About This Episode

In this episode, Mike Cairnes discusses leaving a career leading national retail companies after his own third child was diagnosed with autism. He explains how he came to lead JoyBridge, an organization built around multidisciplinary autism care, and why he believes clinician retention and consistency are the foundation of effective therapy for children and their families navigating a new diagnosis.

Listeners will take away how a corporate leadership background can translate into running a clinical organization, including the discipline of developing leaders and tracking outcomes. Mike also reflects on what surprised him about running a mission driven business compared to corporate retail, and offers a message of hope for parents newly navigating an autism diagnosis.

More on how behavioral health teams stay in contact between visits

FRANSiS builds AI Powered Helper messaging for mission driven teams. If this conversation resonated, these resources go deeper:

[0:00] Introduction: From Retail Executive to Autism Care Leader

[1:21] The Diagnosis That Changed Everything

[2:22] Walking Away From Corporate Success

[5:48] The Boardroom Moment of Clarity

[6:11] Meeting JoyBridge Founder Rogers Clayton

[7:41] Scaling From One to Fourteen Clinics

[9:05] The Multidisciplinary Care Model

[10:20] Clinicians' First Philosophy

[12:00] The Reality of Working in Autism Care

[13:13] Helping Parents Navigate the System

[14:11] Why Schools Struggle With Individual Attention

[16:31] The Little Girl Who Found Her Voice

[19:02] The Power of Consistency in Care

[21:23] Developing Clinical Leaders

[23:11] Why This Is Harder Than Running Kirkland's

[25:20] The Daily Chess Board Challenge

[26:24] Leading BrightStone Nonprofit Simultaneously

[29:52] A Message of Hope for New Autism Parents

[32:26] Vision for Sustainable Autism Care

[34:19] Leading Your Best Life Through Mission Work

[35:50] Unlearning Corporate Performance Obsession

Episode Transcript

[0:16]  Welcome back to another episode here on the Horn Hustle podcast with our next guest that spent years running multi-million dollar retail operations. Then when his third child was diagnosed with autism, that moment really knocked him off course and ultimately gave him what he couldn't ignore. So Mike, talk about it. Where are you at today, man, that you couldn't ignore?

[0:35]  Well, thank you for that introduction. So yeah, with our third child, um everything changed. Um when he was born, he um seemed to develop very naturally like our first two children. He um he got to a when he was at age two, he you know he had a you know half a dozen words and language and then all of a sudden as the weeks ensued he started losing his language he started pacing uh back and forth a little bit more. And um and then we also noticed too that um uh loud noises and and sometimes um uh any direction we give him, it was almost like he couldn't hear it. And so he was in almost like in another world into himself. Uh at first we thought he had lost his hearing and um then uh we got him um reviewed by a neurologist and that's when he was diagnosed with autism. So here I am going, you know, going along in my my career and uh and then you get this and uh you know at the time it was um it was a like a punch in the gut and then um I had um even before I was married I had always volunteered with Special Olympics. And so

[2:00]  I kind of felt like okay I got this. I'm I'm we're ready for this. we we'll we're going on a journey and we'll we'll figure this thing out and uh and now he's you know he's grown up uh as an adult and um I I just don't know life without him.

[2:17]  Yeah, I love this. I love the story, man. And you talked about walking away from we talked about earlier at the beginning, walking away from something that that was your career. I mean, you're president of of Michaels and CEO of Kirkland. Um, what in the world prepared you or failed to prepare you for what you would face in the healthcare industry?

[2:38]  You know, I I don't know if you could be prepared for the healthcare industry. I think um, you know, I was president of Michaels where I was overseeing the subsidiary businesses. I um um eventually then moved to a company called Kirkland's where we had 400 stores and I became CEO of Kirkland's and um I think um I think all of the the combination of you know all these experiences and and prior to that I had an eclectic career. I was I've been very blessed. uh I was in technology and I was in manufacturing and I think it just gave you kind of tools and um you know ways to you know help lead a a team of people and uh and I think that's what kind of help build a bridge for me in the healthcare and then you surround yourself with really great people and knowledgeable people and I think that's been the you know the the real secret you know here at Joybridge Kids.

[3:39]  Yeah. I I want to talk about how sometimes we plant seeds in our own lives and don't realize it. How you were involved in Special Olympics and then life happened and you're like, "Oh yeah, I'm I'm a little prepared for this." Like I' I've been in this field.

[3:51]  Do you think that was kind of that seed that was planted for your son?

[3:56]  I think there was um I I do I think there's been a path um that I think have has been created. So, you know, I it was, you know, seemingly, you know, um out of the blue, I I volunteered for Special Olympics. It was a friend of mine who um at the time I was playing volleyball and he was the president of the volleyball association. Said, "Hey, Mike, can you run volleyball for the uh state games uh in out of Atlanta?" And I just, man, I the first when I did it the first day, I just fell in love. And uh I just loved all these these kids and they just were so happy to be there. And um so I think that paved, you know, the path and I think the path to Joybridge Kids, I think there were several events that played into it. So you know, I was um I couldn't tell you exactly the moment, but we um I was with with Michaelels. We had a very good year. Um we were a very profitable arm of Michaels and I remember we had amassed a you know in the neighbor you know hundreds of millions of dollars of gross margin and we were I was sitting in the boardroom and we were doing our budget for the following year and um they uh I was and in the boardroom for this private equity company where they had a private chef and a you know beautiful you know they had a beautiful boardroom and um it it it kind kind of hit me that you know all this money is going to you know a lot of very wealthy investors is really what's happening and I said how do we

[5:43]  what was running through my mind was like how do I divert

[5:47]  the efforts to those who really need it these families with kids with autism or the special Olympus organization and um I remember going home um I came back I talked to my wife and I said, "What am I doing with my life?" And she said, "Well, I I don't know, but maybe you can reset and start by unloading the dishwasher and then you'll figure it out from there." And um that's when I realized I needed to get more involved. And that's uh and that led me to, you know, working with a nonprofit. And um and I think when Joybridge Kids came around, I just jumped on it. And and one thing you mentioned to me was that the original founder was great at starting things but not running them. And you you had you've seen the vision, right? You have the experience of what it looked like to run huge organizations, multi-million dollar organizations. Yeah.

[6:41]  Um what did you bring to scale it? What what do you think was was what you brought to the table?

[6:46]  Yeah. So the original founder, his name was uh Rogers Clayton, marvelous man. And we have we met u by chance uh or perhaps not. And it was in 2021 and the um um I went toward the clinic that he had founded. He had started and was just kind getting off the ground. It was you know there was um um maybe a a quarter half full of of kids. But I love the DNA of what he had was building. And uh

[7:18]  he asked me what you know what what runs through your mind when you see this clinic? And I said just I said happiness. And I said, I just see I saw, you know, 12 little boys like my son in there, you know, and um and what he said to me, he says, I'm really good at starting things. And he goes, but I need someone to help me operate this and to scale it. As good fortune would have it, the following year in April 2022, he sold the business to a group called Frontline Healthcare Partners. And that's when they asked me to come on board as the CEO to help finish building out the model and then to to scale it. And um and it's been um it's been a great and crazy ride, you know, since since then.

[8:06]  Massive growth, man. Tell us about the growth, what happened in in just three years.

[8:10]  So, here we are now a little over three years later and uh you we were one clinic in um a little town called Mount Juliet, Tennessee. Uh we're now 14 clinics in three states. Um and um I am Ephrain, I'm I'm just so proud of this team. Uh we've got just an incredible team that has um you know really helped figure all this out and the um and that's what you that's what you need in doing this and you have to have team of people who are really giving of themselves uh to make this happen and we figured it out you know along the way. I I think some of my retail background helped. Um, but I think it was really just a a true collaboration that u you know made it work. And u one of the things too that I wanted to make sure I wanted there was a couple a couple key principles. One was I wanted to make sure that we weren't just building ABA clinics. I wanted to I wanted it to be the best the best in class is was the mindset that we had going in.

[9:18]  And so a couple things, one was we made sure it was multiddisciplinary. And what that means is you have ABA therapy is the core therapy for kids with autism, but we also offer speech therapy, occupational therapy as well. And so, um, we offer all those therapies under one roof because I know firsthand with our child that we would drive him from one place to another place to another place and none of it's connected. And and the truth is it was my wife who was really the Uber doing all of that. And um, and she just, you know, had to she gave her entire life to spending time to make sure all, you know, he was getting all the right therapy. Now we do it all under one roof. And so and um and I wanted to make sure that we offered the highest clinical quality. But to get to to that level of clinical quality, we said the number one strategy was that we would offer the highest quality care first and foremost to the clinicians. Because if we can provide the right environment, the right tools, some sense of joy in what they do in a really stupid hard job, then that would transcend to the kids and to the families. And that's what we have strived to do. And I just look to get a little bit better every every week. A little bit better, a little bit better. And I think, you know, we're pretty good right now. And I I think, you know, we'll the day will come, you know, where we'll be, you know, truly great at this. I mean, I can imagine you guys are great. I love how you kind of put the play on words that uh joy, right? Bring them joy. Joy bridge. Like, I don't know. I don't know you meant to do that, man. But I see there's joy all over the place.

[11:04]  Um clinicians have a tough job,

[11:08]  right?

[11:09]  Kicked, hit, all these different things happen, but they still show up

[11:13]  excited to come back to work. Why? Why do you think?

[11:17]  Because they are they're so selfless. um they get kit, hit, bit um and you know I remember one day I was sitting in the lobby uh with one of our registered behavioral technicians and um this was after uh dismissal. They had all uh all the kids had gone home with their parents and she was just sitting in the lobby. We were out just sitting next to her and I said, "How was your day?" And she goes, "Mike," she goes, "I'm not going to lie." She goes, "It was a tough day, man." She goes, "I got I got I got hit over here. I got I got bit." And but it was it was Yes, there was the physical part of it, but I think it was the emotional part that was so hard. And she just um and the um and you just realize just how hard this is. And then you come back in and then she comes back in the next day and her heart's so filled with joy. She's got a big smile on her face and she's ready to go at it again and she's not giving up and uh and that's what these folks do. Um they're amazing. Uh they're they have great energy and they're all in in terms of just trying to do what they can to develop, you know, these these children and um my job is to do everything I can for them to do that, you know.

[12:39]  I love that. I love that. Um so many parents just don't know what resources are really available, right, Mike? and and you're really helping move that needle. How do you pull the back how you pull the curtain back so these hidden paths become more visible?

[12:52]  Yeah, it's hard because um so once you learn and or figure out you know that your child u you know needs help or has been diagnosed with autism. Um they're, you know, right now it's it's for for many it's like almost in the in in the you know, right away it's almost like sheer panic. And so we just try to slow it down with them. And uh if they call us, we're going to walk them through step by step by step on what they need to do. And uh and just um because there's a lot of information out there. there's a lot of conflicting information and um you know and uh so what we all we can do is say okay let's just take it let's put one foot in front of the other one step at a time we got you and we'll walk them we'll handhold them and walk them through the process um until which time uh they've got um you know the insurance coverage they're ready to their their child is assessed and they're ready to go and we can bring them into the clinic and if it's if it's not us somewhere, you know, and um and and um so we make sure that we provide that resource for the parents. I love that you guys do a lot of different things. One of the things that you also mentioned is that in schools, kids are lumped into large groups with with, you know, that minimal individual attention, but Joy Bridge, you know, push backs against that default. What are you guys doing? So schools, you know, so my you know, my son went through um uh the school system. The the school systems are um you know, they they can be complicated to navigate as well. Um and so the first thing to understand with the schools is that u they have to you know they're you know they have they're um they have to medically uh support um the needs of the children that that they have. And uh so um you know the the the key thing there is knowing what your rights are, knowing how to ask for those services. And of course like anything, you know, they've got limits to and and budgets in terms of what they can they can afford to do. So, I know for us when we did it, it's you go through what's called an IEP process where you you formally request the additional services that your child is entitled to. And so we always kind of came in with the attitude that hey we're going to be rational, reasonable, we're going to work with the schools and we're going to figure out what is in the best interest of Killian and within uh within reach of what they can provide. And uh um once you understand that, I think everything else can go downhill. But for some of these children, so for some of these children, they're not ready for school. they can't. Um, so I'll give you um an example. Um, there's someone I knew and she had a little girl um and she was in another clinic and she um she said she's her girl's just struggling. So, I didn't want to oversell or push. I said, "Why don't you just check into Joy Bridge Kids?" And that's all I said. And then sure enough, she uh she did. Um, and we brought her a little girl in. Her girl is about three years old now. And, um, we take a lot of data. Um, because if you take data that kind of informs you what's working, what's not, and what next steps to take. Um, and she had a lot of acute behaviors. And so, uh, we were clocking over 80 behaviors a day. And, um, she would get very, very frustrated and disrobe herself. And um once we were able to unlock communication skills, then those frustrations dissipate a lot. And now um the ABA therapy starts to take hold. And uh she was um in another clinic and I happened to visit the clinic literally like three months later and um it was at drop off time and she was actually in the lobby area and she was kind of looking through the window. She just looked like a calm, happy, normal prek little girl. And I I couldn't I almost couldn't believe my eyes. And but you know, our you know, our clinicians are so good. Um and the RBT the registered behavioral technician kind of walked her out to the car to her mom and that was the day her mom heard her voice for the very first time.

[17:50]  Wow.

[17:51]  Where she said, you know, "Hi, mommy." And of course, you know, a lot of tears and the RBT comes back in. She's balling. And uh I saw the I saw the girl about eight months later.

[18:03]  Um and now um she has expansive language and she's playing with the other kids and um she's just a smart little girl and um within a year and a half, you know, we're metriculating her into school and now she's ready.

[18:20]  I love that.

[18:21]  And so um that's what uh you know, these clinics can do is get them ready. um you know to to participate uh in school and that's our job. We're trying to get them to um move to that next level where they can um you know be with other typical children.

[18:41]  It um it's cool. It's cool to you know our cups are filled by those moments, right? It's not about the paycheck. When you get to see that you're like that's what it's for. I was actually at at working at the um I think I told you I run the nonprofit for the high school that I graduated from and I just had the principal come to me during beginning of the school year

[18:59]  and I guess um they were trying to they needed they needed funds to help um I'm not really sure what they call the additional teacher that supports these kids but they he wanted to keep the same exact one with them for the whole school year cuz they they had one in ninth grade and I guess every year um it changes unless you really keep that same How important is that to have the repetition that same person that someone feels very comfortable with because it seems like Joy Bridge makes sure of that as well.

[19:27]  Yeah, it's it it's interesting you bring that up. It's a big deal. That consistency is a really big deal. It's for a couple of reasons. Is uh for that child uh to get comfortable um with that person um is what really uh enables them to uh progress. But also what we do too is we build a treatment plan for that child. And and so that registered behavioral technician, that RBT knows how to run that treatment plan. And so knowing, you know, kind of knowing the play is what really um you know, is really helps. And so um this is a very high burnout uh field and u so you know for us we do everything uh to make sure we have a great foundational culture and you know we want to retain all of our our folks who are just so marvelous and uh and if you can retain them then that provides that consistency that you're talking about.

[20:37]  Yeah. I I thought it was when he told me that I'm like it makes sense. Why would you every year have somebody different? Like it's almost like the child starting all over again. It is every single year.

[20:46]  I get it. Yeah.

[20:47]  Yeah.

[20:48]  So that's cool, man. You you you build a team, man, of leaders who really care that same heart. I I my question to you is how do you vet how do you develop and trust them to do this kind of work? Like this is completely different than hiring someone at a Kirkland or at at a Michaels, right? There's there's lives on the line here.

[21:08]  There is. Um we develop our leaders like crazy. And what I mean by that is um so we've got leaders who are coming in and and I and I'll I'll refer to the clinical director. So our clinical directors is the one who oversees that clinic. Right.

[21:29]  Okay. And um so they've gone to school and they've for and they have studied for thousands of hours on u you know business analysis I mean I'm I'm sorry on um you know on you know on you know you know therapeutic analysis and um what they have not been taught is kind of the business side of all of this and

[21:55]  the HR side of it because um you you know, they just have not had that experience of, you know, now they're thrust into a leadership role where now they're dealing with all different kinds of situations that they're having to deal with. And so we really invest heavily and train um with them. We provide uh a great clinic support team. We refuse to call ourselves corporate and we we're there for them. We build their trust so that they can come to us with all the questions that they have. um all the way down to we even teach them how to um you know understand what a P&L and read a P&L is so that they're understanding you know the performance of of the clinic that they're that they're doing so they can make good business decisions and um they're smart uh they're engaging and they're data driven and they just want to they just want to uh excel in what they do and uh I'm just blown away u by these folks cuz um you know they have really matured into be really fabulous leaders uh in their own right and I um um you know and uh we just continue to pour into it. The neat thing is once you get to a critical mass and so now we're 14 clinics and we just actually brought all our clinical directors for a two-day off-site meeting. Here's the cool part is now you've got good things happening in all these clinics. Now they can share with each other best practices and then those best practices now become 14 best practices and it becomes across the enterprise and now you start to build on that and so um I'm just fortunate to work with really really wonderful people um and uh and they're all in all in

[23:43]  what's more challenging running an organization like this or running a Michaels or Kirk? I you know they're both very challenging. I think this one I would have to say this is actually harder. Um and uh here's why. A couple reasons. Um so first of all this was really almost a startup, right? And so we were one clinic and going to two clinics, three clinics, four clinics, five clinics. And um so you can only afford so many resources. Like when we started it was just a few of us. It was like um myself and there was an HR coordinator and a person that oversaw the insurance side of it. And as you you see all the things that you would like to do and you see all the gaps that that need to be filled. And so while you're you're growing and building, um you just feel like you're getting beaten up along the way because you need to, you know, you you can't uh fill those gaps all right away. As you get a little bit bigger, you get a few more resources and you start to fill more of the gaps and things get a little bit easier along the way. Um but um it um you know I think you talk to anyone in any um in any world you know you know you know doing a startup business is really hard but it's particularly hard in our area and what makes uh ABA so incredibly difficult is this one-on-one relationship. So if you have a child with autism and they walk through the door there's a registered behavioral technician that's assigned to that person. It's not daycare. It's, you know, it's one-on-one

[25:31]  and we are medically treating that child from the time they walk in the door to the time they leave. So, you have this one-on-one relationship. And so, you have a clinic that might have 28 learners or kids in it. Um, on any given day, you're going to have some kids call out because they're on vacation or they're sick. And then on and then you also have staff that may be taking well-deserved time off. And so every single day it's like a chessboard building that schedule.

[26:01]  Yeah. Yeah.

[26:02]  Yeah. And and this is why a lot of clinics um do not do multi-disiplinary or don't do it well is because it's like a threedimensional chessboard because then you got speech therapy and occupational therapy for these kids as well. And so putting that together, putting Humpty Dumpty together every single morning is uh is is is quite a challenge. And then you're and then you got everyone confined inside a really an emotionally packed clinic.

[26:27]  If the Heart and Hustle podcast has ever sparked any idea or made you think differently, do us a favor. Make sure to guys share this, post it on LinkedIn, or even text that nonprofit friend that you just have. Whatever works. This is what keeps the conversation going and allows us to just grow this community together. Seriously, we appreciate you. And Mike, you're so busy because you don't just um lead Joybridge, you're you're also leading, if I'm mistaken, the nonprofit Brightstone.

[26:56]  Yep.

[26:56]  How does that role inform how you run the for-profit side of Joy Bridge?

[27:00]  Yeah. So, um I was um looking to I was transitioning from Michael's uh to my role in Kirkland's that I mentioned earlier. And um so I was it was actually at the point um when I was interviewing with Kirkland's and um um so when I came I flew in I was looking around in uh the Nashville area but I had read about this organization called Brightstone and they are uh a day program for adults with special needs and I was really um I was really captivated by them. So, I called up uh the founder and said, "Just love to come, you know, stop on by and see what you're all about." And uh so I met with her and uh they had a a development director and um they had just bought 140 acres and they were trying to figure out how do they build that operation on to this new property. And I remember the development director just looked me straight in the eye and he said you will you know because I and I told him I said there's they had told me there's 10 people interviewing for the Michael's job. So I said there's a 10% chance I'll probably be here and um but if there's anything I can you know anything they can do to help let me know. And and I remember him looking me straight in the eye and he said you will get that job at Kirkland's because God will will it. and he said, "You will u you're going to help us figure out how to build this operation onto this land." And um so, um I did get the job. I came onto the board of Brightstone and uh we went to work and um uh raised the money and we built uh a day program that will ultimately hold 80 adults in this day program. It's a state-of-the-art day program, probably among the best in the entire United States. And then what's even cooler is we're now starting to build a residential program from scratch. and and um where adults um can have a place to go because the biggest uh stress for um these parents with uh you know who have adults with special needs is where do they go when they pass away? What happens?

[29:29]  And u there's not a lot you that's out there. So,

[29:33]  yeah,

[29:33]  we had to get a bill passed um which we did uh in legislature to allow us to do this and now we're off to the races and we're now building our third and fourth home now.

[29:43]  So, I do that in my nights, you know, weekends spare time. It is the um you know, like Joy Bridge kids um it's just a joy.

[29:53]  Where do you learn this work ethic, man? Because that's truly what it is is work ethic, right? To be able to do the Joy Bridge, the nonprofit. you still have your own child that you're taking care of. You still have to be a husband. You still have to be, you know, all these different things as well. Like, where does it all stem from, man?

[30:09]  You know, Ephran, I I just love it. Um, so it's not work for me. You know, I get up in the morning every day

[30:18]  and um I bet you it's the same thing on, you know, where you volunteer for this high school. I get up in the morning and I just I I I get to work with this magnificent team. love what I do. I get to help all these kids and so I can't wait to get in and get going. Um the organization at Brightstone is um is also amazing and uh they're just um you know at this point um you know they're you know they don't really need u as much from me. they're they've got it and uh so whatever little I can give them and whatever small part I can play I'm I'm happy to do so and um you know and and uh so you know I I feel like I'm I'm able to um you know fulfill you know what I'm supposed to be doing.

[31:06]  Got it. Got it. And let's talk to those parents really quick as we start to wrap this up. What what do you say to those parents hearing autism for the first time? Like what's your message of hope of clarity of action? not only because you're involved as an organization, but you've experienced this.

[31:20]  Yeah. What I would tell a parent is it's going to be okay. Um and there's a um you know um you know and it's it's going to be a journey and um but um you know the the the science associated um with autism therapy has just advanced so much and um you know we can we can help them navigate their way and these um you I can tell you um you know my son just lives a very happy life and uh and that will be the same for their son or daughter as well and there there is a path out there uh you know for them and um you know we'll uh take advantage of the resources that are there and just love them and just um you know embrace that journey and it'll it'll be okay. And what's what's your vision for autism care in the next 10 years if models like yours are replicated widely? Because clearly you guys are doing it right. You guys are making sure that um this stands for a lifetime.

[32:29]  Yeah. What we're trying to do wi with what we're trying to build at Joybridge Kids is we're trying to build something that is going to be sustainable long beyond you know I'm here you know and um you know um you know my dream is you know on the day that you know I'm in a plywood box and they're throwing dirt on it that you know there's going to be u you know Joybridge Kids and clinics like us because I'm you know we we want to help all the other clinics uh that are out there. But my hope is that we have the resources in place uh for all these parents um uh to support them and also to support them holistically. In other words, uh ABA therapy is just one piece of you know what that child needs and what we're trying to do is provide um the whole for them. And um that's why we're building it the way that we are. And u um you and I think the um the autism community is kind of going through um a migration right now. And I think there's some really some really really good players out there and I think there's a lot of uh players out there that are really struggling right now. But right now, if we can be that beacon um where um we can help kind of lead the way in that that's that's my that would be my hope. And uh we can also um we can do this in a way where we can um you know we can continue to attract all this great talent to help these kids.

[34:12]  Yeah. and and Ephra I've got you know I I had this uh I was at a clinic uh a week ago and u you know once you start getting to a point where you're getting multiple clinics you have this ability where you can develop people and um they can and um so we had a young lady and I was walking I was walking through the clinic and she was like Mike Mike I need to talk to you and so I and she goes what and she's what you know uh I'll be done in like an hour. I said, "Well, why don't I just sit down with you while you're working with your child?" And so, well, she got promoted to lead RBT. And she was just so excited about that and the responsibility that came with it. And she's just awesome. And she goes, "Mike, I'm just I'm leading my best life right now." So if we can provide that then um that was is what's going to enable us to do what we want to do

[35:11]  100%. For listeners that want to support Joybridge, whether it's financially, advocacy, volunteering, what is the website? Are you guys on social? What's their first step?

[35:21]  Yeah, just uh you can um always contact us. I I would probably go to our website um and uh you know, look up Joy Bridge Kids. you'll find our website and um you know if if you're looking for a career at Joy Bridge Kids um you know we're um you know or you have a son or daughter uh that needs help, we're here for you. Um and then um uh Brightstone um is based out of Franklin, Tennessee. Um it's a nonprofit and um and they would welcome you know you know any support you could give um including charitable donations or um any support that you would you you know is in your heart um they really could use it.

[36:08]  All right, Mike, I'm put you in the hot seat. Last question, the blind question. All right,

[36:11]  get you really thinking here.

[36:13]  You live both sides, man. The corporate and the missiondriven care, obviously. What's one self-limiting belief from your retail days that you had to unlearn and how that shedding how did it unlock deeper impact in autism care?

[36:26]  Um, you know, the um, one thing I had to unlearn the um,

[36:41]  S, I know I was going to get you thinking, but

[36:43]  Yeah, that's a good question. So, let me let me take a I'm gonna take a shot at I think um what can happen what can happen in in um corporate America in retail companies and really a lot of companies um is you become very performance driven and the what can you can lose sight of what is really important and that's really the people part of it.

[37:15]  And so now, you know, I take more of a long-term view in in in our people and um and it's it's genuine it's it's trying to be uh genuinely building trust with your team and um so that you can talk about anything and where you're emotionally, intellectually tied together and um and and that is what's ultimately going to create is is going to enable you to win in whatever mission that you're you're trying to accomplish. And I think that was the thing I had to unlearn. And uh fortunately, I have some wonderful people around me who probably unknowingly kind of taught me that. Love it. Love it. Well, listen, Mike, it has been a pleasure to really learn more about you and your career and where you started and where you're still going, right? You still got so many more years to go. the transition. So many people think it's too late, right? It it's never too late. You follow purpose, follow passion. Um and and the money will follow in that sense. Do things that make you feel happy so it doesn't ever feel like work. Mike talks about it. He said it doesn't feel like work. I just love what I do every single day. Uh so thank you so much. Thank you for stepping up. Thank you for being a man and a leader and caring for others and giving back into this space as well. So, um, I hope to do this again as you start continue to scale and next time we're talking about 30, you know, clinics and maybe we're we're, you know, throughout all 50 states. Who really knows? But if you guys want to know more, it is going to be the website. I pulled it up is joybridgekids.com. So, check that out. Check them out on social. Mike, it has been a pleasure. My name is Ephrain. I'll catch you guys in the next one.

[38:58]  Thank you.

mc
guest
Mike Cairnes — JoyBridge
Behavioral Health

Mike Cairnes leads JoyBridge, an organization that provides multidisciplinary autism care built around ABA therapy and other coordinated services. Before entering healthcare leadership, he spent years as an executive in national retail companies, a path that changed after his son was diagnosed with autism. In this episode of Hart and Hustle, he discusses building a clinician-first culture, why consistency matters so much in autism therapy, and how he also leads the BrightStone nonprofit alongside his work at JoyBridge.

Ready to Transform Patient Engagement?

Join healthcare organizations nationwide using FRANSiS™ to reduce no-shows, improve patient satisfaction, and save thousands of hours every month.