In this powerful episode of Hart and Hustle, we sit down with Karen Rubel, CEO of Nathan Adelson Hospice, to explore leadership, resilience, and the true meaning of purpose-driven business. Karen shares her inspiring journey from teacher to nonprofit leader, how she pivoted careers with courage, and why culture beats strategy every time. We also dive deep into the growing challenges of the hospice industry—and how Karen is fighting back to protect quality end-of-life care. If you're passionate about leadership, nonprofit impact, and building people-first organizations, you won’t want to miss this conversation.