Senior data leadership for your next stage.

For health-tech founders, CEOs, and CTOs from Seed through Series B: align the board metrics, give your engineers a governed roadmap, and make the next hire count.

Start with a $2,500 diagnostic Compare cost and capacity

A focused diagnostic establishes the decision, owner, and scope. Ongoing advisory and embedded leadership are agreed separately.

Match leadership to the work ahead.

Fractional leadership fits a lean team that can execute but needs senior direction: a board deadline, conflicting financial metrics, an AI investment decision, or a hiring plan.

A full-time executive may be the better choice when you need daily leadership across several teams, continuous executive coverage, or a large delivery organization. Use the comparison below to make the capacity tradeoff visible.

Four decisions to get right.

Board and metric governanceAgree definitions, owners, reconciliation, and reporting cutoffs. Use MLR and PMPM where the business model calls for them; CAC/LTV and net revenue retention where they inform growth.
Architecture and HDAIOS roadmapSequence the Healthcare Data AI Operating System: governed foundations, model access, accountable workflows, and operating cadence. Orchestrate across labs and providers, or go deep with one provider when policy, integration, commitment, or delivery speed makes that the right path.
Team design and technical diligenceDefine roles, assess the current stack and delivery capacity, mentor engineers, and build a hiring plan tied to the roadmap.
Cloud and vendor negotiationReview commitments, licensing, workload fit, BAA coverage, and provider-specific retention and training controls. Give procurement and counsel a clear technical brief.

Choose the level of involvement.

Strategic Advisory RetainerA biweekly executive review cadence, board preparation, architecture oversight, and hiring or vendor decisions. Your team owns delivery; the advisor helps set priorities and resolve tradeoffs.
Embedded Fractional LeadershipHands-on roadmap direction, agreed team management responsibilities, and HDAIOS rollout. Define leadership hours, decision rights, engineering capacity, and the handoff before work begins.

Compare cost, runway, and leadership capacity.

Use your own planning assumptions. These illustrative defaults are neither market benchmarks nor a ref(health) quote. This tool uses aggregate numbers only; do not enter PHI or confidential details.

Your fractional scenario Monthly advisory budget ($)Range: 0–100,000 Year 1 engineering sprint budget ($)Range: 0–5,000,000 Monthly cash burn excluding either leadership option ($)Range: 0–100,000,000 Cash available today ($)Range: 0–1,000,000,000

Full-time compensation assumptions

Year 1 full-time costs Annual base salary ($)Range: 0–5,000,000 Cash bonus (% of base)Range: 0–200 Annual benefits and payroll taxes ($)Range: 0–5,000,000 One-time recruiting cost ($)Range: 0–5,000,000 Illustrative annual equity value ($, excluded from cash)Range: 0–100,000,000

Capacity and delivery assumptions

Leadership time and first metric Full-time leadership hours per monthRange: 1–744 Fractional leadership hours per monthRange: 0–744 Full-time search and notice period (days)Range: 0–1,095 Full-time days after start to first board metricRange: 0–1,095 Fractional days until startRange: 0–1,095 Fractional days after start to first board metricRange: 0–1,095

Full-time Year 1 cash cost
Fractional Year 1 cash cost
Year 1 cash reduction
Runway difference

How the comparison works

Full-time cash = base + cash bonus + benefits/payroll taxes + recruiting. Fractional cash = 12 × monthly advisory budget + engineering sprint budget. Equity is shown separately.

Runway = cash remaining after upfront costs ÷ monthly cash burn. Recruiting and all sprints are treated as upfront; salary, bonus, benefits, and advisory are spread over 12 months. Recurring leadership costs begin immediately in this runway model; the timing inputs do not shift costs. Burn stays constant; no revenue, fundraising, or productivity changes are assumed.

First metric timing = days until start + days from start to first metric. This is a planning input, not a delivery promise. The options provide different hours and responsibilities; savings do not establish equivalent capacity or business ROI.

Scope an advisory diagnostic

Calculation inputs stay in this browser. The intake link carries only the advisory scope, not financial inputs. Attach the downloaded memo separately if you choose to share it.

An explicit scope from day one.

Work focuses on executive data strategy and administrative, financial, and operational systems. Clinical diagnosis and autonomous patient triage are outside scope.

Discovery uses high-level descriptions and synthetic or approved de-identified examples. Do not send PHI, customer records, credentials, or confidential material through this site. Engagement scope is screened for conflicts and non-compete restrictions before work begins.

Any sensitive production access requires separately agreed controls, appropriate agreements, and provider-specific verification.

What needs to be clear before your next board meeting?

Start with the decision, owner, and deadline. A focused diagnostic starts at $2,500; ongoing leadership scope and pricing are agreed separately.

Request a diagnostic