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Customer-Obsessed Growth with Joshua Silver | Ep. 18 | Growthwell with Josh Byrd

Founders who obsess over customer needs unlock significantly higher profit margins while building teams that scale

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By Josh Byrd · GrowthwellJosh ByrdJoshua SilverRainforest
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Founders who obsess over customer needs unlock significantly higher profit margins while building teams that scale

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Customer-obsessed growth is proving to be the key differentiator for businesses aiming to thrive in competitive markets. A study by Deloitte found that customer-centric companies are 60% more profitable than those that aren't. How do entrepreneurs balance relentless customer focus with scaling businesses and building effective teams? What does it take to maintain this ethos while growing a startup?

Customer-centric companies are 60% more profitable than those that aren't.

In the latest episode of Growthwell, host Josh Byrd sits down with Joshua Silver, the Founder and CEO of Rainforest, to explore the art and science of customer-obsessed growth. From his early days at PatientCo to his latest venture in embedded payments, Joshua shares candid insights into building companies that not only solve problems but also deliver transformative value to customers.

The two discuss…

  • Customer Obsession: Joshua discusses how immersing himself in customer environments helped him design intuitive, impactful solutions, and why understanding your customers is non-negotiable for long-term success.
  • Building Scalable Teams: The importance of hiring exceptional talent early, empowering leadership teams, and creating a culture of transparency and accountability.
  • Balancing Growth and Well-being: Joshua reflects on routines, travel, and the personal strategies that help him stay grounded and driven while managing a high-growth business and family life.

Joshua Silver, a seasoned FinTech entrepreneur and payments expert, founded Rainforest with an aim to help software companies monetize payments with cutting-edge technology and exceptional service. Previously, he co-founded Patientco, a healthcare payments company that successfully exited to Waystar, and led LaunchPath Group, advising over 50 software platforms on payment strategies. A Georgia Tech alum and advocate for the Atlanta tech ecosystem, Joshua is passionate about supporting startups, fostering innovation, and sharing insights on embedded payments and company culture.

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About the author

JB
Josh ByrdPrincipal

Experienced strategic marketing leader with a focus on strategic demand generation using data-driven techniques including Account Based Marketing (ABM), Marketing Automation, Online Advertising, Social Media, Print, and Public Relations. I love building strong teams who thrive in creatively mixing diverse marketing tactics, both traditional and modern, to realize significant revenue growth.

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More Healthcare Insights

More nurses did not lift safety culture scores in a 205-hospital analysis

More nurses did not lift safety culture scores in a 205-hospital analysis

A 2026 analysis in the Journal of Hospital Management and Health Policy combined 2021–2022 HSOPC results with AHA, HCRIS, and AHRF data across 205 hospitals and reported that small increases in nurse and physician staffing lined up with slightly lower “percent positive” patient safety culture scores in several dimensions. According to the Journal of Healthcare Management abstract hosted on Ovid, the study described a 2% decrease in positive staffing perceptions with β=−0.02 per additional nurse FTE and a −0.01 change in perceived reporting of patient safety events per additional nurse, while additional physician staffing was associated with −0.01 changes in perceptions of communication openness and organizational learning, and joint ventures were associated with a −0.03 change in perceptions of management support for safety (all p<0.05). The operational read is that adding headcount by itself does not ensure stronger safety-culture signals; hospitals also need the workflows that turn observations into closed-loop fixes, from “just culture” reporting expectations to facilities work-order follow-through, as described by Sentara Health leaders in Chief Healthcare Executive and by Health Facilities Management’s environment-of-care guidance. For health system operators, the near-term consequence shows up in how HSOPC survey targets connect to leader scorecards, rounding programs, digital reporting tools, and joint-venture governance, especially where staffing growth is driven by complexity and handoffs.

  • 01If HSOPC “percent positive” scores are a board KPI, staffing increases can move in the opposite direction unless reporting and learning loops scale too. The study’s negative coefficients are small, but they signal a measurement risk during growth.
  • 02Facilities and clinical safety cultures converge in the same pipeline: observation, reporting, triage, work order, verification. HFM Magazine’s door-lock example is the same system problem as event reporting, it is throughput and closure, not awareness.
  • 03Joint ventures can add operational complexity that dilutes perceived management support for safety. That belongs in JV governance charters and integration playbooks, not only in finance models.

Sep 1, 2026

Smart ICU and ambient AI cut errors when they feed data and notes into the EMR

Smart ICU and ambient AI cut errors when they feed data and notes into the EMR

Two HIMSS26 APAC case studies point to the same operational lesson: hospitals are getting measurable gains from “smart ICU” device integration and ambient AI documentation only when those tools are tightly integrated into core clinical workflows. Pondok Indah Hospital Group in Indonesia reported reductions of up to 70% in ICU administrative errors and 40% in adverse drug reactions after integrating smart devices, according to Healthcare IT News. Sir H.N. Reliance Foundation Hospital in India reported ambient AI is now used for nearly 90% of progress notes and shift handovers across five live use cases on a single EMR-integrated platform, also reported by Healthcare IT News. New JAMA Network cardiovascular research adds a parallel signal on the clinical side, with AI-enabled acquisition and interpretation approaches moving into screening and triage workflows, which raises procurement questions about validation, interoperability, and change management at the bedside.

  • 01A useful benchmark is emerging for documentation automation: “nearly 90% of progress notes and shift handovers” on ambient AI when it is deployed as one EMR-integrated platform, not a set of point tools (Healthcare IT News).
  • 02The measurable ROI in ‘smart ICU’ programs shows up where operators feel pain: fewer administrative errors and medication-related events, not in abstract “digitization” metrics (Healthcare IT News reported up to 70% and 40% reductions, respectively).
  • 03For hospitals with multiple device vendors and fragmented documentation workflows, integration work, interfaces, identity, order context, and governance, is likely to consume more effort than model selection, so contracts and implementation plans should price integration explicitly.

Sep 1, 2026

Gartner says AI budgets are growing faster than the rules to control them

Gartner says AI budgets are growing faster than the rules to control them

Gartner’s late-August 2026 research points to a familiar operational pattern in enterprise AI: budgets are rising faster than the controls meant to keep costs and risk predictable. In a Aug. 26 press release, Gartner said AI spending by customer service leaders surged 38% even as overall service and support budgets rose 2%. Earlier, at Gartner’s March 2026 Data & Analytics Summit, Gartner analysts said only 44% of organizations had adopted financial guardrails or AI FinOps practices, a gap that becomes more painful as AI workloads scale. The practical takeaway for CIOs, customer service operations leaders, and data and analytics teams is to treat AI governance, cost attribution, and human escalation paths as procurement requirements, not after-the-fact fixes.

  • 01A useful benchmark for planning: Gartner pegs AI spend growth in customer service at 38% versus 2% budget growth overall, a mismatch that forces reallocation and harder ROI proof.
  • 02Only 44% of organizations have adopted AI FinOps-style guardrails, according to Gartner. If AI is moving into production, chargeback and consumption limits need to be designed into the rollout.
  • 03Gartner also forecasts spending on securing AI will hit $4.8 billion in 2027, signaling that AI security is becoming a standalone budget line rather than a feature bundled into existing platforms.

Sep 1, 2026

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About the Expert

JB
Josh Byrd

Principal

Experienced strategic marketing leader with a focus on strategic demand generation using data-driven techniques including Account Based Marketing (ABM), Marketing Automation, Online Advertising, Social Media, Print, and Public Relations. I love building strong teams who thrive in creatively mixing diverse marketing tactics, both traditional and modern, to realize significant revenue growth.

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