Insights
Notes from inside the operation.
Perspectives on running, growing, and buying home-based healthcare businesses, written by people who do the work.
- Scaling6 min read
Your second location will not run on your first location's heroics
Multi-site expansion fails less from bad markets than from exporting an operation that only worked because the founder was in the building.
- Growth5 min read
One rainmaker is a risk, not a growth strategy
If most of your referrals arrive through one person's relationships, you do not have a growth engine. You have a single point of failure.
- Leadership5 min read
The first 90 days of a fractional executive engagement
A fractional leader does not have a year to learn the building. Here is how the first ninety days should actually run.
- Acquisitions6 min read
What buyers miss in home-based healthcare diligence
The financials tell you what a business earned. They rarely tell you whether it can keep earning it under new ownership.
- Growth5 min read
Census is a system, not a number
When census is flat, most agencies look at their liaisons. The better question is whether anything behind the liaison is built to convert.
- Leadership5 min read
Mission statements do not run shifts
Culture in healthcare is not what leadership says at the all-hands. It is what the operation makes easy, hard, rewarded, and tolerated.
- Home Care5 min read
Caregiver retention is mostly a scheduling problem
Home care owners talk about turnover as a hiring problem or a pay problem. The lever hiding in plain sight is the schedule.
- Hospice6 min read
Launching hospice is an operations project, not a licensure project
Most organizations treat a hospice launch as paperwork. The license is the easy part. The operation that has to exist on day one is not.