Libsyn Directory

The $100,000 Partnership Mistake I Was Too Stubborn to Quit – Clayton Foutch

Release Date: 09/23/2025

I Trusted Passion Over Process and It Broke My Business – Kristen Duell

Home Care Hindsight

Kristen Duell, founder of Momentum Healthcare and Technology Consulting, joins host David Knack for a raw conversation about the recurring mistake that has shaped her entire leadership journey: believing that shared passion and purpose are enough to run a successful business. Kristen opens up about the "black eyes and kidney punches" she's endured from moving too fast and trusting that others shared her standards of integrity, without first establishing clear structure and alignment. She explains why "momentum without tension is chaos" and how this hard-won lesson is now the core philosophy of...

My Failed Acquisition Pushed Me To Do More Due Diligence – Kevin Smith

Home Care Hindsight

Kevin Smith, CEO of Best of Care, joins host David Knack to pull back the curtain on a splashy but failed acquisition that taught him a brutal lesson about due diligence. Kevin opens up about buying an adult day health program's home care arm, a deal that made perfect sense on paper but fell apart at the seams, resulting in a massive revenue shortfall. He reflects on the costly mistake of relying too heavily on his relationship-driven "gut" for a process that required forensic analysis, and how the timing—closing the deal the day before his first child was born—added immense personal...

On Death and Dying in Home Care Part 2 – Gabrielle Pumpian and Nicole Soares

Home Care Hindsight

Gabrielle Pumpian returns, joined by death doula and end-of-life consultant Nicole Soares, for a profound conversation about the one thing every home care agency deals with but few are prepared for: death. They explore a common operational mistake: failing to align a caregiver's duties with a client's core values, leading to disengagement and a reduced schedule. Nicole shares her powerful personal journey that led her to become a "one-stop death shop," while Gabby reflects on the costly mindset of viewing a client's passing primarily as a revenue loss. The discussion offers actionable advice...

On Death and Dying in Home Care Part 1 – Gabrielle Pumpian and Nicole Soares

Home Care Hindsight

The "Frankenstein's Monster" Team That Forced a Culture-First Fix – Victor Hunt

Home Care Hindsight

Victor Hunt, the passionate CEO and co-founder of Zingage, joins host David Knack for a long-awaited conversation. Victor opens up about the critical hiring mistake from his first startup: prioritizing raw technical skill over team cohesion and culture fit, a misstep that almost broke the company. He explains why this "Frankenstein's monster" approach to building a team fails and how it informed his "culture-first" philosophy at Zingage. Victor shares the only two traits he now looks for in every hire and dives into the underrated genius of home care owners, who are often overwhelmed by...

The $10,000 Mistake That Forged a Stronger Partnership – John "Moz" Mozdzien

Home Care Hindsight

John "Moz" Mozdzien, a Navy veteran and co-founder of Veterans First, joins host David Knack to share a costly hiring mistake—but not of a person. He "hired" a flawed understanding of VA benefits, leading to a $10,000 loss on his company's very first case. He opens up about the specific rule regarding surviving spouses that they misunderstood and how this "hard fail" became the foundation for a 99.9% approval rate today. Moz reflects on how the crisis forged an unbreakable bond with his business partner, built on pre-existing trust. The conversation also covers the underrated power of...

Hiring the Wrong Person Taught Me About Building a Better Team – Becky Reel

Home Care Hindsight

In this re-released episode of Home Care Hindsight, host David Knack sits down with Becky Reel, founder and CEO of Reel Home Care Consulting and former owner of a top-rated home care agency. In their conversation from 2024, Becky vulnerably shares the story of her biggest hiring mistake: bringing her nanny into the office during COVID-19. She details how she overlooked numerous red flags, which led to a toxic work environment and significant business disruption. From this experience, she learned invaluable lessons about the importance of thorough reference checks, truly listening to her team,...

Stop Waiting for January: Strategic Growth Planning – Steve “The Hurricane” Weiss

Home Care Hindsight

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...

The $100,000 Partnership Mistake I Was Too Stubborn to Quit – Clayton Foutch

Home Care Hindsight

In this episode of Home Care Hindsight, host David Knack is joined by Clayton Foutch, a home care veteran and founder with over 18 years in the industry. Clay opens up about the costly mistake of stubbornly pursuing a major partnership that was a poor strategic fit for his company's "Four Seasons" vision. He shares how his refusal to listen to his team and cut losses earlier resulted in a significant financial and reputational hit. Clay also dives into the importance of revenue diversification for stability, the collaborative nature of the home care industry, and how to thoughtfully...

What I Wish Every Home Care Owner Knew – Steven Gonzales

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...

More Episodes

In this episode of Home Care Hindsight, host David Knack is joined by Clayton Foutch, a home care veteran and founder with over 18 years in the industry.

Clay opens up about the costly mistake of stubbornly pursuing a major partnership that was a poor strategic fit for his company's "Four Seasons" vision. He shares how his refusal to listen to his team and cut losses earlier resulted in a significant financial and reputational hit.

Clay also dives into the importance of revenue diversification for stability, the collaborative nature of the home care industry, and how to thoughtfully integrate new technology without losing sight of your core mission: serving caregivers and clients.

Lesson Takeaways:

1. Know Your "Lemon Meringue": Identify your core business which is the thing you do best, and avoid cluttering it with distracting "knick-knacks" (like ill-fitting partnerships) that drain resources.

2. Diversify Your Revenue Streams Early: Relying on a single referral source (like skilled nursing facilities) makes your business vulnerable. Explore concierge care, veterans' programs, and other payer mixes before a crisis forces you to.

3. Surround Yourself with Contrarians: Your biggest weakness might be your own stubbornness. Build a team of trusted, objective advisors (like Clay's partner Jeff) who aren't afraid to tell you when your "kid is ugly."

4. Embrace Mistakes as Tuition: View business missteps not as failures, but as paid education. This mindset shift allows for quicker pivots and reduces the emotional cost of being wrong.

5. Lead with Humility Through Change: When implementing new technology or processes, be honest with your team that you don't have all the answers. Frame it as a collaborative journey to better serve clients and caregivers, and be willing to backtrack if you take a wrong turn.

Timestamps:
00:00 - Introduction and Clay's background in home care

04:30 - The story of the "Australian pirate" secret shopper call

11:10 - Clay's biggest mistake: The stubborn pursuit of a costly, misaligned partnership

16:45 - The "Lemon Meringue" lesson from The Profit that sparked a pivot

20:15 - How to evaluate partnerships against your core mission and values

25:30 - Underrated or Overrated? Balancing tech innovation with the human element of care

33:00 - The critical need for revenue diversification (and the mistake of not having it)

39:00 - A small mistake owners make: Trying to do everything themselves instead of delegating

43:30 - What Clay is most excited about now: Mentoring other entrepreneurs in the franchise network

46:45 - The importance of finding mentors and building a personal "board of directors"

51:20 - Clayton shares two of his recent successes and the reason behind them

Quotes:
Clay: "I get so dug in on maybe not being wrong that I just kept persevering and persevering on trying to make this work... It cost us a ton of money, really reputation."

Clay: "Having some diversification in revenue is really important because things do change. My entire business was built on walking into skilled nursing facilities... and then in one minute that ended."

Clay: "I’m not afraid to just say like, I don't know. I’m not afraid to say I need help. I think when you share that with your team... you can genuinely be humble."

David Knack: "We don't have good change management muscles in this industry... because we move so fast every day, reacting and putting out fires."

Resources:

1. Home Matters Caregiving: https://homematters.com/

2. Connect with Clayton Foutch on LinkedIn: https://www.linkedin.com/in/clayton-foutch

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

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