Service Architecture: Design a Compliant, High‑Margin Menu of Non‑Medical Care

This 25‑minute Executive Roundtable gives new home care CEOs a practical blueprint for designing the service menu that determines whether your agency survives month six — or runs out of cash. Daniel, Claire, and Sophia break down why a thoughtful service architecture (clear packages, time-and-task boundaries, and compliant add‑ons) is the single biggest operational lever for margin protection, caregiver scheduling efficiency, and audit resilience. You’ll hear how Scott McKenzie’s experience across HCAB’s 531+ licensed agency launches shaped a one‑page checklist agencies use to define 3 launch packages, 4 guaranteed add‑ons, and the exact intake language that avoids scope‑of‑practice ambiguity. The discussion includes a state example (Ohio private‑pay rollout), the founder emotional tradeoffs when moving from clinical to CEO decisions, and Claire’s compliance traps that delay licensure. No theory — specific, executable rules you can apply this week.