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.

Momentum

Your operating partner as the business keeps growing

For owners whose business has the structure in place. We stay on as your operating partner, advising on the big decisions, keeping priorities straight, and holding your team to what they committed to. You lead, and the business keeps moving forward.

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      What Changes
      The structure you built, kept in motion.
    
The plan keeps up with the business. Every quarter, we look at what’s working and set what comes next.
The big decisions get made with someone who knows your business: the hire, the new service, the vendor who isn’t working out.
Your team delivers on the dates they set.
The structure you’ve built holds as you grow.
And if you want to step back, you can.

  
      Who It’s For
      You’ve done the work. Now lead it.
    
You’ve worked with us through Refine or Lift, so we already know the business.
The structure is in place, and you want it to keep pace with growth.
You want an experienced operator beside you for the decisions that shape the business.
Or you’re ready to step back. A new venture, another location, more time for the work you love. The business is set up to run without you in the day-to-day, and we keep it on course.

From Building to Leading

Lift is hands-on. We build the structure inside the business with you and your team.

Momentum is advisory. The structure is there, your team runs it, and we lead it forward with you.

Different work, same partner.

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Where We Stay Involved

Each term starts with where the business stands and where it’s going next.

01

Leadership

Regular time with you and your leaders to set priorities and work through what’s coming.

02

The operating rhythm

Standing check-ins, a monthly look at the numbers, and a full review every quarter.

03

Your numbers

We watch the dashboard with you, protect your margins, and flag what needs attention early.

04

Decisions

A sounding board before you commit to the next big move.

05

Accountability

Your team held to their commitments, with an outside eye keeping score.

06

Partners and growth

Your agency, bookkeeper, and IT still working from one plan as you add services, people, or locations.

Engagement

Six-month terms · Starting at $4,500 per month

Keep the momentum.

Book a call. We’ll look at where the business stands and whether Momentum is the right next step.

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