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Creative Assembly

July 16, 2026

Fired Up, Founded & Thriving: Kriste Goad’s Blueprint for Building a Healthcare Marketing Agency

Episode Summary

What happens when the career path you didn’t choose becomes the one that defines you? Kriste Goad, founder and Chief Firestarter of fuoco, joins The Spark to share the real story behind building a healthcare B2B marketing and communications agency from scratch — starting with the fact that she only started it because she got fired.

Kriste walks through her 25-year path from client-side healthcare marketing at Healthways through agency leadership at Revive Health, the moment that pushed her to bet on herself, and the lessons that came with scaling fuoco to Inc. 5000 recognition. Listeners will gain a candid, practical look at business development, brand clarity, leading through disruption, and how one agency owner is building an operating system for AI without losing the human in the loop — essential insight for anyone building or leading a marketing organization today.

Episode Highlights
01:36 – Kriste traces her path into healthcare marketing back to her early days at Healthways
08:06 – The real story behind founding fuoco: “the only reason I started my own agency is I was fired”
10:44 – Where the name fuoco — Italian for “fire” — actually came from
12:04 – What years in business development taught her about swings, rejection, and relationships
22:39 – The most common mistake healthcare B2B brands make when telling their story
30:20 – Lessons from Inc. 5000 growth, including the over-hiring trap many agencies fall into
39:54 – Building the “fuoco operating system” and an AI org chart inside the agency
44:49 – Staying the “human in the loop” when clients bring AI-generated work back to the table

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