Field notes from the operator’s chair. Sourced numbers. Scored predictions. Every piece in text and audio.
By Steven F. Gonzalez
President & CEO, HealthView · Founder, CultureAI.com
Twenty years across healthcare and health tech. Works backwards from the hospice bed.
22 field notes · 200 min of audio
Every field note
- Nº 22
Culture Works When Nobody Has to Step Away From Their Work
Forbes Business Council. If a system only stays alive because someone remembered to log in, it is already dying. Why culture is what happens between the meetings, and the three questions to ask before you launch anything.
- Nº 21
The Invoice
Culture has a price, and it comes due as turnover. One lost nurse, itemized line by line, and the ratio it adds up to: what it costs to lose a clinician against what it would have cost to keep her.
- Nº 20
The Fourth Lesson From Surfing
What Patagonia’s Let My People Go Surfing policy actually teaches about culture and growth: the 1991 crisis, the absorption rate, and the receipts.
- Nº 19
The Permission Machine
What prior authorization actually is, where it came from, and why a checkpoint built for the exceptional became a toll on the ordinary. Sixty years, sourced.
- Nº 18
The Rocket
A thirty-thousand-dollar domain, months of long walks, a two-word mission statement, and the night I finally read my own logo. Culture, then AI, in that order.
- Nº 17
Working Backwards
The man who wrote the definitive novel about dying with regret died inside the exact regret my teams hear most. What hospice teaches about life, and the only lifetime entry on the ledger.
- Nº 16
Why I Open-Sourced the Way I Run My Companies
The four-link chain, the tech logic, the hospice vantage, and the conflict of interest, stated before anyone can discover it.
- Nº 15
The Yield
A year of first principles, the idiot index, and what a health system actually manufactures. The numbers, the honest complication, and a dated prediction.
- Nº 14
294 Views
Seventeen years on YouTube. 294 views. The whole SpartX story, told in receipts, and the timing lesson it left behind.
- Nº 13
Three Septembers
The internet opened in 1993. Facebook opened in 2006. Healthcare AI opened this month. What the gated phase teaches, with the receipts and a dated prediction.
- Nº 12
Culture Isn't A Speech, It's A Habit You Prove Under Pressure
Forbes Business Council. Real culture is not the values statement. It is the day someone tested whether you meant it and the standard held.
- Nº 11
How Scale Can Break Everything (And How To Prevent It)
Forbes Business Council. Culture does not scale on its own. It either gets built intentionally or gets replaced quietly by whatever behaviors growth introduces.
- Nº 10
Why Your Best Managers Are Your Most Valuable Data Source
Inc. Magazine. Culture influences employee experience, but manager behavior is what drives retention or turnover.
- Nº 09
The Metric Of A Great Team: Recovery Speed
Forbes Business Council. The hit is not what defines a team. The recovery is.
- Nº 08
Pay Attention to the Quiet Ones
The best leaders right now are not the loudest ones. They are the ones watching, testing, and asking questions most people are not ready to answer yet.
- Nº 07
Financial Disruption: 20 Early Warning Signals To Watch For
Financial trouble rarely announces itself. Twenty early signals from a Forbes expert panel, including signal two: frontline conversations.
- Nº 06
Culture Is Not a Values Poster
Every healthcare organization in America has a values statement. It lives on a laminated card in the break room. The founding argument of The Culture Lab.
- Nº 05
The Capacity Illusion: Why High Performers Burn Out
Your best people are not burning out because they're weak. The capacity illusion, and how to catch it before the departure that surprises everyone.
- Nº 04
In a High-Tech World, Presence Matters More Than Polish
AI can write the memo and prep the deck. What it cannot replace is presence in a real conversation, and that is becoming the differentiator.
- Nº 03
Certainty Is Overrated. Presence Is Underrated.
Your team does not need you to have all the answers. They need to know you're actually in the room.
- Nº 02
The Most Undervalued Leadership Skill: Listening
The most undervalued skill in leadership costs nothing, takes no training, and almost nobody does it well.
- Nº 01
3 Leadership Lessons From Surfing
Everything I know about reading conditions, taking the hit, and paddling back out, I learned before work, in the ocean.
About the author
Steven F. Gonzalez
President & CEO, HealthView · Founder, CultureAI.com
Steven Gonzalez has spent two decades testing one conviction: culture is not a values poster. It is the operating system of care. He leads from both sides of that idea, as President and CEO of HealthView and as founder of CultureAI, the operating system for culture, built on the belief that great culture and great systems are the same discipline. HealthView is a home health, hospice and palliative care company founded in 1967, a Fortune Best Workplace in Health Care and an Inc. 5000 company. Before HealthView he co-founded SpartX and helped build PokitDok from the founding team, both later acquired. He speaks nationally and advocates in Washington on the future of post-acute care. He writes for Inc. Magazine and Forbes through The Culture Lab.