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

Page: https://stenobird.com/podcast/home-care-hindsight-7020721/how-i-stopped-building-a-practice-and-built-a-company-instead-stephen-tweed
Text version: https://stenobird.com/podcast/home-care-hindsight-7020721/how-i-stopped-building-a-practice-and-built-a-company-instead-stephen-tweed.md
Podcast: [Home Care Hindsight](https://stenobird.com/podcast/home-care-hindsight-7020721)
Published: 2026-04-28T16:24:02+00:00
Episode link: https://9f9165e2-f6a0-4fa0-9333-b5a984a4b130.libsyn.com/how-i-stopped-building-a-practice-and-built-a-company-instead-stephen-tweed
Audio file: https://traffic.libsyn.com/secure/9f9165e2-f6a0-4fa0-9333-b5a984a4b130/HCH_Stephen.mp3?dest-id=4694632
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JSON: https://stenobird.com/v1/public/podcasts/home-care-hindsight-7020721/episodes/how-i-stopped-building-a-practice-and-built-a-company-instead-stephen-tweed
Duration seconds: 3084

## Resource

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 their needs. Move beyond asking "how many hours?" to asking "how much money do you need this week?" and then help them get the shifts to get there. 3. Shift from Client-First to Caregiver-First: In home care, high-quality clients follow high-quality caregivers. Prioritizing caregiver retention and satisfaction creates the capacity to deliver exceptional service, making the traditional "customer is always right" model secondary to caregiver support . 4. Work On the Business, Not In It: If you are answering every phone call or putting out every fire, you have a job, not a scalable company. Devel…

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## Transcript

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