You are not buying a package. You are buying an outcome.
Every engagement is fixed scope, fixed price, and scoped before you commit a dollar. You know exactly what you are getting, when you will get it, and what your operation looks like when it is done. No surprises. No scope creep. No invoice before the work begins.
Not sure which tier is right for your situation? The 30-minute assessment tells us both. Book it free — no pitch, no pressure, just the diagnosis.
Operator-grade strategy without a full COO seat
Best for: Founders and operators who need a senior healthcare-ops sounding board on AI, SOPs, and growth — but aren't ready to embed.
- Two 90-minute working sessions per month
- Async Loom + voice memo access between sessions
- Vendor & tech stack reviews on demand
- Light SOP and policy authoring (up to 3 docs/mo)
- Quarterly KPI review and roadmap reset
Production AI agent built by the operator who'll run it
Best for: Healthcare practices and government services ready to put a real AI agent in front of customers — fast.
- Discovery, scope, and copy authoring included
- Voice, SMS, web chat, or hybrid channels
- EHR / CRM / booking system integration
- HIPAA-aware data flow with BAA on request
- 30-day post-launch optimization included
- Standard build: $15K · Concierge build: $35K
An embedded operator carrying real responsibility
Best for: Healthcare and health-tech leaders who need someone in the org chart — owning ops, SOPs, vendor performance, and the AI roadmap.
- 15–20 hours per week of senior operator time
- Direct ownership of named workstreams
- Vendor management and procurement leadership
- SOP, BRD, and audit-ready documentation
- Weekly leadership sync + monthly board-ready report
- Capacity for 2 clients only at any one time
Three new engagements per month, by design. We protect delivery quality over pipeline velocity.
Software, telephony, and LLM costs pass through at cost — or are billed directly to your accounts.
Woman- and minority-owned. WOSB and NMSDC MBE certifications in progress — eligible for enterprise supplier-diversity spend on completion.
Common questions, answered up front.
Because your time is worth more than a 30-minute discovery call to find out you can't afford the room. Operator-grade work has operator-grade rates — and we'd rather earn the call by being upfront.
Most clients do. The common combination is an AI Bot Build followed by an Advisory Retainer to optimize and expand. Fractional Operator subsumes the Advisory Retainer.
On scope, yes. On rate, rarely — and only for multi-engagement commitments or NMSDC supplier-diversity programs where pricing is contractually structured.
Third-party software (LLM API costs, telephony, SMS, CRM, scheduling) is passed through at cost or billed to your accounts directly. We never markup vendor spend.
Every engagement starts with one conversation.
30 minutes. Free. We identify where your operation is leaking revenue and scope the smallest engagement that produces the largest return. That is the only way we start.