Louis CarterFounder and Chief Executive Officer, Best Practice Institute · Founder and CEO, Best Practice Institute - Most Loved Workplace® | Organizational Psychologist | Creator of AI Workplace Intelligence and Employer Branding Platform

Louis Carter on Scaling Company Culture

30 Jan 2026 · 1 min

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In this brief segment from the YouTube video "Louis Carter on Scaling Company Culture," speakers discuss the challenges of expanding a pediatric‑focused health system from a single hospital to four locations. They emphasize that rapid growth must be grounded in a bottom‑up hiring approach that prioritizes staff who are passionate about caring for children. Culture is described as the anchor and touchstone that guides the organization through operational change, ensuring consistency across sites. The conversation highlights the practical question of how to scale fast while preserving the cultural DNA that defines the organization.

And I want to talk about that. You know, when you're expanding from 1 to 4 hospitals, big, it's a big deal. You know, how do you, how do you do this? How do you grow fast without losing that culture that you're building?
Yeah, I can walk, when I walk through the hospital, you know, whether it's the doctors or the nurses or the support staff or the folks in the, you know, in the kitchen area, you know, when I ask them, well, what do we do? And they're like, it's really simple, Matt. It's, we focus on kids. Because, you know, I can't do it from the top, right? It's really got to be bottom up and Hiring those people that really believe, you know, in taking care of kids, that is the first step into our organization.
Culture is the anchor, right, during these kinds of operational changes. That's the anchor. It's what we go back to, right? It's our touchstone. It's our touchpoint.