Executive advisor for rural health systems and behavioral health organizations

I use a systems-thinking approach and self-leadership lens to address your business as an integrated system. I deliver results while building your team's capabilities by bringing unique breadth that mitigates risk plus relational intelligence to diagnose what's happening at the human level.

I solve fundamental organizational challenges that require systemic change.

Performance declining

  • Operating margins compressing, productivity stalling, quality metrics not improving

Culture threatening service delivery

  • Provider-administration conflict, operational silos, people leaving for "culture" reasons, burnout and low engagement you can't diagnose

Leadership at risk

  • Rebuilding after leadership crisis, direction under new leadership, alignment across leadership team

Strategic change stalling

  • Market expansion or new service lines not hitting projections, new business model stuck

You've tried solutions on your own. Process improvements designed. Culture initiatives launched. Problems acknowledged. But the challenges persist.

Why: Workplace challenges are rarely one-dimensional. Leadership shapes culture. Culture drives operations. Operations reinforce both. Addressing one dimension without coordinating the others doesn't create sustainable change.

These challenges require systems thinking and relational intelligence to address both the business and human dimensions of change.

About Betsy

For twenty years, I've solved problems at the intersection of strategy, operations, leadership, and finance. My path has been unconventional: from global public health to Deloitte to PE-backed behavioral health to VC-funded startups and regional health systems. This breadth gives me perspective most advisors don't have and helps me see what others miss.

My career and my experience as an endurance athlete have taught me that most problems have interconnected causes. Leadership patterns shape culture. Culture drives operations. Operations produce results and reinforce both leadership and culture. Fixing one without addressing how all three connect doesn't create sustainable change.

I bring both analytical rigor and relational intelligence to understand the whole system at play. I understand financial models and process design. I also understand how unchecked emotions drive bad decisions and how to lead with compassion.

As a trusted partner, I bring people together, surface priorities, and help leaders continuously strengthen their teams and businesses. I lead from love, with both compassion and accountability. That means holding high standards while creating trusting environments where people feel supported, take responsibility, and strive to do their best.

What I Offer

  • Clarify your strategy and align your priorities

    When you have too many initiatives competing for attention and people aren't clear on what matters most, you need strategic focus. I assess your planning process, identify what's creating confusion or misalignment, then redesign your approach to drive clarity and accountability. You'll end up with fewer, clearer priorities and planning system that people like.

  • Understand and address cultural problems

    When something's wrong but you can't pinpoint the root cause, you need diagnostic clarity before investing in solutions. I conduct stakeholder interviews and analysis to surface what's really happening, then deliver prioritized recommendations and a roadmap forward.

  • Identify how to improve underperforming operations

    When performance is slipping, margins are disappointing, or quality is inconsistent, you need to understand what parts of your operations need to be fixed. I analyze your operations through data, workflows, and stakeholder perspectives to identify root causes, then deliver a prioritized action plan that balances quick wins with sustainable improvements. While doing this, I also think systematically about the leadership and cultural elements at play and address those.

  • Measure and manage what matters to your success

    When you can't measure progress you can’t make informed decisions and engage your team. I design measurement systems that give you the right data to make informed decisions, engage your teams, and hold them accountable with transparent, visible systems. Great metrics are a game changer for engagement and focus.

  • Clarify and de-risk your launch or growth strategy

    When you're entering a new market, launching a service, or scaling operations, uncertainty creates risk. I help you clarify your target segments and positioning, validate assumptions, and build a launch plan that creates alignment and mitigates risk. You'll move forward with confidence and a plan that can be course corrected, not just hope.

  • Integrate cultures and operations after a merger or partnership

    When organizations come together, it’s natural to face times when cultures clash, operations stay fragmented, and people feel uncertain about the path forward. I assess integration challenges across leadership, culture, and operations, then create an integration roadmap that builds trust and delivers alignment. Integrations are painful and often fall short when we ignore the human side and focus just on processes. I make sure we address both.

  • Make better decisions with an experienced thought partner

    When you're navigating new environments, complex change, major decisions, or leadership challenges, there are times when you need a trusted advisor who understands both the business challenges and the human dynamics. I embed with you and your leadership team as ongoing support, providing real-time guidance, honest perspective, and strategic thought partnership.

Some clients take these results and implement themselves. Others realize they need ongoing support, and we move into a second phase where I provide fractional guidance and implementation partnership with your team doing the day-to-day work while I help you navigate decisions, remove obstacles, and maintain momentum.

Results

  • Reduced corporate goals 45% year-over-year at regional health network, driving focus and alignment

  • Improved operating margin 4% through pricing strategy and operational turnaround at VC-backed services company

  • Sourced and closed proprietary M&A deal adding $1.1M EBITDA and new market territory for PE-backed autism therapy provider

  • Restored financial compliance at VC-backed mental health SaaS startup through balance sheet cleanup, bank access controls, procurement and expense policies, and tax compliance