Strategy · Operations · Growth
Helping operators and investors work through the hard parts — when a business needs to be rebuilt, when a new model needs to prove itself, or when the team that got you here isn’t quite right for what comes next.
Todd works with PE-backed, venture-backed, and founder-led businesses at the moments that tend to matter most — when a platform needs to find its footing, when a new model needs to prove it can scale, or when an organization has outgrown the leadership structure that got it there.
His background covers more ground than most. After an MBA from Columbia, he started in investment banking before founding and running a fintech software company for seven years. That combination — capital markets and then actually building something from scratch — shapes how he approaches the work now. He thinks less like a consultant and more like an operator who’s been accountable for what comes next.
Most of his executive career has been in healthcare services — CEO, COO, and CBO across multi-site platforms, retail health, and employer-based models. He’s run turnarounds, integrations, and greenfield launches in PE-backed environments where the timeline is short and there isn’t much room to drift.
Sponsors who need operating support between acquisition and exit — whether that’s helping a management team get the business performing, working through an integration, or filling a gap when the timing on a hire hasn’t worked out.
Founders who are past the point where figuring it out as you go is enough. Usually the issue is operational — the business has grown faster than the infrastructure, or there’s a raise coming and the fundamentals need to be sharper.
Venture-backed teams that need someone who can move fast and has actually run something before. The problems are usually familiar — growth that’s outpacing the organization, a new market that needs a real plan, or a leadership transition that’s harder than expected.
Getting the business to run better — tighter cost structure, cleaner processes, clearer accountability. Usually involves figuring out where the margin is going and building the systems to stop it.
Helping companies get ready to sell, or helping them absorb something they’ve bought. Both are harder than they look. The prep work on the sell side tends to surface things that needed fixing anyway.
Building a plan for what comes next — new markets, new sites, new revenue lines. The goal is something that holds up under pressure, not just something that sounds good in a deck.
Working with management teams getting ready to raise. That usually means tightening the story, making sure the numbers are defensible, and helping the team get comfortable with the questions they’re going to get.
Stepping in during a gap — new CEO, departing exec, team that needs to be restructured. The job is to keep things moving and make sure nothing important falls through the cracks while the permanent solution gets sorted out.
Finding and building the partnerships that actually move the needle. This one takes longer than most people expect, but the right relationships tend to be worth it.
Todd leads the work directly. Depending on what the engagement needs, he’ll bring in people he’s worked with before — operators and specialists he trusts. The work doesn’t get handed off to someone junior. The right people get pulled in when it actually helps.
The recommendations come from having actually been in the seat — not from frameworks. That tends to make a difference when the situation gets complicated.
The work doesn’t end with a presentation. If something isn’t working the way it should, that’s still his problem to help fix.
If the issue is something different from what you think it is, he’ll say so. That’s usually more useful than hearing what you’d like to hear.
Some situations need to move fast. Some need more time. He’s worked in both and knows the difference.
He leads the work directly and pulls in people he trusts when the engagement calls for it.
If you’re working through something and want to think it through with someone who’s been there, feel free to reach out.