate, he has helped numerous healthcare professionals achieve financial freedom by teaching them the strategies and blueprint to create their own RAL facilities. Dr. Krishnan envisions a network of top-tier assisted living homes across the country, led by medical entrepreneurs who share best practices and policies.

Sendhil Krishnan, M.D.

Learn from MD Senior Living

Dr. Krishnan and Jeff Giedt, co-founders of MD Senior Living, operate more than a dozen top-notch RAL facilities in the Scottsdale area, emphasizing compassionate care under physician supervision. MDSL has served hundreds of seniors and received multiple accolades for its exceptional services.

Does This Mean You Shouldn’t Invest in the Stock Market?

Not necessarily.
Over the years, I’ve invested in numerous types of real estate endeavors as well as the usual stock and index funds. When I say numerous real estate, I really mean a variety - from being part of passive projects (syndications, to long term single family homes), as well as many active projects (fix and flips, STRs, and even multiple new construction/development projects) - you name it, I’ve done it - and still do to keep a diversified portfolio.
And while some of these are great for building wealth for the long-term, nothing comes close to the steady, consistent, high returns that a single RAL can generate year after year. Just think about the risk profile of many of the high risk, high reward investments that are out there - yes Bitcoin made millionaires the last few years, but it also wiped out many more seemingly overnight. Volatility is inherent in many investment classes, especially in uncertain economic environments.

My preferred method is creating large cash flow using RALs and then using the profits to scale and open more facilities - while also diversifying into other assets.

Now, I know this might bring up another question:


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