I went back and forth with myself, contemplating whether to share this post; because weakness, doubt, and vulnerability are seldom championed. But, in my binge of business podcasts, startup stories, and entrepreneurial fairytales I felt it important to share when things are low and you wonder when favor will shine again.
“Let’s not get tired of doing what is good. At just the right time we will reap a harvest of blessing if we don’t give up” (Galatians 6:9 NLT).
It’s been a challenging year. It began with one of our biggest contracts being taken away from us.There’s really no appropriate way to verbalize it, but just that. Without cause or reason. About 70% plus of our business came from that one contract, and we were mailed an amendment essentially dissolving it. I cried that day. I felt the air escaping me faster than I could catch it. Trying to remain stoic, I reviewed the document with my father. He remained calm. I insisted we get lawyers, that we defend ourselves. He agreed, ready to fight. But before we bolstered ourselves for that new challenge, I dissolved. I was angry and hurt. We worked so hard, harder than our competitors, proving we were equal if not better and here we were with the rug pulled from under us. I cried, because it was an affirmation that life is unfair. That you can toil, and sometimes no matter how intentional you are, sometimes you lose.
My father scolded me, “No.” As if my tears were propelled by a push of a gas pedal, like if I eased up they would end. “No.” Like, my tears were an affront and not from a space of endless overtime, weekends, and nights; an army of me’s from my past standing at a collective front questioning if all that time would end in defeat.
“I can’t be quiet! I am angry and bitter. I have to speak” (Job 7:11 GNT)
This was the beginning of my descent into regret and resentment. I spent much of this year feeling like maybe I should never have began to help my father. A dutiful daughter is not allowed to say that, but I will. I spent many moments wondering if maybe I should not have offered myself. The endless hours, low pay, and tedious tasks that could have gone into my own pursuits. Further and further I felt I was moving away from my own dreams. I began this endeavor so hopeful, content, and aligned with purpose. In the very least, I felt assured that no matter what, I was honoring my father. But now this honor feels like sludge. An exalting crown, now a heavy weight on my head and I’m not sure I want it anymore.
Can any one of you by worrying add a single hour to your life?” (Matthew 6:27 NIV)
Between new insurance guidelines and regulatory restrictions, I’m tired. In an industry where everyone is being bought out or shutting down; I’m tired. Every time we meet a new obstacle I want to say, “But we are small!”, “But we are family-owned and operated”, “But we are black!”, “But we are immigrants!” And the reality is that in business, when the status quo benefits people who do not look like you, inclusion is not a discussion you can bring to a table you aren’t invited to in the first place.
“What strength do I have, that I should still hope? What prospects, that I should be patient? (Job 6:11)
There is no one black at our table. No one immigrant. No one woman. And here we are up against behemoths; multi-state, national corporate accounts. There are some smaller competitors, but they’ve got the game down. One of our competitors is doctor-run, so they get to self-referral (Stark law doesn’t apply to private payers). Then there are those who have been in the industry for decades (all white and with connections and existing capital). Some of our competitors have been in the industry so long, my father worked for them. So here we are, providing service unparalleled and getting by the fucking skin on our teeth.
“This is what the kingdom of God is like. A man scatters seed on the ground. Night and day, whether he sleeps or gets up, the seed sprouts and grows, though he does not know how. All by itself the soil produces grain — first the stalk, then the head, then the full kernel in the head” (Mark 4:26-28 NIV).
Our contract was eventually reinstated, but it’s again hanging in the balance. We aren’t sure what will happen but are diligent and not wavering in our quality of service. Our biggest mistake was being so reliant on one source of capital. Even without, we were still doing well but I used the time to hunt for more contracts; and fortunately was able to get a new one. I know there is worth in what we do. Patients rave of my father, of his care and love. Patients call asking for specific staff, who they have grown to trust. There is heart here. There is intention of public good. I wish quality of care was enough, but it isn’t. Not in this country. Not in healthcare.
I’ve thought a lot about the almost four years I’ve put in and wondered what of my own ambition? Lord, I am to honor my father and mother but how much more before I break? Rather than wallow, I decided to put intention behind growth. Implementing ways to streamline day-to-day operations. New software, management systems, hires, services. In my most discouraging year I’ve spent more time diversifying and facilitating growth and change remembering that in the very least if I’m not motivated by my earthly father, then maybe my heavenly one can push me.
“If God cares so wonderfully for flowers that are here today and gone tomorrow, won’t he more surely care for you, O men of little faith?” (Matthew 6:30 TLB).
Parable of the Talents 