What is a fractional COO?

A fractional COO is an executive who runs the operations of your business on a part-time or contract basis rather than as a full-time hire. You get executive-level operational leadership — systems, team structure, decision-making frameworks, vendor management, hiring — without a full-time salary. A fractional COO stays through execution, working alongside you and your team to build the structure the business runs on.

Who needs a fractional COO?

Practice owners and firm owners who are doing two jobs — the expert work they trained for and the business operations they didn't. If every decision routes through you, your team can only see their own lane, and you're managing marketing, hiring, finances, and vendors on top of seeing patients or clients, a fractional COO takes the second job so you can focus on the first.

How is a fractional COO different from a consultant?

A consultant studies your business, delivers a plan, and leaves. A fractional COO runs the operations. They stay through execution, manage the back end of the business alongside you, build systems and processes, create decision-making structures, and handle the functions you were never trained for — then keep managing them month to month.

What industries does Operations Amplified serve?

Operations Amplified serves privately owned medical practices, law firms, and established service businesses whose owners left corporate to build something on their own terms. The focus is on owners who are experts in their field and need operational infrastructure behind the work so the business stops running through them.

FRACTIONAL COO & STRATEGIC PARTNER

Building and running the business alongside the owner who built it.

Book a Call

THE REALITY OF OWNERSHIP

“Business owners spend more than a third of their work week on work that isn't the work they started the business to do.”

The business runs on the owner. We build it to run alongside you.

Woman business owner at a desk weighing decisions

Does every decision still route back to you?

You’ve hired, delegated, done what everyone told you to do. The pace hasn’t changed.

Learn how we work with established businesses

Woman at a window reflecting on what comes next

Do you know you need something... you just can’t name it yet?

Someone who looks at the whole business with you.

Find out what a fractional COO does

Architectural structure being built, ready for growth

Ready to grow, and nothing is structured for it yet?

The next hire, the next service, the next location. The business isn’t built to absorb it yet.

See how we get the business ready

THE STORY

You wanted to do it your way

Every founder we partner with has reached the same tipping point: the craft brought you here, but running the company is consuming you.

You walked away from the system. The hospital, the firm, the company.

You wanted to spend time with the people you serve. Build something on your own terms.

But the only model you had was the one you came from. So without realizing it, you started building the same thing you left.

The schedule fills up. The decisions stack. And the business keeps demanding more of you than the work itself does.

The way back to why you started is in how the business is structured. Not in working harder.

What Drives the Work

1. We're in it with you.

When we embed in a business, we run it alongside you. We see what’s hard to see from inside the day-to-day, and we make the calls with you.
2. Operations is more than SOPs.

Every tool in use, every process, every time someone is shown step by step how to do something. When an owner tells us “we don’t really have operations,” the truth is they’re running on operations held together in their own head.
3. It’s handled.

You don’t need to know every step. You need to know it’s handled. We bring in the right people, keep the work moving, and make sure it gets done to your standard.
4. We see the full business because we've worked across it.

Marketing, technology, operations, healthcare systems, agency management. That range lets us see how each part of the business affects the rest.
5. The work is built around you.

No two owners are the same. The work is built around your mindset, your values, your goals, and your business as a whole, so you get where you want to go on your own terms.
6. The running business is the product.

The value is in execution. We build the infrastructure, put the systems in place, and stay embedded until it holds.

"She really makes the effort to understand your business from the inside out. A strategic thought partner just as much as a technical expert. One does not often meet professionals with this level of integrity and care."

S.L.
“She takes the pressure off so I can focus on what I love doing. She gets me, my business, and what needs to get done.”

J.W.
“She manages the details while keeping an eye on the big picture. Whether you need oversight or a complete overhaul, she’s someone you can trust.”

G.V.
“She gets how much I’m juggling, and she never made me feel like I was behind.”

J.M.

Who We Work With

Physician Private Practices

Established Service Businesses

Law Firms

THE COMMON THREAD

You've built a business on your name, expertise and reputation. It’s moving, you have a team in place, and everything is still running on you. Every department, every decision, every problem lands back at your desk.

Your degree is in what you do. Not in running a company alongside it. We take on the business side so you can get back to the work you started this for.

Meet the Founder

Tiffany Doner

In business since 2013. What started as a marketing agency serving more than 100 businesses grew into Operations Amplified, a fractional COO practice. Her background spans healthcare operations, marketing, technology, and the CRM platform she built for her clients.

We’ve worked across the full business, and that’s how we run yours.

Read the full story

TAKE THE FIRST STEP

Ready to build a business that runs alongside you?

A conversation about your business and where it could go

Book a Call

FRACTIONAL COO & STRATEGIC PARTNER

Building and running the business alongside the owner who built it.

“Business owners spend more than a third of their work week on work that isn't the work they started the business to do.”

Does every decision still route back to you?

Do you know you need something... you just can’t name it yet?

Ready to grow, and nothing is structured for it yet?

You wanted to do it your way

The way back to why you started is in how the business is structured. Not in working harder.

1. We're in it with you.

2. Operations is more than SOPs.

3. It’s handled.

4. We see the full business because we've worked across it.

5. The work is built around you.

6. The running business is the product.

"She really makes the effort to understand your business from the inside out. A strategic thought partner just as much as a technical expert. One does not often meet professionals with this level of integrity and care."

“She takes the pressure off so I can focus on what I love doing. She gets me, my business, and what needs to get done.”

“She manages the details while keeping an eye on the big picture. Whether you need oversight or a complete overhaul, she’s someone you can trust.”

“She gets how much I’m juggling, and she never made me feel like I was behind.”

Who We Work With

Your degree is in what you do. Not in running a company alongside it. We take on the business side so you can get back to the work you started this for.

Tiffany Doner

Ready to build a business that runs alongside you?