In this episode of The Leader's Abstract, Dr. Jeremy Rutter and Joseph Tomaino tackle one of the most difficult questions facing nonprofit and long-term care leaders today: How do you balance mission with margin?For mission-driven organizations, the word margin can sometimes feel uncomfortable. But financial sustainability isn't necessarily the enemy of mission. In fact, generating a healthy margin may be what allows an organization to continue serving its community, invest in employees, maintain its facilities, and support programs that can't sustain themselves financially.Jeremy and Joe explore the tension between mission, financial sustainability, and the difficult decisions leaders must make to ensure their organizations remain viable for the future.In this episode, they discuss:Why mission and margin don't have to be competing prioritiesThe difference between protecting your mission and protecting traditionWhy financially responsible decisions can be some of the hardest decisions leaders makeHow leaner management structures can redirect resources toward front-line and direct-care staffWhat to do with programs that are deeply aligned with the mission but aren't financially sustainableThe role of grants, philanthropy, foundations, and cross-subsidizationHow the growing preference for home and community-based care is changing long-term careWhen organizations should consider closing, consolidating, or repurposing traditional servicesWhy sustainability involves more than money—including workforce, wages, infrastructure, and changing community needsOne of the central questions of the conversation is:"What are you protecting? Are you protecting your mission, or are you protecting your tradition?"Sometimes protecting the mission means making difficult changes today so that the organization can continue serving people tomorrow.Mission gives an organization its purpose. Margin gives it the capacity to pursue that purpose.What do you think? Can a nonprofit truly fulfill its mission without financial margin?The Leader's AbstractHosted by Dr. Jeremy Rutter, PhD & Joseph Tomaino, MS, RN#MissionAndMargin #NonprofitLeadership #HealthcareLeadership #LongTermCare #Leadership #NonprofitManagement #HealthcareManagement #MissionDriven #OrganizationalLeadership #TheLeadersAbstract #LeadershipPodcast #FinancialSustainability

In this episode of The Leader's Abstract, Dr. Jeremy Rutter and Joe Tomaino sit down with legendary healthcare leadership consultant Clint Maun to explore the leadership principles that have shaped decades of success in long-term care and healthcare organizations. From growing up on a Missouri hog farm to becoming a nationally recognized consultant, Clint shares practical, experience-driven lessons that leaders can apply immediately. In this conversation, you'll learn:Why retention matters more than recruitment.The "No BMG" philosophy and how it creates a solution-focused culture.How to hire people who genuinely care about serving others.Why frontline managers need coaching, not just promotions.The three rules for giving effective feedback: immediate, specific, and pure.How leadership rounding builds trust and accountability.Practical ways AI can support leaders without replacing human relationships.Why great organizations prepare for success every day instead of reacting to crises. Whether you lead a nursing home, hospital, nonprofit, or any mission-driven organization, this episode is packed with actionable leadership insights you can put into practice right away. Connect with Clint Maun: Website: maunlemke.com Email: [email protected] you enjoyed this episode, be sure to:Like the videoSubscribe to The Leader's AbstractLeave a comment with your biggest leadership takeawayShare this episode with someone who leads a teamFeel free to connect with Joe & [email protected]@gmail.com#Leadership #HealthcareLeadership #LongTermCare #Management #OrganizationalCulture #EmployeeEngagement #Retention #ArtificialIntelligence #Healthcare #TheLeadersAbstract

Is great leadership about developing better individuals or building stronger teams?In this episode of The Leader’s Abstract, Dr. Jeremy Rutter and Joseph Tomaino welcome Dr. Eric Hieger, CEO and Managing Partner of TransformX, for a thought-provoking conversation on why the future of leadership begins with “we,” not “me.”Drawing from his background in clinical psychology, Dr. Hieger challenges traditional leadership development models that focus primarily on individual traits. Instead, he explores how culture, context, and collective identity shape high-performing organizations.Together, they discuss:* Why leadership is a property of the system and not just the individual* The Three C’s of leadership: Context, Culture, and Climate* How strengths-based leadership outperforms deficiency-focused management* Turning data into meaningful action with the “So What? Now What?” framework* Lessons healthcare can learn from military after-action reviews* Creating psychologically safe teams where learning replaces blame* Why celebrating what’s working may be just as important as fixing what’s brokenWhether you’re a healthcare executive, nonprofit leader, manager, or anyone responsible for building teams, this conversation offers practical insights for creating organizations where people and performance can thrive.Leadership isn’t about creating better heroes. It’s about creating better systems.🎙️ Guest: Dr. Eric Hieger, CEO & Managing Partner, TransformX🎧 Hosted by: Dr. Jeremy Rutter & Joseph Tomaino#Leadership #OrganizationalCulture #BusinessPsychology #HealthcareLeadership #Teamwork #LeadershipDevelopment #Psychology #ExecutiveLeadership #TransformationalLeadership #TheLeadersAbstract

In this episode Joe and Jeremy speak with industry expert Brad Markowitz about VBP and the future of how nursing home care will be provided. Is your ISNP working for you or against you? Should you be in an ACO? Where are your shared savings? This and more in the latest episode of The Leader's Abstract.

In this episode of The Leader's Abstract, Dr. Jeremy Rutter welcomes new co-host Joe Tomaino as they explore one of the biggest questions facing today's leaders: Will artificial intelligence replace leadership or will it make great leadership even more important?Drawing on decades of executive experience in healthcare and long-term care, Jeremy and Joe discuss AI's growing role in presentations, hiring, education, compliance, and decision-making. They examine why authenticity, transparency, and genuine human connection remain essential leadership skills in an age of automation.

In this episode of The Leader's Abstract, Dr. Jeremy Rutter sits down with Lizzy Martin, inaugural president of CNY Rotary, to explore what it takes to lead through change in a volunteer-driven organization.Lizzy shares her journey from a young professional joining Rotary at age 25 to leading the historic merger of three Rotary districts into a single regional organization. Along the way, she discusses the unique challenges of leading volunteers, building trust during times of uncertainty, and helping people embrace new ways of working together.The conversation also explores the evolving face of Rotary, the importance of creating opportunities for emerging leaders, and how communication can be the difference between resistance and engagement. Whether you lead a nonprofit, a healthcare organization, a community group, or a business team, this episode offers practical insights on influence, change management, and building organizations that thrive through collaboration.Topics include:• Leading organizational change• Communicating through uncertainty• The challenges of volunteer leadership• Women and young professionals in leadership roles• Building community through service• The future of Rotary and civic engagement

In this episode I sit down with Ami Schnauber , a healthcare executive with 20 years of experience in aging services. Ami and I discuss what emerging leaders really need when it comes to leadership training.

In this episode of The Leader’s Abstract, host Dr. Jeremy Rutter sits down with Dave Casullo, founder and CEO of Danelli Partners, to explore what it really means to move from success to significance in leadership.Dave shares his unconventional leadership journey, from rising through corporate leadership to ultimately discovering a deeper calling rooted in purpose, impact, and service. Together, Jeremy and Dave unpack the idea of the “second mountain” , the shift from achievement to meaning and what it takes to lead in a way that outlives you.

In this episode of the Leader's Abstract Podcast, I sit down with Joe Tomaino, CEO of Grassi Healthcare Advisors, as we discuss Joe's 40 Year career in healthcare, and how he finds balance in the outdoors.

In this episode I sit down with Sam Hill, Co-Founder of Success + Me, and discuss authentic leadership, Sam's personal journey, and how soft skills are hard work.