Insight from inside the work.
Direct observations from healthcare growth, operations, and company building. No frameworks. No vendor pitches.
Written for operating leaders.
Each piece names a specific operating problem with the clarity that comes from having owned the outcome.
Google now puts official sites first in AI answers. Is your practice one?
On October 15, Google said it will test a section at the top of AI answers that points people to the official site for a task. For healthcare providers, that changes what your service and location pages need to do.
Your ad pixel could cost millions. Check these pages today
Aspen Dental agreed to pay $18.7 million to settle a lawsuit over tracking pixels on its website. Here's where pixels create HIPAA risk on healthcare sites, and how to keep your ad tracking without sending patient data to Meta or Google.
2026-11Read
Why growth stalls in healthcare organizations
When growth stalls, the constraint is almost never at the top of the funnel. It is in the handoffs nobody owns. Until you can see them, you are optimizing the part of the system that already works.
2026-06Read
AI in healthcare: a reality check for operating leaders
I help healthcare teams choose AI tools and roll them out, from what to buy to what their own staff should run. Most companies lose time in the gap between the board's AI question and the vendor's AI answer. Here is how to close it.
2026-05Read
Attribution is an operations problem, not a marketing problem
You cannot trace a dollar to a patient when marketing, admissions, clinical, and finance run on four disconnected systems. Attribution is not a reporting gap. It is a symptom of an operating model that keeps the data apart.
2026-05Read
Every hour of intake friction costs more than you think
A referral that sits in a voicemail for 48 hours costs more than one patient. You lose their family, their referral source, and a piece of reputation that took years to build. Speed at intake is the highest-impact fix most teams ignore.
2026-04Read
The first 100 days: connecting diligence to delivery
Diligence finds the value. The first 100 days decide whether anyone captures it. I have been on both sides of two private equity transactions. Here is how the thesis becomes an operating agenda instead of a document in a data room.
2026-04Read
Compliance-aware AI: what it actually means
"HIPAA-compliant AI" is printed on a lot of sales decks. It is not a checkbox a vendor hands you. Compliance is a property of the whole system: how data is collected, where it flows, who can see it, and what happens when something goes wrong.
2026-03Read
The conversation is where the work starts.
Bring the operating constraint to a working conversation. You leave with a practical next step.