Home Care: Doors Open

In this episode of Home Care: Doors Open, Lucas Carroll sits down with Marcylle Combs, President, CEO, and Owner of MAC Legacy, to discuss her 30+ year journey in home health and hospice. From field nurse to industry leader, Marcylle shares insights on leadership, industry evolution, and what’s ahead for home health and hospice providers.

Topics include:

• Marcylle’s journey from nurse to successful business owner
• Changes in home health and hospice over the years
• Key leadership values and lessons learned
• National advocacy and industry involvement
• Mentoring the next generation of leaders

In this episode of Home Care: Doors Open, host Lucas Carroll sits down with Doug Walters, Managing Partner at Walters & Associates CPAs, to talk about the financial backbone every home care agency needs. With over 30 years of experience in healthcare finance, Doug unpacks what agency owners must understand—from foundational tax structure to revenue strategy—to build a stable and scalable business.

Doug also shares insights into home health and hospice opportunities, changing payer dynamics, and how to plan for long-term success in a shifting regulatory landscape. If you’re looking to future-proof your agency and lead with f...

In this episode of Home Care: Doors Open, Lucas Carroll sits down with David Knack, Head of Sales at Zingage, to talk about how AI and automation are reshaping home care operations. David shares his journey into the industry and how Zingage is helping agencies streamline processes, reduce workload, and improve client outcomes through intelligent systems.

Topics include:

• David’s background and why he entered home care
• How Zingage is simplifying daily operations for providers
• The real-world role of AI in home care today
• Industry trends agency owners should watch
• Practical advice for f...

In this episode of Home Care: Doors Open, host Lucas Carroll talks with Brad Wolfe, Founder of Sourced, about the financial realities and opportunities behind running a successful home care agency. From starting as a franchise operator to becoming a financial partner for agencies across the country, Brad brings a unique lens to the intersection of mission and money in home care.

They dive into the dual nature of the industry—balancing passion with profit—and what agency owners need to know about billing, payer sources, and building a financially sustainable operation. Brad also shares what’s changi...

In this episode of Home Care: Doors Open, host Lucas Carroll sits down with Regina Asuncion, keynote speaker, author of The Art of Delegation, and CEO of Ascension Business Solutions. With 17+ years of healthcare operations experience, Regina shares how home care agencies can reclaim their time, improve client care, and boost profitability—by leveraging the power of virtual assistants.

From overcoming delegation fears to successfully onboarding VAs and integrating them into your existing team, Regina offers real-world strategies that help agency owners scale without burning out. This episode breaks down exactly what’s holding most providers back—and ho...

In this episode of Home Care: Doors Open, host Lucas Carroll speaks with Charles “Chuck” Bailey, Founder and President of True North, who brings 24 years of experience in home care and business leadership. Chuck purchased his first franchise nearly two decades ago and has since helped countless owners unlock the full potential of their operations.

They dive into what truly drives success for home care entrepreneurs—breaking down key performance indicators, overcoming sales challenges, and how to recruit and retain caregivers in today’s competitive market. Chuck also shares insights into scaling operations, avoiding burnout, and what the futu...

In this episode of Home Care: Doors Open, host Lucas Carroll sits down with Paul Pappageorge, Founder of Ashland Capital Advisors, and a recognized expert in valuation, exit planning, and business brokerage, with a deep focus on the home care and home health space.

Paul breaks down what every home care entrepreneur needs to know about preparing for a business exit—whether it’s 1 year or 10 years away. From understanding your valuation to avoiding deal-breakers in due diligence, he shares insight earned through countless advisory engagements on both the buy and sell sides.

If you're buil...

In this episode of Home Care: Doors Open, host Lucas Carroll sits down with Monique Robinson, President of ABC Private Nursing, a franchise of Always Best Care (Massachusetts) operating since 2009. Monique shares her journey of expanding into private nursing—discussing program development, pricing strategies, compliance, leadership, and nurse recruitment.

If you're thinking about launching or improving a private duty nursing program, this episode offers real-world guidance from someone who’s built success through experience and consistency. Join Lucas and Monique as they break down what it takes to deliver premium private care while growing a sustainable, compliant busi...

In this inspiring episode of Home Care: Doors Open, we sit down with Teresa Harbour, Chief Operating Officer of CHAP, who brings over 35 years of home care experience to the conversation. From her early days as a hospital nurse to her current leadership at CHAP, Theresa shares a powerful journey shaped by dedication, insight, and a deep commitment to quality care.

Having spent 14 years with another accrediting body before joining CHAP five years ago, Teresa provides rare insight into the evolving world of accreditation and what it takes to deliver meaningful, standards-driven care in today’s landscape. Wh...

In this episode, our host Lucas Carroll sits down with Chris Trempe, the President of SwyftOps, a leading home care operating system. Chris brings a wealth of knowledge and expertise, offering vital insights for those new to the home care industry as well as seasoned veterans looking to fine-tune their operations. 

We'll also discuss the importance of focusing on growth and building relationships, as well as the emerging trends in home care technology, such as AI integration and the increasing necessity for electronic visit verification (EVV) systems.

So tune in and discover how you can n...

Barb brings a wealth of knowledge from her 14-year tenure with ACHC and her extensive background in home care, home health, and hospice.

In this episode, we explore Barb’s journey from a quality manager position at a hospital-based hospice to becoming a key figure at ACHC, where she oversees a multitude of programs including home care, palliative care, and behavioral health. Barb elucidates the critical role of accreditation in ensuring quality care, discussing everything from the meticulous survey process to the importance of state regulations and ongoing staff education.

As a sp...

In this episode, we are thrilled to welcome Delfino Salinas, the Director of Franchise Development for Caring Senior Service.

Delfino brings a wealth of knowledge and experience about the home care industry, franchise development, and the future of senior care. We delve into his journey, the diverse backgrounds of new franchisees, and what it takes to be successful in this growing field. Whether you're a budding entrepreneur or a seasoned professional, Delfino offers valuable insights on leadership, caregiver retention, client acquisition, and the importance of consistency. 

We also discuss the critical role of technology a...

In this episode, I'm your host, Lucas Carroll. We have a special guest, Dana Charumbira, the Managing Director at Home Care CPAs. With a wealth of experience in accounting and financial management, Dana shares her insights on the financial intricacies of running a home care business.

From startup challenges and effective tax structures to monthly bookkeeping and leveraging technology, Dana's expertise provides invaluable guidance for new and seasoned home care agency owners. Join us as we delve into financial planning, tax strategy, and operational efficiencies to help you thrive in the booming home care industry.

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In today's episode, we have an exceptional guest joining us, Sarah Van Aken, the Vice President of Franchise Development with BrandONE. Sarah provides an in-depth look into franchising within the home care industry. She shares her journey, the role of BrandONE in supporting emerging franchise brands, and the unique dynamics of the home care market. 

We delve into what makes a successful franchisee, the demand for home care services across various regions, and how licensing and compliance impact prospective business owners. 

Whether you're an aspiring entrepreneur or a seasoned business owner, Sarah's expertise offers valuable in...

In today's episode, Lucas Carroll sits down with Jen Chaney, the Vice President of Franchise Development at Right at Home. With a diverse background spanning real estate to franchise development in various sectors, Jen offers rich insights into what makes Right at Home a leading home care franchise. 

We'll explore the emotional nuances of the industry, the comprehensive support system Right at Home provides to its franchise owners, and what it takes to succeed in this rewarding field. 

Whether you're considering opening a home care business or are curious about franchising models, this episode is pa...

Today’s episode, we have a very special guest, Mike Seamon, the VP of Commercial Strategy at Viventium. With his extensive background in New York home care payroll and nearly a decade of experience at Viventium, Mike brings invaluable insights into startup agencies' unique challenges, particularly around licensure and compliance.

We'll discuss how Viventium’s systems are designed to accommodate the licensure timeline, ensuring startups can launch smoothly without unnecessary pressure. 

So, whether you're a home care agency owner looking to navigate the complexities of startup operations or simply interested in scaling a hom...

Today’s episode, a special guest, Mike Walters, franchise owner of Seniors Helping Seniors in Florida. Joining us from Flagler, St. John’s, and Volusia Counties, Mike shares his journey from working at the Social Security Administration to running a thriving home care agency.

We’ll discuss how Mike adeptly transitioned into this industry, the crucial role of caregiver appreciation in his business success, and practical steps for aspiring home care entrepreneurs. Expect insightful stories, including the heartwarming tale of a caregiver named Dorothy who received accolades for her dedication, and learn about the significant impact of effect...

In this episode, we dive into the work of the Home Care Association of Florida, a nonprofit trade organization dedicated to supporting providers through resources, education, and advocacy, all while navigating the intricate landscape of regulations in Florida. 

Denise also shares her journey, from working closely with Medicaid chiefs, influencing legislative changes, and addressing the urgent issue of direct care worker shortages through funding for data collection. We also discuss the critical role of HR in the hiring process for family home health aides, the importance of standardization in contract agreements with Managed Care Organizations, and the g...

In this episode, I'm your host, Lucas Carroll, and we have a special guest, Dan Durney, the Director of Franchise Development for Assisting Hands Home Care. In this insightful conversation, Dan and I explore the complexities and opportunities within the home care industry, from the state of licensing and the booming market for senior care to the unique franchise model of Assisting Hands that prioritizes family-owned values over private equity. 

We delve into the support systems in place for new franchisees, the importance of having a dedicated team, and the emotional rewards of working in this i...

In this episode, we'll be diving deep into the prospecting process for potential franchisees. Mitchell and I discuss why a proactive and transparent approach is crucial, the importance of understanding state-specific licensing requirements, and how setting clear expectations can pave the way for success. We also highlight the need to understand each individual's motivation for entering the industry and the significant impact it has on long-term success.

Mitchell shares his journey from sales and music to finding his passion for in-home care, emphasizing the meaningful and mission-driven nature of the business. Together, we explore the unique...

In our first episode, Lucas Carroll is joined by a special guest: Rick Dyer. He is a Vice President of Sales at InPro Insurance Group and brings over 12 years of expertise in home care insurance. Together, they discuss the critical importance of working with seasoned insurance professionals in the home care industry.

We aim to equip you with the knowledge to make informed decisions about your insurance needs, ensuring you have the right support and coverage. So whether you're just starting or looking to fine-tune your existing operations, this episode provides invaluable guidance to help you...

Welcome to "Home Care: Doors Open," where we discuss licensing, operations, and scaling your home care business. Whether you're just opening your doors or looking to unlock new doors to growth and success, this podcast is for you.

Join us as we explore the stories, tools, and expertise needed to start and scale your home care business, whether non-medical, medical, or hospice care. Learn from industry leaders and gain valuable insights into navigating the complexities of licensing and operations and providing top-notch non-medical, home health, and hospice care.