In this returning episode of Home Care Hindsight, host David Knack is joined by Steve “The Hurricane” Weiss, founder of Home Care Evolution. Together, they dive into how home care agencies can finish 2025 strong and hit the ground running in 2026.

Steve emphasizes the importance of using September–October to audit your business, tighten referral relationships, and prepare for seasonal surges (like elective surgeries leading to more home care referrals). He shares how to create an orthopedic specialty program to stand out from competitors and walks through the patient journey for better outcomes and higher revenue.

The conversation shifts to goal setting, with Steve explaining the difference between bad (vague) goals and SMART, measurable ones — including a real-world success story of a client who achieved a 50/50 payer mix and increased billable hours by 20%.

Finally, Steve and David discuss how to grow VA service lines responsibly, avoid overreliance on government payers, and improve caregiver retention by focusing on higher-hour “total care” clients.

Lesson Takeaways:

1. Plan Now, Not in January: The best time to plan for 2026 is now. Use October to audit your last 12 months, set SMART goals, and identify the tools and support you’ll need to hit them.

2. Focus on Total-Care Clients: Caregiver retention improves when you prioritize clients with 40+ hours per week. This creates stable, full-time work that caregivers stay for.

3. Be “Five-Mile Famous”: You don’t need a huge marketing budget—just consistent local presence. Network weekly, host lunch-and-learns, and build referral relationships within your community.

4. Morale Matters: Invest in your office team with regular morale-building activities. A strong internal culture trickles down to caregivers and clients.

5. Decide and Execute: Indecision is a growth killer. Research, sleep on it, then commit—even a wrong decision is better than no decision at all.

Timestamps:
00:00 - Introduction: Steve "The Hurricane" Weiss returns to the show

02:30 - The summer slump is over: How to hit the ground running this fall

05:00 - The Q4 opportunity: Why elective surgeries spike and how to prepare

07:15 - Building a specialty program for orthopedic patients

09:45 - The caregiver's role: From PT appointments to at-home exercises

12:10 - Steve's planning mantra: Why you should plan for 2026 now

16:25 - A lesson from the UK: The power of diversifying your payer mix

19:15 - Growing your VA line wisely (and why 20% is the sweet spot)

22:05 - The caregiver retention secret: Focus on "total-care" clients

26:30 - Advice for new owners stuck in the recruitment/scheduling cycle

31:00 - How to be "Five-Mile Famous" in your local market

33:45 - An inspiring client story: Scaling after two heart attacks

38:10 - The "hot list" system for keeping caregivers engaged

41:00 - The office culture fix: Why morale-building is non-negotiable

42:15 - The #1 thing holding owners back: Indecisiveness

43:50 - Steve's win: Invitation to the Home Care Millionaires Bootcamp

Quotes:
Steve Weiss: “You can recover from a wrong decision, but you’ll never recover—and you’ll never grow—if you don’t make a decision at all.”

Steve Weiss: “Be five-mile famous. You don’t need to know everyone in the world—just everyone who can send you a patient.”

David Knack: “You’ve got to create a little FOMO with your caregivers. Share the success others are having so they want to be next.”

Steve Weiss: “If you want to grow strong, make sure your office staff culture is strong. It trickles down to everyone.”

Resources:

1. Home Care Evolution: https://homecareevolution.com/

2. Connect with Steve “The Hurricane” Weiss on LinkedIn: https://www.linkedin.com/in/steve-hurricane-weiss-13996b2/

3. Connect with David Knack on LinkedIn: https://www.linkedin.com/in/david-knack/

4. Powered by Zingage: https://zingage.com

5. Watch Episode on Zingage’s YouTube: https://www.youtube.com/@Zingage

6. Home Care Millionaires Bootcamp (Houston, Nov 19-21): https://homecareevolution.com/houston-2025-boot-camp-page/