Why I Acted Like a One-Talent Leader (and What Snapped Me Out of It) — Todd Allen
Release Date: 05/20/2025
Home Care Hindsight
In this episode of Home Care Hindsight, host David Knack is joined by Steven Gonzales, CEO of HealthView Home Health & Hospice, to demystify the world of home health. Steven breaks down the core function of home health, its role in the care continuum post-hospital discharge, and the critical financial challenges driven by payer mix and Medicare Advantage. He shares invaluable insights on how home care agencies can become essential partners by understanding clinical needs, tracking client payer data, and focusing on true care coordination. Steven also looks to the future, discussing...
info_outlineHome Care Hindsight
In this episode of Home Care Hindsight, host David Knack welcomes Gregg Mazza, former home care agency owner and current coach to home care entrepreneurs. Gregg shares his journey from building a successful agency from scratch to selling it and now helping other owners avoid the pitfalls he experienced. He opens up about his biggest mistake: hiring seven salespeople who failed before he finally cracked the code on building a sales team that drives growth. Gregg emphasizes the importance of hiring for traits over industry experience, implementing clear systems, and holding teams accountable. He...
info_outlineHome Care Hindsight
In this episode of Home Care Hindsight, host David Knack sits down with Lucas Carroll, CEO of The Business of Senior Care. Lucas specializes in guiding home care startups, change of ownerships, and expansions through the complex world of state licensing and compliance. He shares his unexpected journey from law school dropout to becoming a key resource in the home care industry. Lucas dives into a significant opportunity for agencies: diversifying into private duty nursing to retain clients, offer premium services, and increase revenue. He also emphasizes the profound value of building...
info_outlineHome Care Hindsight
In this episode of Home Care Hindsight, host David Knack welcomes Chuck Bailey, founder and CEO of True North Holdings, to discuss the realities of being a small business owner in the home care industry. With decades of experience as a corporate executive, franchisee, franchisor, and now a service provider to franchisees, Chuck shares invaluable insights on the challenges of entrepreneurship, the importance of financial discipline, and the two critical roles every business owner must master: driving revenue and building a team. He also reflects on his biggest mistake: trying to control...
info_outlineHome Care Hindsight
In this episode of Home Care Hindsight, host David Knack sits down with Emily Isbell, founder of EI and Company, to discuss her impressive journey from caregiver at 19 to a successful home care consultant and bestselling author. They talk about Emily's early career, the evolution of her business, and the release of her book, 'The 24/7 Solution.' Emily shares valuable insights on correcting mistakes, the importance of consistently executing strategies, and the necessity of looking for talent within your existing workforce. They also explore the challenges of maintaining emotional maturity in a...
info_outlineHome Care Hindsight
In this episode of Home Care Hindsight, host David Knack welcomes Guy Tommasi, a seasoned leader in the home care industry with over 25 years of experience. Guy shares his journey from hospital care to pioneering innovative, data-driven strategies in non-medical home care. He takes us to a discussion of the importance of differentiating your agency by aligning with stakeholders' needs, leveraging data to demonstrate outcomes, and the pitfalls of overemphasizing "scaling" as a measure of success. Guy also highlights the transformative power of collaboration, both within teams and with clinical...
info_outlineHome Care Hindsight
Randy Platt and Rodney Burris, co-founders of Care Partners, reveal how blind optimism and over-reliance on culture nearly derailed their home care startup, and the pivotal shifts that turned their $0M mistake into 40% growth. In this transparent conversation, the duo unpacks their early missteps: from chasing unrealistic budgets to hiring for "culture fit" over performance. Discover how they transformed their partnership through radical transparency ("no barnacles"), why EQ now trumps IQ in their hiring, and the surprising metric that proves their team’s resilience. From solving healthcare...
info_outlineHome Care Hindsight
In this episode of Home Care Hindsight, host David Knack interviews Rachel Gartner, founder and CEO of Carework. They discuss Rachel's life in rural South Georgia as an Army wife and mother, her passion for hiring military spouses, and the unique challenges in the home care recruitment industry. Rachel shares insights on building effective systems for employee recognition, managing rapid company growth, and the importance of maintaining a caregiver-first mindset. They explore the difficulties of balancing recruitment intentions with execution and the significance of analyzing recruitment...
info_outlineHome Care Hindsight
John Soltys, founder of Project Senior Care, shares his hard-won lessons from wasting two years (and resources) on an overcomplicated tech vision—and how a pivot to caregiver training and mentorship unlocked explosive growth. In this raw conversation, John reveals how his "big idea" mentality almost sank the business, why 96% of seniors fall into an unaffordable care gap, and the partnerships now helping agencies serve everyone—regardless of income. From rebuilding trust with his team to rethinking caregiver recruitment (hint: stop recycling the same hires), John breaks down the "no one...
info_outlineHome Care Hindsight
Fady Sahhar, a disability advocate and home care strategist with decades of experience, unveils how Medicare Advantage is reshaping home care—and why agencies must rethink caregiver training to thrive. In this eye-opening conversation with host David Knack, Fady shares: Why 750+ Medicare Advantage plans now cover home care (and how to tap into this growing market). The "lifetime value" mindset shift that turns clients into long-term partners. How peer coaching solves EVV resistance and caregiver retention challenges. Fady also reveals common cultural blindspots when expanding into new...
info_outlineTodd Allen, CEO of AxisCare, shares how a personal caregiving experience led him into the home care technology space and the transformative mindset shift that changed his leadership approach.
In this conversation with David Knack, Todd unpacks what “play to win” means in home care, why AI needs cautious adoption, and how proactive health habits (for you and your caregivers) can transform outcomes.
In this episode, you’ll discover:
1. Why AxisCare started as an internal tool—and how it grew into a mission-critical SaaS for agencies.
2. The hidden risk of perfectionism in business and how one CEO called Todd out for playing small.
3. Medicine 3.0 and how the caregivers you manage can be agents of proactive health for seniors.
4. How niche positioning in home care isn't limiting—it’s liberating.
5. Why culture beats skills in hiring—and what soft traits Todd prioritizes.
Lesson Takeaways:
1. Lead with your chest. If you’re always playing defense, your agency’s growth will stall.
2. Caregivers can be health multipliers. Teach them biohacking basics, and you extend your clients’ healthspan.
3. Don’t DIY everything. Medicaid/VA billing is best left to experts—it’s too easy to mess up.
4. Hire for heart. A kind, empathetic team member with less experience will outperform a skilled but toxic one.
Timestamps:
01:40 - Who is Todd Allen?
02:35 - The AxisCare Timeline: A Journey from Internal Tool to National SaaS
04:30 - Contrarian Approach to AI on Leveraging Home Care Opportunities
06:45 - Passion Project: Medicine 3.0 - Proactive Approach to Health
10:58 - Todd and David's Supplement Recommendations & Experiences
12:48 - Fun Fact about Grounding
14:10 - Mentality Shift on Playing to win versus Playing not to lose.
15:15 - The Pitfall of Perfection: A Mistake for Talent Leaders
17:01 - The Power of Calculated Risks
18:25 - Pivot by Listening to the Market to Expand Client Footprint
21:55 - Find the Best Value of Services according to your niche.
27:48 - The Political Stance on Why Home Care Is a Necessity for Seniors
29:50 - Home Care Owners' Focus on User Reviews Through CSAT and NPS Insights
31:05 - Hire for Culture, Skills Follow: Why Emotional Intelligence Matters More
33:15 - Successful Home Care Owners: Driven by Core Values
35:33 - Maintaining Focus on the North Star Metric Correlates with Business Impact
36:10 - Plug: Todd recommends Cryotherapy and how it benefits your health
Quotes:
1. “I realized I was playing not to lose. Since then, I’ve been playing to win.” — Todd Allen
2. “Caregivers are an army. If we trained them on wellness, we’d radically improve senior outcomes.” — Todd Allen
3. “Hire for heart. You can train skill, but you can’t train empathy.” — Todd Allen
4. “Home care will kill you if you let it. So take ownership of your health.” — David Knack
Resources:
1. AxisCare on LinkedIn: https://www.linkedin.com/company/axiscare-software/
2. Todd Allen on LinkedIn: https://www.linkedin.com/in/todd-allen-6122806/
3. AxisCare Website: https://axiscare.com/
4. Connect with David Knack on LinkedIn: https://www.linkedin.com/in/david-knack/
5. Connect with Zingage on LinkedIn: https://www.linkedin.com/company/zingage/
6. Powered by Zingage: https://zingage.com/
7. Watch Episode on Zingage’s YouTube: https://www.youtube.com/@Zingage