The Control Trap That Stalled My Growth (and How Positive Psychology Broke Me Free) — Aaron Marcum
Release Date: 05/27/2025
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_outlineAaron Marcum, home care industry titan and founder of Breakaway365, reveals how his obsession with control nearly destroyed two companies—and how Martin Seligman’s positive psychology transformed him into a leader who scaled his business *while taking 8-week sabbaticals*.
In this raw conversation, Aaron dismantles toxic myths about turnover and "balance," shares why presence beats perks for loyalty, and delivers a science-backed framework for building self-multiplying teams.
In this episode, you’ll discover:
1. How Aaron almost abandoned Home Care Pulse mid-study—and the 8-month hunt for his COO that changed everything.
2. Why your best retention strategy is firing fast (and the one metric that predicts caregiver loyalty).
3. Aaron’s delegation framework that freed him for 3-hour bike rides while his company grew
4. Presence > productivity: How high-quality connections reduce turnover more than pay raises (Harvard study proof).
5. Breakaway365’s core: The "Guiding Genius" method helps leaders replace anxiety with aligned action.
Lesson Takeaways:
1. Your first hire should be an EA, not a VP (admin tasks kill visionary leaders fastest)
2. Some turnover is healthy—bad fits leaving fast create space for loyal talent
3. Alignment beats balance (70% work focus + 30% life = sustainable growth)
4. Delegate the how, own the why (your team will outperform your micromanagement)
Timestamps:
00:00 - Introduction
01:28 - Aaron Marcum Introduction
02:35 - Breakaway365 Journey and Timeline
05:35 - Positive Psychology Approach for Home Care
06:41 - Recommending Martin Seligman's "Flourish" and Marc Schulz's "The Good Life"
08:33 - Delaying Growth: The Mistake of Controlling Outcomes Without the Right People
10:50 - Finding the right Hand and Becoming a Master Delegator
13:05 - Guiding Genius: Using the "Four Quadrants" Framework (Eisenhower Matrix)
14:13 - Home Care Owners: Use the Replacement Ladder Method - Begin by Hiring an Executive Assistant.
17:30 - Alignment and Balanced Living: What Makes the Difference in Facing Challenges?
22:40 - Journaling in Quiet Moments (For Aaron)
23:31 - K.E.E.P Communication Process: Know What's Working. Envision the Way Possible. Engineer the Way Forward. Purpose-Driven Action
24:22 - The Keys to Self-Honesty: Humility and Self-Awareness
27:10 - Gain Valuable Insights: Asking Your Team for Honest Feedback That Drives Growth
29:58 - High-Quality Relationships: The Leader's Role in Home Care
32:01 - The Power of Office Team Partnership based on Home Care Pulse Survey
36:22 - Uniqueness in Culture, Core Values & Guiding Truths
39:03 - The Importance of Belongingness for Home Care Professionals
39:22 - Proper Delegation: 10-80-10 Principle.
40:02 - Book Recommendation: “Who Not How” by Dan Sullivan
42:30 - Witnessing the Impact of Transformation in a Home Care Space
44:29 - Plug: Breakaway365 is a premier coaching program, particularly for home care entrepreneurs
Quotes:
1. "I took 8 weeks off—my team didn’t call, and revenue grew. I realized I’d been the bottleneck." — Aaron Marcum
2. "Stop tracking why people leave. Start asking why your best people stay." — Aaron Marcum
3. "Delegate outcomes, not tasks. Give the what, free the how." — Aaron Marcum
4. "Your caregivers don’t need another pizza party. They need 5 minutes of real presence." — David Knack
Resources:
1. Breakaway365 on LinkedIn: https://www.linkedin.com/company/breakaway365/
2. Aaron Marcum on LinkedIn: https://www.linkedin.com/in/aaron-marcum/
3. Breakaway365 Website: https://breakaway365.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