I help healthcare leaders find the root causes of underperformance, reading the human signals alongside the business data, and build the leadership capacity and conditions to fix them.

The Problem

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

Underperformance at healthcare organizations is often misdiagnosed. Leaders see missed targets, disengaged staff, internal conflict, and they respond with process tweaks, mandated accountability, surveys, and meetings that don't reliably identify and address root causes. The problems return.

Staff frustration, disengagement, turnover, and conflict are not morale problems. They are signals pointing at structural shortcomings in strategy, leadership, and operations. Learning to read those signals provides clues to the solutions.

How I work

I work alongside CEOs and leadership teams to lead turnaround and recovery work, and I coach leaders on how to use emotional intelligence to drive performance and engagement.

My services:

“We Have a Problem” Organizational Diagnostic
An 8–10 week deep-dive into organizational health. I move beyond generic morale surveys to identify the historic causes and structural voids in strategy, structure, process, or skills that are driving problems. I surface root causes and produce a sequenced path forward.

Fractional COO Advisory
Ongoing partnership for health systems in transition. I serve as a senior partner to lead high-stakes assessments and delivery, and ensure operational initiatives meet staff and point-of-care needs.

Executive Coaching
1:1 coaching that trains leaders how to better read the behavioral signals in their organizations. We treat staff behavior and needs as essential diagnostic data to inform leadership.

Speaking — "The Feelings Are the Data: Bridging the Human-Structural-Financial Gap in Healthcare”
Dashboards show you where you've been. The feelings in your organization show you why. This keynote makes the case that emotional intelligence is a performance strategy and teaches you how to read and manage human signals. Leaders get a framework for using both business and emotional intelligence to drive alignment, engagement, and financial results.

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

  • 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