How Brigacare Scaled to 1,000 Clients Without Growing Headcount

Rob Tilley, Co-Founder @ Brigacare

1,000 clients
fully managed with a lean team
Avoided extra costs
by not hiring additional employees
2x improvement
in solution build quality
“Without SmartSuite, we’d probably have 10 people working for us. Instead, we manage 1,000 clients with a very thin structure.”
Robert Tilley, Executive Vice President @ Brigacare

Problem

Scaling Care Without Scaling Costs

Brigacare, a provider of psychology consultation services to individuals with intellectual and developmental delay, faced operational challenges as it worked to scale services for clients. As the organization grew in size it faced a familiar challenge: how to grow services without a rise in labor costs

Initially operating with limited capital, Brigacare relied on manual processes—using spreadsheets and paper-based systems to manage clients, coordinate care, and track workflows. Leadership recognized the unsustainable path ahead. Traditional care models typically require more staff as client volume increases, leading to shrinking margins and higher overhead.

With national growth in mind and a lean team in place, Brigacare needed a centralized, data-driven operational backbone—one capable of automating routine tasks, improving visibility, and enabling scalable care delivery without compromising quality or efficiency.

Q1

Solution

Automating Care Delivery at Scale

Like any small start up, capital was a problem. The transition from manual processes to codifying standard operating procedures within the SmartSuite platform has resulted in significantly lower administrative costs and improved cash flow. Since revenues are primarily from Medicaid, there are significant requirements for documentation of consultation services and billing. SmartSuite has allowed these requirements to be built into the operational system.

As a result, SmartSuite has allowed Brigacare to expand to five times their original size with only 2 additional part-time staff. They have day-to-day reporting of AR and AP, and can now track the status of AR in detail."

Q2

Results

Tech-Enabled Growth with Industry-Leading Margins

With SmartSuite as its operational core, Brigacare grew to serve 1,000 clients within four years—all without needing to hire a full back-office team. By avoiding the addition of 10 extra employees, the company preserved its lean structure while maintaining impressive operating margins of 21–22%—more than double the industry norm.

SmartSuite became inseparable from the business model. The system wasn’t just a tool; it was the operating system driving every aspect of Brigacare’s service delivery and organizational efficiency. Its impact has been so substantial that SmartSuite is now featured as a key value driver in Brigacare’s upcoming equity sale, offering future investors a tech-enabled advantage rooted in scalability and margin preservation.

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Company Name

BrigaCare

Industry

Health Care

Team

Marketing

Region

North America

Company size

Small Business

Pain point

Inability to scale operations without proportional hiring

Products replaced

Manual Tracking Systems, Spreadsheets

About the company

Brigacare, Incorporated (brigacare.com) provides compassionate home healthcare services, including skilled nursing, rehabilitation, and personal care. They are committed to helping patients live safely and comfortably in their own homes.

Website

http://brigacare.com/