In this episode, I speak with Karthik Ganesh about scaling a company from $48M to nearly $500M in revenue while staying resilient under pressure. We discuss why long-term strategies fail without adaptability, how focusing on process over outcomes drives performance, and why purpose must anchor culture. Karthik shares how personal loss reshaped his leadership philosophy, how he aligns teams around a North Star, and how AI can enhance healthcare without removing the human element.