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Our Story

Built by Operators.
Driven by Purpose.

TBOSC was founded by practitioners who navigated the complexity of launching and scaling senior care agencies — and turned that hard-won knowledge into a consulting practice dedicated to clearing the path for those who follow.

600+
Agencies Launched
100%
Licensing Success Rate
50
States Covered
100+
Years Combined Industry Experience
"
"The senior care industry deserves consultants who've actually sat in the seat — who've filled out the applications, written the policies, and stood before surveyors. That's what we bring."
Lucas Carroll, Founder & CEO
Our Mission

Empowering the Next Generation of Senior Care Leaders

We believe that access to experienced, trustworthy guidance shouldn't be a luxury. Whether you're licensing your first home care agency or scaling a multi-state operation, TBOSC provides the operational backbone, regulatory knowledge, and strategic counsel to help you build something that lasts.

Our team combines decades of direct agency experience with deep regulatory expertise across all 50 states — translating complexity into clarity so our clients can focus on what matters most: delivering exceptional care.

Company History

Decades of Building

From a single franchise operation to the industry's most trusted compliance partner — here's how we got here.

Where It Began
Corporate Leadership at Home Instead
Lucas Carroll joins the corporate office of Home Instead Senior Care — the world's largest non-medical home care franchisor — gaining deep inside knowledge of how the industry operates, what franchisees need, and where the system falls short for individual operators.
2007
2010
Operator First
Franchise Operator in Denver, Colorado
Lucas channels his corporate experience into growing successful franchise operations in Denver. Managing caregivers, clients, billing, and compliance on the ground gives him the front-line perspective that becomes TBOSC's foundation.
The Beginning
The Business of Senior Care is Founded
Drawing on over a decade of corporate and franchise experience, Lucas launches TBOSC to offer individualized training and consulting to home care operators nationwide. The mission from day one: provide the practical, operator-level guidance that no one else was offering.
2019
2021
Expanding the Practice
Home Health Licensing, Accreditation & Medicare Certification
TBOSC expands beyond non-medical home care into the highly regulated world of home health — adding state licensure, Medicare certification, and accreditation services (CHAP, ACHC, Joint Commission). The 100% client license success rate commitment is established.
National Reach
Expansion into All 50 States
TBOSC builds out full licensure coverage across all 50 states, developing proprietary regulatory databases and direct relationships with state licensing departments nationwide — enabling consistent, expert service from coast to coast.
2023
2024
Full Service Lines
Hospice Licensure & Compliance Support Added
TBOSC adds full hospice licensure and compliance support, completing a trifecta of service lines — Home Care, Home Health, and Hospice. Clients now have access to dedicated clinical and operational team support across every category of home-based care, all under one roof.
Education at Scale
Online Training Platform Launched
TBOSC launches its dedicated online training platform — delivering state-specific, compliance-ready curricula for agency administrators, clinical staff, and caregivers. Operators now have on-demand access to the same expertise previously available only through direct consulting engagements.
2025
2026
Client Experience
Exclusive Client Portal Goes Live
TBOSC introduces its exclusive client portal — a centralized hub for active clients to track licensing progress, access policy documents, communicate with their consulting team, and manage every stage of their engagement in real time.
Today
The Industry's Go-To Compliance Partner
With a full operational and clinical team behind every engagement, TBOSC now serves hundreds of franchise and independent agencies each year across Home Care, Home Health, and Hospice. Recognized as a leading compliance authority in home-based care — and scaling fast to meet the growing demand for quality senior care across the country.
Present
What Guides Us

Our Core Values

Every engagement, every interaction, every deliverable is shaped by these principles.

Honor God in All We Do
Our faith is the foundation of everything. We hold ourselves to a standard of integrity, humility, and purpose that goes beyond business — every decision, every client interaction, every deliverable reflects that commitment.
Find Value by Serving Others
We measure our success by the success of those we serve. True value isn't extracted — it's created through genuine service to our clients, our community, and the seniors who ultimately benefit from every agency we help launch.
Promote Growth Within Ourselves and Others
We are committed to continuous improvement — sharpening our own expertise and actively investing in the development of every client, team member, and partner we work with. Growth is not a destination; it's a discipline.
Prioritize a Sense of Urgency
Time matters in this industry — licensing windows close, survey dates arrive, and clients' livelihoods depend on momentum. We operate with urgency not because we're rushed, but because we respect what's at stake for the people counting on us.
Treat Each Other with Dignity and Respect
Every person we encounter — client, colleague, caregiver, or regulator — deserves to be treated with genuine respect. We build relationships rooted in dignity, candor, and care, because how we treat people is inseparable from the quality of our work.
Meet the Team

The People Behind the Practice

Practitioners, strategists, and specialists who've spent their careers in the trenches of senior care.

BD
Director of Business Development
Sales & Partnerships

Leads TBOSC's growth strategy, partnership development, and new client engagement. With a background in healthcare sales and a deep understanding of what agency owners face when starting out, they serve as the first point of contact for prospective clients — matching the right services to the right stage of growth.

RC
Senior Regulatory Consultant
Licensing & Compliance

Our Lead Consultant manages the day-to-day execution of licensing and certification engagements across multiple states simultaneously. With licensure experience in all 50 states and a background in state health department relations, they are the operational engine behind TBOSC's fastest turnaround guarantees.

PW
Director of Policy & Compliance
Policy Writing

A former clinical administrator and certified compliance officer, our Lead Policy Writer is responsible for TBOSC's entire library of state-specific policy and procedure manuals. They oversee the continuous update process that keeps all client documentation current with evolving regulations across all 50 states.

The Difference

Why Owners Choose TBOSC

In a space crowded with generalist consultants and document mills, TBOSC stands apart through depth of expertise, genuine accountability, and a track record that speaks for itself.

  • A team built on firsthand experience — with consultants who've operated home care, home health, and hospice agencies themselves
  • Dedicated state specialists — deep expertise across all 50 states, not one generalist spread thin
  • Proprietary client portal personalized to your project — track milestones, access documents, and stay aligned every step of the way
  • 100% licensing success rate backed by written guarantees on application milestones
  • Real-time document library updated as state regulations change across all service lines
  • Post-engagement support — we don't disappear after your license arrives
  • Flat-fee, transparent pricing with no hidden scope expansions
600+
Agencies Launched
50
States Covered
100%
Licensing Success Rate
100+
Years Combined Experience
5.0★
Average Client Rating
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Ready to Build Your Senior Care Agency?

Schedule a complimentary discovery call with our team. We'll assess your goals, clarify your path to licensure, and outline exactly what it takes to launch and succeed.