06-19-2026IMPACT COUNCIL

The unchanging playbook to build a high growth company

This two-time Inc. 5000 company CEO follows the same strategy each time.

[Photo: Getty Images]

The Fast Company Impact Council is an invitation-only membership community of top leaders and experts who pay dues for access to peer learning, thought leadership, and more.

People ask me what it takes to build a high-growth company, with a rapidly growing footprint and enterprise value. They want the formula, a secret, or a shortcut.

There isn’t one. But there is a playbook. And after more than 13 years leading organizations across the healthcare spectrum, I can tell you that the playbook does not change. The industry or sector changes. The team changes. The product changes. But the playbook does not.

I have led two companies onto the Inc. 5000 list. The first was EmpiRx Health, a pharmacy benefit management (PBM) company that I took from early stage to a scaled, nationally recognized tech-enabled PBM. 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. 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. They do not. The North Star has to be communicated so often, so clearly, and........

© Fast Company