Frequently asked questions

A fractional COO is an experienced chief operating officer who works with your practice part-time or for a fixed term. You get senior operating leadership, including the plan, the systems and the management of the team, without the cost of a full-time executive.

A consultant usually diagnoses and recommends. A fractional COO also does the work: runs the leadership meetings, owns the KPIs, hires and coaches managers, and is accountable for results during the engagement.

No. Most of the work is making your practice manager more effective: clearer authority, better numbers, written processes and a weekly rhythm. If the role itself needs to change, I help you redesign it and hire for it.

The standard first engagement is 90 days, usually preceded by a two-to-three week Practice Health Assessment. Some practices continue with ongoing monthly support afterward. Others do not need it, and that is a good outcome.

The assessment is a fixed fee. The 90-day engagement is a fixed monthly fee for the term, set after the assessment based on the size of the practice and the scope of work. You will know the full cost before we start.

No. I build the financial models that operating decisions need, such as service-line margins, membership pricing and staffing costs, but you should keep your own CPA or financial advisor for accounting, tax and financing.

Both. I work on site with practices in Northeast Florida, including Jacksonville, Ponte Vedra Beach and St. Augustine. For practices elsewhere in the U.S., I work remotely with scheduled on-site visits.

Owner-led behavioral health, psychiatry, therapy and ADHD specialty practices, and cash-pay medical aesthetics, med spa, wellness and medical weight-loss practices. Multi-site independent medical groups are also a good fit.

Yes. EMR and systems migrations, new-location build-outs, site consolidations and membership launches can be run as stand-alone projects or as part of the 90 days.

Yes. End-to-end software implementation is a core service: vendor selection, contract review, configuration, data migration, staff training and go-live support for EMR, practice management, payments, CRM, phone and scheduling platforms. One person is accountable for the whole project.

An inventory of every software subscription and SaaS contract the practice pays for, compared with actual utilization. It identifies overlapping tools, unused seats and platforms the practice has outgrown, and it feeds directly into contract renewal reviews so each plan is the right size before it auto-renews.

Where the work requires access to protected health information, a Business Associate Agreement is put in place first, and access is limited to what the work needs.