FOR PORTFOLIO COMPANY CEOS
You're being asked to build the plane while flying it.
Hit your growth targets. Professionalize operations. Build the commercial systems. Integrate acquisitions. All while running the business with a team that's already at capacity.
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.
Why this lands on you
You don't have the bandwidth to build the infrastructure for what comes next and run the business you have today at the same time.
That isn't a gap in you, it's structural. The capability builds you need are horizontal. Each one crosses every function and belongs to none. The only role that sits above every function is yours, so the cross-cutting build lands on you while you're already maxed out keeping the lights on.
These aren't strategy problems. They're infrastructure problems.
No operating visibility
"We can't measure what's actually happening week to week. Every board conversation is on the back foot."
No predictable growth
"The board is asking where growth is coming from and we don't have a real answer."
No repeatable integration
"The last add-on was a scramble we can't afford to repeat."
Where the work starts
Every engagement starts with a diagnostic: six to eight weeks where I sit in your leadership meetings, talk to the people doing the work, and look at what's actually happening. What comes out is a plan you co-author, not a report you receive: the biggest opportunity on the platform, what it's worth, and the build sequence to capture it.
That plan changes your next board conversation. Instead of explaining last quarter, you're presenting the sized opportunity and the plan to capture it, in the language your board already uses. It's executable by your team because you built it together, with or without me in the picture.
What I build
How the company is run
KPIs, planning cadence, governance, board reporting, unit economics.
Operating Cadence
How it grows organically
Referral infrastructure, acquisition and retention, new markets and service lines, payer rates and service mix.
Commercial Engine
How it grows by acquisition
Deal criteria, operational diligence, integration management, post-close tracking.
Add-On Strategy & Integration
How I Work
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 build the systems, tools, and processes with your team, so the people who run them are the ones who built 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 builds it
Before this was a firm, it was my job. I designed the thesis that built a PE-backed multi-site physician services platform, then crossed to the operator side and spent four years as its Chief Transformation Officer building the infrastructure to deliver it: the operating systems, the growth engine, the integration capability.
I know the weight because I held it: the board watching, the team at capacity, the build still due. The systems from those years never needed me back. Nothing I build with you will either.
From a CEO who sat where you sit
As growth accelerated, the board pushed for more rigor in how priorities were set and execution was managed. Before this work began, commercial efforts were fragmented, strategy was inconsistent, pipeline visibility was limited, and decision-making was reactive. Martel led a full reset, rebuilding the growth infrastructure from the ground up. The result was materially stronger sponsor confidence and a leadership team operating with far greater clarity, focus, and control.
Source: PE-backed CEO, multi-site physician services platform
Walk into the next board meeting with a plan.
Thirty minutes on where the platform is stuck. I'll tell you what I'd build first, and whether I'm the right person to do it. No pitch.
Start a Conversation
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