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June 12, 2025 32 mins

In this episode of Open Source Health, Tripp and Marcus reflect on a pivotal leadership meeting that marked a shift in the company's culture, operations, and leadership mindset. What began as a review of utilization data turned into a celebration of people-driven progress—proof that investing in culture isn’t fluff, it’s infrastructure.

They explore what it means to transition from founder-led intensity to trust-based leadership, how true patient-centered care requires internal alignment, and why the best organizations hold the tension between business and care, metrics and meaning, structure and soul. Also: thoughts on AI, algorithmic silos, and why MCT oil might just ruin your day.

Key Takeaways:

  • Culture isn’t just a vibe—it’s operational scaffolding for healthcare delivery.
  • Real leadership means knowing when to let go and let your team lead.
  • Patient retention must come from connection, not coercion.
  • Organizational success stems from ontological alignment—being, not seeming.
  • AI will transform healthcare, but human connection is our competitive edge.

Chapters:
00:00 Leadership highs & coalescing culture
01:40 Values-driven strategy meets utilization data
06:00 Building vs maintaining tension
08:20 Honest feedback, trust, and evolving leadership
10:38 Letting go: the CEO's job after startup mode
13:00 Local knowledge and decentralized expertise
15:00 A case study in mentorship, data, and retention
19:00 Alignment between values, outcomes, and sustainability
25:00 The future of healthcare: AI vs human connection
27:30 Culture at scale + unexpected hiring wins
30:00 Keto, self-awareness, and digestive caution


Follow & Connect:

Tripp Johnson

  • LinkedIn: https://www.linkedin.com/in/trippjohnson
  • Instagram: https://www.instagram.com/trippjohnson
  • Website: https://www.trippj.com/
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