"I started with a hammer in my hand, not an MBA. That matters, because it means I've never lost the instinct to get into the weeds on a job. Three quarters of our projects happen in buildings that are still fully occupied, still running, still trying to serve patients or customers or employees every single day. You can't fake your way through that. You listen, you build a real team, and you figure out how to keep everyone's business alive while you're tearing down a wall six feet away from them."