The census chain
Six stages. One number, every Monday.
Every family who reaches you moves through the same six stages, and each one leaks for a known reason. We install a fix at each stage and report the whole chain on one page.
The measure we answer to
−1.3
Admissions minus discharges.
The one number that says whether growth is real. We report it every Monday.
Stage 1 · Demand
+50%
Inquiries up, conversion held
A Nashville agency grew inquiries 50% while conversion held at 25%, because caregiver recruiting ran alongside the campaigns. Active clients rose from 120 to 167 in six months, after 55 discharges.
Demand is turned up only once the stages below it hold.
Read the case →Stage 2 · Inquiry arrives Automated
Referral sources that stay active
Every call, form and referral lands in one place, tagged by source. An Orange County agency had 112 referral sources on file and 34 active. Once each had an owner and a 15-minute response target, 58 were active and monthly admissions rose from 6.8 to 10.4.
A source that isn’t tracked quietly stops referring.
Read the case →Stage 3 · First response Automated
The reply that decides it
Families call on Saturday evening. The voicemail says Monday. In Miami, after-hours inquiries waited 19h 10m and business-hours inquiries 4h 20m. A 60-second text-back in the agency’s voice, with a call task for the coordinator, brought business-hours replies to 6 minutes and after-hours replies to 11. Admissions rose 54% on the same inquiries.
Speed is the first fix, almost every time.
Read the case →Stage 4 · Follow-up Automated
1,117
The list nobody owns
Families who inquired once and went quiet. A Chicago agency had 1,117 of them. A 21-day sequence of four texts and three emails produced 18 booked assessments and 7 admissions in 45 days, for $184 in messaging.
Your cheapest admissions already called you.
Read the case →Stage 5 · Start of care Automated
Applicants answered before they move on
Recruiting usually starts after the case arrives, so it’s always late. In Phoenix, applicants waited 31 hours for first contact and the agency was declining 380 hours a week. Same-day replies and booked interviews took first contact to 8 minutes and added 288 care hours a week.
Every declined hour was already sold.
Read the case → Nursing: +404 hours a week →Stage 6 · Stays on census
Admissions minus discharges
The Miami agency signed 8 clients a month and lost 9.3. It felt like growth. The Admissions Ledger put admissions, discharges, hours and response times on one page, with an owner for every open item. By Day 90 the number was +2.6.
One number, reported every Monday.
Read the Miami case (also stage 3) → West LA: overtime 22% → 9% → Newport Coast: skilled hours 42 → 188 →Take it with you
Get the census chain by email.
The six stages, where each one leaks, the fix we install and the case behind it, in three pages. Share it with your operations lead.
The Admissions Diagnostic
Find the first thing worth fixing.
A 20-minute call on your numbers. You leave with a written One-Page Analysis and a clear next step.