As the 14th Annual Activated Insights Benchmarking Report triples in size, we’re bringing you a holistic view into the future of the care continuum. Benchmark your performance against the industry with compelling new data points across home care, home health, and hospice. 

We’re seeing a significant shift in the state of the post-acute care industry.

As employee satisfaction rates drop, training strategies are tested, and customer growth rates expand, the Activated Insights Benchmarking Report is forecasting the patterns, trends, opportunities, and threats facing the industry in 2023.

Make data-driven business decisions with these top findings on sales and marketing, recruitment and retention, training, finance, operations, and customer and employee experience.

Sales & Marketing—Finding #1: It pays to create a buzz-worthy reputation in the post-acute care industry.

Successful post-acute care marketing looks like creating a lasting employee and customer experience that speaks for itself—and lets your reputation do the advertising.

As the top marketing source with the lowest turnover rate for home care, home health, and hospice, past and current customer referrals generate over one third of all revenue.

It also pays to pay attention. In the past year, providers who tracked every inquiry about their services saw a higher median revenue by over $1,215,759 compared to those who didn’t track all inquiries.

Likewise, Care Intelligence Platform users saw a 57% increase in annual inquiries, which may be why Activated Insights users thrived during the pandemic compared to the rest of the industry.

Create a buzz-worthy reputation by being one of the 26.8% of providers prioritizing strengthening their relationships with referral sources in 2023.

Graph comparing median revenue of home care providers tracking every inquiry versus those not tracking every inquiry from 2019 to 2022. Trend shows higher revenue for those tracking inquiries. In 2022, tracked: $2,040,759, not tracked: $825,000.
A badge with the text "Great Place To Work Certified USA" in white, featuring a red upper section and a blue lower section. The words "Great Place To Work" are stacked vertically in uppercase on the red background, while "Certified USA" sits on the blue background, reflecting our key findings.

Great Place To Work Certification

Businesses that achieve the Great Place to Work Certification® see a 20% increase in quality on average.

Recruitment & Retention—Finding #2: Providers are losing customers, and employees to quick wins—retention is an investment.

In the post-acute care industry, R&R doesn’t stand for rest and relaxation; instead, providers are finding themselves caught in the revolving doors of recruitment and retention.

Three quarters of all providers had to turn down cases due to the care professional shortage. This is likely due to high turnover, which spiked 12% in the last year after staying steady for the last 3 years, reaching a staggering 77.1% annual turnover rate.

The median home care customer growth rate jumped back to pre-pandemic numbers after a sudden dip and sharp rise in the last two years.

This is likely related to recruitment sources and the reason 40% of all providers are prioritizing recruitment and retention programs. Although Indeed continues to be the most popular recruitment source, it produces the highest turnover rate, much like similar online recruitment platforms.

To resolve this recruitment and retention black hole, it’s worth investing in compensation packages and recruitment sources that produce long-term satisfied employees that pay off in the long run. This is likely why providers paying above the 75th percentile saw a 12.6% decrease in turnover; although employee referrals have the highest acquisition cost, they produce the lowest turnover rate.

Bar chart titled "Historical Median Professional Caregiver Turnover Rate" for 2017-2022. Turnover rates are: 61.6% (2017), 81.6% (2018), 64.3% (2019), 65.2% (2020), 64.9% (2021), 77.1% (2022). Text below explains Professional Caregiver Turnover Calculation.
A woman with straight, red hair and white-framed glasses stares directly at the camera. She is wearing a light blue shirt, standing against a blurred background that gives a sense of depth, yet makes her the focal point. Her calm expression counterbalances the care professional burnout evident in her eyes.

Retain Surveys

Keep your employees engaged and on the job.

Retain is the ultimate tool for reducing employee turnover rates, especially during the first 100 days when the risk is at its peak.

Training—Finding #3: Professional training programs produce the highest ROI and cost the least in the long run.

After lack of adequate training made it to the #2 complaint from employees in the last year, providers are ramping up their training efforts—and those who are doing it strategically are seeing the highest Return on Investment.

Offering 5 additional hours of training in home care, or 8 hours more for home health and hospice, was the difference between being extremely impacted by staff shortages or not at all.

74.2% of providers now use a professional training program to generate the highest revenue and lowest overall turnover rate.

This makes sense when you look at acquisition cost to median revenue per care professional. While in-house training cost the least in acquisition, it also produced the lowest revenue per employee at $13,835.

See an increase of $681,672 in revenue by offering at least 8 orientation hours and 12 hours of ongoing training.

Bar graphs comparing median revenue by training hours for home care in 2022. Higher median revenues are seen with more training hours. 8+ hours of orientation training: $1,809,000; 3 or less: $1,316,567. 12+ ongoing training hours: $1,795,418; 4 or less: $1,606,189.
Activated Insights Training Bundle Graphic
Turn Good Care Teams into Great Care Teams

500+ courses. RN-developed. Blended online/in-service training options. Tailored to your state’s complete requirements.

Finance—Finding #4: The success of the industry lies in the ability to retain hourly care employees, but turnover is the worst it’s been in 5 years.

Rumors of an expanding industry customer base prove true as historical median revenue rose by $52,192 in the last year, the highest annual increase in the last 4 years.

However, a sharp decrease in 2023’s weekly billable hours for both live-in and hourly care may be cause for concern as rates are the lowest they’ve been in 5 years. As hourly care remains the top service offering, producing 85.9% of all revenue, it will be imperative for providers to recruit and retain hourly care staff to keep up with the demand.

In an effort to bridge the gap, providers are diversifying their top 5 payer sources: private pay, long-term insurance, Medicaid Waiver program, Veteran Administration programs, and direct Medicaid billing.

A line graph titled "Historical Median Revenue" for the Home Care industry from 2019 to 2022. Points show a steady increase: $1,609,656 in 2019, $1,642,684 in 2020, $1,684,858 in 2021, and $1,717,048 in 2022. The median revenue grew by 6.7% over four years.

Operations—Finding #5: Customer turnover rate has been declining for the last 5 years, but less than a third of providers are capitalizing on that success.

In the last year alone, customer turnover dropped by 5%, resulting in an average 50.2% turnover rate—the lowest it’s been in 5 years. This post-acute care win means that more customers than ever are enjoying your services enough to stay long-term.

However, only 26.5% of providers are taking advantage of reputation management software to solicit and collect these positive reviews.

There’s more that providers need to track to improve revenue, including crucial KPIs like hospital readmission rates—a metric less than one third of providers are currently tracking.

An infographic titled "5.7 Home Care Historical Median Customer Turnover Rate" shows customer turnover rates from 2018 to 2022: 61.7% in 2018, 59.2% in 2019, 57.7% in 2020, 55.5% in 2021, and 50.2% in 2022. Includes a formula for calculating customer turnover rates.
Activated Insights XM Graphic Bundle
Take Your Clients from Satisfied to Loyal

Measure and improve client/caregiver loyalty, learn where you can improve, and boost retention across the board—while saving time for you and your team

Customer & Employee Experience—Finding #6: Providers who gather and act on employee and customer feedback retain customers 20% longer.

The good news is that the average Overall Care Professional Satisfaction Score received a 9.1, which means your employees are satisfied.

The bad news is that they aren’t satisfied enough to recommend their friends to come join them as eNPS dropped to 6.7.

Which proves that gathering and acting on their feedback matters.

Organizations that use Activated Insights retained customers 20% longer, likely contributing to the average Net Promoter Score and Overall Customer Satisfaction Score increasing this year.

Gather and act on your employee and customer feedback to become the company that employees recommend to their friends and customers recommend to their loved ones.

A bar chart titled "Historical Employee Net Promoter Score (eNPS)" for Home Care. Bars for years 2018 to 2022 show a score increase from 5.9 in 2018 to 6.7 in 2022. A note mentions the data is from over 82,000 HCP experience surveys with care professionals in 2022, with contact info.

 

Next steps:

The State of Post-Acute Care in 2023

WEBINAR SERIES

The State of Post-Acute Care in 2023

Join Activated Insights for a 6-part webinar series breaking down the key findings from each section of the 2023 Activated Insights Benchmarking Report. 

Unlock Access to Insider Tips

Get exclusive updates on webinars, free resources, and expert advice.

Cover of the 2025 Activated Insights Benchmarking Report. It features diverse individuals in home-based care settings, including caregivers and patients, against colorful backgrounds. Text highlights home care, home health, and hospice themes.

The results are in!

The 2025 Activated Insights Benchmarking Report will be available soon. Get $300 OFF when you pre-order! (No code needed. Report available Late Spring.)