How I Stopped Building a Practice and Built a Company Instead — Stephen Tweed

About this episode

Stephen Tweed discusses his career shift from building a solo practice to creating a scalable company in the home care industry.

Stephen Tweed, CEO of Leading Home Care and Founder of the Home Care CEO Forum, joins host David Knack to discuss his biggest career regret: choosing to build a solo practice instead of a scalable company. With over three decades in the industry, Stephen explains why "working on the business" rather than "in the business" is the key to long-term survival and impact. The conversation covers Stephen's philosophy on mixing work with adventure (including a memorable trip to Japan), the three major causes of 90-day caregiver turnover, and why home care owners must stop answering the phone like an administrative assistant. Stephen also shares actionable advice on developing a clear vision, systematizing operations, and shifting to a caregiver-first culture to drive growth. Lesson Takeaways: 1. Build a Company, Not Just a Practice: Choosing to remain a solopreneur limits your resources and impact. Building a team and infrastructure allows you to serve more clients, support your community, and create a lasting legacy beyond your personal involvement . 2. Solve the "Paycheck Match" for Caregivers: Caregivers don't leave for 25 cents an hour. They leave because their paycheck doesn't match…

People in this episode

Host: David Knack

Guest: Stephen Tweed

Topics covered

• home care
• business growth
• caregiver retention
• entrepreneurship
• leadership

Keywords

• home care
• caregiver turnover
• business strategy
• entrepreneurship
• caregiver-first culture

Mentioned in this episode

Organizations: Leading Home Care, Home Care CEO Forum

More episodes of Home Care Hindsight

• How I Stopped Ignoring Management and Started Empowering My Team — Emily Isbell · May 5, 2026 · 38 min
• Quality over Quantity - How the Right Referral Sources Make All The Difference in Home Care – Sarah Barker · April 23, 2026 · 43 min
• How I Stopped Fearing the Payer Mix and Scaled Referral Volume — Steven Gonzalez · April 15, 2026 · 40 min
• How I Stopped Saving Everyone and Saved My Agency — Bob Roth · April 9, 2026 · 41 min
• How I Stopped Hiding My Wins and Started Branding Myself — Nancy Gillette · March 31, 2026 · 31 min
• How I Stopped Keeping Wrong People and Built a Stronger Team — Diana Tucker · March 24, 2026 · 33 min