I was building my first entrepreneurial company, a mission-driven, tech-powered healthcare startup. I joined the founder as his first full-time hire. He had previously helped run a much larger company, had huge ideas, and was looking for a place to build everything he dreamed of. I built most of our company’s operations, and we thankfully grew to the largest healthcare agency of our type in the entire state of New York in under three years.

Although that sounds great, not everything was unicorns and rainbows. As we grew much bigger, attrition among our clients became a major issue. Patients chose caregivers, and then when those caregivers couldn’t work for them anymore for some reason, the patients sought other solutions, such as traditional home care, and dropped off the program.

Internally, we had people issues. Although we cared a lot, the members of the leadership team were insanely busy and underwater with everything we were trying to accomplish. We didn’t have enough time to train new people. They were thrown in to learn from others who were also very busy. 

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