The Hidden Entrepreneur Show with Josh Cary

Healthcare affects every single one of us. Yet most of what’s happening behind the scenes remains invisible until something goes wrong. In this episode, Josh Cary sits down with Sam Yeruva, Founder and CEO of Pycube, to unpack why healthcare is so expensive, so complex, and often so inefficient and what can actually be done about it.This is not a tech-for-tech’s-sake conversation. It’s a grounded, human discussion about patient safety, lost samples, missing equipment, overstressed hospitals, and why operational efficiency isn't about profits first, but about better outcomes for doctors, nurses, and patients alike.If you’ve ever wondered why hospitals feel chaotic, why delays happen, or how AI could genuinely improve healthcare without replacing humans, this episode connects the dots in a way that finally makes sense.What You’ll Learn in This EpisodeWhy Healthcare Feels Broken From the Inside OutHow hospitals evolved from small community institutions into highly complex systems and why that complexity drives cost, waste, and inefficiency.What Operational Efficiency Really Means for PatientsFrom missing equipment to lost pathology samples to expired devices, Sam explains how system failures directly impact patient care and how better workflows save lives.The Hidden Cost of Chaos in HospitalsWhy hospitals lose billions not because of bad intentions, but because of outdated systems, poor visibility, and disconnected workflows.Where Insurance Fits Into the PictureA clear and balanced take on why insurers are often blamed, what role they actually play, and why removing them would likely create bigger problems, not fewer.Why Profit and Efficiency Matter Even in NonprofitsHow financial stability allows hospitals to hire nurses, retain doctors, invest in technology, and continue serving local communities.AI in Healthcare Without the Fear NarrativeA practical discussion on where AI belongs, where it doesn’t, and why every major technological leap has faced the same resistance before becoming essential.What a Job Well Done Looks Like for the Future of HealthcareSam’s vision for preparing hospitals to be AI-ready, cutting waste, improving care delivery, and creating a healthier system for everyone involved.Memorable Moments From the Conversation• Why hospitals are the most expensive hotels in America and why that matters• How a missing machine or sample can delay care at critical moments• Why efficiency is a patient safety issue, not just a business metric• The surprising parallels between AI, electricity, and early computers• How small operational improvements can turn losses into sustainable careAbout the GuestSam Yeruva is the Founder and CEO of Pycube, a healthcare technology company focused on improving operational efficiency across health systems. His work centers on reducing waste, increasing visibility, and ensuring resources are used where they matter most, patient care.

In this episode, Josh sits down with Matt Granados, founder of LifePulse and author of Motivate the Unmotivated, to unpack why most people are stuck running on fumes and how intentional living is the missing link between success and fulfillment. This conversation goes far beyond productivity hacks. It cuts straight to the root of why people feel overwhelmed, unmotivated, and burned out at work and at home.Matt has worked with companies like Google, the U.S. military, and Fortune 500 organizations, but his approach is deeply human. He explains why motivation still matters, why knowledge alone does not change behavior, and how leaders can stop managing symptoms and start fixing root causes. If you are an entrepreneur, leader, parent, or operator trying to get your life and team back in alignment, this episode will hit home.Check out these special bonuses and offers exclusively for show listeners: https://www.lifepulseinc.com/hiddenWhat You’ll Learn in This EpisodeWhy Intentionality Is the Catalyst for FulfillmentMatt explains why no one accidentally becomes fulfilled and how modern convenience has quietly stripped intentionality from our lives, creating burnout and disengagement.The Difference Between High Performance and Optimal PerformanceWhy chasing high performance leads to exhaustion and burnout, and how shifting to optimal performance creates sustainable success at work and in life.Why Motivation Still MattersThe truth about motivation, desire, and environment. Why leaders cannot force motivation but can absolutely create conditions where it thrives.The Real Reason People Have “People Problems”Why people are not the problem. People have problems. Fix the root cause and leadership becomes easier overnight.Expose, Bridge, Sustain: A Simple Framework That Actually WorksHow Matt helps individuals and organizations identify hidden gaps, build bridges forward, and sustain progress without sliding backward.Why Knowledge Is No Longer EnoughIn a world where everyone has access to information and AI, Matt explains how wisdom is the real differentiator and how to apply knowledge at the right time in the right way.Leadership, Fatherhood, and Personal ResponsibilityHow Matt’s experience as a father shaped his leadership philosophy and why the energy you bring into a room matters more than you think.Nice vs Kind LeadershipWhy avoiding conflict is not compassion and how honest leadership creates stronger teams and healthier cultures.From Craigslist to Fortune 500The accidental origin story of LifePulse and how a simple system built for survival evolved into a framework trusted by some of the biggest organizations in the world.Check out these special bonuses and offers exclusively for show listeners: https://www.lifepulseinc.com/hidden

If you have ever felt like success is a moving target, this episode hits different. Brian J. Esposito is not just a CEO with a big portfolio. He is a builder who has lived the full roller coaster: growth, collapse, debt, recovery, and a comeback that forced him to redefine what success even means.You will hear how he thinks about building companies, avoiding distractions, choosing partners, leading with values, and why he believes money is a tool, not the point. This is a real conversation about business strategy, mindset, and staying grounded while you scale.What You’ll Learn in This EpisodeHow Brian built a holdings company with 115-plus businessesWhy he needs “more dots to connect” and how internal synergy becomes a competitive advantage.The real difference between growth and shiny object chaosHis spiritual and practical filter for deciding what is a true opportunity versus a trap that knocks you off your path.The business model rule he lives and dies byIf you want to be in business, you need revenues. If you want to stay in business, you need to be profitable.How to evaluate your company when you want the next levelWhere he looks first when he walks into a business, and why most advisory boards are dead weight.The equity lesson every founder needs to hearHe compares equity to oxygen in a scuba tank and explains who deserves a piece of it.Culture as a growth engineWhy his companies run on honesty, vulnerability, and zero hidden agendas, and how that drives speed and trust.Gut instinct over paperworkHe trusts instinct first, then compliance, legal, and accounting. He explains why every time he ignored his gut, it burned him.His comeback story after the 2016 crashA head on collision in Nashville, a year of collapse, millions in debt, and the mindset shift that rebuilt everything.How he learned to price himselfThe surprising moment that gave him his confidence back: getting paid $100 to prove he could still deliver value.The deeper definition of successThe question “When is enough enough?” and why chasing money can quietly turn life into constant fight or flight.Key Moments and TakeawaysBuilding a portfolio works when you create internal leverage instead of relying on outside timelines.Shiny objects often show up when you are finally doing the right things. That is the test.Profitability is not about being cheap. It is about being smart, sustainable, and human.Advisors should be producing value. If they are not, they should not be on the cap table.The wrong partners cost more than they ever contribute, especially when values do not match.A real rebuild often starts when your identity stops being tied to a number.Quotes Worth Stealing“If you want to be in business, you need revenues. If you want to stay in business, you need to be profitable.”“Every percentage of equity is a percentage of oxygen in the tank.”“Everybody can be an overnight success if you wake up the next day a little smarter, wiser, and stronger than the day before.”About the GuestBrian J. Esposito is the CEO and Founder of Esposito Intellectual Enterprises, a private holdings company with 115 plus businesses under its umbrella. He is also the CEO of Diamond Lake, a publicly traded company (DLMI). Brian is known for building across industries, creating internal leverage, and leading with a strong values based culture centered on integrity, empathy, and performance.Call to ActionWhat part of Brian’s philosophy hit you the hardest: the shiny object filter, the equity as oxygen rule, or the “when is enough enough” message? Send Josh your thoughts and questions and let’s keep the conversation going.

What if the smartest way to build a high-growth company is not to invent the technology yourself, but to find breakthrough R&D already proven inside the biggest corporations on earth and then build a company around it?In this episode, Josh Cary sits down with Roland Austrup, Chief Growth Officer at publicly traded Innventure, to unpack a rare business model that combines the private-equity and venture-capital models with public-market liquidity. You’ll hear how Innventure evaluates hundreds of technologies, says yes to only a tiny fraction, and focuses on one thing: execution without guessing on the tech or the market.What You’ll Learn in This EpisodeHow to explain Innventure at the dinner tableRoland gives a simple way to describe what they do: they find transformative technologies and build companies around them from the ground up.The “commercialization gap” most people missBig multinationals can fund world-class R&D, but they are not always built to commercialize as entrepreneurs are. That’s the lane Innventure plays in.How they choose what to buildRoland walks through the filters: unmet market need, technical validation, immediate value proposition that drives adoption, and a strategic partner that becomes a channel or early customer.Why they only want one type of riskInnventure aims to eliminate technology and market risk, so they primarily manage execution and scaling risk.The data center cooling story that matters right nowTheir company, Accelsius, targets next gen cooling where chips run hotter and traditional cooling methods stop working. Roland breaks down why “air and water” are not enough and uses a simple frying pan analogy you’ll never forget.The hardest part of building something newEven with deep diligence, Roland says adoption timing is the wildcard. Predicting how fast an industry will change is what keeps him up at night.Leadership chemistry and why it beats talent aloneRoland shares why synergy matters at the top, why you do not want clones, and how complementary strengths are a form of risk mitigation.A career built on flow, not a straight lineFrom almost becoming a doctor to philosophy to trading to building a hedge fund, Roland’s path is a masterclass in curiosity, contrarian timing, and following what life keeps putting in front of you.The quiet truth about personal brand and businessRoland puts it simply: no matter what you do, you are always marketing yourself. Conviction, trust, and integrity are the whole game.Stoicism for builders“Why worry, it doesn’t change anything.” Roland ties business leadership back to controlling what you can control and using adversity as fuel.Learn More About Roland and Innventure: https://www.innventure.com/team/roland-austrup

If you have ever wondered what truly high level leaders are craving behind the polished LinkedIn profiles and impressive titles, this conversation pulls back the curtain. This is the inside story behind a remarkable day when seven vYve members, leaders, and entrepreneurs across a range of industries came to the New York iHeart Studios for a full immersive experience. Together, they workshopped their messaging, clarified their stories, and stepped up to the mic for one on one interviews that captured their insight, energy, and personality.In this kickoff episode, Andrea Sullivan and James Orsini share how vYve by Vayner was created to support executives and entrepreneurs who feel lonely, stretched, and stuck at the very moment they are expected to have it all figured out. You will hear how the iHeart day came together, why it became a breakthrough moment for the group, and what it revealed about the power of community, confidence, and storytelling. This episode sets the stage for the individual conversations that follow, each one showcasing a different vYve member and the work they are doing in their world.What You’ll Learn in This Episode• How vYve by Vayner emerged during the uncertainty and emotional weight of COVID • Why even the most impressive leaders quietly struggle with loneliness and burnout • How Andrea and James built vYve around community, accountability, and personal breakthroughs • What makes vYve’s mix of entrepreneurs and Fortune 500 leaders so unique • How the iHeart studio day became a podcast playground for seven vYve members • Why shaping your message is as important as knowing your story • The concierge style support vYve offers, including curated connections and expert guidance • How vYve measures progress, momentum, and personal transformation • Who vYve  is for and how to know if the program is the right next step for youAbout Today’s GuestsAndrea Sullivan is the CEO of vYve by Vayner and a long time marketing leader who served as chief marketing officer for Gary Vaynerchuk for more than six years. She co founded vYve to help leaders grow their businesses while also becoming healthier, happier humans.James Orsini is the President of Startup Operations at VaynerX and a trusted operator who has helped launch multiple companies and offerings within the Vayner ecosystem. As co founder of vYve and its lead business and personal coach, James focuses on strategy, accountability, and connecting members with the right resources to move forward with clarity and confidence....The vYve Thrive Series Stories about the unlocking of dreams that lead to business and personal growth… ignite YOUR thrive.The vYve Thrive podcast series was born from a simple vYve NYC meetup—an intimate gathering centered around charting our dreams and finding our true voice. What began as a small circle of leaders quickly evolved into something much bigger: founders, creators, and executives opening up, shedding old limits, and discovering what becomes possible when you allow yourself to be seen and heard.At vYve, we are more than a business-growth mastermind. We are a community grounded in honesty, courage, and the belief that our dreams—big or small—are meant to be pursued together and made real.Through our work at the New York Summit in October with The Podcast Playground, these stories now have an even broader platform to resonate, inspire, and remind others that their next chapter is entirely within reach.If you’re feeling the pull to explore your next chapter, we would love to hear from you.Reach out to us on social @thrivewithvyve on IG or just @vYve on Linkedin! This is vYve Thrive—where leaders chase their dreams, claim their voice, and ignite the spark for others to do the same.