Who we serveSenior care, adult day care

Defend attendance and utilization, because no contract does it for you.

You are billed per day with no contract, so attendance and utilization are the entire business. Empty slots earn nothing, a no-show is an unannounced cancellation, and a regular sliding from five days to three drops revenue about 40% on that participant with no notice.

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Adult day services

Your world

“Some days are full, some are not. By the time I notice a regular stopped coming, they are gone.”

Average daily attendance over capacity is your occupancy, and days-per-week per participant is your growth. Every absence is a signal to act on that same day.

Symptom vs cause

What "adult day care" growth requests usually hide

The request is rarely the real problem. Here is what we tend to find underneath, so the money goes where it actually moves the business.

What you might sayThe real leak we often find

We need more enrollmentFamilies call several centers and about 75% go with the first that responds
Attendance is unevenA no-show is an unannounced cancellation nobody chases
Revenue swingsUtilization sits around 70%, and the empty slots earn nothing

Marketing multiplies the system it lands on.

What the leak costs

On a representative business, the loss has a number.

The same retention math the largest companies run on is already running your business. Here is an illustrative read of where value slips and what it costs in a year.

Illustrative model, not an audit. Each figure anchors on a representative business at about $1.5M revenue and uses the most defensible citable benchmark per input, with conservative assumptions. Swap in your own numbers and the conclusion holds.

Senior care, adult day care

An adult day center at about $1.5M, roughly 60 average daily attendance, billed about $100 a day with no contract. Attendance and utilization are the entire business.

Annual cost of inaction

$300K to $380K

Share of revenue

~23%

Per-day rate, no contract~$100

Average daily attendance~60

Slot utilization (attendance over capacity)~70%

Participant-days per year~15,000

The utilization gap$150K

Billed at about $100 a day, with roughly 3,100 centers serving about 197,700 participants a day. Empty slots earn nothing, because no bed is held by a contract.

Assumption: Lift utilization from about 70% to about 85% on roughly 85 slots and recover half, about 6 more attendees a day across about 250 days.

Source: Genworth 2024, CDC / NCHS 2022

Attendance erosion (no contract)$120K

With no contract, attendance is discretionary. A regular quietly slips from 5 days a week to 3 and revenue falls about 40% on that participant with zero notice.

Assumption: Recover about 0.4 days a week across roughly 60 participants.

Source: Firejar model

Enrollment and silent churn$70K

Families call several centers and about 75% go with the first that responds. A no-show is an unannounced cancellation nobody chases.

Assumption: Faster intake plus same-day no-show outreach.

Source: USR Engage (directional)

The enterprise metric

Utilization and days-per-week. Average daily attendance over capacity is your occupancy, and days-per-week per participant is your expansion revenue. With no contract, every absence is a signal to act on that same day.

The one move

Treat every no-show as a cancellation with same-day outreach when a regular does not arrive, and defend days-per-week with transportation and engagement, because no contract is doing it for you.

See how this compares across industries in the cost of inaction research.

Where we usually start