In this episode of Practical Pivots, host Steve Pockross sits down with serial scale-up CEO John Allen to explore how to take over companies from founders, and lead them from stagnation to growth, and then exit. John shares his approach to stepping into investor-backed companies, building trust with boards, and making decisions by first understanding the financial model and the people involved. The conversation also digs into the difference between a thoughtful pivot and a reactive scramble, the importance of rev ops and operational discipline, and the story behind EzaLife, his current medical device startup creating disposable securement devices that help prevent painful, costly complications for patients and families.