In this episode of Home Health Revealed, hosts Hannah Vale and Joe Russell sit down with Lindsay Williams, founder of Four Pillars Hospice in Texas, for a truly powerful conversation on what it truly takes to open and grow a hospice agency today.

Lindsay shares her journey launching a hospice while navigating the realities of purchasing a location, serving rural communities across long distances, and building a team capable of wearing multiple hats. From salaries clinicians who balance care delivery with outreach, to the day to day decisions that shape a new agency’s identity, Lindsay pulls back the curtain on the challenges and opportunities of building something meaningful.

This episode explores “the power of the pivot” when regulations, geography and resources don’t align, how innovative staffing models can create stability and continuity, lessons learned from starting a hospice in rural Texas (and renting a jet to get from place to place). More than anything, this is a lesson about how flexibility, grit, and mission-driven leadership shape success.