209: Aging in Place: How JoeyCo Matches Older Adults with Student Housemates
Release Date: 08/07/2026
Absolute Trust Talk
What if staying home as you age cost a fraction of what a nursing facility does? In California, a shared room in a skilled nursing facility averages about $130,000 a year. Choice in Aging's Medi-Cal waiver program works with about $6,000 per person per year to help people remain in their own homes, with the care, connection, and dignity they want. This week, Kirsten Howe sits down with Debbie Toth, President and CEO of Choice in Aging, a 77-year-old Bay Area nonprofit that helps older adults and people with disabilities live and age in community. Debbie explains how the Multipurpose Senior...
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Once a student is living in your spare room and working for your household, the questions get practical fast. Can they have a friend over? What did the screening actually check? And if it stops working, how does it end? In Part 2 of her conversation with JoeyCo founder Alison Donnally, host Kirsten Howe asks all of them — and gets straight answers, including who tends to apply for these arrangements and, just as usefully, who doesn't. Every JoeyCo match rests on two agreements that reference each other — a lodging agreement and a household employment agreement — and Alison explains why,...
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What if the answer to aging well at home isn't an expensive caregiver --- but a college student in the spare bedroom? In this episode, host Kirsten Howe sits down with Alison Donnally, founder of JoeyCo and a healthcare innovation veteran of Amazon Care and Kaiser Permanente. After three of her own family members experienced major health events while aging alone, Alison asked a question that wouldn't let go: if the au pair system gives American families relatively affordable live-in childcare, why isn't there an equivalent for older adults? Her answer is JoeyCo, which matches older adult...
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When most of us picture an older adult moving out of a long-time home, we imagine a crisis — declining health, a loss of independence, a move someone else decided was necessary. This episode is about the opposite. Host Kirsten Howe welcomes back real estate agent Nathan Jines of Jines Real Estate Group to talk about homeowners 55 and up who are choosing to relocate — not because they have to, but because they want to. Nathan explains why this is his favorite group to work with, and why the most important question isn’t “where should I go?” but “what do I want this next phase of my...
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In this episode of Absolute Trust Talk, managing attorney Kirsten Howe shares an estate planning miss that has nothing to do with your documents — the literal, physical mess we tend to leave behind. Drawing on years of trust administration experience, Kirsten explains what really happens when one child is named trustee and inherits the job of emptying a home filled with decades of belongings: stalled home sales, frustrated siblings, and inheritances delayed by months. She also shares the story of a daughter trustee who nearly hauled a box of "trash" to the dumpster, only to find $2,500 in...
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In this episode of Absolute Trust Talk, managing attorney Kirsten Howe tackles a quietly common source of family conflict: parents giving money to their adult children without documenting whether it's a gift or a loan. Drawing on years of trust administration experience, Kirsten shares a real family story where canceled checks sparked a bitter dispute among siblings after their parents passed, and she walks through the simple documentation steps that could have prevented it. She also addresses a second pitfall most families overlook: when a loan is properly documented up front but the...
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In this episode of Absolute Trust Talk, managing attorney Kirsten Howe tackles one of the most common — and commonly overlooked — estate planning scenarios: what happens when one spouse inherits money, assets, or real estate after a joint trust is already in place. Kirsten breaks down the difference between separate and community property in California, explains why adding inherited assets to a joint trust doesn’t change their character but does affect who controls them, and walks through the two practical solutions her firm recommends. She also reveals a lesser-known complication: that...
info_outlineWhat if the answer to aging well at home isn't an expensive caregiver --- but a college student in the spare bedroom? In this episode, host Kirsten Howe sits down with Alison Donnally, founder of JoeyCo and a healthcare innovation veteran of Amazon Care and Kaiser Permanente. After three of her own family members experienced major health events while aging alone, Alison asked a question that wouldn't let go: if the au pair system gives American families relatively affordable live-in childcare, why isn't there an equivalent for older adults? Her answer is JoeyCo, which matches older adult homeowners ("hosts") with screened, vetted local students ("Joeys") who rent a room in the home and work for the household --- groceries, dog walks, trash cans, and the everyday help that keeps life running.
Together, Kirsten and Alison break down what makes these arrangements actually work: the legal structure behind every match in California, the clear expectations set before anyone moves in, and the simple communication habits that keep small issues from ever turning into big ones. They also explore the deeper reason this model resonates: as we age, our world tends to get smaller. A little help --- and a little company --- can push it back open.
Time-stamped Show Notes:
0:00 Introduction
0:30 Kirsten's focus for this episode series: not living longer, but living better --- all the way to the end.
1:05 Meet Alison Donnally, founder of JoeyCo, with a background spanning Amazon Care, Kaiser Permanente, the NFL, Tuck, and Wharton.
1:40 The concept in a nutshell: older adult "hosts" get affordable help at home, and student "Joeys" get a place to live and a job.
2:42 Alison shares the personal inspiration --- three family members, aging alone for very different reasons, each experienced a major health event.
3:25 "These are not healthcare things that are happening to my family members, until it is something that is healthcare."
3:50 The aha moment came from the au pair system: why not affordable live-in support for older adults, too?
4:52 How it works in California: lodging agreements, household employment rules, and keeping the complexity on JoeyCo's side.
6:45 Who becomes a host? Often women aging alone with an extra bedroom and a desire to help solve the housing crisis.
7:30 Another common host: a household where a family member is the caregiver for someone with dementia or a chronic condition.
8:05 Every match starts with one question: what would make this host come alive?
8:47 Kirsten's theater-line story --- Joeys aren't caregivers, but getting to a play matters, too.
9:45 Even chit-chat in line adds vibrancy to a life that can start to feel smaller with age.
10:21 "One by one, we lose our friends." Why JoeyCo is more than a business transaction.
11:42 Did you know? A room-for-chores swap isn't legally compliant in California --- every match takes two agreements: monthly rent from Joey to host, and biweekly W-2 payroll from host to Joey.
12:56 The house manual covers the roommate stuff up front: Wi-Fi passwords, fridge shelves, and clear expectations.
13:30 Weekly look-ahead meetings keep payroll accurate and schedules in sync --- flexibility requires communication.
13:55 The bathroom fan story: handling the little things before they become big things.
Take the Next Step in Your Estate Planning Journey
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