Your operation is losing money right now.
We fix that.
Not because your team isn't working hard. Because the systems underneath them were never built to scale. We build those systems — with 19 years of Fortune 4 proof behind every decision.

Every engagement starts with one question. What is it costing you to operate the way you operate right now?
Most organizations cannot answer that question precisely. We can — within 30 minutes. Then we fix it.
AI Automation & Concierge
It is 7pm. A patient sends an inquiry. Nobody answers. By 9am tomorrow they have already booked somewhere else. This happens every night in practices that do not have AI working for them. We fix that in 5 to 7 days.
- AI concierge — lead capture & qualification
- Automated intake & appointment booking
- HubSpot + Make.com workflow integration
- Provider dashboard with AI consultation notes
Fractional COO Leadership
You raised the money. You built the product. Now your investors are asking for reporting you do not have, your team is running on tribal knowledge, and you are one resignation away from losing everything you built. This is what a Fractional COO fixes.
- Operational diagnostic — no fluff, just data
- Team architecture & cross-training design
- SOP library — built and managed
- Embedded ops leadership — 10 to 20 hrs/mo
Six Sigma Process Improvement
Something in your operation keeps breaking. You fix it. It breaks again. That is not a people problem. That is a systems problem — and it has a root cause we can find, quantify, and eliminate using the same methodology Fortune 4 companies use under regulatory pressure.
- Root cause analysis — Six Sigma methodology
- Full operational gap analysis with hard data
- 90-day implementation roadmap
- Executive-grade presentation — board ready
SOPs, BRDs & Job Aids
Your best employee just gave notice. Everything they know about how this operation works is leaving with them. If your processes live in someone's head and not in a document — you do not have a process. You have a dependency. We fix that before the resignation lands.
- SOP development & library management
- Business Requirements Documents
- Job aids and training materials
- Program launch documentation
Most consultants read about healthcare operations. We ran them — for 19 years — inside the rooms where the stakes were real.
There is a difference between someone who studied a problem and someone who was accountable for solving it at 2am when the system broke and patients were waiting. We are the second kind.
The only combination that exists
Fortune 4 ops. Active pharmacy licensure. Six Sigma. Scrum Master. AI implementation. One operator. You cannot hire this combination anywhere else in this market — because it does not exist anywhere else.
We have been in your room
Level 1 trauma. National pharmacy distribution. Fortune 4 enterprise. We have managed the compliance audit that hit without warning, the SOP that did not exist when it needed to, the team that could not function when the leader left. We do not theorize about these moments. We have engineered the recovery from them.
Results start in days not months
AI deployed in 5 to 7 days. First SOP delivered in 3 to 5. No 90-day discovery phases. No bloated onboarding. No invoice before the work begins. You see output before you see a second bill.
We build for your independence
Every system we build is documented, trained, and handed off so your team runs it without us. We are not interested in creating dependency. Dependency is not a business model we believe in.
New Orleans precision. Dallas execution.
Woman-Owned. WOSB certification in progress. New Orleans resourcefulness. Dallas precision. Deployed for organizations that are serious about operating at a higher standard.
Capacity is controlled by design
Three engagements per month. Not because we cannot handle more — because the quality of this work requires it. Every client gets the operator they hired.
We do not ask you to take our word for it. We ask you to read theirs.
Three different organizations. Three different problems. One consistent result — an operation that runs better than it did before we arrived.
"We were losing 40% of our leads after hours. Within 30 days of working with Geaux Uptown we had AI responding in under 60 seconds around the clock. We have not missed a lead since."
"I've worked with operations consultants before. None of them understood the clinical side the way Geaux Uptown does. They build systems that actually work in a healthcare environment."
"We invested in the AI build. In the first 90 days we captured revenue from leads that had been disappearing after hours for years. Geaux Uptown did not just build a system — they changed how our practice operates."
Not ready for a full engagement? Start here.
These tools were built from 19 years of real healthcare execution — and they work the day you deploy them.
The AI front desk your MedSpa should have had three years ago.
$497 · Configured for your practice · Live in 48 hours
You pay once. We spend 48 hours configuring an AI intake system around your specific services, your brand, your booking flow. It goes live on your site. It responds to every inquiry in under 60 seconds. It flags contraindications before the patient walks in. And it never calls in sick.
- AI-powered 5-step patient intake — configured for your services
- Automatic contraindication flagging — liability reduced from Day 1
- Provider dashboard with AI-generated intake summaries
- Branded to your MedSpa — colors, name, voice
- Live within 48 hours of purchase
- 1 round of revisions included
Want us to handle everything?
$2,500 · Full installation · Delivered in 5 to 7 days
We install it. We brand it. We connect it to your booking system. We train your team on it. You open your practice on day 8 and it is just running.
Already purchased the $497 system? Upgrade for $2,003 more.
- Full installation and configuration
- Custom branding to match your practice
- Connected to your booking system
- 30-day post-launch support included
Here is exactly what happens when you decide to work with us.
No surprises. No scope creep. No invoices that arrive before the work does. Here is the sequence — from your first conversation to the day your operation runs better than it did before.
You tell us what is breaking.
30 minutes. No pitch. No deck. Just a direct conversation with someone who has seen this problem before — and fixed it. We identify where your operation is hemorrhaging time and revenue. You leave knowing exactly what it is costing you.
We scope the fix.
Within 48 hours you have a fixed-scope proposal with a fixed price and a fixed timeline. No ambiguity. No surprises. You know exactly what you are getting before you commit a dollar.
We build it.
Work begins within one week. First deliverable in two. You are not waiting 90 days to see something tangible. The output starts immediately — and it is visible.
Your operation runs without you.
Systems live. Team trained. Everything documented. You are not dependent on us to keep it running — that is the point. We hand off cleanly or stay embedded. Your call.
19 years inside the hardest rooms in healthcare.
Now working for you.
This is not a firm built from a business school case study. It was built from two decades of being accountable for operations that could not afford to fail.

New Orleans built. Fortune 4 forged. I spent 19 years building infrastructure inside organizations where the margin for operational failure was zero — McKesson Corporation, Parkland Health Level 1 Trauma Center, Walgreens. I led teams of 60. I managed budgets over $5 million. I delivered results 10% above target consistently. And I did all of it while learning exactly where healthcare operations break — and precisely how to fix them. Geaux Uptown Solutions is that knowledge, deployed for the organizations that need it most.
Operations Leader · Managed enterprise client portfolios · Consistently 10%+ above performance targets · $5M+ budget oversight
Operations Supervisor · 60-person team · Lean Systems implementation · Multi-site management
Pharmacy Tech Supervisor · SOP and compliance framework authorship · Clinical operations · 7 years
If you recognize yourself in any of these — we should talk.
We work with organizations that have outgrown their current systems and need someone who has operated at the level they are trying to reach. Not someone reading about it for the first time.
You raised the money. Now build the company.
Seed through Series B. You have capital, product, and a team. What you do not have is the operational infrastructure your investors expect. SOPs that do not exist. Compliance frameworks never built. Reporting that lives in a spreadsheet the night before the board meeting. We fix all of it.
Revenue is walking out the door at 5pm every single night.
No after-hours coverage. No AI intake. No documented workflows. A team that cannot run the practice when you step out of the room. Every inquiry that goes unanswered after 5pm is a patient who booked somewhere else. We stop that.
Your intake process is costing you more than you realize.
Manual intake. Paper forms. Undocumented workflows. Patient volume your current systems were not built to handle. We have measured this gap inside real clinical environments. It has a number. We can find it and fix it.
You are scaling without the documentation to support it.
Complex regulatory environment. SLA pressure from enterprise clients. Operational growth with no infrastructure underneath it. We have been inside this environment at Fortune 4 scale. We know exactly where it breaks.
You are building a healthcare product. You need an operator who has lived it.
Not a consultant who read a white paper. An operator who has been on the other side of every implementation, compliance requirement, and workflow challenge your clients are dealing with right now.
You are scaling fast and the systems are not keeping up.
No documented processes. No senior ops experience on the team. The infrastructure your growth requires does not exist yet. We build it before the wheels come off — not after.
Fixed scope. Fixed price. No negotiation theater.
Every engagement begins with a direct conversation. You know what you are getting before you commit. No surprises. No scope creep. No invoice for work that has not happened yet.
- Current state assessment
- Gap analysis report
- Prioritized action roadmap
- 30-min executive readout
- Ongoing ops leadership
- SOP development
- Team structure design
- Compliance oversight
- Investor-ready reporting
- Custom AI agent build
- HubSpot CRM integration
- Make.com automation
- Lead nurture sequences
- Monthly optimization
- 5 complete SOPs
- Exception workflows
- Training materials
- Audit-ready formatting
- 2-week delivery
Stop reading about the AI.
Talk to it right now.
Two live bots. The first is trained on 19 years of healthcare ops — ask it anything about how we work. The second is a live MedSpa front desk — exactly the kind of AI we deploy for aesthetic practices. Talk to both. Then tell us you do not want one.
“Walk me through the Four Walls.” — Trained on Tarean's frameworks, essays, and 19 years inside healthcare ops.
“How much is Botox?” — Live receptionist demo. Pricing, hours, booking. The real thing.
The practices that move first are already pulling ahead.
Healthcare AI is moving at three times the rate of any other industry. Every quarter your operation runs manually is a quarter your competition is gaining ground. We take three new clients per month. May 2026 is now open.
Run your day without losing your edge.
A 29-page ADHD-friendly leadership planner built by an operator who knows what it feels like to have twelve priorities and a brain that wants to work on all of them at once. Daily timer. Top 3 priorities. Mood and energy tracker. Notion companion. One payment. Instant delivery.
Run your day without losing your edge.
- Daily timer with energy + dopamine cues
- Top 3 + To-Do with deadlines
- Mood & energy tracker
- Meeting agenda + minutes
- Undated monthly calendar
- Weekly review (wins, lessons, next 3)
- Bullet pages for ideas & follow-ups
- Notion companion guide included
Built by an operator with ADHD. For leaders who think faster than their calendar.
23 questions you need to answer before you sign a single AI vendor.
Most organizations get pitched by AI vendors before they know what questions to ask. This checklist — built from 19 years inside Fortune 4 healthcare — gives you the ones that matter. HIPAA posture. Integration readiness. Change management gaps. Vendor red flags. Score your readiness in 10 minutes.
- Score your readiness in 10 minutes
- Spot the gaps a vendor demo will hide
- Know exactly what to fix before you build
Healthcare AI intel. Every other Tuesday. No noise.
Field notes from inside live deployments. What is working. What is not. What is coming. Written by the operator doing the work — not a content team summarizing someone else's research.