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.

A woman business owner working alone at a desk in a bright, modern office

About Operations Amplified

You’re the CEO holding it all together. You’re also the thread it’s hanging by.

You’ve got a hundred things waiting on you right now. So take a breath. You’re in the right place.

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The 80/20 Rule

You know the 80/20 rule.

About 20% of what you do drives 80% of your results. That 20% is why you started the business.

The other 80% still has to get done. The vendor contract up for renewal. The new hire who needs training. The process that lives in one person’s head.

I take on the 80%. You know it’s handled.

What “Handled” Means

It’s handled.

I don’t do every task myself. I orchestrate it. The right people on the right work, moving at the right pace, done to your standard.

You know where everything stands without chasing it, and your time goes back to the 20%.

You’re in the pressure cooker. I’m the relief valve.

The Founder

Tiffany Doner

I’ve run my own business since 2013. It started as a marketing agency, building the websites, marketing, and systems behind more than 100 businesses, including service businesses, law firms, healthcare practices, eCommerce brands, and agencies.

The better the marketing worked, the more the operations had to hold. So that’s where the work went. Today Operations Amplified is a fractional COO practice, and along the way I’ve taken a client from low six figures to multiple seven figures.

My background spans healthcare operations, marketing, technology, and OpsAmpd, the CRM platform I built for my clients.

You see the destination. I see the path.

How I See Your Business

Close enough to know how it runs day to day, and far enough outside to see what’s hard to see from where you’re standing. Coming from outside your industry, I ask the questions nobody inside it thinks to ask.

How I Work

You move fast, and that’s how the business got here. I take the time to listen, think it through, and come back with options. Then we build it together.

I built my first business while raising my kids on my own: client work, sick days, late nights, weekends. I know what it takes to keep a business moving when everything runs through you.

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What You Can Count On

Integrity.

The truth, without fluff or false urgency.

The right people at your table.

When you need a trademark attorney, a benefits broker, or a finance pro, I know who to call. I don’t take kickbacks on recommendations. If a specialist will serve you better, I’ll say so and make the introduction.

In it with you.

I stay through the build until it holds, and every quarter we look at what’s happening and adjust.

  
What Owners Say

      “Tiffany didn’t just organize my business — she gave me back space to breathe.”
      “Tiffany brings order to chaos in a way that makes you wonder how you ever did it without her.”

Ways to Work Together

Three engagements, each one building on the last.

Strategy

Refine

Strategic planning to grow the business on your terms. A roadmap for the next quarter and a dashboard to track it.

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Foundation

Lift

Your fractional COO, running the business with you. Team structure, systems, and an operating rhythm, built and in place.

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Partnership

Momentum

Your operating partner as the business keeps growing, for owners who’ve worked with us through Refine or Lift.

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It’s handled

Hand me the 80%.

Tell me what keeps landing on your desk, and we’ll talk about what it looks like when it’s handled.

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