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4
4 Pillars Care
4pillarscare.com · El Cajon, United States
Looking legit

Upwork lists 4 Pillars Care at $27k in client spend.

$27,004 in published client spend across 17 contracts. The full read below — free.

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Total Upwork spend
$27k
$27,004
Top category
Operations Admin Va
6 of 18 contracts
Hiring status
Actively hiring
3 of 17 contracts in progress
Contracts on record
17
$7–210/hr listed
The company

Who's actually behind the account.

Upwork hides the client's identity. We resolve it to a real company, then layer in public firmographics — the context you never get on the job page.

4
4 Pillars Care
Resolved to 4pillarscare.com · High confidence
Rate X-Ray

What the blended average hides

Don't trust any single average — spending is heavily skewed: roughly ~60–65% of visible billed spend is concentrated in one senior researcher at about $40/hr, while most other hours are commodity operations at ~$7–15/hr and the $210/hr MERN listing is an isolated outlier with minimal billed hours.

Every listed hourly rate · 16 of 17 contracts
median $15/hr · avg ~$31/hr
9
4
2
1
$0$40$80$120$160$200
median $15/hr avg ~$31/hr — dragged up by two $190–200 contracts
Budget · 14 contracts $7–40
Mid-tier · 1 contract $45–45
Premium · 1 contract $210–210
What they hire for

Where the work actually is

All 17 contracts by category. Operations Admin Va leads with 6 of 18 contracts.

Operations Admin Va 6
Research & consulting 5
Web development 3
Tooling Automation Workflow 1
Video, animation & audio 1
Marketing & content 1
Marketing Lead Gen Sales 1
Hiring activity

Hiring right now, not last year.

When the contracts on record started — and how they're structured. 3 of 17 are still in progress.

Contracts started, by month
2
Jul 2025
2
Sep 2025
1
Nov 2025
2
Dec 2025
1
Feb 2026
2
Jul 2026
Status
3in progress · 14completed
Contract type
16hourly · 1fixed-price
Open roles

Jobs they've posted publicly

Links go to Upwork ↗
MERN Developer Needed — Hiring + Client Management SaaS (Long Term) Jul 20, 2026·More than 6 months Website Rebuild in Wordpress/GoDaddy Apr 30, 2026·Less than 1 month Full-Stack Developer for Digital Product Platform – Lovable Frontend, Stripe, Supabase, GoHighLevel Feb 10, 2026·1 to 3 months
Postings Upwork has shown for this client. Some may have since closed.

Every contract on record — all 17

Freelancer names removed · roles only
RoleRateBilled
AI-Savvy Researcher for Healthcare Licensing & Medicaid Reports$40/hr$16,413
Home Care Scheduler, Recruiter & Executive Assistant – I/DD Supported Living Agency (Remote)$12/hr$2,946
Licensing Support for Group Homes in The United States$12/hr$1,526
Appointment Setter for Sales Team$7/hr$1,006
Home Care Scheduler, Recruiter & Executive Assistant – I/DD Supported Living Agency (Remote)$11/hr$699
Assisted Living / Community Habilitation Rate & Licensure Study$10/hr$670
Homecare market research$45/hr$648
Create a 1 page website that uses open ai API to send text to with a prompt, and return a response.$20/hr$630
Spam$35.47/hr$189
MERN Developer Needed — Hiring + Client Management SaaS (Long Term)$210/hr$120
Code to duplicate workflows in smartsheet$10/hr$108
A2P Setup in GoHighLevel$15/hr$86
Modify Facebook Ad with New Call to Action Video$15/hr$84
Scheduling home care$10/hr$52
Email Marketing Outbound Sequencefixed
AI-Savvy Researcher for Healthcare Licensing & Medicaid Reports$25/hr
United States Care Agency Licensing Project Manager$20/hr
"—" = no rate or billed amount listed (fixed-price or open). Billed is what Upwork shows to date.
Treatment verdict

How they hire, and how they treat people

US-based home-care operator that runs a mix of ongoing low-rate operational hourly work and occasional higher-rate research and dev contracts, with several repeat hires and three active hourly engagements.

Reputation
Mostly uniformly high ratings from freelancers (predominantly 5★) but with a notable rare very negative 1★ report.. Clear expectations, professional payment handling, and respectful communication on the majority of engagements.
How they engage
Mix of long-running hourly retainers for operations/research and one-off fixed-price assignments; the buyer rehired several freelancers across separate contracts, showing repeated engagement with the same individuals.
Working style
Prefers hourly arrangements for recurring operational work with defined scopes and frequent, task-oriented check-ins; posts both short fixed-price tasks and multi-month hourly engagements.
Who wins the work
Best for freelancers who offer healthcare licensing/research expertise or reliable low-cost operational support (schedulers, assistants); occasional higher-skill dev or AI-savvy research work also wins larger allocations.
Repeat hires
Rehires the same freelancers — 2 on 2+ repeat contracts. Deliver once and there's recurring work.
Worth knowing
One freelancer reported a contract that was paused, re-hired, then paused again, which is the source of the single 1★ inbound rating.

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