Your best people are leaving. Everything they know is leaving with them.

And They Grew helps care organizations preserve the wisdom of their most experienced people — and use it to grow the leaders coming next. We build the systems, the mentorship, and the human connection that turn every transition into a step forward instead of a setback.

Two warm wooden chairs and a small table by a window, inviting a conversation about workforce continuity in care organizations.
Two warm wooden chairs and a small table by a window, inviting a conversation about workforce continuity in care organizations.

When one person leaves, everything changes.

Processes stall. Institutional knowledge disappears. New leaders rebuild what already existed. The team absorbs the strain — again.

Most care organizations don't fail because people don't care. They fail because critical knowledge lives in people's heads — and when those people retire, burn out, or move on, it leaves with them. When a longtime leader retires, decades of judgment can walk out the door in a single day.

The cost is bigger than most leaders realize. Replacing a single experienced employee can cost between half and twice their annual salary — and in skilled care roles, far more. But the deepest loss never shows up on an invoice: the judgment, relationships, and institutional knowledge that walk out the door and don't come back.

The cost isn't just financial. It's the exhaustion of starting over, season after season, year after year.

We preserve what your experienced people know - and grow the leaders who come next.

Every organization we serve is really doing two things at once: honoring the people who carry decades of hard-won wisdom, and preparing the people who will carry it next. We do both. First, we see clearly what you're facing — the turnover, the looming retirement, the new leader learning under pressure. Then we build the systems and connections that move that wisdom from the people who hold it to the people who need it. And we leave your organization able to keep growing its own — so each transition makes you stronger instead of sending you back to the beginning.

That movement is our PEN™ framework: we Affirm what your experienced people know, Affiliate that knowledge to the leaders coming next, and Accelerate it into systems that let your organization grow its own people for good. What you're left with is clarity about what you were at risk of losing, the capability to carry it forward, and a team that is stronger and more connected than before.

Our work spans three areas — consulting, development, and connection — small, focused work with a single leader; group learning across a team or cohort; and the wider connection that lets wisdom travel further. Here's where most organizations begin:


Workforce Continuity Diagnostic

A focused assessment that shows you exactly where your organization is losing institutional knowledge, why your people are leaving, and what it's costing you — with a 90-day action plan to fix it. Investment: starting at $8,500.


Director Continuity Cohort

A 10-week leadership experience for care directors who are carrying too much alone. You'll build the continuity systems your organization needs — alongside peers who understand exactly what you're going through. Investment: $6,500 per seat.


Custom Continuity Engagements

For multi-site operators and larger organizations: full retention system design, knowledge preservation architecture, and succession planning. Investment: $25,000–$75,000+.


Leadership & Professional Development

Meaningful, sustainable onboarding and development for the leaders coming next — mentorship, retention, and succession strategy that connects experienced wisdom to rising talent. Designed so new leaders step in supported, not stranded. OSSE-approved professional learning available for early childhood programs. Investment: $2,500–$5,000.


Curriculum Development

Custom curriculum design and review for care and education programs — built so your approach stays consistent even as your people change. Investment: $5,000–$15,000.


A plant cutting growing new roots in water, representing knowledge transfer and succession planning in care organizations.
A plant cutting growing new roots in water, representing knowledge transfer and succession planning in care organizations.

This work is for organizations that are tired of starting over.

You run an early childhood center, a healthcare system, or a senior living community. Maybe you've lost experienced people and felt the impact. Maybe a key leader is preparing to retire, or a new one is stepping into more than they were handed the tools for. You're ready to build something that lasts. Ready to preserve what your best people know and grow the ones coming next — not just hire and hope.

If losing one leader would disrupt your operations, this work is for you.

A glass triangle terrarium holding a growing succulent on warm wood, reflecting And They Grew's systems-based approach to workforce continuity.
A glass triangle terrarium holding a growing succulent on warm wood, reflecting And They Grew's systems-based approach to workforce continuity.

Systems that strengthen. Wisdom that Scales.


And They Grew was hidden in my father’s name before any of us heard it.

He died before we knew the full story of how he got that name. Years later, my husband heard what the rest of us never had — the sound of it carried "And They Grew" inside. A name about growth had been there all along, hidden in plain sound, waiting for someone to hear it.

That is what we do now: help organizations hear what their people know, preserve what matters, and prepare others to pass it forward.

Fresh greenery gathered in a hand-carved wooden bowl, evoking care, tending, and the preservation of what matters.
Fresh greenery gathered in a hand-carved wooden bowl, evoking care, tending, and the preservation of what matters.

If your organization is facing turnover, a coming retirement, a new leader who needs support, or the quiet loss of institutional knowledge, let's talk.