Scaling to $13M Without Investors, Diversified Payers, or Traditional Playbooks (Scott Pierce)

#59 Scott Pierce didn’t come from home care—he came from broadcasting and healthcare software. But after navigating his parents’ complex health needs, he and his wife Amy built something entirely different in Savannah, Georgia. Eight years later, Coastal Care Partners is doing nearly $13M in revenue and 7,000 hours of care per week—all from a single location.Scott breaks down some of the unconventional decisions behind their growth:Why he focused on hours and Google reviews—not margins or EBITDAHow staying 100% private pay shaped their modelThe early bets on caregiver pay, training, and infrastructureLessons from distractions, failed ideas, and scaling without outside capitalAnd why most agencies stay stuck—and what it actually takes to break throughScott Pierce on LinkedInCoastal Care PartnersBook: The Aging Care Blueprint for Families by Amy PierceBook: Unreasonable Hospitality by Will Guidara