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Guides from the work

How I approach the decisions clients bring me: where AI money goes and how to get AI into production, how to step in as an interim COO, and how a strategic CFO plans the money. Written from the work, mostly in healthcare and life sciences, for any company facing the same decisions.

Forward-deployed AI

Forward-deployed AI

9 min read

Getting an AI pilot into production

Most AI pilots work on a sample and stall before the business relies on them. What has to be true for one to run in the daily work, and who has to own it.

9 min read

Running a company on AI: whole functions, not tasks

Automating tasks inside a function that stays the same size saves a little. Moving the function itself onto AI changes how many people a company needs. How I decide what moves, build it and keep people where they matter.

10 min read

How to decide where to invest in AI

Most companies don't have an AI strategy problem. They have dozens of AI projects nobody can compare. How to get them into one view, score them the same way and decide what to fund, fix or stop.

Interim and fractional COO

Interim and fractional COO

9 min read

The first 90 days with an interim COO

An interim COO is hired because something changed: a leader left, the company outgrew how it runs, or a deal has to be carried through. What the first three months should look like, and what to expect at each step.

9 min read

From idea to running business

How to evaluate a new business line, write the plan that decides it, and build the division that runs it. Drawn from building several businesses inside Optum, including one built from nothing into a major operation.

Fractional strategic CFO

Fractional strategic CFO

9 min read

The financial model your board can act on

Built from drivers, with scenarios, a runway in months and dates, and a capital plan tied to milestones: how to build a model that drives decisions instead of decorating the board deck.

8 min read

Board and investor updates that look forward

Most board updates report what happened. The useful ones say what changed, what it means for the plan and what decision is needed. A structure that works for boards, owners and investors.