Fastcompany iconFastcompanyJun 19, 2026 ~1 min source read

The unchanging playbook to build a high growth company

People ask me what it takes to build a high-growth company, with a rapidly growing footprint and enterprise value. After more than 13 years leading organizations across the healthcare spectrum, I can tell you that the playbook does not change.

The unchanging playbook to build a high growth company

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People ask me what it takes to build a high-growth company, with a rapidly growing footprint and enterprise value.

After more than 13 years leading organizations across the healthcare spectrum, I can tell you that the playbook does not change.

The second is OnMed, where we grew revenue 3,500% in a little over two years, deploying care infrastructure into communities left behind by traditional medicine.

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The useful part

People ask me what it takes to build a high-growth company, with a rapidly growing footprint and enterprise value. After more than 13 years leading organizations across the healthcare spectrum, I can tell you that the playbook does not change. The second is OnMed, where we grew revenue 3,500% in a little over two years, deploying care infrastructure into communities left behind by traditional medicine.

How it works

  • Two different companies with two different problems, but the same playbook.
  • THE NORTH STAR BECOMES YOUR AIR The most dangerous thing a leader can do is assume the team understands the mission.
  • The North Star has to be communicated so often, so clearly, and so consistently that it stops feeling like communication and starts feeling like the air everyone breathes.
  • At OnMed, that North Star is simple: quality, affordable, equitable care for every person, in every community, regardless of ZIP code.
  • That is not marketing language, but the operating principle behind every partnership, product, and hiring decision we make.

What to take from it

When a team member faces a hard call, they should orient themselves against that North Star with...

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They want the formula, a secret, or a shortcut.

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