Growth and operating complexity
Growth is outrunning operations, cash or operating bottlenecks are unclear, or strategy is not becoming execution.
Fractional Executive Leadership
Fractional Chief Transformation & Operations Officer
Healthcare, AI, complex operations, turnaround and special situations.
I help organizations figure out what is actually going wrong, decide what matters first, and turn the solution into execution.
When concentrated executive judgment is useful
Leadership and priorities
The CEO or founder has too many priorities, teams are pulling in different directions, or the founder has become the operating system.
AI operating design
AI adoption has become fragmented and the organization needs a bounded workflow, clear ownership, failure criteria, and measurable deployment discipline.
Transformation and special situations
A unit is underperforming, acquisition integration is creating complexity, or transformation is needed without a full-time executive hire.
Defined first step
Difficult Problem Session
60 to 90 minutes ยท $495
A bounded diagnostic session with a One-Page Problem Map covering what the actual problem appears to be, immediate priorities, what can wait, missing information, the next three actions, ownership, and what should be measured next.
Illustrative starting structures
Fractional engagement ladder
Final scope, responsibilities, availability, and fees are established in a written engagement.
Advisory
From $6,000/month
Approximately three hours per week of executive-level involvement focused on decisions, priorities, risk, and operating review.
Operating / Embedded
From $10,000/month
More active execution, accountability, KPI review, and selected initiative ownership.
Transformation / Special Situations
Custom scope
For turnaround, acquisition integration, AI transformation, organizational redesign, or other high-complexity mandates.
What the work is
Concentrated executive judgment and operating involvement, structured around outcomes and responsibilities rather than an hourly-labor arrangement.