# Scaling to $13M Without Investors, Diversified Payers, or Traditional Playbooks (Scott Pierce) Page: https://stenobird.com/podcast/home-care-strategy-lab-7276600/scaling-to-13m-without-investors-diversified-payers-or-traditional-playbooks-scott-pierce Text version: https://stenobird.com/podcast/home-care-strategy-lab-7276600/scaling-to-13m-without-investors-diversified-payers-or-traditional-playbooks-scott-pierce.md Podcast: [Home Care Strategy Lab](https://stenobird.com/podcast/home-care-strategy-lab-7276600) Published: 2026-05-05T12:00:00+00:00 Episode link: https://share.transistor.fm/s/37860d15 Audio file: https://media.transistor.fm/37860d15/20576504.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/home-care-strategy-lab-7276600/episodes/scaling-to-13m-without-investors-diversified-payers-or-traditional-playbooks-scott-pierce Duration seconds: 4135 ## Resource #59 Scott Pierce didn’t come from home care—he came from broadcasting and healthcare software. But after navigating his parents’ complex health needs, he and his wife Amy built something entirely different in Savannah, Georgia. Eight years later, Coastal Care Partners is doing nearly $13M in revenue and 7,000 hours of care per week —all from a single location. Scott breaks down some of the unconventional decisions behind their growth: Why he focused on hours and Google reviews—not margins or EBITDA How staying 100% private pay shaped their model The early bets on caregiver pay, training, and infrastructure Lessons from distractions, failed ideas, and scaling without outside capital And why most agencies stay stuck—and what it actually takes to break through Scott Pierce on LinkedIn Coastal Care Partners Book: The Aging Care Blueprint for Families by Amy Pierce Book: Unreasonable Hospitality by Will Guidara ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/home-care-strategy-lab-7276600/episodes/scaling-to-13m-without-investors-diversified-payers-or-traditional-playbooks-scott-pierce/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/home-care-strategy-lab-7276600/scaling-to-13m-without-investors-diversified-payers-or-traditional-playbooks-scott-pierce.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.