Jo Alch, the Owner and Director of Nursing of Acappella In Home Care, started her business at her kitchen table, interviewing caregivers and private duty nurses—and waiting for the phone to ring. That was in 2006. Today, Jo has 425 employees and runs the largest independent agency in Dallas. She shares her personal story and the secrets to growing her business into the most trusted in-home nursing and personal health care agency in the metroplex.