What does it take to scale a healthcare organization without losing sight of the people it serves?

On this episode of Worth the Work with Jason Dana Costa, Jason sits down with Avi Wisotsky, FCAS, CEO and co-founder of RightWay ABA, to explore his journey from actuarial science and corporate consulting to building a rapidly growing ABA organization.

Avi shares the philosophy behind what he calls “scaling with care,” combining strong business operations with clinical leadership to create sustainable growth without putting quality care second. He explains why RightWay ABA has intentionally paused growth at different points to strengthen its foundation, how strategic partnerships have helped the organization expand without overextending, and why understanding what partners truly value is essential to building lasting relationships.

The conversation also explores the realities of leading a fast-growing organization, from managing teams remotely and learning to delegate to protecting culture, navigating cash flow, making difficult hiring decisions, and using data and technology to identify problems before they grow.

For Avi, growth is not simply about getting bigger. The bigger mission is creating an organization capable of providing quality therapy and making a meaningful difference for as many families as possible.

If you’re leading a growing organization, building partnerships, or trying to balance mission with operational discipline, this conversation offers practical lessons on how to grow with intention.