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The Ten Thousand Dollar Gap

The Ten Thousand Dollar Gap

The median direct care worker earns $17.36 an hour and about $26,000 a year. The ten thousand dollar gap between those figures is hours, not rate — and it changes what a turnover number means.

How a Good Policy Decays

How a Good Policy Decays

Operating policies rarely get overturned. They get exceptions, each one reasonable, granted by whoever is solving today's problem and looking at none of the others.

The Four-Hour Floor

The Four-Hour Floor

Short visits carry the same overhead as long ones on a fraction of the revenue. A minimum-hours floor costs cases at intake and returns it in retention.

Fit Fails in Both Directions

Fit Fails in Both Directions

In service businesses built on trust, a mismatch is visible and correctable. Over-attachment looks like success and compounds quietly. Both are expensive.