Kathryn Wilson Built a 35-Person Agency (By Ignoring Profit) episode artwork

EPISODE · May 20, 2026 · 28 MIN

Kathryn Wilson Built a 35-Person Agency (By Ignoring Profit)

from Legends of Scale · host Brian O'Connor

Today we talk with Kathryn Wilson, Founder and CEO of VUE Health.---💼 Join 47,000+ following on LinkedIn:https://www.linkedin.com/in/brianfoconnor/🐦 Join 40,000+ following on Twitter: https://x.com/BrianFOConnor00:00 Meet Kathryn Wilson00:56 She Built an Agency From Scratch — Senior First03:08 Why Most Founders Hire Too Late and Too Junior03:20 "Lack of Leadership Is Expensive"04:10 How to Audition 18 Directors Before You Hire One06:27 Hiring the Chief Innovation Officer08:28 More Expensive Per Hour, Cheaper Per Project10:30 "We're Not Selling Sneakers — People's Lives Are at Stake"11:10 Why She Hired a Personal Chef (Not a Foosball Table)14:51 The "Zero Asshole Policy" in Hiring16:09 Building Teams With Personality Data18:54 Flat Structure: Five Pods, Three Products Each21:33 Skills Get Screened Before Kathryn Ever Shows Up23:37 Matching 300 Freelancers to Clients With AI26:33 No Annual Reviews — Just Weekly KPIs28:07 Find Kathryn + VUE Health

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Kathryn Wilson Built a 35-Person Agency (By Ignoring Profit)

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