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Fractional CIO · Fractional CTO · Managed Infrastructure

Executive technology leadership, on the fraction of a salary your organization actually needs.

A team of senior technology executives — each with 25+ years building and running some of the largest, most complex infrastructure, data, and application estates in healthcare — available to lead yours. Any industry. One standard: what we deliver gets measured.

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Healthcare is our specialty, not our boundary. Infrastructure, data, and operations do not change discipline by industry — only by stakes.

Three ways to engage

Most clients start with one and grow into the others. Each is scoped, priced, and reported on its own.

1

Fractional CIO / CTO

Board-level technology leadership on a retained, part-time basis: strategy, roadmap, budget, vendor governance, security and compliance posture, and the hard conversations with the board. You get the executive without the full-time compensation package.

What the role covers →

2

Managed Infrastructure & Operations

Design, migration, and day-to-day operation of servers, storage, networks, cloud, identity, backup, and the data and application platforms that sit on top of them. Run to published service levels you can check.

What we operate →

3

MFid Performance Measurement

Our proprietary Measured Fidelity method scores how much of what a vendor, platform, or team promised was actually delivered on the KPIs you care about — one number, 0 to 1, with the gaps itemized. Available standalone or built into every engagement above.

How MFid works →

Why healthcare organizations call us first

Our executives have led infrastructure, data, and application management inside some of the largest and most complex healthcare systems in the country — publicly traded payers and providers, multi-entity medical groups, and the vendor ecosystems around them. We have carried HIPAA accountability as Privacy and Security Officers, answered to auditors and boards, and kept clinical and revenue-cycle systems running when the cost of downtime was counted in patient-facing minutes.

Compliance that holds up

HIPAA Security and Privacy Rule programs, risk analyses, BAA governance, and audit response — built by people who have signed the attestations.

Clinical & revenue systems

EHR, practice management, claims, HIE and interface engines, data warehouses and reporting — the systems that cannot go dark and the integrations that quietly break.

Vendor-heavy estates

Healthcare runs on vendors. We govern the contracts, verify the SLAs, and measure whether what was promised is what you are getting.

Scale without surprise

Mergers, affiliations, new sites, and payer-provider integration — executed by executives who have done it at enterprise scale.

Not in healthcare? The discipline is the same.

A storage array, an identity platform, a backup window, or a cloud bill does not know what industry it serves. The engineering, the governance, and the vendor management that keep infrastructure reliable are identical whether the workload is a claims system or an order book. We bring the healthcare standard of rigor — where regulators, auditors, and patients all have a say — to professional services, manufacturing, finance, logistics, nonprofits, and the managed service providers who serve them.

Running an MSP? We have been on your side of the ticket. We can serve as your escalation bench, your fractional CTO, or the independent measurement that tells your clients their trust in you is earned.

The difference: we measure what we deliver

Every fractional executive promises outcomes. We built an instrument to check them. MFid (Measured Fidelity) is a 0-to-1 score of how much of a written promise was actually kept — applied to your vendors, your platforms, and to us.

MFid = (D × E × O × I)1/4

Dependability, Efficiency, Observability, Integrity. Geometric mean, so the weakest promise caps the score.

Bring us a renewal, a platform decision, or a KPI that keeps missing. We collect the written claims, measure what was delivered independently, and hand you the number and the itemized gaps. Clients use it to renegotiate contracts, prioritize remediation, and hold their own teams to a standard that is calculated rather than argued.

We score ourselves first

This website’s own uptime, latency, and reachability are scored with MFid and published live — alongside the list of promises we make about ourselves that we have not instrumented yet. If our number slips, you see it before we explain it. Expect the same transparency in your monthly report.

See our live score →

Start with a conversation, not a contract.

Thirty minutes on what is keeping you up at night. We will tell you honestly whether we are the right fit and what the first ninety days would look like.

Book a Discovery Call
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