Fractional COO Services

You think operations are handled. The numbers say otherwise.

40 years of healthcare operations leadership, focused on small and mid-size healthcare organizations in New Mexico.

Who This Is For

  • Small and mid-size healthcare organizations in New Mexico led by capable clinicians and mission-driven leaders who feel they've got the operations handled, whether that's themselves or a trusted staff member. Yet things are still not quite right: turnover is too high, costs are outpacing revenue, growth has plateaued. The real cause stays hidden, and a full-time COO isn't in the budget.

What This Looks Like

  • Operational Diagnostic (2-3 weeks): Document review, staff interviews, and direct observation to find the problem underneath the symptom, delivered as a written report and live readout. Starting around $7,500.

  • Fractional COO Retainer (3-month minimum): I diagnose in the background and coach your on-site team to implement and carry the fix forward, remote, data-driven, 2 days/month. Starting around $6,200/month.

  • Ongoing advisory (no minimum): Standing monthly or quarterly cadence for organizations that need a sounding board, not a full-time hire. Pricing is customized based on your specific needs.

Why Me?

I've spent 40 years leading ambulatory healthcare operations — overseeing 14 clinics and $30M+ in operating budgets across academic medical centers, FQHCs, and private practice groups. I've stabilized leadership teams through transition, launched new service lines from the ground up, and served as Operations Chief through a global health crisis.

While my deepest expertise is healthcare, operational fundamentals — team alignment, financial discipline, process improvement, board readiness — translate across industries.

Selected Results:

  • Directed operations across 14 clinics generating $30.5M in revenue

  • Managed a $1.75M operational support budget across facilities, quality, and performance teams

  • Led operational response as Operations Chief during COVID-19, ensuring continuity of services

  • Launched new behavioral health and primary care service lines, expanding access across regions

  • Reduced high-risk patient readmissions by developing a hospitalist program

  • Improved revenue capture and billing performance through operational redesign

Credentials

  • Master of Healthcare Administration, Colorado State University Global

  • ACC, International Coaching Federation

  • Energy Leadership™ Index Master Practitioner

  • DISC™ Certified