My guest for this third episode in our Build Series is Kush Das, CEO of Ennoble Care, to talk about profitable growth. Or as he calls it, sustainable growth; something that goes to the heart of his mission to serve patients with the best possible care alongside a disciplined and motivated team. Kush and I discuss how they measure return on investment internally to remain profitable, how keeping that profit margin affects growth hires, the culture created with a sustainable model, and some tactics Kush employs to manage his growing team effectively. This episode was phenomenal and filled with tons of great strategies and tactics widely applicable in other businesses, and I hope you enjoy the conversation. Listen weekly and follow the show on Apple Podcasts, Spotify, Google Podcasts, Stitcher, Breaker, and TuneIn.  Learn more about Alex and Think Like an Owner at https://tlaopodcast.com/ Links: Trilogy Search Partners Pacific Lake Kush on LinkedIn Ennoble Care Topics: (00:00:00) - Intro (00:06:27) - Recapping Kush’s journey in acquiring Ennoble Care (00:07:39) - Talent-to-value ratio (00:12:37) - Timing for growth hires (00:13:45) - Defining key hires (00:18:29) - Tradeoffs to achieve profitability (00:21:57) - Measuring internal ROI (00:25:17) - Encouraging decision making (00:31:05) - Profitability incentives (00:33:12) - Messy growth vs. clean and simple (00:36:40) - factors in M&A (00:39:03) - Communication & cash management (00:45:09) - Developing an EMR (00:48:58) - What is top of mind for you in sustainability?