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What Will Work in 2025 to Grow Billable Hours for Home Care Agencies

As we move through 2025, home care agencies face a challenging but promising landscape. The cost to acquire new clients has risen significantly, making it more important than ever to invest wisely in marketing and operations. However, the lifetime value of a home care client remains strong, and agencies that adapt to today’s realities can still see excellent returns on investment.

In today’s environment, the fundamentals have not changed: strong referral relationships and local community engagement remain the foundation for growth. However, success also requires understanding how to leverage digital tools to supplement — not replace — these offline strategies. When used thoughtfully, online marketing can enhance your offline reputation, build additional trust, and convert more inquiries into billable hours.

In this article, I’ll share the strategies currently working best to help home care agencies grow billable hours based on real-world results across the country.

Client Acquisition Costs Are Up — But Opportunity Remains

The average cost to acquire a new home care client has climbed to approximately $800. While this is a significant increase, the long-term revenue generated from each client still justifies the investment.

However, it’s critical that agencies maximize every opportunity. Staff answering the phones must be trained to nurture inquiries and guide families through their decision-making process, ensuring that marketing dollars truly convert into billable hours.

Multi-Channel Marketing: Offline Still Leads

Today, marketing success requires a multi-channel approach that combines both offline and online strategies — with offline efforts continuing to be the cornerstone.

Building relationships with healthcare providers, community organizations, and local referral partners remains the most effective and sustainable way to grow a home care agency. Personal trust, reputation, and word-of-mouth continue to drive the majority of high-quality leads.

That said, offline efforts must be supported by a credible online presence. Families almost always conduct additional research before making decisions. An outdated website or weak online reputation can undermine even the strongest referral.

Online marketing should be seen as a supplement — a way to strengthen and support offline efforts — not a replacement. To thrive in 2025, agencies must lead with offline relationship-building while using online tools to reinforce credibility and nurture warm leads.

Focus on “Problem-Aware” Families

Agencies should prioritize reaching “problem-aware” families — those actively seeking help. These families behave much like someone with an urgent home repair: they go straight to search engines to find a solution.

Your online presence, particularly your website, must be engineered to convert these visitors into callers. Clear messaging about who you are, what you do, and why you’re different is essential, as is making it easy to call with click-to-call buttons and visible contact information.

The Smart Marketing Funnel

A smart marketing strategy focuses first on families who are ready to engage. Warm leads offer the highest return on investment and should be prioritized.

Once these warmer channels are optimized, agencies can expand into colder audience building — creating brand awareness among families who may need services in the future. This two-step approach ensures marketing budgets are used efficiently.

Key Online Strategies for 2025

While offline remains the foundation, several online strategies are proving highly effective when used to support and amplify offline efforts.

Google Ads (PPC)

Google Ads allow agencies to target by zip code, city, or specific radius, ensuring marketing spend is concentrated where it matters most. As new agencies open and competition increases, protecting market share through smart advertising is critical.

Google Business Profile (GBP)

Your Google Business Profile acts as a mini-website and is often the first impression families get online. A complete, active profile — with accurate information, high-quality photos, and regular updates — earns more visibility and trust.

SEO (Organic Search Rankings)

Although SEO takes time, agencies that invest in original, helpful, locally relevant content will gradually rise in rankings. Duplicated content or thin websites struggle, especially as Google’s algorithms continue to prioritize authority and relevance.

Website Optimization

A fast, mobile-friendly website with a clear call-to-action can make the difference between a lead calling you or moving on. Streaming real-time Google, Yelp, and Facebook reviews onto your site further builds trust at critical decision points.

Online Reviews

Consistent review generation remains one of the most powerful ways to build credibility. Agencies should have a structured process for asking families for reviews and responding promptly to feedback — both positive and negative. A higher review count than your local competitors can be a significant advantage.

Remarketing

Not every website visitor will be ready to engage immediately. Remarketing keeps your agency top-of-mind by gently following previous visitors with reminder ads across the internet. It is highly cost-effective and helps capture interest when families are ready to make decisions.

Social Media Boosting

Organic reach on platforms like Facebook continues to decline. Boosting posts to your existing followers for a modest $5 to $7 ensures that more of your community actually sees your content. This nurturing helps maintain top-of-mind awareness without excessive costs.

Small Wins Add Up

Some of the most effective improvements are low-cost or even free. Training your team to convert more phone inquiries, improving your website’s user experience, asking for reviews, and strengthening community ties can all drive significant growth without major investments.

By focusing on these fundamentals first, agencies can ensure every marketing dollar — offline and online — is working harder for them.

Final Thoughts

Growing a home care agency in 2025 requires a balanced approach: leading with offline relationship-building, supported by smart, strategic online marketing.

Agencies that master this balance — staying consistent with proven offline efforts while enhancing their digital credibility — will not only weather today’s challenges but emerge as leaders in their local markets.


Free Resource

If you would like to dive deeper into effective marketing strategies for home care agencies, I invite you to request a free physical copy of my book, Home Care Marketing 2.0. I’m Welton Hong, CEO of Senior Care Marketing Max, and this book shares additional insights on growing billable hours, building brand authority, and attracting high-quality clients. I’ll ship you a complimentary copy — no cost to you. You can request it here: https://get.seniorcaremarketingmax.com/lm-home-care-marketing-pg.

Article by: Welton Hong

CEO of Senior Care Marketing Max

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Peg Pickett
"Gregg has been a game-changer for my business! After 20 years in the industry, I had a lot of knowledge but didn't always know how to ...
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Peg Pickett
Owner, Visiting Angels
"Gregg has been a game-changer for my business! After 20 years in the industry, I had a lot of knowledge but didn't always know how to apply it effectively. In just six months of working with him, I've more than doubled my business. His detailed explanations, structured approach, and weekly check-ins keep me focused, addressing bottlenecks and celebrating wins. His educational videos for all aspects of the Home Care Business for all employees duties are outstanding. Gregg ensures you stay on track and turn insights into action. I highly recommend him to anyone looking to grow their business. Let him be your mentor as he is mine."
Peg Pickett
Peg Pickett
Owner, Visiting Angels
Mario D'Aquila, MBA
“Way back in 2020 Gregg reached out to me to see if I wanted to join his Homecare Revenue Breakthrough Mastermind Group. I proceeded...
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Mario D'Aquila, MBA
COO Assisted Living Home Care Services
“Way back in 2020 Gregg reached out to me to see if I wanted to join his Homecare Revenue Breakthrough Mastermind Group. I proceeded both with intrigue and excitement but unsure of how it would help me and my company. Being that we are one of the largest homecare agencies in our state I didn’t know how Gregg would be able to get us to the next level. I will tell you that it’s one of the best business decisions that I have ever made! Gregg has not only been a mentor and friend, helping to guide us on our homecare business journey, but he created this unbelievable think-tank called the Homecare Mastermind group. This group of like-minded business owners shares ideas, critiques each other, and grows our companies together. Since joining this group and implementing what I’ve learned our revenue has increased over 30%!! From Greggs sales, marketing, recruiting, and business operating Mastermind sessions we were able to incorporate strategies and processes that have launched our company into the stratosphere. If you are ever considering hiring a coach or consultant that knows home care well, Gregg is the real deal, and he’s built a phenomenal Mastermind group.”
Mario D'Aquila, MBA
Mario D'Aquila, MBA
COO Assisted Living Home Care Services
Rosaleen Doherty
"My home care team has been working with Gregg for the past 4 or 5 years. Gregg's salesperson training and 10x growth trainings are excellent and help ...
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Rosaleen Doherty
Co-Owner/CEO Right At Home
"My home care team has been working with Gregg for the past 4 or 5 years. Gregg's salesperson training and 10x growth trainings are excellent and help you to sit back and look at your people and your business. When we came to Gregg, we were already very successful in our home care franchise and had been in business over 20 years. Gregg helped us solidify our outside sales strategy after COVID and leverage his training to grow our private care business. I also joined his Mastermind, because I was paired with other home care owners around the country about my size and of my tenure in the industry. My franchise business was so much larger than most businesses in the system, so finding "peers" in the home care space has been invaluable to me. Gregg is an expert in the home care business and we feel like there is so much more to learn!"
Rosaleen Doherty
Rosaleen Doherty
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Cara Delgado
"Working with Gregg Mazza was truly transformative for my home care business. After facing major setbacks —like rebuilding after Hurricane Harvey —I was ready...
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Cara Delgado
Former owner Home Instead Home Care
"Working with Gregg Mazza was truly transformative for my home care business. After facing major setbacks—like rebuilding after Hurricane Harvey—I was ready to give up. But Gregg challenged me to commit to growth, and that mindset shift made all the difference. His strategies gave me clarity, structure, and confidence, helping me grow referrals and increase my business's value and eventually selling it for almost half a million dollars more than my prior valuation. The focus on accountability, financial awareness, and team culture was game-changing. If you're feeling stuck, just know: if I could do it as a non-sales person/former social worker, so can you. This journey proved that with the right guidance and determination, incredible success is possible. I got so much value from my experience with Gregg that I decided to join his company as an accountability coach after I sold my business"
Cara Delgado
Cara Delgado
Former owner Home Instead Home Care
Jennifer and Brian Perruccio
When we had been in the home care business for about eight years, we were hovering around $1 million in revenue. While we...
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Jennifer & Brian Perruccio, Owners
HomeChoice Home Care Solutions, Raleigh, NC
When we had been in the home care business for about eight years, we were hovering around $1 million in revenue. While we were experiencing some growth, it wasn’t at the pace we wanted. Attending one of Gregg’s events was a turning point for us. At first, we were hesitant about working with a coach/consultant—it felt like a big investment in both time and money. But taking that step turned out to be one of the best decisions we’ve made. While working with Gregg we implemented his Rapid Referral program, focusing on refining our sales process and systems. It was a challenge at first, especially as a small agency with limited staff, but by following Gregg’s methods closely, we started seeing real results. Shortly after, we joined Gregg’s Mastermind group, and the ongoing exposure to his insights on recruiting, management systems, and innovative strategies has transformed our business. Not only have we built a stronger, more independent team—something Gregg strongly encouraged—but our business has more than tripled in size since we started working with him. More importantly, we’ve shifted from being consumed by the day-to-day operations to having a company that runs more and more without us. Gregg has been an incredible mentor, constantly pushing us to think bigger and step outside our comfort zone. Every time we take his advice, our agency grows stronger. If you’re serious about growing your business and want to be energized by a forward thinker, don’t hesitate—work with Gregg. You won’t regret it!
Jennifer and Brian Perruccio
Jennifer & Brian Perruccio, Owners
HomeChoice Home Care Solutions, Raleigh, NC

Gregg Mazza

After nearly losing my business in 2010 and facing intense personal burnout, I turned things around—growing our agency by over $1 million in just one year. That transformation not only stabilized the business but gave me the freedom to step back from daily operations. That journey inspired me to launch Home Care Breakthrough and Home Care Insider Magazine—platforms built to share the hard-earned insights and strategies that helped me scale, so fellow agency owners don’t have to walk the road alone. I know firsthand how isolating and overwhelming home care ownership can feel. But I’ve also discovered that building a larger, systems-driven agency brings clarity, stability, and more balance to your life. Through our articles and resources, my mission is to help you achieve that too—and to remind you that there’s room for all of us to succeed.

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