Growth Under Pressure pulls back the curtain on what it really takes to scale fast. Hosted by Eric Josovitz, Founder of AdaptCFO, each episode features leaders of high-growth companies sharing their toughest financial and operational challenges—from cash flow crunches to major fundraising milestones—and the strategies that got them through. Whether you're navigating rapid growth or gearing up for it, you'll get real-world stories and actionable CFO insights you can put to work in your own business
Why America's Healthcare System Rewards the Wrong Things | Ep 36
What happens when a system rewards the wrong things?
In this episode of Growth Under Pressure, Eric Josovitz sits down with Rob Andrews, former U.S. Congressman who served for nearly 24 years and helped pass the Affordable Care Act, to examine why America's healthcare system rewards the volume of procedures rather than patient outcomes.
Their conversation explores the financial incentives driving healthcare costs, the lack of transparency in medical care, and how better access to patient records could improve outcomes and reduce unnecessary spending.
For founders and CEOs, the lessons go beyond healthcare. Rob explains why incentives shape behavior, why accountability matters, and how rewarding outcomes instead of activity can transform an entire system.
In this episode, we discuss:
- Why America's healthcare system rewards the wrong things
- The financial incentives driving rising healthcare costs
- How transparency and accountability can improve patient outcomes
- Why preventative care deserves greater investment
- How secure, patient-controlled medical records could transform healthcare
- What founders and CEOs can learn about incentives, leadership, and performance
- Why better systems produce better results
The leadership lesson: If you want better results, start by examining what your organization rewards.
Subscribe to Growth Under Pressure for conversations with founders, CEOs, and business leaders navigating growth, leadership, and high-stakes decisions.
#GrowthUnderPressure #RobAndrews #Healthcare #HealthcareReform #HealthcareIndustry #HealthcareCosts #HealthcareInnovation #HealthcareLeadership #BusinessLeadership #Leadership #CEO #Founders #Entrepreneurship #BusinessStrategy #PerformanceManagement #BusinessGrowth #Accountability #Incentives #PreventiveCare #HealthPolicy
8 Oct 2026
The Hidden Fees Costing Your Business Thousands | EP 35
How much is your business really paying in payment processing fees?
In this episode of Growth Under Pressure, Eric Josovitz sits down with Allan Copelman, founder of Nationwide Payment Systems, to talk about hidden payment fees, business growth, leadership, and what it really takes to operate under pressure.
Allan shares lessons from decades in business, hospitality, and payments, including why taking ownership, knowing your numbers, and making decisions quickly can make a major difference.
A practical conversation with plenty of lessons for business owners and leaders.
#GrowthUnderPressure #Entrepreneurship #Leadership #BusinessGrowth
30 Sept 2026
The Hidden Economics of Buying a Business | Ep 34
Buying a business can look very different on paper than it does once you're the one responsible for making it work.
In this episode of Growth Under Pressure, Eric Josovitz sits down with Gretchen Roberts, CEO of Red Bike Advisors, to unpack the hidden economics and real-world challenges behind buying and running a business.
Gretchen shares how she went from a corporate marketing career to acquiring an accounting firm, why the numbers are only part of the equation, and what happened when her first tax season turned into a major leadership crisis.
They get into the financial structure behind an acquisition, the importance of due diligence, the J-curve that can follow a business purchase, and why business owners need much more than a P&L to understand what is really happening inside their company.
They also discuss:
• How to think about leverage when acquiring a business
• What buyers often miss during due diligence
• Why revenue and profitability can take a hit after an acquisition
• The leadership lessons Gretchen learned when her entire tax team left
• How to build financial visibility and know which levers to pull
• Why tax strategy can become a real profit lever
• When buying a business makes more sense than starting from scratch
• Where AI can improve accounting and where the human relationship still matters
For CEOs and founders considering an acquisition, scaling a business, or simply trying to understand the numbers behind growth, this conversation offers a candid look at what happens when the deal is done and the real work begins.
Subscribe to Growth Under Pressure for more conversations with the people navigating the decisions, pressure, and realities of building and leading a business.
#GrowthUnderPressure #BusinessAcquisition #Entrepreneurship #BusinessGrowth #CEO #Founders #BusinessLeadership #Finance #Leadership #AI
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