Fractional COO
Operational Leadership Without a Full-Time Hire
For practices that need someone running the operational side of the house on a retained basis. Weekly cadence, clear accountability, and a 90-day minimum so the work has time to show up in the numbers.
What we own
A fractional COO engagement is not advice on the side. It is operational ownership with defined scope.
Weekly Operating Cadence
A standing weekly session with you and your leadership team: metrics, blockers, decisions, and owners. Nothing sits for a month.
Revenue Cycle Oversight
Denials, A/R aging, authorization backlog, and collections are reviewed on a fixed rhythm with accountable owners and escalation paths.
Staffing and Capacity
Templates, coverage models, overtime patterns, and hiring sequence, managed against the schedule and the budget rather than by instinct.
Vendor and Contract Management
Renewal calendars, negotiations, and consolidation opportunities handled before auto-renewal removes the option.
Leadership Development
Your practice manager or administrator is coached on the operating system, so capability stays in the building when the engagement ends.
Board-Ready Reporting
A monthly operating package your partners can read in ten minutes: what moved, what did not, and what happens next.
Who it fits
Practice profile
- • $5M to $50M+ annual revenue
- • 5 to 200+ clinical FTEs
- • Single or multi-site
Situation
- • No dedicated operational leader
- • Growth outpacing infrastructure
- • Leadership stretched across clinical and admin
Commitment
- • Weekly cadence
- • 90-day minimum
- • Willingness to measure and decide