Start Here

Find out what’s broken before it costs you a customer or your next round.

Pick a time for a thirty-minute call, right here on this page. No slides, and no engagement scoped until we both know it’s the right fit. You leave with a specific recommendation, even if it’s not me.

30 mindiagnostic call
$0no obligation
Onestep to book

Four categories, one clear picture

The call covers the same ground as the Spine’s Diagnose phase, compressed into thirty minutes. You’ll leave knowing where the drag comes from, instead of a vague sense that something’s off.

People and structure

Who makes which decisions, where accountability sits, and whether the org will carry the next twelve months of growth.

Process and cadence

The meetings, reporting, and operating rhythms, and whether anyone owns them. Owned, they compound. Unowned, they evaporate.

Compliance and risk

Where regulated data, PII, and health system requirements create exposure you haven’t priced in yet.

Financial infrastructure

Whether your numbers are investor-ready, or whether the next board deck or diligence request will expose the gap.

Fifteen seconds to check before you book thirty minutes

Book the call if

  • You’re a healthtech or medtech founder at Seed through Series B.
  • Operational gaps are starting to threaten a customer relationship or your next raise.
  • You’ve started hiring, and the org is outgrowing what instinct alone can run.
  • You want a direct answer about fit.

Not the right call if

  • You need a commercial leader to build a sales motion.
  • You need a CFO to run a financing process.
  • You want a generalist management consultant to diagnose strategy.
  • Operations isn’t your constraint yet.

What people ask before they book

“I’m not sure we’re ready for this.”

The call is for exactly that. If the honest answer is that you’re not ready, or need something smaller first, I’ll tell you, and you’ll have spent thirty minutes instead of a sales cycle.

“Is this going to turn into a sales pitch?”

No deck, no proposal on the call. It’s a working conversation about your company. If there’s a fit, I’ll tell you how I would approach it and what it costs, and you decide whether a second conversation makes sense. If there isn’t, the call still ends on time.

“We don’t have budget figured out yet.”

Fair. You’ll hear a range on the call so you aren’t guessing, and the exact number comes in a written proposal afterward. Nobody will ask you to commit on the call.

“We’ve worked with consultants before, and it didn’t help.”

The Operational Spine™ builds the infrastructure with your team and stays until it holds. You won’t get a deck of recommendations at the end.

Pick a time. That’s the whole process.

Book a 30-minute call

Choose a time below, then bring the current state of your company to the conversation.

Leave with a recommendation

The Operational Assessment, the full Spine, Advisory Services, something narrower, or an honest no. You’ll know which, and why, before we hang up.

Book the call

Fill in the form, then pick a time. All you need for the call is your own honest read of where the company stands.

Much of the operating model still lived in my head. The change came when our conversations stopped being about everything FiSystems could potentially do and became about what needed to happen next, who owned it, and what would move it forward.
Jim ButlerFounder & AI Solution Architect, FiSystems

Nothing to prepare. Bring the company as it is, not the pitch-deck version. If the timing is wrong, I’ll say so.