Celestial Mode: Night

Healthcare practice

Technology leadership from people who have carried the pager, the audit, and the board deck.

Our executives have built, run, and modernized infrastructure, data, and application estates for some of the largest and most complex healthcare organizations in the country. We bring that experience to payers, providers, medical groups, and the vendors who serve them — at a fraction of a full-time executive’s cost.

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In short

Healthcare IT fails in predictable ways: a vendor’s SLA that nobody verified, an interface that silently stopped, a risk analysis written to pass an audit rather than to find risk, a migration scoped by the salesperson. Our team has spent twenty-five-plus years on the accountable side of each of those, as Directors, CIOs, CTOs, and Privacy and Security Officers. We know what breaks, what regulators ask, and what it costs to get it wrong.

Who we serve

Medical groups & IPAs

Multi-site physician organizations and independent practice associations that have outgrown a part-time IT contractor but cannot justify a full C-suite.

Managed-care & MSOs

Management services organizations and risk-bearing entities running claims, capitation, utilization management, and payer integrations at scale.

Hospitals & health systems

Interim and fractional executive coverage, program leadership for migrations and integrations, and independent verification of major vendor relationships.

Health-tech & vendors

Companies selling into healthcare that need a CTO who has been the customer: security questionnaires, HIPAA posture, and infrastructure that survives a hospital’s due diligence.

What we do for them

Fractional CIO / CTO

Retained executive leadership: technology strategy, budget, vendor governance, organizational design, and board reporting. We have sat in the CIO chair of publicly traded healthcare organizations; we know the questions the audit committee will ask before they ask them.

Fractional Privacy Officer & Security Officer

Named, accountable HIPAA roles on a fractional basis: the Security Rule risk analysis and management plan, Privacy Rule policies and training, breach risk assessment and notification, business associate governance, and Office for Civil Rights audit response. Done by people who have held the title and signed the attestations.

Clinical, revenue-cycle, and data platforms

Operations, upgrades, and migrations for EHR, practice management, claims and capitation systems, and the data warehouses and reporting that sit behind quality programs, HEDIS and Stars measures, and financial close. Interoperability is treated as production infrastructure: interface engines, HL7 and FHIR integrations, and HIE connections are monitored, not assumed.

Managed infrastructure built for clinical uptime

Servers, storage, network, identity, backup, and cloud operated to published service levels, with disaster recovery that is actually tested. Designed around the reality that downtime is measured in delayed care and missed charges, not in abstract nines.

Vendor and SLA verification with MFid

Healthcare runs on vendors, and vendor promises become your compliance posture the moment the BAA is signed. Our MFid method scores how much of each written promise — uptime, response time, security controls, support SLAs — was actually delivered, and hands you the itemized gaps before the renewal, not after the incident.

Mergers, affiliations, and integration

Technology due diligence, day-one planning, and the long tail of consolidating identity, email, EHR instances, networks, and vendor contracts across merging entities. Executed by executives who have integrated acquired groups at enterprise scale.

Why a fractional model fits healthcare

Most healthcare organizations below the large-system tier face the same bind: the regulatory, security, and operational demands of a hospital, with the budget of a mid-sized business. A full-time CIO with real enterprise experience costs more than the role can justify; a junior IT manager cannot carry HIPAA accountability or stand in front of the board. The fractional model closes the gap — enterprise-grade leadership scoped to the days per month the organization actually needs, backed by a team rather than a single individual, with the operational bench to execute what the strategy calls for.

We do not name our team members publicly yet. Their backgrounds — including executive roles at organizations you would recognize — are shared in the first conversation, under NDA where appropriate. What we publish instead is the one thing a reference cannot fake: our own live performance score, measured the same way we would measure yours.

Tell us what keeps your compliance officer awake.

A renewal, an audit finding, a migration, a vacancy in the CIO chair — thirty minutes is enough to tell you whether we can help and what the first ninety days would look like.

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Celestial Mode: Night