Marjorie Kreppel, Owner and Director of The Counseling Center Group, shares how she transformed from marketing executive to mental health entrepreneur—building a 7-state therapy practice that prioritizes patient outcomes over profit. Learn how she's fighting private equity's takeover of mental healthcare while scaling evidence-based treatment.

From top real estate producer to nonprofit founder, Megan Schomer shares how her son's rare brain malformation led her to create Rays for Rare—an organization now serving over 220 families with medically fragile children across Idaho. Learn how she challenged healthcare systems, revolutionized pediatric palliative care, and built a tech-startup approach to nonprofit work that's changing lives.

From answering a newspaper ad to leading 80 locations serving thousands, Jessica Smart's journey into nonprofit leadership proves that passion beats planning. In this episode, Efrain discusses compassion-driven leadership and mission sustainability with Jessica Smart, CEO of Clearbrook. Learn how one leader is transforming care for individuals with intellectual and developmental disabilities across Chicagoland.

What happens when a healthcare CEO prioritizes culture over everything else? Paul Hiltz, President and CEO of NCH Healthcare System, reveals the unconventional strategies that are transforming healthcare in Southwest Florida.

Most nonprofit leaders believe scaling means sacrificing culture. Rina Barak, CEO of SLEA Therapies, proved them wrong by growing from 150 to 300 employees while earning multiple Best Places to Work awards.

Caroline Whistler, CEO of Third Sector, shares how nonprofits can stop chasing crumbs and start reshaping the trillion-dollar government funding system. Learn why outcomes matter more than outputs and how to become a thought partner instead of just another grantee.

Why do kids from the same neighborhood end up on completely different paths? Colleen Morris Lorber, Founder and CEO of Wraparound Experts, discovered the answer wasn't just about resources—it was about mindset, systems, and having one person who believes in you.

Darren Washausen walked away from a high-paying engineering career to adopt a child—a decision that transformed his life and launched a ministry serving hundreds of vulnerable children across Kentucky. In this episode, Efrain sits down with the President of the Board at Orphan Care Alliance to explore how personal adoption led to systemic change in foster care.