Answers to common questions about our fractional COO services and how we work with healthcare practices.
A fractional COO is an experienced Chief Operating Officer who works with your practice on a part-time basis. Instead of hiring a full-time executive at $200,000–$400,000 per year, you get the same level of strategic and operational leadership for a fraction of the cost — scaled to fit your needs.
We work with healthcare providers of all types — including physician practices, dental offices, chiropractic clinics, optometry practices, and other healthcare organizations. Our services are especially valuable for small to mid-sized practices that need executive-level guidance but aren't ready for a full-time COO.
We start with a consultation to understand your practice's unique challenges and goals. From there, we recommend a service tier and scope of work. Engagements are flexible — you can scale up or down as your needs evolve, with no long-term contracts required to get started.
We offer flexible engagement tiers ranging from 5 to 20 hours per week, depending on your practice's size and goals. Whether you need targeted help with a specific challenge or ongoing comprehensive support, we tailor the engagement to fit.
Yes. We work with healthcare practices across all 50 states. Our consultants are experienced in both remote and on-site engagements, and we travel to client locations as needed for assessments, implementation, and hands-on support.
Every Guidestone consultant is a former C-suite executive with an MBA from a top-tier university and real-world experience leading operations at private practices or hospital systems. We don't just give you a report and walk away — we embed ourselves in your practice as true operational partners, implement changes hands-on, and stay engaged to ensure lasting results.
Results vary by practice, but our clients typically see improvements in operational efficiency, reduced overhead costs, stronger compliance posture, more consistent staff performance, and a clearer strategic direction. We set measurable goals at the start of every engagement so you can track progress.
Simply reach out through our contact page or call us at (844) 451-0524. We'll schedule an initial consultation to learn about your practice and discuss how we can help. There's no obligation — just a conversation about your needs.