Growth Infrastructure for PE-Backed Healthcare Platforms
I've built it before at PE-backed healthcare platforms, under the same pressure.
Now I embed with leadership teams to build it with you.
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The Gap
You try to build it yourself. The timeline doesn't let you.
"Our last board meeting felt more like a deposition than a discussion."
Pipeline is opaque. KPIs are unreliable. Integration is ad hoc. The sponsor is losing patience. You know what needs to happen, but you don't have the bandwidth to architect it and execute it while keeping the lights on.
"We're 90 days post-close and the board is asking where growth is coming from."
The thesis was clear. The synergies were modeled. But the growth plan assumed capabilities your platform doesn't have yet, and you're the one who has to build them while running the business.
"Every win still depends on someone's heroics. Nothing is repeatable."
You're closing deals, launching sites, onboarding practices, but nothing is repeatable. Your best people are stretched thin and there's no system underneath the effort.
What I Build
Each solves a specific growth problem. Together, they turn your growth plan from a slide into a system.
Operating System
The Foundation
When board meetings feel like depositions and you don't have the numbers to change that
KPI architecture from the board level down to each department, with defined owners and performance thresholds
Monthly, quarterly, and annual planning cadence with meeting templates, decision rights, and documented outputs
Accountability maps for each leader: metrics and expectations, documented and agreed
Board reporting that tells a credible, forward-looking story
Growth System
The Engine
When the board asks where next quarter's growth is coming from and no one has a confident answer
Market scorecard that tells you where to invest, where to hold, and where to walk away
Pipeline with source tracking, a development process, and conversion metrics your team can manage
Revenue capture from existing volume: payer rate benchmarking, renegotiation roadmap, and patient reactivation programs
Commercial team design: roles, targets, playbooks, and an operating cadence they run
Integration System
The Playbook
When the next add-on is approaching and the last one was a scramble you can't afford to repeat
Integration playbooks by deal type with checklists, ownership maps, and timelines
Communication playbooks for every stakeholder group, designed before close
Revenue cycle transition tracking so billing doesn't break on day one
30/60/90-day milestone accountability with a post-close integration dashboard
What you get
The proof points that back up your story
01
Visibility
Real numbers you can report with confidence
02
Control
The board sees a team executing with discipline
03
Predictability
You know where growth is coming from next quarter
04
Credibility
No thesis resets in year 2 means you don't get fired
How I Work
I don't produce recommendations for you to implement. I build systems that your team can operate.
Inside, not alongside
I operate inside your rhythm. In your meetings, your cadence, your team. The work happens in context, not in a parallel workstream competing for attention.
Build, not advise
I don't hand you a strategy deck and wish you luck. I architect the systems, configure the tools, create the processes, then train your team to run them.
Yours, not mine
When the build is done, the systems are yours. Your team runs them. I move on. The capability compounds after I'm gone.
Who I Work With
Portfolio Company CEOs
Who know what needs to happen but don't have the bandwidth to architect it from scratch
PE Sponsors & Operating Partners
Who understand growth infrastructure de-risks the thesis they've already committed to
About Me

I designed the investment thesis that created a PE-backed multi-site physician services platform, then crossed to the operator side and spent four years building the infrastructure to make it work: operating systems, growth engine, integration capability.
The combination of designing what needed to be true, then building the infrastructure to make it true — with my name on the outcomes — is what shaped how I work now. Often this work gets split across investors, consultants, and operators who each see part of the problem. I've built the whole chain from thesis to infrastructure to results.
By the time I stepped back, the platform had expanded into multiple new markets, scaled its provider base significantly, and driven substantial revenue growth. The systems worked. More importantly, they were running without me.
Since then, I've done the same work for other PE-backed healthcare platforms. The platform is different, the work is the same. Build the infrastructure the thesis assumed would exist. Make sure it runs when I'm gone.
Testimonials
Need a Martel?
Tell me where you're stuck. I'll tell you if I can help.
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