In this episode of Built Leadership, host James Onyks interviews James Burns, entrepreneur and operator in the veterinary endoscopy and medical device industry and founder of Endoscopy Support Services, Inc. They explore how Burns built a career spanning multiple ventures by applying systems thinking, operational efficiency, and long-term infrastructure building across industries including healthcare, restaurants, and print services.

He shares how modernizing legacy processes—such as replacing pen-and-paper workflows with integrated software systems and cloud-based tools—helped scale his core business and improve profitability.

A second major theme is his “incubator” approach to entrepreneurship, where he builds self-sustaining businesses alongside partners by trading knowledge for execution, empowering operators, and prioritizing lean, repeatable systems over hands-on management.

Endoscopy Support Services, Inc. website: https://endoscopy.com