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In this episode of Last Visit First, host Tom Maxwell sits down with April Anthony, CEO of Vital Caring, founder of Encompass Home Health, and founder of Homecare Homebase. April shares her remarkable journey from unexpectedly buying her first home health agency at 25 to building some of the most influential organizations in care at home. Her story highlights the power of resilience, innovation, and culture in shaping not just businesses, but the future of home health and hospice. People of the Episode: -Guest: April Anthony -Host: Tom Maxwell -Producer: Cole Sorensen Learn More About Our Sponsors: -Maxwell TEC: https://maxwelltec.com/ -Steno Health: https://www.stenohealth.com/ -Levo: https://www.hellolevo.com/ Links to the Companies April Founded: -VitalCaring: https://vitalcaring.com/ -Homecare Homebase: https://hchb.com/ -Encompass Health: https://www.encompasshealth.com/ Last Visit First Podcast Links: -Apple Podcasts: https://podcasts.apple.com/us/podcast... -Spotify: https://open.spotify.com/show/3iSKGRv... -YouTube: / @lastvisitfirstpodcast -Website: https://www.lastvisitfirst.com -LinkedIn: / last-visit-first Episode Reference Links: -Medicare Advantage Article: https://ldi.upenn.edu/our-work/resear... Contact the Last Visit First Team: -csorensen@lastvisitfirst.com Keywords home health leadership, homecare homebase, April Anthony, vital caring, hospice innovation, care at home future, healthcare technology, Medicare Advantage, clinician retention, healthcare culture Outline: 00:00 – Sponsor Ad Reads 02:16 – Introduction and April’s Career Overview 03:48 – How Tom and April First Met (2005) 04:18 – April’s Start in Home Health Care 08:21 – Buying Her First Agency at Age 25 10:36 – Learning the Business Through Clinician Ride-Alongs 13:45 – Philosophy: Take Care of Employees First 15:55 – Founding Homecare Homebase 20:49 – Challenges and Growth of HCHB (2001–2007) 24:13 – “All In” Moment with Mark Anthony 26:28 – Device Challenges and Choosing Android 27:32 – Patient Story: Owen Perry and the Value of Relationships 34:07 – Working with a Spouse: Lessons Learned 39:27 – Technology and AI in Home Health 46:19 – Productivity, Documentation, and Clinician Burden 49:38 – Virtual Care and Efficiency Models 50:00 – The Rise of Medicare Advantage and Industry Challenges 57:27 – April’s Legacy and Motivation 1:05:15 – Closing Reflections and Hope for the Future of Home Care