Three years ago, David Mayor saw a problem most Americans feel but few are positioned to solve. Hospitals across the Midwest — particularly in smaller, rural communities — were running dangerously short on nurses. Nursing schools couldn’t keep up with demand. Younger workers were leaving for big cities. And an aging population still needed care.

So David founded Gateway Health Technologies, a company that recruits highly qualified, English-speaking nurses from countries like the Philippines, Africa, and Mexico, and places them at hospitals throughout the United States. Gateway handles everything — green cards, permanent residency for nurses and their families, housing, furnishings, first month’s rent, airport pickup, hospital visits, and more. It’s a high-touch, relationship-first business built on the belief that when you take care of people, everyone wins.

And it’s working. In just three years, Gateway has placed nurses in four states and holds contracts with major hospital systems.

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Finding a Banking Partner That Gets It

When you’re spending roughly $20,000 per nurse — and the visa process alone takes up to three years — cash flow is everything. As Gateway grew quickly, with hospitals sending in millions of dollars’ worth of orders, David needed more than a big bank. He needed a partner.

“We’ve worked with very large banks like Chase. But we needed someone who could understand our business model and be willing to be flexible — with loans, lines of credit, and real support.”

A colleague referred him to Prism, and it clicked almost immediately. Within six months of founding Gateway, David brought his business to Prism.

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A Relationship Built on Trust

What’s kept Gateway with Prism for over two and a half years isn’t just the products — it’s the people. David speaks warmly about his relationship with his Prism banker, Michael Aholt, describing him as “a really generous, kind guy. Always very honest — not a sales guy. Straightforward. A family guy who really understood our model.”

That kind of personal attention mirrors Gateway’s own philosophy. Just as Gateway flies out to meet every nurse at the airport and visits every hospital monthly, they look for partners who over-deliver on service too.

“We’re not focused on the lowest cost. We want to be able to pick up the phone and really get help.”

At Prism, that’s exactly what they found.

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