Follow up with families.
Missed-call recovery, reminders and past-inquiry reactivation.
More families starting care. Less chasing from you.
We build and run your marketing and follow-up so more families start care. When staffing limits growth, we help you recruit first.
For established private-pay home care agencies · Typically $3M+ revenue
20 minutes with Sam. A preliminary written summary you keep.
Client results / Four ways to grow
More billable hours. More gross profit.
See the work, investment and outcome in four real agencies.
Miami · 90 days
54% more admissions
8 → 12.3 admissions a month and 234 more weekly care hours. Inquiry volume stayed nearly flat; no added advertising.
See the work, investment and return ↗ Chicago · Existing inquiries7 admissions by Day 45
Families already in the CRM. Five continued receiving care at Day 90.
See the work, investment and return ↗ Phoenix · Staffing first288 more care hours a week
Declined care fell from 380 to 92 hours a week after the agency improved applicant follow-up.
See the work, investment and return ↗ Nashville · Six months47 more active clients
Active clients grew from 120 to 167 as acquisition and recruiting ran together.
See the work, investment and return ↗Figures provided by each client’s finance team or CPA. Each case explains its period, costs and financial calculation.
Explore all nine client cases ↗
In their words
Less chasing. A fuller admissions calendar.
★★★★★
“We'd already paid two different marketing outfits and both times the leads came in and then sat there. I told Sam straight up I wasn't interested in another 'lead gen' pitch. What got me was they refused to touch advertising until the intake process was fixed. That was the first time anybody had said that. Felt different enough that I gave it a shot.”
Owner, Harmony Care of Portland
★★★★★
“I was worried this was going to eat my whole week. First week was maybe five or six hours total, mostly me answering questions. After that it's been closer to two hours a week and my office manager carries most of it. We saw the first real bump in admissions by week three. That was enough for me to keep going.”
Owner, Bay Area Care Partners
The Admissions Multiplier™ / 90 days
The growth work comes off your desk.
Staff before you scale.
Recruitment marketing when needed. Client campaigns when you can deliver the care.
Know what changed.
New starts, discharges and billable hours, reviewed with your dedicated lead.
We build and run the system. Your team handles assessments, hiring and care.
See the scope and your first 30 days ↗For private-pay home care. Medicare home health and private duty nursing are scoped separately.
Sam Tofighi
Founder, Acensus
A boutique firm. A principal-led engagement.
Your business is home care.
Your business is home care.
So is our focus.
Sam worked on 40+ home care and senior care transactions during three years at Barclays and J.P. Morgan. He then helped a private-duty agency grow from about $8M to $22M in 18 months, including a merger.
Your lead has 5+ years in home care. Paid media, systems and creative specialists handle the work. Sam stays involved.
Accountability before payment
Know what happens before you commit.
Our underwriting rule
The opportunity must justify the engagement.
We proceed only when the diagnosed annual gross-profit opportunity is at least 3× total investment, including advertising—usually 3–5×. A qualification rule, not a guaranteed return.
Our delivery commitment
Your system is live by Day 30, or month two is free.
Your diagnosis is delivered and the agreed intake and follow-up workflows are live.
If the agreed Day-90 target for booked qualified assessments isn't reached, we keep working at no additional fee for up to 90 more days, subject to the agreed operating conditions.
After Day 90, continue monthly in the agreed scope. No annual contract. Leave with 30 days’ written notice and no exit fees. See what continues.
Read the operating conditions
Delivery depends on the operating basics we agree before kickoff:
- Where paid campaigns are in scope, the agreed advertising budget stays live without pauses.
- Your team meets the agreed callback deadlines and maintains its designated on-call route after hours.
- Qualified inquiries are offered an assessment within the agreed number of business days.
- Caregiver capacity is maintained, or the recruitment funnel is run when capacity is the constraint.
- Ownership attends the weekly Ledger review, with an agreed allowance for missed sessions.
- Acensus keeps access to the phone records, CRM, and ad accounts agreed at kickoff.
- No conflicting campaigns or mid-program pricing changes without notice.
The applicable commitment pauses while an agreed responsibility is unmet.
Leave the diagnostic with a clearer next move.
Discuss the likely bottleneck in 20 minutes. Keep a preliminary written summary. No obligation.
One agency in your agreed ZIP-code territory. No direct competitor for the agreed services while your engagement is active. See the territory definition.
Not sure where to start?
The daughter calling at 7pm. The hours you can’t staff.
Six familiar problems, drawn from real agencies—and what changed.
Find the gap in your agency →Private-pay home care agencies across the US
Book the 20-Minute Admissions Diagnostic