By Day 30 — your system is live, or month two is free.
Your admissions diagnosis is delivered and the agreed intake and follow-up workflows are running on 100% of incoming inquiries. If they aren't, you don't pay for month two.
Families call while intake is busy. Callbacks slip. Follow-up stops. Acensus installs and runs the marketing, standard AI, and admissions system that captures those opportunities—then builds qualified private-pay demand.
Established US private-pay home care providers · Typically $3M+ revenue · Dedicated intake staff
Across 3.5 years inside home care agencies, we've found most lose 60–70% of the inquiries they already pay for—missed calls, slow callbacks, and follow-up that stops after one attempt.
$500K of recovered revenue is roughly $200K of gross profit at typical private-pay margins. Our underwriting rule requires at least three times your total investment in gross profit before we'll recommend the program at all.
More admissions per month. Inquiry volume stayed nearly flat. Acensus installed missed-call recovery, faster follow-up, and after-hours routing.
47 → 46 inquiries per month. No additional advertising spend.
Explore the handoffs Acensus connects. Standard AI and automation handle routine follow-through; your people remain responsible for care.
Your intake coordinator is already on a call. Another family reaches voicemail. Missed-call text-back and agreed response coverage give that inquiry a route back to your team.
Acensus installs and monitors the workflow. Your team owns the conversation.
Capture service area, care needs, and the family’s next step. Route the inquiry to the responsible coordinator with context, rather than leaving another message to interpret.
Care decisions and sensitive conversations stay with your agency.
Agreed follow-up and reminders support the booking process. Your intake team confirms fit, offers an assessment, and records what happens next.
Your team conducts the assessment, accepts the client, and schedules care.
The Admissions Ledger connects inquiry activity, assessments, admissions, and open work. Acensus reviews the constraint and the next action with your team.
More advertising follows evidence and caregiver capacity, not a lead-count target.
One team connects marketing, standard AI automation, and admissions reporting. Your coordinator gains a system to work from. You gain a clearer view of growth.
Stop losing the inquiries you already receive.
Reconcile the starting numbers, identify inquiry leaks, and install the agreed intake and follow-up workflows.
Grow demand your agency can actually serve.
Run qualified private-pay acquisition around your service area and staffing readiness, with founder content that helps families understand your agency.
Understand the result and the next decision.
The weekly Admissions Ledger connects activity, assessments, admissions, and open work. The monthly strategy review sets the next move.
Software and founder filming are included. Advertising is paid separately. Recruitment marketing supports applicants; your agency interviews and hires. Timing and location coverage are agreed in your scope.

Sam worked at Barclays, then J.P. Morgan’s Healthcare Coverage Group, across 40+ healthcare M&A and capital-raise transactions. He then spent 3.5 years working directly with home care agencies on the operating side of growth.
That experience connects the questions owners care about: which families become clients, what growth costs, and how much still depends on you.
Meet the firm“We finally know what’s actually happening with our inquiries every week instead of guessing.”Home care agency leadership · Miami, Florida
“The Monday page changed how we think about the business, not just how we market it.”Home care agency leadership · Chicago, Illinois
“Straightforward from the first call. No jargon, no vague promises — just the numbers.”Home care agency leadership · Nashville, Tennessee
Your admissions diagnosis is delivered and the agreed intake and follow-up workflows are running on 100% of incoming inquiries. If they aren't, you don't pay for month two.
Before you pay anything, we write a specific number of booked qualified assessments into your agreement. It comes from your own inquiry volume, response data, and service area — not an industry average. If we haven't hit it by Day 90, we keep working at no additional fee until we do, for up to 90 additional days.
We guarantee the part we control: generating qualified demand, responding fast enough to keep it, and getting the assessment on the calendar. You control whether the assessment closes and whether you're staffed to take the case. That's why the number we commit to is assessments booked, and why the Ledger shows you admissions and dollars alongside it every week.
Both commitments are conditional on the operating basics we agree before kickoff, all of which are measured in the same Ledger you see every Monday:
If one of these lapses, the commitment pauses until it's corrected. Everything here is agreed with you in writing before kickoff — there are no conditions you'll discover later.
20 minutes with Sam. Discuss your intake constraint, the evidence needed, and whether Acensus fits. You keep a preliminary written summary.
One agency per service area. We work with a single agency in each service area. While an engagement is running, that market is closed to competitors.