Fractional CTO and technology advisor · Columbus, Ohio
Start with one problem.
Bring me the process that's eating your week, or the technology function nobody fully owns. We fix it, prove the value, and build from there.
For growing specialty healthcare, behavioral health, and credentialing organizations, plus other operationally complex small and mid-sized businesses that have outgrown founder-era technology but do not need a full-time CTO yet.
Most engagements start with a 2 to 3 week sprint or review, typically $5,000 to $10,000. Ongoing leadership is scoped to what you need me to own.
Where I get called in
Sound familiar?
Your team lives in spreadsheets. Critical work depends on manual copying, checking, and chasing.
Your systems don't talk to each other. People move data between tools by hand, and reporting takes days.
You pay an MSP, and your team still does the work. Onboarding, licensing, and support tickets keep landing back on your staff.
Your developer has become your help desk. The person who should be building is resetting passwords.
Security and compliance questions have no owner. A customer or partner asks about SOC 2, HIPAA, or continuity, and nobody has a clear answer.
Growth is outrunning your systems. New sites, states, or customers mean more manual work, not more capacity.
If one of these is yours, that's the conversation.
Start there
Proof
Four things worth knowing before you call.
Most of my current work is with founder-led healthcare, EMS, credentialing, and logistics operations. The same pattern applies across operationally complex SMBs.
Ran the technology function
Owned a $4.5M technology budget, including a 20-person team. Technology leadership for a mission-critical national platform serving 600,000 clinicians. Redesigned the IT support model, cutting cost about 40% and raising satisfaction from about 55% to 95%. Led PCI compliance and operated to NIST and HIPAA requirements.
Built the AI-ready foundation, in a regulated national org
Rolled out Microsoft Copilot on a SharePoint knowledge library, connected across systems like Azure DevOps and ClickUp through Microsoft Graph. Led adoption across the organization and set the governance behind it: a written policy and a review committee. Led a 20-person technology organization across engineering, QA, cloud, data, security, and enterprise systems.
Run lean by design, as an owner
Co-founded a multi-channel eCommerce business and scaled it past $10M in annual revenue on a team of seven, most of them part-time, by automating everything that did not need a person. I owned the operations, the systems, and the P&L, so I read cost and risk the way an owner does.
Delivering right now, hands-on
Currently embedded with a founder-led specialty healthcare provider. We started by replacing a CEO-run manual process with an automated operating system, and the work is now moving toward a shared knowledge library and the system architecture behind broader automation and AI. Founder and fractional CTO of EMS Conferences.
Case study
Replacing a CEO-run spreadsheet process with an automated shipping operating system
A multi-location, founder-led specialty healthcare provider ran a manual kit-shipping operation out of spreadsheets, with the CEO personally holding it together every week. We replaced it with a shipping operating system built to run without them.
We’re not only saving time by automating. We’re now receiving data automatically that would have been too costly to obtain manually. We have a better process that gives us more insight into the operations.
Ready to start with yours?
Send me the process that's costing you time, capacity, or attention. One paragraph is enough.