McKnight's Home Care Newsmakers Podcast with Ryan Iwamoto, Oct. 13, 2021

24 Hour Home Care president and co-founder Ryan Iwamoto details the company’s "people-first" strategy, which prioritizes caregiver feedback and continuous improvement to maintain a high-quality workplace. By adopting a model similar to Trader Joe's, the company balances local, personalized service with professional scalability. To combat widespread staffing shortages, the organization strategically sets pay rates 20-30% above market averages and provides comprehensive benefits, viewing these investments as essential for long-term retention. Beyond internal culture, the company is navigating operational shifts, including managing vaccine mandates and expanding its service footprint across Texas, Arizona, and California. The firm aims to integrate private pay, disability services, and Medicaid personal care into a unified, nationwide model, emphasizing that the home remains the most effective and cost-efficient setting for long-term care.