"Unfit" organizations aren't likely to be successful with growth. That's a bold statement but one that I see as a growing problem among specialty provider organizations. Changes in the market and leadership inaction have let the fitness of many organizations atrophy—financially, operationally, and in terms of market positioning. In a market where successful growth strategies are both market-driven and capabilities-driven, organizational fitness is key. It's hard to grow from a position of weakness.

So which organizations are "fit" and ready for the challenges of growth? These organizations have clear priorities, their investments and management . . .

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