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 woman who owns 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 her.

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?

Not another hire. Not another system. Something bigger.

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 provider, the next attorney, 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 woman 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 real 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're not advising from the outside. We're running the business alongside the owner, seeing what she can't see from inside the day-to-day, holding the same weight she does.
2. Operations is the entire business.

Every tool in use, every process, every time someone is shown step by step how to do something. That's operations. When an owner tells me "we don't really have operations," the truth is she's running on operations held together in her own head.
3. Relief is small and specific.

It's not one dramatic moment. It's a Thursday afternoon where nobody texted you. It's leaving at 6pm. It's being at dinner and actually being at dinner. That's what it looks like when the structure is in place.
4. We see the full business because we've worked across it.

Marketing, technology, operations, healthcare systems, agency management. That range is what makes this different from hiring someone who only knows one side of how a business runs.
5. The work is built around the owner.

No two owners are the same. This is concierge work, built around her mindset, her values, her goals, and her business as a whole. The work is helping her get to where she actually wants to go, which is paving her own path.
6. The plan isn't the product. The running business is.

The value is in implementation and execution. We build the infrastructure, put the systems in place, and stay embedded through the work. We don't hand over documents and leave.

"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.

PRACTICES & FIRMS

Who We Work With

Women physicians running private practices.

Women attorneys who founded their own 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.

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 woman who owns 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 the entire business.

3. Relief is small and specific.

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

5. The work is built around the owner.

6. The plan isn't the product. The running business is.

"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.

Ready to build a business that runs alongside you?