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Accra: The $946M Homecare Giant
How a Minnesota-based homecare provider scaled to 2,500+ employees with a hyper-local strategy
In the fragmented $300B homecare industry, Accra isn't chasing VC funding or app-based disruption—it's quietly dominating Minnesota's 87 counties with 2,504 employees and $946.5M in revenue. This is the story of sustainable scale in a sector where tech often overshadows human touch.
"Accra proves you don't need Silicon Valley funding to build a nearly billion-dollar healthcare business—just relentless execution in your backyard."
The Hyper-Local Advantage
While competitors chase national expansion, Accra's strategy is deceptively simple: own Minnesota completely. With services across all 87 counties, they've created a moat that national players can't easily replicate. This geographic focus allows for deep community partnerships, localized care coordination, and regulatory expertise that scales vertically rather than horizontally.
The Revenue Paradox
Here's the fascinating contradiction: Accra generates nearly $1B in revenue but shows only 174 monthly website visits. This isn't a failure—it's a strategic choice. Their business model relies on institutional relationships (Medicaid, Medicare, insurance networks) and referral systems that bypass traditional consumer marketing. The website serves as a digital business card, not a lead generation engine.
The leadership team reveals their operational DNA. John Dahm (President/CEO) provides stability at the helm, while Timothy Jones as Chief Technology Officer signals they're not ignoring digital transformation. Yet their tech stack—jQuery, Bootstrap, Tailwind CSS—suggests pragmatic, functional development over flashy innovation. They're building tools that work for caregivers and patients, not impressing investors.
- Dual leadership structure: Healthcare veteran (Dahm) + pragmatic technologist (Jones)
- Diversity & Equity in Careers page suggests mature HR practices for a 2,500+ person organization
- YouTube and LinkedIn presence focused on community building, not viral content
- No VC funding = no pressure for unsustainable growth rates
The Unsexy Unicorn
Accra represents a different path to scale: patient, profitable, and profoundly local. For founders and investors, it's a masterclass in building a billion-dollar business by solving real problems for real people—no app required.
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https://www.accrahomecare.org/wp-content/uploads/2024/10/Accra_Logo-300x97.png
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Accra | Minnesota's Champions of Homecare
We provide individualized homecare services and support to people and families across all 87 counties in Minnesota.
Accra provides individualized homecare services and support to people and families across all 87 counties in Minnesota. By focusing on choice, independence, and high-quality care, Accra helps people with care needs live safely and comfortably, while strengthening the broader homecare system.
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About accracare.org
We provide individualized homecare services and support to people and families across all 87 counties in Minnesota.
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accracare.org uses 17 technologies across their website including AccessiBe, Font Awesome, Adobe Fonts, PHP, and more.
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AccessiBe
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PHP
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WordPress
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accracare.org receives approximately 174 monthly visitors. The website has a bounce rate of 0% with visitors viewing an average of 6.0 pages per visit. Users spend an average of 37:25 on the site.
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