This presentation discusses the reasons for adopting Holacracy, its success or failure, and the strategy by Zappos. It also explains the outcomes of lean philosophy at Virginia Mason Hospital. The presentation highlights the benefits of adopting lean philosophy, such as reducing waste, increasing productivity, and improving efficiency. It also explains how inefficiency at all major levels at the hospital were recognized and removed. The presentation is relevant to the subject of business and industrial marketing and is suitable for college-level courses.