Vance began his career in the acute hospital management business. He served for almost 20 years with Hospital Corporation of America and Brim and associates. With the Brim companies he functioned as an operational Vice President, where he provided management oversight for 10 Hospitals owned by local communities. He was also on the Board of Brim Senior Living, which owned, developed and operated assisted living properties around the country.
Vance was part of a small partnership in Boise Idaho which developed Assisted living facilities around the country (Over 100 facilities in 12 states). At the same time he formed a consulting group providing services to the assisted living industry. He currently provides oversight for Americare LLC a Memory care company which operates facilities in the Northwest. And he has started up a Post-acute care company with 3 facilities in Missouri (Sunterra Springs LLC). Two of those facilities are open and operating in Independence and Springfield with a third under construction in O’Fallon (St.Louis area). Vance holds a masters degree in Public/Healthcare Administration from Brigham Young University, and serves on the Marriott School of Management Alumni Board.