Two out of every five patients prescribed home nursing care in America never actually receive it and the reason has nothing to do with whether clinicians are available. One New York startup quietly built its way to becoming one of Texas’s largest home health providers by attacking the real problem: the $0.60 to $0.90 in administrative overhead that shadows every dollar of clinical labor, making most referrals unprofitable to accept. Find out how Adaptive Innovations took on the patients everyone else turned away and still posted a rehospitalization rate less than half the national average and then raised $50M to take the model nationwide.