NYU Langone Health has transformed from a struggling academic medical center into a $14 billion healthcare powerhouse under the leadership of Dr. Robert Grossman and board chairman Ken Langone. Their tenure, culminating after two decades, saw innovations such as tuition-free medical education and a three-year accelerated curriculum. The institution now ranks among the nation’s most efficient healthcare providers with over 53,000 employees. This remarkable recovery was marked by a disciplined reliance on big data and a culture of accountability, blending healthcare with strategies common in finance and technology sectors.