You paid for a licensed, open home care agency. What you have is a half-finished folder and a phone number nobody answers. Send us what you have. We will tell you, in writing and for free, what is done, what is missing, and what it takes to open. Then you pay per milestone, never a deposit.
Not affiliated with 21st Century Health Care Consultants. We build the software home care agencies run on. Not a 21st Century client? See standard launch pricing.
21st Century Health Care Consultants of Bradenton, Florida sold home care, home health, and hospice startup packages for roughly three decades: entity formation, state license applications, policy and procedure manuals, accreditation prep, credentialing, and training bootcamps, typically $8,000 to $21,000 paid upfront. In January 2026 it announced a software alliance. By mid-summer, clients could not reach anyone.
We report what is public and nothing more. If you have current contact with 21st Century staff and your work is progressing, you do not need us. If you do not, keep reading.
Every agency we talk to is stuck on a different one. This is the checklist we run your folder against.
Often done, sometimes done wrong. We have seen a license application filed under a name that did not match the entity, which resets the clock.
Prepared is not submitted. Submitted is not complete. We find out exactly where your application sits with the state and what the state is waiting on.
The item most often paid for and never received. Client rights, complaint procedure, service agreements, emergency plan, infection control, supervision, personnel records. Written to your state's code, not a generic template.
Registry checks, TB testing, orientation hours, and annual training requirements, including the dementia training rule in states like Illinois (six hours in the first 60 days, three hours every year after).
The personnel files, client files, and posted notices the surveyor opens first. We run the mock survey before the state does.
State aging and disability programs, managed care organizations, and the EVV vendor your state mandates. This is where the first real revenue comes from and where most timelines slip.
Send us your contract, statement of work, and whatever was delivered. Within two business days you get a written list: done, missing, wrong, and what your state requires next. Yours to keep, whoever you hire.
$0. No obligation.Pick the milestones you want us to complete: entity and tax setup, license application submitted, policy manual delivered, staff onboarding kit, license granted, first client scheduled. Each one is quoted, delivered, then invoiced.
Full Launch $8,950, or $6,700 with the Restart credit. Nothing upfront.Add BridgeCare OS and your policies, training tracker, caregiver onboarding, scheduling, EVV, and billing land inside it on day one. An optional add-on at additional cost.
Six months free with the Restart credit, then $249 to $499/mo.Every milestone is quoted here, in public, so you can compare it to what you already paid. If you hold a 21st Century contract, invoice, or receipt, you get 25% off every milestone through December 31, 2026.
| Milestone | Paid when | Standard | Restart credit |
|---|---|---|---|
| Written gap review | Never | Free | Free |
| Entity, EIN, state tax and unemployment accounts | Confirmations in hand | $650 | $490 |
| State-specific policy manual and all forms | Delivered | $2,950 | $2,215 |
| License application prepared, submitted, tracked | State acknowledges receipt | $2,450 | $1,840 |
| People system: onboarding kit, training curriculum, registry setup | First worker cleared | $1,450 | $1,090 |
| Client contract, service plan, first client setup | Provisional license issued | $950 | $715 |
| Mock survey and survey readiness | Survey passed | $1,250 | $940 |
| Medicaid, IMPACT, and EVV enrollment | Enrollment active | $1,950 | $1,465 |
| Full Launch, all seven milestones | Still billed per milestone | $8,950 | $6,700 |
Tell us what you paid for and what actually showed up. Attachments can come later by email. A real person replies, within one business day, with the next question or the review itself.
Prefer email? hello@bridgecareos.com
We are not affiliated with them and cannot speak for them. What is public: as of September 2026 their main websites no longer load, the Better Business Bureau shows an F rating with 27 complaints, and complaints filed in July and August 2026 state the company ceased operations with contracted work unfinished and refunds refused. If you have a working phone number for your consultant, use it. If you do not, that is what this page is for.
No, and we will not pretend otherwise. We are not lawyers or collection agents. We can help you assemble the paper trail (contract, statement of work, payments, what was delivered) for a card chargeback, a BBB complaint, or a state attorney general complaint. Our job is getting your agency open.
Nothing. You tell us what you paid for and what actually arrived. We send back a written list: what is done, what is missing, what has to happen next in your state, and which published milestones you still need. No obligation.
25% off every milestone for anyone who paid 21st Century Health Care Consultants, through December 31, 2026. Proof is any contract, invoice, or receipt from them. The full seven-milestone launch is $6,700 instead of $8,950, you only pay for milestones you still need, and you get six months of BridgeCare OS free if you open on the platform.
Because a large deposit against months of future work is exactly the model that just failed you. You pay when a milestone is delivered: entity and tax setup, license application submitted, policy manual delivered, license granted, first client scheduled. Nothing upfront.
Non-medical home care (private duty, personal care, home services) in any state. We have taken an Illinois agency through this process ourselves. Medicare-certified home health and hospice need a clinical consultant and accreditation; tell us what you are building and we will say honestly whether we can help or who can.
No. The gap review and the launch work set up the business on their own. BridgeCare OS is an optional add-on billed separately at $249 to $499 a month. Most agencies do go live on it because scheduling, EVV, caregiver onboarding, training tracking, and billing are already there, but it is your call.
From application to operation. A free written gap review, then milestone pricing with nothing upfront. That is the whole offer.