Aggycare sources clinical staff and medical equipment for healthcare facilities. On the staffing side, facilities post their needs, and clinicians apply to the roster — you screen candidates and match them to shifts, marking up the clinician's rate by 25% and billing the facility. On the equipment side, facilities tell you what bulk equipment they need, you find a qualified supplier and introduce the two parties, keeping order, invoice and shipping between them while collecting a flat $750 per sourced order. You're a connector, never holding inventory or taking title.
Mission
Aggycare — Business Plan
Revision 25 (updated 2026-10-09 by agent-lead). Last owner-ratified: revision 18 (2026-10-09). Revisions after 18 are the team's working updates — the team's current hypothesis, not owner-endorsed direction.
What we're building
Two services, one front door on aggycare.com, under the owner's approved line: "compassionate care staff and equipment sourcing for healthcare facilities."
Clinical staffing (live). A facility posts a need; clinicians apply to the roster; we screen and match. The screening and matching is the service.
Medical equipment sourcing (live, fronted). A facility says what bulk equipment it needs; we find a supplier and introduce the two for a $750 flat finder's fee per sourced order (owner, 2026-10-09). We are a connector: never hold inventory, never take title, never ship, never sell. Facilities only.
/what-we-can-source is live: nine categories with example items, facilities-only framing, and the order, invoice and shipping staying between the facility and the supplier. No fee, price or percentage ever appears on the site.
Equipment buyers: the same facilities, buying in bulk — not individuals.
Engagements: full-time, part-time, PRN/per-diem, temporary, locum, temp-to-perm, 1099. 1099's healthcare-compliance exposure is unchecked and it is still selectable on the live form — an open decision below.
We are California-based (owner, 2026-10-09): home, biggest market, the only state whose rules we have researched. The Alabama-first plan died with its premise — that the owner could be at an Alabama facility in person — and eight emails already sent describing us as "based in Birmingham, Alabama" cannot be unsent. Nothing may describe us as Alabama-based again; the site carries no location claim at all.
Markets — the owner's "activate California, Washington and New York", now answered in facts (research/wa-ny-operating-requirements.md, every claim cited and dated):
California — confirmed, and the only state we can trade in today. Civil Code §1812.502(a) switches the whole employment-agency title off when fees are charged exclusively to employers, so the facility-paid fee is load-bearing for our licensing position, not merely tidy.
Washington — equipment sourcing can operate now (no broker licence found for the PASS categories). Staffing cannot, until we register with the Department of Health as a nursing pool: RCW 18.52C.020(9) covers "providing, procuring, or referring… personnel for temporary employment in health care facilities" — annual, per location, with corporate-ownership disclosure. Two surprises: the Employment Agency Act does not apply to us at all (it turns on a fee from applicants and excludes temporary service contractors — the obvious chapter was the wrong one), and an unregistered pool's shifts are not reimbursable by any state agency (RCW 18.52C.050), so the facility's own claim is exposed too.
New York — equipment sourcing can operate now in the PASS categories, with one honest gap: New York's supplier-licensing position could not be verified at all (health.ny.gov returned 403 to every fetch), so our rule "introduce facilities only to suppliers licensed in that state" is currently unevidenced there. Staffing cannot, until we hold a NYS DOL employment agency licence: GBS §171(2)(a)(2) covers procuring employees for employers, and §171(2)(d) names nurses' registries expressly. Employer-paid does not exempt us — the single employer-fee carve-out is "Class B" and §185(4) puts nursing in Class D. There is a two-year verifiable placement-experience gate, and §186 caps what may be charged to the employer on termination — the one provision found in either state that could make a placement unprofitable rather than merely unlicensed.
The rule that follows: nothing is marketed into WA or NY, and neither state is named on our site, until the credential is actually held. Equipment work in both is a live opportunity; staffing there is not.
How it makes money
Staffing: a 25% markup on the clinician's pay — a 20% gross margin on the bill — charged to the facility, added on top so the clinician's rate stays whole, set per contract. The sourced market band is 32–45% markup-on-pay (AMN reported 28.4% nurse/allied gross margin, Q2 2026); 25% deliberately sits at the bottom and is the story we sell. Before our own costs: recruiter time, payroll and tax burden, credentialing and background checks, malpractice and workers' comp, VMS/MSP fees, invoicing, bad debt. Equipment: $750 flat per sourced order (owner, 2026-10-09), payable by the facility — flat, not a percentage, because we carry no inventory, no shipping and no product liability. We never accept a fee paid by a supplier: that is the shape federal anti-kickback law targets, and the only safe harbour for vendor-paid fees (42 CFR 1001.952(j)) is written for GPOs, not for us. Anchors (research/equipment-fee-benchmark.md): GPO administrative fees 1–3% of purchase price, supplier-paid; one published cooperative flat schedule $400–$1,500 per purchase order; one sourcing agent 5% with a $100 minimum. Open point: one flat number is generous on small orders and thin on large ones. $750 is internal. No figure appears on any public page — re-verified 2026-10-09. No money has moved. Stripe is connected (standard account, payouts enabled) with a $0.00 balance and no transactions (read live, 2026-10-09). Both services bill off the site — an invoice or payment link for a facility's own contract or order. A private /invoice helper is live (password-gated, unlinked, noindex). Open on pricing: no published per-diem/PRN bill-rate pair has been found, though per-diem is a core engagement, and the owner has not named a contract floor.
Current focus
Verified 2026-10-09:
The front door works end to end on www.aggycare.com: five public pages plus the private /inbox, /connect-database and /invoice; all five public pages 200 after tonight's publish.
FIRST MARKETING THIS BUSINESS HAS EVER PUBLISHED (owner-reported): the approved roster text went on the LinkedIn company page and the owner reshared it from her own profile. LinkedIn serves us nothing and the company slug does not resolve publicly, so this is her word, not our evidence — nothing downstream depends on it.
The roster form no longer demands a licence number — optional, published, and proven end to end: an application submitted to the live form with the number left blank was accepted and stored in the private inbox with every other field intact. 13 records held, all team test data.
Recruitment channel pack delivered (marketing/clinician-recruitment-channels.md). Six channels verified genuinely free in the third party's own words: our LinkedIn page, our Google Business Profile posts, our own /join-roster, CalJOBS, San Joaquin County WorkNet, and MJC career services (its job listings require a stated wage, which our rules forbid, so only its career-fair route is usable). 28 [UNVERIFIED] markers mark what could not be confirmed from this machine (Indeed, ZipRecruiter, Glassdoor, Allnurses, jobs.cahf.org, CANP, craigslist, Reddit, Facebook). One correction to the brief: Clipboard Health, connectrn and Vivian are free to the clinician, not a posting surface for us.
The state note is delivered and its verdicts are folded into Markets above. Our California model is a California model.
No figure and no efficacy claims on the public surface. Re-audited: the only money language is on the password-gated /invoice page and inside validation regex; the infection-control category is a bare list with no kill or pathogen claim, which the compliance note says we must never make for EPA-registered products.
Equipment compliance note (research/equipment-compliance.md, cited primary sources): PASS — mobility, beds, ordinary exam and clinic items, sterilisation hardware, dressings, lab consumables; NEEDS A LICENSED SUPPLIER — monitors, oxygen concentrators, nebulisers/suction, CPAP/BiPAP, IV pumps and catheters, disinfectants; DO NOT TOUCH — oxygen and medical gas, any drug including IV/irrigation solutions, Class III devices. Our connector role is sound federally: 21 CFR 807.20 registration is activity-based, and 807.65(e) exempts even retail establishments making final delivery. The licence duty sits on the furnisher.
Supplier pipeline: 21 qualified suppliers mapped to the nine categories, 109 cited sources. Three (Bound Tree, AliMed, Tri-anim) emailed through their own published trade routes; no replies, so no quote exists.
Contact number (209) 614-1974 lives in one place in the code, on every page that carries it; info@aggycare.com unchanged and receiving mail. Forms store what people send; the private inbox labels every field.
Both profiles the owner turned on are live (LinkedIn page, Google Business Profile). To check: a Birmingham address or an Alabama-only service area on either.
Independent copy audit done (19 findings, marketing/audit-free-promotion.md, by a member who did not write the drafts). It found draft wording already live: a /request-staff line implying same-day cover and a home-page line claiming "our roster for clinicians" — both fixed, republished and verified served. It also caught two factual errors in the drafts and a house-style split ("license" mixed with "organisations", "Sterilisation", "Nebulisers"); one US spelling sweep resolves it, and that sweep plus the approved /join-roster copy are in flight now.
The binding constraint: the staff service has one clinician and no demand. The roster holds exactly one clinician — the owner (NP, current California licence, clinics and dialysis centers, per-diem, about two shifts a month, weekends and evenings, within roughly an hour of Patterson). No outside clinician has applied. That supports one real placement in exactly that scope: nothing broader, no setting outside clinics and dialysis, no date she has not agreed to.
Direct outreach: the email channel is closed, the letter channel is open. Eight first-touch emails went to eight facilities, each to an address the facility publishes itself: six delivered, two hard-bounced (Ball HealthCare's mailbox is dead; CareSpot's partnerships@ fails). The bounce came on batch two, so the channel stops there on the owner's own rule. The lesson is evidenced, not assumed: a published address is not a working address. No reply has come from any facility, supplier or payroll provider. So the written route left is post. The one-page letter to the Director of Nursing is written, complete and print-ready (outreach/letter-to-director-of-nursing.md): it opens by admitting it is cold, says plainly we have no customers yet, carries no figure but our own phone, has a plain opt-out, signs in ink (Aggy), and its return address is 215 M Street, Patterson, CA 95363. It makes no location claim, so it goes out exactly as written. The 11 Alabama rows each publish a postal address, read off the facility's own page and dated. Alabama is no longer the strategic priority, but postage is cheap and any reply is real demand information; a California list is being built next.
What is still not true:
No request of any kind has arrived from anyone outside this team — no facility, no clinician, no equipment request, no supplier or payroll reply.
The roster holds one clinician, the owner, and nothing about her has been verified against a register — so no page, post or letter may claim more than one clinician, and her scope is the ceiling on what may be sold.
"1099 contractor" is publicly selectable on the live request form while its healthcare-compliance exposure is unchecked.
One LinkedIn post is the whole of our public marketing. No ads are running. Three more LinkedIn posts, the Google profile update and the school and job-centre approaches are written and waiting on the owner.
Washington and New York are not open for staffing and may not be named publicly until a credential is held; New York's equipment-supplier licensing is unevidenced (health.ny.gov blocks us). Alabama and Tennessee supplier rules remain unverifiable — no longer material.
A file is not a database (the Postgres store is built and proven; the owner parked the connection). DKIM is not set up, so mail sent from info@aggycare.com is unsigned and can land in spam. The per-diem pricing gap and the staffing contract floor are open.
Next, in order: (1) ship the approved /join-roster copy plus the US spelling sweep — in flight now; (2) keep the recruitment cadence — the Google profile update now (it is not bound by the weekly LinkedIn pace), then post two a week after post one; (3) build the California facility target list — clinics and dialysis centers within about an hour of Patterson; (4) decide the compliance note's four items and the five Washington/New York questions; (5) the small open site items (1099, the two profile locations); (6) resume the database and finish DKIM.
KPIs
No trading data exists. There have been no real requests, no placement, no order, no revenue — Stripe reads a $0.00 balance and no transactions (2026-10-09). The honest zeros: clinicians on the roster 1 (the owner); outside clinician applications 0; facility requests 0; equipment requests 0; supplier or payroll replies 0; marketing published: one LinkedIn company-page post plus the owner's own reshare (owner-reported). The first real number this business has is that 8 first-touch emails went to facilities on 2026-10-09 — 6 delivered, 2 bounced, none replied — outreach activity, not traction. Once real requests arrive we will report: staffing requests received, clinicians screened and rostered, placements filled, days from request to filled shift; equipment requests received, quotes returned within a stated turnaround, orders sourced — from real records only.
What I need from the owner
Print, sign and post wave 1 — 11 Alabama facilities, one letter each, first class. Only you can do this part, and the letter is ready exactly as written.
Paste the wording you posted, so the record shows what actually went out, and tell me what the LinkedIn page's location field says.
Four rulings on the supplies compliance note: adopt the do-not-touch list (oxygen and medical gas, any drug, Class III devices); confirm we never accept a supplier-paid fee; authorise a lawyer review before the first real order; confirm California-only for launch.
The Washington and New York questions: whether registering as a Washington nursing pool is worth doing at all (cheapest entry — but our corporate ownership becomes publicly listed); whether you personally meet New York's two-year verifiable placement-experience gate, which decides whether New York is this quarter or much later; the §186 fee-cap question for a lawyer before any New York quote; ratifying "never a fee from the clinician" as a licensing condition rather than a preference; and resolving Washington's long-term-care worker training rules before we ever advertise a CNA placement there.
The 1099 question: off the public request form until it is checked, or publicly offered?
A staffing contract floor — the lowest rate you will accept when a facility pushes back, now that 25% is the standing rate.
Supplier contacts you already have — any distributor relationship shortens the equipment service immediately.
Check the Google Business Profile for a Birmingham address or an Alabama-only service area, and send us both profile page addresses so they are on record.
The database, when it suits you — from a laptop with any VPN or privacy proxy switched off.
One decision if a large order ever comes: whether $750 stays flat or gains a second band.
The phone calls, when you are free. The call sheet is written and waiting.
The team
CTO
Team Lead
Team management, task planning, delegation, and monitoring
E
engineer
Full-stack engineer for the team's website: TanStack Start / React / Vite / Tailwind, server functions and API routes, form handling and validation, MongoDB storage for submissions, and publishing the live site on port 3000.
M
marketer
Free promotion and content for the business. Writes and schedules the social posts aimed at facilities (staffing and equipment) and at clinicians joining the roster; keeps the Google Business Profile, Bing Places and BBB listings current and posts to the Google profile; drafts page copy, one-pagers and leave-behinds; and turns approved campaign material into a repeating content calendar. Hard rules: no price, fee, percentage, rate or figure ever appears in anything it writes; no promised shifts, hours, pay, turnaround or volume; no claimed customers, results or partnerships; nothing implying the business stocks, ships or sells equipment; and nothing is published, posted or sent until the owner has approved it.
O
outreach
Sales development for facility outreach. Finds the real decision-makers at healthcare facilities across Alabama, Georgia, Tennessee, Mississippi and Florida — the role that owns the problem (director of nursing or staffing coordinator for staff; materials management or procurement for equipment; administrator at smaller sites) and the contact route each facility publishes itself. Drafts the written approach: first touch, follow-ups, call sheets, objection answers, and a follow-up tracker that stops anyone being contacted twice. Hard rules: never guesses an email address, never builds a person's address from a name pattern, never uses a scraped or bought list, and sends nothing itself — every outbound message goes to the lead, and to the owner for approval, before anything leaves the business.
R
researcher
Sourced market and supplier research for healthcare equipment and staffing. Finds and qualifies real suppliers, distributors, manufacturers and group-purchasing organisations; verifies company details and public trade-contact routes; gathers pricing and licensing facts from primary sources; writes concise, cited research notes and flags what could not be verified.
Setup
No MCPs required. Setup involves: (1) reviewing and approving the business plan and compliance research to understand state-specific staffing and equipment-sourcing rules (California-only for staffing launch; Washington and New York equipment-only until nursing pool or employment agency credentials are obtained); (2) connecting your own Stripe account for invoicing facilities; (3) reviewing the supplier pipeline (21 qualified suppliers mapped to nine equipment categories) and adding any of your own supplier relationships; (4) deciding on the staffing contract floor rate, compliance rulings on equipment categories (do-not-touch list, supplier-paid fee policy, lawyer review gate), and 1099 contractor visibility on the request form; (5) reviewing and approving all outreach copy before it goes