About Us
Four Pillars Hospice was founded on the simple belief that end-of-life care should be about living fully, even when time is limited.
Our team brings decades of combined experience to provide comprehensive hospice services designed to meet not just medical needs, but emotional, spiritual, and family needs too.
We chose the name “Four Pillars” to represent the four essential elements we promise to every patient and family:
Compassion | Presence | Stewardship | Integrity
Lindsay Williams – Chief Executive Officer
Lindsay Williams serves as the CEO of Four Pillars Hospice, where her days are dedicated to both building strong community connections and fostering a supportive, unified team. With over 21 years in healthcare, she has worn many hats — giving her a deep understanding of each role on the care team and the impact they have on patients and families.
Her passion for hospice care is rooted in a simple belief: people deserve the best care available. Lindsay is committed to meeting patients and families where they are, providing support not only in their medical needs but in every area of life during such an important chapter. She treats every patient and loved one with the same respect and dignity she would give her own family.
To Lindsay, the Four Pillars — Compassion, Presence, Stewardship, and Integrity — mean showing up every single time, doing what she promises, and creating genuine, lasting relationships built on trust. She hopes that every family she serves feels comfort in knowing her team will be an extension of their own.
Outside of work, Lindsay cherishes time with her children and enjoys connecting with people. Genuine in every interaction, she leads Four Pillars Hospice with heart, purpose, and an unwavering dedication to those in her care.
Bryan Garcia - Executive Director, Granbury
As Executive Director of Four Pillars Hospice in Granbury, Bryan oversees the administrative and management duties of the office while supporting every member of the team. His leadership is rooted in a career built on service and a genuine passion for helping others — a passion that began with the simple joy of making a positive difference in someone’s life.
With 15 years as a Doctor of Physical Therapy and over five years as the Clinical Director of The Orthopedic Sports Medicine Institute in Aledo, TX, Bryan brings both clinical expertise and a people-first approach to hospice care. For him, the heart of the work lies in building relationships, establishing trust, and ensuring patients and families feel supported every step of the way.
Bryan sees the Four Pillars — Comfort, Dignity, Support, and Peace — as interconnected foundations that guide not only patient care, but also the way the Four Pillars team interacts with families and one another. His hope is that every family feels the deep passion and commitment behind the care they receive.
Outside of work, Bryan enjoys spending time with his wife and children, traveling the country for his son’s baseball tournaments, and making memories with his daughter at the park. A little-known fact: in 2021, he served as head coach of the United States Men’s National Flag Football Team, leading them to a gold medal victory at the IFAF World Championships in Jerusalem, Israel. Passionate in everything he does, Bryan brings that same energy and dedication to the families he serves at Four Pillars Hospice.
Kelley Kacal - Chief Operating Officer
Aubrey Lopez – Marketing & Community Engagement
Aubrey is a Crane High School graduate now living in Granbury, Texas, where she combines her marketing expertise with a heart for service at Four Pillars Hospice. Her days are spent visiting local facilities, attending community events, and stepping into multiple roles whenever needed always with the goal of representing something that truly matters.
With a background in sales, Aubrey has a unique talent for guiding people through difficult decisions, offering both empathy and professional insight.
Her passion for hospice work is deeply personal, shaped by the experience of walking alongside her grandmother through a four-year illness and being present in her final moments. That journey left Aubrey with an unshakable dedication to helping families feel seen, heard, and safe, and to being a peaceful, trusted presence in their lives.
Outside of work, Aubrey enjoys time with her family, and her dog Murphy. She’s a creative spirit who loves exploring new places and trying new things — and she just might surprise you by playing the harmonica, violin, and marimba, making her a one-woman band.
Grace Baldwin - Hospice Chaplain
Grace serves as a hospice chaplain with Four Pillars Hospice, walking alongside patients and families in some of life’s most tender seasons. Her days are spent in homes, assisted living communities, and memory care facilities offering prayer, listening with empathy, or simply sitting in quiet companionship so no one feels alone.
Her calling to hospice care comes from a deep belief that every person deserves peace, dignity, and support at the end of life. With training in pastoral care, counseling, and grief support, Grace brings both professional experience and a heart of empathy to her work.
Grace treasures the stories she hears from patients and families and considers it a privilege to be welcomed into their journeys. She hopes that every family she works with feels cared for, supported, and never alone.
Outside of her role, Grace enjoys spending time with her children, whether exploring outdoors or working together around the family farm. Many are surprised to learn that she grew up in Papua New Guinea on the mission field, an experience that shaped her love for people, cultures, and meaningful connection.
For Grace, chaplaincy is rooted in one word: presence the simple but powerful gift of showing up, listening, and offering comfort without rush or judgment.
Ashley Wagoner - RN / Case Manager
As an RN Case Manager, Ashley is known for her calm presence, big heart, and dedication to the details that make her patients feel truly cared for. Her days begin with team meetings to align care and communication, followed by time spent visiting patients, coordinating with families, and supporting her fellow nurses. She believes in learning something new every day, whether it is a new rule, a new story, or a new way to serve with excellence.
With more than fifteen years of nursing experience, including thirteen years in home health and two years in labor and delivery, Ashley brings both clinical expertise and a deep understanding of family dynamics to her work. Transitioning into hospice has given her a new perspective on what it means to care, not just to treat, but to walk alongside patients and families through every moment with compassion and honesty.
Ashley believes strongly in empowering patients and families to make decisions that bring peace and confidence. For her, the Four Pillars—Compassion, Presence, Stewardship, and Integrity—represent the foundation of meaningful care. Her goal is to bring comfort, laughter, and reassurance, ensuring that families feel supported and never alone.
Outside of work, Ashley enjoys home improvement projects, yard work, and long walks while listening to her favorite music from Rod Stewart and The Eagles to worship songs and murder mystery audiobooks. She loves spending time with her husband and two boys, traveling, exploring, and finding joy in everyday moments.
For Ashley, nursing is an act of love guided by gentleness, humor, and a commitment to making every visit feel like care from a trusted friend. 💜
Randa | Licensed Clinical Social Worker
As a Social Worker at Four Pillars Hospice, Randa brings compassion, calm, and steady guidance to patients and families during some of life’s most meaningful and vulnerable moments. Her days are centered on being present, listening, supporting, and helping families navigate the emotional and practical needs that come with end-of-life care. She offers emotional support, helps with advance care planning, assesses coping and family dynamics, and advocates for each person’s goals and dignity. No matter what each day brings, her purpose is always the same: to bring comfort, peace, and support.
Randa has always felt called to help people through the hardest parts of life. Hospice care became the place where her gifts, her purpose, and her compassion came together. For her, hospice is not only healthcare it is sacred work that honors the heart, the story, and the humanity of every person she serves.
She holds both a Bachelor’s degree in Child and Family Services and a Master’s degree in Social Work from Baylor University. As a Licensed Clinical Social Worker, she brings experience in case management, advocacy, and mental health therapy to her role at Four Pillars. What guides her most is a deep belief in meeting people where they are and helping them find strength, comfort, and clarity.
Randa sees the Four Pillars — Comfort, Dignity, Support, and Peace — as the heart of hospice care. She strives each day to embody these values, offering reassurance, honoring each person’s story, and walking alongside families with love and respect.
Outside of work, Randa enjoys baking, especially sourdough, spending time with her family and her miniature dachshund, Jolene, listening to live music, and watching college sports.
Her approach to care can be summed up in two simple words: Love first. 💜
Stephanie | Certified Nursing Assistant
With over twelve years of experience in healthcare, Stephanie brings both skill and heart to her role as a Certified Nursing Assistant at Four Pillars Hospice. Each day, she provides hands-on care and support to patients—helping with daily activities, ensuring comfort, and offering steady emotional presence to both patients and their families.
For Stephanie, hospice care is more than a profession—it is a calling. After years in long-term care, she found her purpose in hospice, where she can connect deeply and make a meaningful difference in each person’s journey. She believes that every patient deserves to be treated with dignity, compassion, and respect, no matter where they are in life’s path.
Stephanie’s approach to care reflects the Four Pillars—Comfort, Dignity, Support, and Peace. She brings calm and reassurance in vulnerable moments, ensuring that no one faces their final days alone. Families often describe her as gentle, dependable, and full of heart.
When she is not at work, Stephanie loves spending time with her husband and daughter, often enjoying simple family moments together. She also has a playful side—she loves to unwind by playing The Sims!
For Stephanie, caregiving is not just a job. It is an act of love—one that transforms every day into an opportunity to bring peace, comfort, and connection to others. 💜
More Than Care — It’s Who We Are
At Four Pillars Hospice, every member of our team is dedicated to bringing comfort, dignity, support, and peace to the families we serve, every single day.