With over 95+ years of experience growing home care businesses…
Meet our team
24/7 Solutions is here to help you grow your business and and take back your personal time.
Emily Isbell | Founder & CEO
Serving non-medical home care franchises since 2007.
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Professional History
In college Emily joined Home Instead Senior Care of Bowling Green, KY providing direct care to seniors in their homes.
Held the Director of HR role and developed recruitment and retention initiatives that doubled the number of direct care staff. This increase allowed for business growth and revenue nearly doubled in size.
Independently managed the day to day operations in Franklin, TN and during the initial 4 years, her and her team quadrupled the company's gross profits.
In 2016, Emily began oversight of a second territory in Nashville, TN. During simultaneous leadership of Franklin and Nashville, Franklin continued to grow and Nashville's revenue tripled in just four years.
In 2018, Emily began oversight of a third territory in Goodlettsville, TN for a 12 month period. During that time she maintained 8-10% growth for Franklin, Nashville, and Goodlettsville.
Until recently, she was responsible for nearly 300 team members and the wellbeing of over 500 client/client family members and allowed the franchise owner freedom from the day to day.
Her ability to scale operations and leadership placed the owner as one of the top 3 leaders in revenue within the network.
In addition:
15 years of personal growth study and application
Experience in developing people and teams
A background in the study of psychology
Leadership Council member of her church
Emily has a unique lens after working her way from the bottom to the top with one of the leading franchises - Home Instead. In addition to Emily providing the owner absentee leadership and growing multiple franchises by double digits for multiple years, she also innovated a unique way to lead from afar. During her time of overseeing multiple franchises, she developed her teams to flourish independently and implemented scaleable processes that ensured incredible services for clients. Emily was a pioneer at Home Instead as one of the first non-owner leaders to oversee more than one franchise at a time while continuing to have exponential growth.
Personal Note from Emily:
I’m originally from Kentucky and now live in Nashville with my wife and our son. I especially enjoy being outdoors - hiking, paddle boarding, back country camping, running, swimming, playing ultimate frisbee, and catching some vitamin D.
Since I was young I have been focusing a lot of my time and energy into personal growth. At only 19 years of age I was reading books like A New Earth by Eckhart Tolle, The Voice of Knowledge by Don Miguel Ruiz, and alternating with leadership works from the likes of John Maxwell to Malcolm Gladwell. Since then I have continued my study and am a large supporter of Brene Brown’s work. I do not believe there is just one formula for success and I appreciate the importance of diversity in study and application. I’m on a journey towards making every day better than the last, I contend that we are all on this journey. During my time in leadership I have thankfully had people just a few steps ahead, to help me along the way. I am forever grateful to them for shining their light on the path. My hope is that I can shine a light for you.
Whats with all the cloud photos? Since I was a teenager, I have always had an affinity for taking photos of clouds. It was even more solidified when I was 19 years old. While caring for a 96 year old lady, she stopped mid-stride with her walker, looked up and said, “Oh! Look how beautiful!” Since then I try not to ever take a “Toy Story” clouded day for granted. I use it as a reminder to pause and appreciate life’s beauty, just as she did.
Secondly, I was picked on for always having my head in the clouds at a young age. What people didn’t realize at the time is that my feet were also on the ground. My favorite music artist, lyricist, and performer Brandi Carlile puts it well in the song The Joke, “I have been to the movies, I’ve seen how it ends and the jokes on them.” I’d love to help you keep your head in the clouds and your feet on the ground.
As a co-leader I will be your behind the scenes secret weapon complimenting your on stage actions towards success.
I look forward to working with you!
Emily Harlan | VP of Business Development
Serving non-medical home care franchises since 2021.
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Professional History
More than two decades of sales, business development and marketing experience
Extensive knowledge of home care direct marketing, public relations and communications
Began her home care career at Home Instead and was promoted to a regional position, overseeing marketing and sales efforts in six franchise territories across three states
Expert in nurturing relationships with referral providers in the home care space
Emily’s passions include reading, cheering on her daughter’s soccer team, and growing old with her husband of 20 years. Emily is thrilled to be part of the 24/7 Solutions team and is excited to help agencies grow their business while helping seniors.
Personal Note From Emily:
I first worked in home care when I was hired as a CAREGiver for Home Instead in Bowling Green, Kentucky in 2010. I moved into a sales and business development role that same year, and was thrilled to promote home care in the South Central Kentucky community. The business quickly grew and we accomplished dramatic levels of growth over a short timeframe. My favorite part of sales and business development is watching referral providers grow in their knowledge of home care services and become raving fans of caregivers and their clients.
I am a Kentucky native and lived across the state as a pastor's daughter. I attended Asbury University and then worked at Lindsey Wilson College, where I met my husband of 20 years. I am an avid reader and welcome any book recommendations you can give me! I am passionate about storytelling, communication fluency and nurturing relationships. When I'm not working I'm cheering on my daughter at the soccer fields, browsing library shelves and trying to catch up on the laundry.
Matt Hurley | VP of Financial Strategy & Analytics
Serving non-medical home care franchises since 2013.
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Professional History
Matt earned his Bachelor of Science in Business Administration from the University of Nebraska Omaha.
Matt has 9+ years of home care operations experience with Home Instead / Honor. He started as a Business Performance Coach and finished as Director of Franchise Strategy and Operations.
As Director of Franchise Strategy and Operations he initiated and led the day-to-day operations of multi-unit and redevelopment department as Franchise Strategy Director working with the largest multi-unit owners in the system.
Matt maximized business growth (increasing regional sales by 7%) and Return on Investment (ROI) by providing franchise owners with an in-depth business education, including market data analysis, segmentation strategies, corporate governance, and procedural guidance.
Matt created performance models to identify underperforming franchises and increase the franchise office count (+2%) while consolidating the total number of franchise owners.
As Senior Manager of Business Performance, Matt led a team of business performance coaches providing support to 73 franchise owners who owned 89 franchise offices. He delivered robust business strategies, annual sales forecasts, and long-term relationship-building to support and increase the quality of services and to enhance profitability.
Matt developed and delivered new franchise network resources and tools including pricing strategy models, work force utilization, operational scorecards, and business planning workbooks.
Prior to Matt’s experience in home care, Matt has served over 20 years of B2B Sales and Service as Vice President of Client Services.
When Emily was asked why she brought Matt onto the team she shared "If I needed analytic support in my Home Instead businesses, I was calling Matt. I want to surround myself with the best and Matt is one of them.” She went on to say, “It goes without saying but Matt’s a stand up guy. If I can be around people who inspire me to be a better human every day then why wouldn’t I make the choice to bring them onto the team?”
Personal Note from Matt:
I’m a lifelong Nebraskan who enjoys spending time with my wife, Mary Ellen, watching our 2 girls play soccer and dance, and playing with our giant Bernie-Doodle, Milo. I’m an avid sports fan who follows both Creighton and Nebraska. I also enjoy reading and solving puzzles … Wordle, Crossword and Sudoku.
Home care is a uniquely mission driven industry. When I tell people I’m in Home Care, many will share a story about their loved one’s aging journey. I’m no different. I have a story or two. That is why I have a passion for the industry. What makes this passion truly meaningful is working with an ardent and dedicated leader such as Emily. She has reinforced the adage “if you want to go fast, go alone, if you want to go far, go together”. It’s her ability to build upon the strengths of the team and operationalize the procedures that drives the success of an organization. I’ve worked with many offices, and the most successful have leaders who can inspire their people and manage the process.
I’m looking forward to working with you and seeing how FAR we can go.
Andrea Sussman | Home Care Operations Consultant
Serving non-medical home care franchises since 2000.
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Professional History:
Andrea Sussman is a deeply experienced professional in the senior care industry, bringing over 25 years of leadership as an entrepreneur, advocate, and operator in non-medical home care. As the owner and CEO of Home Instead – Morris County, NJ (2000-2025), Andrea built a successful agency known for its excellence in client service, regulatory compliance and caregiver development. Her leadership empowered a team of over 1,500 caregivers and served more than 2,000 families, helping to set the standard for quality care and compassionate support across the region.
Andrea has held several influential leadership roles in the industry. She served as a State Captain for Home Instead’s national advocacy team, regularly engaging with US Congressional representatives to influence public policy on aging and direct care workforce issues. She has been a board member of the New Jersey Chapter of the Home Care Association of America and currently serves as its President, where she works closely with legislators, regulators, and agency leaders to shape policy and promote best practices. She is also a board member and site auditor for the National Institute for Home Care Accreditation (NIHCA), contributing to the development and enforcement of quality standards for home care agencies. Andrea’s commitment to community is also evident through her longstanding involvement with the Alzheimer’s Association, where she has served as a Walk Committee volunteer and led one the top fundraising teams in Northwest New Jersey.
Prior to founding her home care agency, Andrea worked in a variety of care settings across the aging and healthcare continuum – including long-term care facilities, acute care hospitals, and hospice. This early hands-on experience gave her a deep understanding of the challenges faced by aging adults, families, and frontline care professionals – and continues to lend to her holistic, human-centered approach to home care consulting.
She holds a Master’s degree in Social Work from New York University (Magna Cum Laude) and a Bachelor’s in Social Work from San Francisco State University (minor in Gerontology). Andrea is also a Certified Dementia Practitioner (CDP) and Certified Alzheimer’s Disease and Dementia Care Trainer (CADDCT) through the National Council of Certified Dementia Practitioners.
Andrea brings extensive operational insight, policy expertise, and a collaborative spirit to 24/7 Solutions, helping agency owners grow compliant, sustainable, and mission-driven businesses. Her work is grounded in first-hand experience and driven by a passion to elevate care for seniors and their families, caregivers, and the communities they serve.
A Personal Note from Andrea:
I’m originally from New Jersey and am currently making a dream come true—moving from North Jersey to the southern part of the state to live closer to the ocean. I absolutely love the beach, whether it’s for morning walks, sunset views or simply feeling the sand between my toes, and I hope to visit as many beaches as possible around the world in my lifetime. I’m married to an amazing guy, and together we have a blended family of four successful young adults of whom we are incredibly proud.
Outside of work, I’m happiest with music in the air (especially jam bands and live concerts), my hands in the garden (flowers are my favorite), or spending time with my family. I love reading, traveling, exploring the outdoors, and soaking up everything this beautiful world has to offer. At home, we’re also avid football fans—and often frustrated New York Giants loyalists!
I’m beyond excited to be joining Emily—a leader I deeply admire—and to be part of this incredible team of professionals who are working to elevate the home care industry every day.
Sam Rancier | Director of Business Development
Serving non-medical home care franchises since 2023.
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Professional History
Growing up, Sam worked at her family’s business, where she gained firsthand experience of both the challenges and rewards of running a business.
Sam has a background in technology sales and specializes in business development and sales operations.
She has worked with various start-ups, helping build and execute growth strategies that help businesses scale.
She has worked in various industries including healthcare technology, human resources and AI. She is thrilled to be working in home care as she has a strong understanding of the importance of providing a great client experience.
Sam has experience in event planning, managing logistics, coordination and execution to create impactful, memorable experiences.
She is highly detail-oriented and ensures that every project runs smoothly and efficiently.
When Emily was asked to make a comment about Sam’s contributions as a team member she said, “Sam was recommended to me by a trusted colleague who was her former supervisor. Anyone that comes to you from someone you trust with incredible praise, you have to find a way to make it work. I'm so glad we did!”
Personal Note from Sam
I live in Victoria, BC, on an island off Canada’s west coast, with my two dogs. When I’m not working, you’ll most likely find me in the ceramics studio, completely immersed in the creative process. I also have a deep love for travel and am always looking for my next adventure.
Working with Emily and the E.I. & Co. team has been an incredible opportunity for me. Having received home care services after a surgery, I know firsthand how important it is to provide clients with a great experience. When I was younger, I thought I would pursue a career in healthcare, but as I grew, I discovered that my strengths were in different areas. Now, I’m grateful to do what I love while still indirectly supporting those who rely on home care services in meaningful ways.
I look forward to working with you!
Erica Tibbetts | Director of Finance
Serving non-medical home care franchises since 2017.
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Professional History
Graduate of Fordham University with a BS in Accounting and an MBA from the Gabelli School of Business in the Bronx, New York.
Recruited by PricewaterhouseCoopers right out of college to assist in the audits of multiple clients in various industries.
Worked for over a decade in the hospitality industry, from customer service to management, eventually becoming the General Manager of an award-winning Marriott in northern New Jersey. Erica led her operations and sales teams to record success for three years.
Held various corporate roles supporting 40+ hotels throughout the U.S., advising specifically regarding guest satisfaction, quality assurance and revenue generation strategy.
Managed back office operations for Frax, a company that offered fractional outsourcing services for home care agencies. Erica’s team of bookkeepers processed payroll, invoiced clients, submitted for third-party payments, managed A/R, managed A/P, and reconciled monthly statements.
In addition to serving EI & Company, Erica owns a bookkeeping business that works exclusively with home care agencies. She ensures their financial records are clean and complete, and works with owners/operators to recognize financial trends and improve profitability in their agencies.
When Emily was asked to make a comment about Erica’s contributions as a team member she said, “I don’t know where our company would be without Erica’s financial expertise. It is sometimes hard for me to stay awake when looking at a Profit and Loss Statement and I’ll look over and see that Erica is lighting up just looking at the numbers. Don’t even get me started about how she responds to the topic of paying caregiver overtime. Without Erica, EI & Company would not be the all inclusive expert in home care business that it is today.”
Personal Note from Erica:
I grew up in Massachusetts and then lived in the tri-state area (northern New Jersey, the Bronx, and Queens, New York) for over a decade before moving to a suburb of Wichita, Kansas, where I now live with my daughter and husband. My family has always been a Disney family: trips to Walt Disney World growing up, Disney movies constantly playing, family pets with Disney names, etc. But as a professional, I also have admired the “business behind the magic”: the Disney approach to leadership, employee engagement, and service. I’ve learned, from attending the Disney Institute Customer Experience Summit, to strategically focus on the details that other organizations may often under-manage, or ignore. Where others let things happen, successful leaders are intentional in their actions. I take pride in bringing my operational and financial expertise to our clients. Being able to help clients understand their financials and learn from past trends to improve performance brings me great joy.
I look forward to working with you!
Erica Williams | Home Care Sales Specialist
Serving Non-Medical home care franchises since 2012
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Professional History
Erica earned her Bachelor of the Arts in Sociology and an M.B.A in healthcare management from Western Governors University
Erica has 10 + years of home care operations and sales experience
In 2024, while serving as the general manager for the Home Instead office in Franklin, TN, she was recognized for reaching award level revenue for the Franklin office within her Home Instead org WCSC where she held a 40.3% YOY revenue growth in year 1
She increased the web inquiry close rate across the Nashville, Franklin and Goodlettsville territory by 25% by creating a speed to lead response cadence and inquiry specialist role to see it through
She was recognized for her retention efforts with caregivers with a net gain of 21 caregivers in a quarter and reducing her Franklin, TN YOY caregiver Turnover from 155% to 67%.
She held a close rate of 97% and avg. of 16 new cx. Starts per month
Prior to joining Home instead, Erica worked in a clinical setting as a clinical director of operations where she expanded their market presence from 2 to 5 locations, and oversaw all 5 operationally
She has a variety of skills: operations, sales, recruiting and retention
Personal Note from Erica
I'm originally from California and now live in Nashville, Tn. When I am not working you can most likely find me in the kitchen using my creative energy to create a new dish from scratch or in my home beauty lab trying new products. I love water activities whether the ocean, pool or lake, they all bring me joy! I have a strong love for traveling and exploring other countries.
Since my first role as a caregiver, I have always had a passion for homecare. It was my grandfather being my “why” for starting, but it was me becoming the “why” for so many families that has kept me in the industry.
Emily’s honesty, intentional processes and dedication to her team and clients made it an easy decision to join her team.I am excited to join the team.
I look forward to working with you.
Mollie Hanrahan | Director of Web & Application Development
Serving Businesses & brands since 2013.
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Professional & Applicable Life History
Mollie earned her bachelor’s degree in History from Western Kentucky University with a certification in Secondary Education certification (8-12 grades).
After stepping away from the world of secondary education, Mollie embarked on a 3-month, 2,800 mile-long, self-supported bicycle tour of Patagonian Argentina & Chile.
In 2013, Mollie Co-founded Louisville Bicycle Tours, a small bicycle tourism operator in Louisville, KY, which offered scenic and historical bicycle tours throughout Louisville.
In 2017, Mollie co-founded a 3-day cycling event called The Bourbon Burn in Lexington, KY.
While serving as Co-Founder & Co-Director, Mollie led the event marketing and outreach efforts, while also planning, strategizing and engineering all website development, event communications and social media presence.
From 2017 to 2019, Bourbon Burn marketing efforts helped increase participation and ridership around the country by 370%.
The Bourbon Burn has included participation from all 50 states, including the District of Columbia, in addition to the UK, Canada, Sweden, Australia, Germany and Japan.
In November 2020, Mollie and her co-founding partner were invited to present at the Virtual Cycle Summit, an international conference of tour operators, who meet annually to network, start new businesses, and share ideas and products.
While Mollie still serves as Co-Founder and Co-Director of The Bourbon Burn, she is excited to join EI & Company and bring with her more than ten years of creative brand development, business building, and strategic planning.
When Emily was asked why she brought Mollie on the team she shared, “There are few people that you can find that can pick up your idea and run with it to the exact execution you would have done yourself. Or even better! I am so incredibly grateful to have Mollie’s years of experience building a global brand to support us as we expand across the globe.”
Personal Note from Mollie:
I am a native Kentuckian and currently live and work in Louisville, KY with my partner, Nic and our young daughter. We love to spend as much time as possible outside, and you can often find us in the trees hiking, kayaking, mountain biking, camping – or you name it!
Having known Emily for many years both professionally and personally, I was thrilled and flattered when she asked me to join the team as Creative Director. I am passionate about directing and overseeing the development of creative concepts for a brand, and I look forward to using my skills and experience to lead that initiative here at EI & Company. Emily is a collaborative and effective leader, with a work ethic and conviction unmatched by most.
I’m honored to be part of her team and look forward to all that is ahead.
Kelsey Applegate | Quality Assurance Expert
Serving non-medical home care franchises since 2018.
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Professional History
Graduate of Communication Sciences and Speech Disorders from Augustana College in Rock Island, Illinois.
Years of experience working at State Farm Insurance in Insurance Claims. Starting out as a Sales Representative and shifting to a Claim Specialist with oversight of Claim Associates in speciality injury cases.
Joined the Home Instead Quality Assurance Department in 2018 as a Client Care Coordinator where she was responsible for the overall client satisfaction and case management.
Between 2018 and 2020 Kelsey’s ability to serve through sales led Client Revenue to grow by 65%.
In 2020 Kelsey was promoted to the Director of Operations and served as a direct oversight for the Quality Assurance Department and the Client Services Department.
Shortly after Kelsey was once again promoted to the Executive Director of the Nashville Home Instead location and served in this capacity until 2022.
Before joining EI & Company, Kelsey took time away from work to renovate her Tennessee Mountain Home.
When Emily was asked what stood out about Kelsey she stated, “Kelsey always follows through. You can confidently know that if Kelsey says she will do something, she’ll do it. Not only that, Kelsey is a life long learner. She never feels satisfied with what she knows and is always curious. This curiosity has served her well in her career and led her to working with one of the leading Home Instead groups in the network. In addition to Kelsey’s posture towards learning, she is a problem solver for others. You can count on Kelsey to work diligently to help solve the needs of those around her.”
Personal Note from Kelsey:
I’m originally from Illinois and now live in Whites Creek, TN with my fiance. I enjoy volunteering with organizations, especially organizations that serve animals. I have two cats myself and we all enjoy watching sunsets at what we call our “Tennessee Mountain Home”. As leaders, it is our responsibility to be the very best US so our team can be the very best THEM. I was blessed to have benefited from Emily’s expertise and carried those skillsets through to my own team. I spent my time sharpening the tools I had acquired from Emily’s leadership as the Executive Director. We were contributing to an environment that people wanted to be in for a mission they were excited to be a part of and we were having FUN doing it!
I look forward to working with you!
Juanita Almy | Operations Expert
Serving non-medical home care franchises since 2015.
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Professional History
In 2015 Juanita joined Home Instead Senior Care of Bowling Green, KY providing direct care to seniors in their homes.
Served in all HR positions ranging from Communications Engineer to Director of HR.
Independently managed the day to day operations in Clarksville, TN and in the first six months, her and her team doubled the company's gross profits.
In 2018, Juanita began oversight of a second territory in Goodlettsville, TN. During simultaneous leadership of Clarksville and Goodlettsville, Clarksville continued to grow and Goodlettsville’s revenue tripled in just one year.
In 2019, Juanita began oversight of a third territory in Gadsden, AL. During that time she tripled the Gadsden, AL location’s revenue in just 10 months!
By 2020 Juanita began oversight of five total franchises.
Prior to joining EI & Company Juanita had acquired oversight of 7 total Home Instead franchises and was one of the top leaders in the Home Instead Franchise network.
When Emily was asked what stood out about Juanita as a leader at Home Instead she stated, “Juanita has an exceptional ability to look at the data and very quickly propose a solution for systems, and improve results rapidly. While most people get lost or overwhelmed by spreadsheets and data, Juanita thrives in finding the weak links and confidently tweaking actions that help the business grow.”
Personal Note from Juanita:
I’m originally from New York and now live in Nashville with my husband. Something unique about me is that I began wrestling at the age of five. I was the first person to be appointed the New York State Grand Champion by the Governor and represented the US in the World Championships in 2003. I enjoy working out and spending time with my pups.
I am thankful to have the opportunity to work alongside Emily. In 2017 Emily took me under her wing and mentored me in a way that allowed for us to have an incredible impact on many seniors, employees, and cities in the Mid-Atlantic region. I always wanted to find a way to give back to Emily for her investment in me. By being a part of her organization I hope to return that gift daily through the services I provide.
I look forward to working with you!
Jessi Skidmore | Scheduling Coordination Expert
Serving non-medical home care franchises since 2014.
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Professional History
From 2012 to 2014 Jessi served at IBEX Global as a Customer Retention Specialist and was quickly recognized as a leader by her peers. Jessi was someone who directly mentored other team members and implemented many pilot programs to directly improve operations, data tracking efficiencies, and team structures. She was awarded Excellence in Customer Satisfaction and received a special award for exceeding company-wide goals. Jessi’s time at IBEX was key in impacting the operations and implementation utilized to help Home Instead scale.
In 2014 Jessi joined Home Instead in Franklin, TN and began providing direct care to seniors in their homes.
By early 2015 Jessi was quickly promoted into the Staffing Coordinator role where she developed systematic processes to improve the optimization of professional caregivers schedules leading to improved employment satisfaction and lower turnover.
By late 2016 Jessi was once again promoted and became the Director of Client Services where she became responsible for a team of individuals whose sole focus was to improve the consistency of care for clients and ensure ultimate satisfaction with hours of service by caregivers. Jessi’s unique ability to both see the forest and the trees led to improved system approaches that were then instituted throughout many franchises within the network.
In 2018 Jessi was looking for something more to challenge her skillset and was promoted to the Regional Client Services Lead where she oversaw the optimization of over 600 caregivers and 900 plus clients.
Before joining EI & Company, Jessi stepped away from the day to day and served as the Medicaid Specialist for over seven franchises. Jessi became the in house expert on all things medicaid, ranging from billing, scheduling, to third party CRM management, and much more. Because of Jessi’s expertise and ability to navigate complex compliance standards, every Home Instead she served was reimbursed fully for all Medicaid services provided.
In addition to Jessi’s services as a Medicaid Specialist, she served as needed to help with training team members regarding new systems and processes. This was done by Jessi both in house and remotely via online training that she developed and published.
When Emily was asked what stood out about Jessi as a leader she stated, “Jessi is the jack of all trades AND the master. Whatever problem Jessi is presented she will solve it and in the process become the master. I have never seen someone so stubborn about trying to find a more efficient way to complete tasks. She not only works smarter, she also works harder making Jessi someone that does the job of 3 people - always.”
Personal Note from Jessi:
I’m originally from Virginia and now live in Murfreesboro, TN with my husband. I have a passion for puzzles and finding the best solution for each situation. When my time with Medicaid work came to an end I purposely sought out Emily for an opportunity to work with her again. I trust and respect Emily as a leader and am honored to be a Strategic Account Manager for EI & Company because of my first hand experience utilizing the methods Emily teaches her clients. Knowing Emily personally and experiencing her leadership makes serving in this capacity at EI & Company a no-brainer. I’m passionate about sharing the services EI & Company provides franchise owners which allow them to grow their business(es) and find more time with their families.
I look forward to working with you!