Episode Details

#70 A typical $4-5M home care agency usually has the team, infrastructure, and capital to consider their next growth move—opening a new office, adding a new payer contract, or investing in a strategic leader. Adam Shriver, Client CFO at The Home Care CPAs works with dozens of agencies to evaluate revenue, profitability, and operational stability going into making these large growth decisions. He walks through the evaluation he conducts, the questions he asks, gross margin vs operating margin, and the other factors agencies should consider before going down a specific growth path—if you’re considering a new office or new payer contract, this episode is highly relevant.  

• Adam Shriver on LinkedIn 
• Adam’s email: ashriver@thehomecarecpas.com 
• The Home Care CPAs
• Margin Matters—a home care-specific online financial community for owners or finance roles (free until the end of ’26) 

Sponsors:

• Phoebe—best AI scheduling agent for home care
• Vitable Health—health plans for home care that your team will actually use