The Six Gaps

Six places agencies lose revenue they already earned.

None of them is fixed by buying more leads.

Before the six, one number

−1.3

Admissions minus discharges.

A Miami agency signed 8 clients a month and lost 9.3. It felt like growth. By Day 90 it was +2.6.

Admissions minus discharges 0:31

Gap 1

61%

After-hours calls missed

Families call on Saturday evening. The voicemail says Monday. In Miami, 61% of after-hours inquiries waited until the next business day.

The call goes to whoever picks up.

The after-hours call 0:33
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Gap 2

4h 20m

Slow first contact

No one owns the callback. By the time someone calls, the family has spoken to two other agencies. We cut it to 6 minutes.

Speed is the first fix, almost every time.

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Gap 3

1,117

The list nobody owns

Families who called once and went quiet. One Chicago agency had 1,117. Seven signed in 45 days, for $184 in messaging.

Your cheapest admissions already called you.

The list nobody owns 0:31
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Gap 4

380 hrs

Care you’re declining

Recruiting starts after the case arrives, so it’s always late. A Phoenix agency was turning away 380 hours a week. It fell to 92.

Every declined hour was already sold.

The care you’re declining 0:35
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Gap 5

50%

Demand bought too early

A Nashville agency grew inquiries 50%. Conversion barely moved, and declined hours rose. Fix the first four gaps, then scale.

More leads into a broken intake is a more expensive version of the same problem.

Demand bought too early 0:31
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Gap 6

?

The calls you answer

Almost no agency knows what was said on the call. Reviewing recorded calls moved Miami’s inquiry-to-assessment rate from 31% to 44%.

The part that decides the outcome is the part nobody measures.

The calls you answer 0:34
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