I help leaders build the trust and capacity for high performance by understanding their organizations more deeply

Healthcare delivery organizations today are navigating change (financial pressure, staffing strain, AI adoption, regulatory shifts) all at once. Leaders are doing their best in challenging conditions.

I help leaders deeply understand their organizations - what’s working well, what needs improvement - and design solutions for improved engagement and results.

How I work

I work alongside CEOs and leadership teams to understand businesses deeply and build the capacity for growth and improvement.

Executive Advising
One-on-one advising that helps leaders lead more effectively, starting from a place of self awareness.

Fractional COO
Ongoing partnership for organizations in transition. I serve as an embedded operator to lead key initiatives ensuring execution is aligned.

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