10 Hard-Earned Lessons From Starting a Home Care Agency (Adam & Marlene Bartlett)

The first two years of home care ownership are brutal, and Adam and Marlene Bartlett aren't sugarcoating what it took to build Uplift Home Care from scratch. After investing $200–250K to launch their independent agency in California, they quickly discovered that finding clients was harder than recruiting caregivers, client churn was twice what they'd projected, and building meaningful referral relationships took far longer than expected. They share what's worked (and what hasn't) across caregiver recruiting, paid advertising, community marketing, and early office hires—including why promoting a caregiver into a care coordinator role became one of their best decisions. They've also built an unusually lean operation, using an offshore scheduler and AI to handle roughly 90% of their caregiver hiring process and 70% of their client intake and care planning workflow.
80
 min
Oct 27, 2026

10 Hard-Earned Lessons From Starting a Home Care Agency (Adam & Marlene Bartlett)

10 Hard-Earned Lessons From Starting a Home Care Agency (Adam & Marlene Bartlett)

Miriam Allred (00:00)
Hey everyone, welcome back to the Home Care Strategy Lab. I'm your host, Miriam Allred. It is great to be back in the lab with all of you. This week I am joined by Adam and Marlene Bartlett, the owners of Uplift Home Care in California. Adam and Marlene, welcome to the show.

Adam & Marlene Bartlett (00:18)
Thank you. Thank you, Mario. Pleasure to be here. Yes. Big fans. Can't believe I'm the one talking instead of the one listening for once. Yes. Yeah.

Miriam Allred (00:26)
Full full circle for both of us. You are almost two years into building this home care

company. And boy, is it time to put you in the hot seat and give you a little bit of the limelight. You guys have been following me so closely for so many years, and I've been following you. Feels like we know each other.

Adam & Marlene Bartlett (00:36)
Yeah. Yes.

Miriam Allred (00:43)
but also so much I was just saying, so much has happened for both of us in the last two years. But now it's time to catch up and just record this conversation because there's so much for so many providers to learn from you. So I am just elated to be here with you guys.

Adam & Marlene Bartlett (00:57)
I too. Yeah, I feel like you basically helped launch our agency. So I felt like we go way back, even though this is only our first time on the show. So And just so excited to give back. Like we have learned so much from agency owners all over the country. And people in the beginning were just so kind to us to talk on the phone and just, you know, we know how busy they are now and that people would just drop things and just speak with us was so kind and so we just really want to give back as well.

Miriam Allred (01:22)
Yeah. So now here I am sending referrals your way. It's like that's just how this industry works. It's like you meet someone and you

Adam & Marlene Bartlett (01:26)
Yeah.

Miriam Allred (01:27)
have this connection and you hit it off. It's like here we are just helping each other and giving back, which I love. let's kind of forego a traditional introduction because we're gonna talk about just some of the most important lessons and live through experiences that you guys have gone through the last two years. I said this a couple of episodes, but a lot of newer providers have reached out to me recently and said, like,

The tenured owners on the show are great, but sometimes we can't relate when they're doing, 10,000 hours, 20,000 hours. They're like, interview some of the little guys that are newer and scrappier. And so you guys came to mind in that like you've had a lot of success in a short period of time, but also it's all just fresh. And so we're just gonna kind of punch through some of the lessons learned. And you guys are gonna share numbers and statistics and stories, and it's gonna be really rich. So I'm excited. So let's kind of start at the beginning, which is one of the biggest decisions you make.

when you're getting into this, which is the independent versus the franchise route. I know you guys asked me about that and a lot of other people in the industry and did a lot of research getting into this. So I wanna just hear your initial take on the independent versus the franchise route and some of the factors that drove that decision for you. So Marlene, why don't you start with that?

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10 Hard-Earned Lessons From Starting a Home Care Agency (Adam & Marlene Bartlett)
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