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Infrastructure Leadership
I spent 10 years as the sole technology leader for a 21-site, 250-employee healthcare organization. I bring that operational depth to your org on a fractional basis.
Ongoing strategic engagement, typically 10-20 hours per month, scaled to your complexity.
Organizations between 50 and 500 employees hit a ceiling. The infrastructure outgrows the person managing it, but the budget does not justify a six-figure executive hire. Decisions stall. Vendors drive strategy. The board gets slides instead of data.
I step into that gap. I own the technology roadmap, evaluate vendors against actual requirements, build the IT budget with defensible line items, and produce board-ready reporting that ties infrastructure spend to business outcomes. I mentor internal staff so institutional knowledge compounds instead of walking out the door.
The engagement starts with a 30-day assessment: current state documentation, risk inventory, and a prioritized roadmap. After that, I operate on a monthly retainer with a fixed scope and a standing weekly check-in. No open-ended advisory. Defined deliverables every cycle.
A 12-month plan mapping infrastructure investments to business objectives. Versioned quarterly, traceable to budget line items, and written so the board can read it without a translator.
Structured scoring for every vendor decision: MSP renewals, SaaS procurement, hardware refresh. Eliminates the pattern where the loudest sales rep wins.
Ongoing HIPAA, SOC 2, or PCI posture management. Policy review, risk register maintenance, and audit preparation that does not start the week before the auditor arrives.
Monthly executive summary tying uptime, spend, risk score, and project status to language the business side understands. No jargon. No 40-slide decks.
What affects scope.
Field Evidence
Patterns I see in organizations operating without senior IT leadership.
Five Signs Your Infrastructure Is Unstable: The recurring indicators that an environment has drifted past the point where operational staff can course-correct without executive-level decisions.
Questions to Ask Your IT Provider: The questions a CTO would ask your MSP or internal team. Most organizations have never asked them. The answers reveal whether you are getting managed services or managed neglect.
What Healthcare Downtime Actually Costs: The math behind unplanned outages in clinical environments. Revenue loss is the obvious number. Compliance exposure and patient safety risk are the ones that compound.
30-day assessment. Fixed monthly retainer. Defined deliverables every cycle.