I help leaders understand their organizations more deeply — reading the human signals alongside the business data to build the trust and capacity for high performance.

What looks like a culture problem is usually a structure or process problem. The emotions and needs of your people are pointing at the root causes.

Organizations today are navigating compounding change (financial pressure, staffing strain, AI adoption, regulatory shifts) often all at once. Leaders are doing their best in challenging conditions, trying to keep up and make tradeoffs.

Missed targets, disengagement, and conflict are clues. Listening to your people to understand the why and combining those insights with business data will surface gaps in strategy, structure, process, and skills that can be fixed.

This diagnosis offers a clear path to building trust, improving performance, and creating an organization that's ready for whatever comes next.

How I work

I work alongside CEOs and leadership teams to find the root causes of underperformance, build the capacity to fix them, and create organizations that can sustain performance through whatever comes next.

Organizational Health Diagnostic
An 8–10 week assessment of organizational health. I listen to your people and go beyond engagement surveys and business data to surface the why behind the signals. The result is a clear picture of the specific gaps in strategy, structure, process, and skills driving your most persistent problems and a concrete path to fix them.

Fractional COO Advisory
Ongoing partnership for organizations in transition. I serve as an embedded operator to lead key initiatives and stress-test plans against frontline reality, ensuring execution is aligned with your people.

Executive Coaching
One-on-one coaching that builds leaders' capacity to read the human signals in their organizations and act on them. We treat behaviors and needs as diagnostic data, essential intelligence for leaders navigating their teams through uncertainty and change.

Thinking & Conversations

Essays on leadership, organizational health, and emotional intelligence.

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.

Results

Diagnosed the structural root causes of medical staff disengagement, performance problems, and eroding trust at a regional acute-care hospital, delivering a 90-day stabilization plan and 16-month recovery arc that gave leadership a clear path forward
Redesigned annual planning for a 6-hospital regional health system, cutting system goals from 18 to 12 and establishing shared priorities across the organization

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

I help leaders understand their organizations more deeply — reading the human signals alongside the business data to build the trust and capacity for high performance.

What looks like a culture problem is usually a structure or process problem. The emotions and needs of your people are pointing at the root causes.

Organizations today are navigating compounding change (financial pressure, staffing strain, AI adoption, regulatory shifts) often all at once. Leaders are doing their best in challenging conditions, trying to keep up and make tradeoffs.

Missed targets, disengagement, and conflict are clues. Listening to your people to understand the why and combining those insights with business data will surface gaps in strategy, structure, process, and skills that can be fixed.

This diagnosis offers a clear path to building trust, improving performance, and creating an organization that's ready for whatever comes next.

How I work

I work alongside CEOs and leadership teams to find the root causes of underperformance, build the capacity to fix them, and create organizations that can sustain performance through whatever comes next.

Fractional COO AdvisoryOngoing partnership for organizations in transition. I serve as an embedded operator to lead key initiatives and stress-test plans against frontline reality, ensuring execution is aligned with your people.

Executive Coaching One-on-one coaching that builds leaders' capacity to read the human signals in their organizations and act on them. We treat behaviors and needs as diagnostic data, essential intelligence for leaders navigating their teams through uncertainty and change.

Thinking & Conversations

Essays on leadership, organizational health, and emotional intelligence.

About Betsy

Results

Diagnosed the structural root causes of medical staff disengagement, performance problems, and eroding trust at a regional acute-care hospital, delivering a 90-day stabilization plan and 16-month recovery arc that gave leadership a clear path forward

Redesigned annual planning for a 6-hospital regional health system, cutting system goals from 18 to 12 and establishing shared priorities across the organization

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

Fractional COO Advisory
Ongoing partnership for organizations in transition. I serve as an embedded operator to lead key initiatives and stress-test plans against frontline reality, ensuring execution is aligned with your people.

Executive Coaching
One-on-one coaching that builds leaders' capacity to read the human signals in their organizations and act on them. We treat behaviors and needs as diagnostic data, essential intelligence for leaders navigating their teams through uncertainty and change.