Grow Your Home Care Business in 2022 with Data Oriented Decision Making

March 4, 2022

“Without the data, you are just another person with an opinion.”

W. Edwards Deming.

By Stephen Tweed

You’ve heard me say it, or you have seen it in my writing.

“What gets measured gets managed, what gets rewarded gets repeated.”

It’s become the mantra that I have used with home care company leaders who want to grow their business and get ready for the future. And it has come true in our  Home Care CEO Mastermind Groups.  The largest companies in our groups are led by owners and CEOs who have a firm understanding of the data from their businesses.

Let’s start with the first phrase.  “What gets measured gets managed.”

What you track in your business determines your priorities. If you only track dollars, that shows us where your priorities are. If you track sales and marketing results, that shows that you put an emphasis on attracting new clients. If you track caregiver recruiting and retention, that shows that you put an emphasis on finding and keeping the caregivers you need to grow your company.

Leaders in the largest, fastest growing companies in home care track metrics, analyze results, and make strategic decisions based on their analysis. They evaluate programs, gather new data, and change directions when their analysis shows that what they have been doing is no longer working.

LET’S LOOK AT SOME INDUSTRY DATA POINTS

For over a decade, we have worked closely with  Home Care Pulse  on their annual  Home Care Benchmarking Study . This annual report gives us the best available data on most elements of a successful home care business. Let’s look at a few interesting data points from the 2021 Report. What could you learn about your business if you captured these same data points from your own company and analyzed the data?

  • The median sized home care company in 2020 was $1.95 million in annual revenue. The companies at the 95th percentile generated $8 million in revenue
  • The gross margin for the median sized companies was 35.9% of total revenue
  • The median sized company spent 5.1% of revenue on sales and marketing
  • The median sized company spent 3.2 of revenue on caregiver recruiting and retention

I suspect that most of you reading this newsletter are subscribers to the annual  Home Care Benchmarking Study , and you have probably compared your numbers to these data points. There are some other data points that perhaps you have not looked at.

  • The number one source of new clients is referrals from current or previous clients and their families
  • The number three source of new clients is referrals from caregivers and other employees
  • Companies over $5 million in annual revenue convert 41.7% of callers into clients
  • Companies under $1.5 million in annual revenue convert 29.7% of callers into clients
  • The median client acquisition cost across the industry was $595.00 

What do you know about your sales and marketing activities from looking at your own data? How has that data changed over the past two years since the Pandemic began? How have you adjusted your sales and marketing activities based on what you have learned from your own data?

One of the things we have learned by examining case studies from specific  Home Care CEO Mastermind Members  is that not all referral sources are created equal. New clients coming from certain categories of referral sources have a much higher lifetime dollar value of a client than clients coming from other referral sources. For example, we know that clients referred by Bank Trust Officers and other Trusted Advisors generate more hours per client per week, and long lengths of service, than clients referred by hospitals, home health agencies, and skilled nursing facilities.

What do you know from your data about the dollar value of your clients by referral source category? Would it be valuable if you could direct your sales and marketing efforts at those referral sources that bring the most valuable clients?

WHAT CAN YOU LEARN ABOUT CAREGIVER RECRUITING AND RETENTION FROM LOOKING AT YOUR OWN DATA?

Here are some interesting data points from Home Care Pulse about caregiver recruiting and retention:

  • The number one recruiting source in 2020 was Indeed.com
  • The median caregiver acquisition cost was $497 on Indeed.com
  • The turnover for new hires form Indeed.com was 76.1%
  • Turnover in 2020 was 65.2%
  • 57% of turnover happens in the first 90-days.
  • The number two recruiting source in 2020 was Employee Referral Programs
  • The median caregiver acquisition cost for employee referrals was $661
  • Turnover for new hires from employee referral programs was 63.8%
  • The number five recruiting source in 2020 was word of mouth
  • The median caregiver acquisition cost for word of mouth was $347
  • The median turnover rate for new hires from word of mouth was 47.1%

What could you learn from analyzing your own data about recruiting that would help you attract more new caregivers?

LEARN ABOUT YOUR COMPANY BY DISCUSSING YOUR DATA WITH YOUR PEERS

One of the most valuable activities in our  Home Care CEO Mastermind Groups  is our internal benchmarking process. On a regular basis, our members submit financial and statistical data. We create a table of that data so that members can see the mean and median for their entire group, and they can compare their own data to the group. Then we have in-depth discussions about each category so that members can learn what other members are doing that works, and the numerical results they are getting.

As Edwards Deming said, without the data, you are just another person with an opinion. You can have a conversation with other home care owners about various aspects of your business but without the data your are just discussing opinions. When members share data, results, and best practices, everyone in the group can learn and grow from the discussion.

If you would like to have this opportunity to examine confidential benchmarking information with other owners of similar sized home care companies who do not compete with you, then explore becoming a member of a  Home Care CEO Mastermind Group.


This article  re-published with permission of the writer, Steven Tweed:

Stephen Tweed, CSP,  is an internationally known health care and business strategist, award winning professional speaker, and published author. He is the CEO of  Leading Home Care… a Tweed Jeffries company  and the Founder of  The Home Care CEO Forum®  and  Caregiver Quality Assurance®.


Should you need assistance with your home care, home health, or hospice agency, then call Kenyon Homecare Consulting at 206-721-5091 or contact us online . We help agencies develop practical solutions for success in the home care industry.


Results Based Consulting

Did you find value in this blog post? Imagine what we can do for your home care or hospice agency. Fill out the form below to see how we're leading the industry with innovation, affordability, and experience.

Contact Us

breaking the bank
By Ginny Kenyon June 12, 2026
For agencies in 2026, Medicare home health is a labyrinth of costly red tape. Regulatory complexity has become one of the single greatest barriers to efficiency.
silver tsunami
By Ginny Kenyon June 9, 2026
Silver Tsunami- by 2030, 1 in every 5 Americans will be of retirement age. With an unprecedented rise in chronic illness the demand for home health services is huge.
Education improves inpact
By Ginny Kenyon June 6, 2026
In 2026, the management of chronic diseases such as diabetes, hypertension, and heart failure moved away from a reactive "wait-and-see" model to a 24/7 proactive ecosystem. Driven by Artificial Intelligence (AI) and the Internet of Medical Things (IoMT) , technology is no longer just a tool for tracking data—it is a "co-pilot" for both patients and clinicians. By analyzing thousands of data points in real-time, AI can effectively turn the patient's home into a sophisticated clinical hub. 1. Predictive Analytics: Seeing the Crisis Before It Starts The most transformative use of AI in 2026 is its ability to identify subtle patterns that human clinicians might miss. Machine learning models now achieve 93% to 97% accuracy in detecting early signs of health deterioration , such as heart attacks or sepsis, often before symptoms even appear. Early Warning Systems: For patients with heart failure, AI can detect gradual weight gain or changes in respiratory rate that signal fluid buildup. Risk Stratification: Predictive models analyze years of electronic health records (EHRs), genomic data, and lifestyle factors to flag "high-risk" patients months in advance, allowing for preventive interventions that reduce emergency room visits by up to 40% . 2. The Evolution of Remote Patient Monitoring (RPM) RPM in 2026 has moved beyond basic blood pressure cuffs. The integration of AI has created a "continuous monitoring" environment that is non-invasive. Contactless Vitals: Using ordinary cameras and AI-based analysis, systems can now estimate heart rate, respiratory rate, and blood pressure trends without the patient needing to wear a single device. Smart Wearables: Devices like smart rings and biosensor patches continuously track glucose levels, inflammation markers, and heart rate variability . If a threshold is crossed, the AI automatically alerts the medical team or triggers an emergency response . Adherence and Engagement: AI-driven smart dispensers and virtual assistants ensure medication compliance by providing personalized reminders and alerting caregivers if doses are skipped. AI vs. Traditional Chronic Management (2026) Data Collection Traditional Care (Pre-2025): Episodic (at office visits) AI-Enhanced Care (2026): Continuous (24/7 real-time) Diagnosis Traditional Care (Pre-2025): Reactive (responding to symptoms) AI-Enhanced Care (2026): Proactive (predictive patterns) Treatment Traditional Care (Pre-2025): Standardized/Protocol-based AI-Enhanced Care (2026): Hyper-personalized/Precision-based Readmission Risk Traditional Care (Pre-2025): High (post-discharge gaps) AI-Enhanced Care (2026): Reduced by up to 38% 3. Combating Clinician Burnout with "Ambient AI." While patients benefit from better care, healthcare providers are using AI to solve the administrative "paperwork crisis." Ambient Scribing: AI "scribes" now listen to patient encounters and automatically generate clinical notes , reducing the time clinicians spend on documentation and allowing them to focus entirely on the patient. Triage and Workflow: AI systems triage incoming data from thousands of RPM devices, only alerting doctors to the cases that require immediate human attention. This allows small primary care practices to manage larger patient volumes more effectively . 4. Challenges: Ethics and the Digital Divide Despite these advances, the adoption of AI in 2026 faces significant hurdles. Data Privacy: Using synthetic data (artificial datasets that mimic real patient data) is becoming a standard way to train AI while protecting individual privacy. Algorithmic Bias: There is an ongoing effort to ensure that AI models do not widen existing healthcare disparities by being trained on non-representative data. Trust: Clinicians and patients alike must navigate the "black box" of AI, learning to trust recommendations while maintaining human oversight for critical medical decisions. In 2026, technology will have effectively moved chronic disease management out of the clinic and into the "smart home." While the human-doctor relationship remains central, AI provides an invisible safety net that will ensure a minor health fluctuation doesn't turn into a major medical crisis. If you are not educating all your staff, nurses, therapists, and yes, aides as well as using current AI-integrated EMRs, you are already far behind the curve. If you need assistance with education, Kenyon HomeCare Consulting has DSHS-certified, Online Chronic Disease Education . If you need assistance, call 206-721-5091 or email gkenyon@kenyonhcc.com . WE ARE HERE TO HELP!
Costly mistakes
By Ginny Kenyon June 3, 2026
The patient's clinical picture must match the data provided to CMS. Here are the most frequent scoring errors found in OASIS, along with how to avoid them.
ICD 10 coding
By Ginny Kenyon May 30, 2026
In home health, ICD-10 coding and OASIS integrity shape clinical story, support reimbursement, and influence care planning from from assessment through discharge.
PT director
By Ginny Kenyon May 26, 2026
In the complex landscape of home health and rehabilitation, the Physical Therapy (PT) Director serves as both a clinical anchor and a strategic navigator.
chronic disease education
By Ginny Kenyon May 22, 2026
In the high-stakes environment of home health, the difference between a routine day and a medical crisis often rests on a single observation. Education counts!
beyond the snapshot
By Ginny Kenyon May 18, 2026
The HOPE tool captures clinical, psychosocial, and spiritual patient needs patient at multiple intervals. This is better than the HIS for the entire clinical picture
policy and procedure manual
By Ginny Kenyon May 9, 2026
In 2026, an updated home health or home care P&P manual serves as defense against litigation, a blueprint for operations, and a mandate for federal reimbursement.
Starting a home care agency
By Ginny Kenyon May 5, 2026
Here is the "ABC" guide to building a successful foundation for your starting your new home health, home care or hospice agency. It is necessary for success.