A Financial Framework to Run Before Your Next Growth Move (Adam Shriver)

A typical $4-5M home care agency usually has the team, infrastructure, and capital to consider their next growth move—opening a new office, adding a new payer contract, or investing in a strategic leader. Adam Shriver, Client CFO at The Home Care CPAs works with dozens of agencies to evaluate revenue, profitability, and operational stability going into making these large growth decisions. He walks through the evaluation he conducts, the questions he asks, gross margin vs operating margin, and the other factors agencies should consider before going down a specific growth path—if you’re considering a new office or new payer contract, this episode is highly relevant.
66
 min
Aug 13, 2026

A Financial Framework to Run Before Your Next Growth Move (Adam Shriver)

A Financial Framework to Run Before Your Next Growth Move (Adam Shriver)

Miriam Allred (00:10)
Hey everyone, welcome back

to the Home Care Strategy Lab. I'm your host, Miriam Allred. It's great to be back with you in the lab. Thanks for joining us. Today in the lab, I am

joined by Adam Shriver, the client CFO at the Home Care CPAs. Adam, welcome to the show.

Adam Shriver (00:25)
Thanks for having me, Miriam. Excited to be here.

Miriam Allred (00:28)
Yeah, likewise. I've known Dana and the team over the years and you were brought on board, I believe, kind of early twenty twenty six. So this is our first time, you know, in an interview setting. But it's great to meet you and excited to get you in front of the audience and learn a little bit about you and about your expertise in kind of the financial side of helping these home care businesses.

Adam Shriver (00:48)
Yeah, likewise. And on a on a personal note before joining the home care CPAs, I worked in public accounting at one of the big four firms. I was in their transaction advisory space. I did a lot in healthcare, but I hadn't dug in as deep in home care. So listening to your podcast was one of the big ways that I like actually learned about the the industry really got myself immersed in it but before before starting. and then, you know, l love keeping up and he hearing all the guests you bring on.

Show Notes

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A Financial Framework to Run Before Your Next Growth Move (Adam Shriver)
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