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In this episode, Josh Domingues shares the journey from hockey and finance to building Flashfood and launching MedWallet, offering an honest look at startup leadership, hiring, and building culture while scaling fast. The conversation explores how intuition, transparency, and human connection shape both product decisions and team dynamics, especially during moments of crisis and rapid growth. Josh also challenges traditional workplace practices like job descriptions and performance reviews while sharing his vision for the future of healthcare powered by AI. 00:00 - Introduction 04:22 - From Hockey Player to Finance to Consulting to Startups 09:50 - First Startup Failure 10:43 - Flashfood Idea: Solving Food Waste 11:45 - Scaling Flashfood & Raising $25M 17:23 - Founder Intuition & Being Early to Big Trends 20:23 - Building Culture & Motivating Frontline Workers 21:45 - COVID Crisis 24:05 - Leadership Lessons From Supporting Employees 28:00 - Why Companies Are Teams, Not Families 30:54 - Flashfood Culture, Systems & Rituals 32:55 - Why Performance Reviews Don’t Work 35:16 - How to Grow Fast in a Startup (Ignore Job Descriptions) 38:10 - Leadership Style: Strong Opinions Loosely Held 40:10 - Psychological Safety & Firing a Toxic Manager 43:52 - Spotting Bad Teammates (Sports → Business) 46:51 - MedWallet Origin Story 49:19 - Healthcare System Problems & Personal Experiences 49:50 - MedWallet Product Explained 52:20 - AI + Healthcare Future 53:30 - Final Advice: Authenticity in the AI Era