OPERATING ARCHITECTURE
Payer-backed MSO platform
Board Governance and Communication Build
Board deck request → full governance and communication model in seven months
THE SITUATION
WHAT I BUILT
• Strategic framework that codified market position, growth priorities, and success metrics. This got what was in the CEO’s head on paper and became the operating language the full stakeholder group could align around
• Monthly operating review template with KPI scorecards and financial reporting structures. This created the forum where leadership and investors looked at the same information for the first time
• Board communication model: two quarterly board decks, one investor presentation, and a reusable reporting system the leadership team could own going forward
THE RESULT
• Strategy codified into a framework the full stakeholder group adopted as the platform’s operating language
• Board and leadership looking at the same information for the first time, with a cadence to act on it
• Board authorized next phase of capital deployment based on the governance foundation
Monthly operating reviews and KPI scorecards are embedded in the operating cadence. The board communication model is reusable and owned by the leadership team, not dependent on external involvement to produce the next deck. The strategic framework became the company’s operating language. The governance infrastructure the CEO needed to bring a complex stakeholder group along is now how the platform runs.
Where is the platform stuck?
Complex stakeholder group, no governance infrastructure to bring them along? Let’s talk.
Start a Conversation
© 2026 Martel Health