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.

Refine

Strategic planning to grow the business on your terms

A focused strategy engagement for owners whose business is growing faster than the plan behind it. Over four weeks, we look at every part of the business with you, choose the projects worth your time, and build the roadmap for the next quarter.

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          What Changes
          A plan that lives in a dashboard instead of in your head.
        
Priorities you can name in one breath. What matters, what can wait, and what happens first.
Decisions that come from the numbers and the patterns, so you stop second-guessing them.
A team that knows what they own and when it's due.
A plan that lives in a dashboard instead of in your head.

          Who It’s For
          Owners ready for the next stage who want the plan laid out first.
        
You can see where you want the business to go, and the path there keeps getting buried under this week.
There are more people, more moving parts, and more decisions, and most of them still come back to you.
Your team is capable. They need clear priorities to run with.
You want a plan in hand before you commit to bigger help.

How It Works

Four weeks. Working sessions, then follow-through.

Weeks One & Two

The working sessions

We go through seven areas of your business together, from growth and financials to client experience, your team, and your own growth as the owner. Then we choose the projects that will move the business most and build them into a roadmap.

Weeks Three & Four

Follow-up calls

As you start putting the plan in motion, we stay close. Questions get answered, priorities get adjusted, and nothing stalls in the first few weeks.

Four weeks · Starting at $3,500

Bring a key team member to the sessions when it helps.

          What You Walk Away With
          A roadmap, owners, deadlines, and a dashboard to run it.
        
A project roadmap for the next quarter, with the full year in view.
Every project with an owner and a deadline.
A dashboard that shows where everything stands at a glance.

Where It Leads

Some owners take the roadmap and run with it. Others want us inside the business executing it with them.

That’s Lift, our six-month engagement, and every Lift begins with Refine.

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        What Owners Say
        Clarity, focus, and a path forward.
      
          Before working with Tiffany, my business felt like a tangled mess. Now, I have a clear path forward. The fog has lifted, and I'm making strategic moves with confidence.
          — CC
        
          This wasn't just another planning session. It was a complete business reset that gave me clarity, focus, and excitement about my company's future.
          — GV

Ready to see the whole business at once?

Book a call. We’ll talk through where your business stands and whether Refine is the right place to start.

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