Independent Operations Leadership for Healthcare Organizations
Supporting growth and integration without sacrificing operational control or local autonomy
H. Douglas Advisory, LLC is an operations and strategy advisory firm focused exclusively on healthcare practices, MSOs, and growth-stage healthcare organizations.The firm was built to support organizations through the operational realities of growth, integration, and performance improvement; well beyond the transaction itself.Engagements are structured to deliver senior-level operating support across diligence, post-acquisition integration, platform development, and execution leadership.
We operate as an extension of leadership teams and deal teams, focused on what actually happens after diligence: integration, infrastructure build-out, operational scaling, and performance improvement.In practice, this means working directly inside operating environments; assessing workflows, data quality, reporting structures, leadership capacity, and execution bottlenecks.We do not lead with frameworks or generic playbooks. The work is shaped around each organization’s operating reality, transaction context, operational maturity, and growth stage.
Fractional Executive Leadership for physician groups and MSOs needing experienced guidance without a full-time hire.Design and implementation of MSO structures, governance models, and shared services to support growth, roll-ups, and operational scale.Organizational Reviews & Leadership Team Support for end-to-end assessments of leadership structure, workflows, KPIs, and financial performanceIntegration, Performance Improvement & Scaling Initiatives with targeted interventions to improve margin, access, provider productivity, throughput, and enterprise visibility.Ancillary Development, Enterprise Reporting & KPI Architecture to provide leadership real-time visibility into financial, clinical, and operational performance.…and related advisory & execution support as organizational needs evolve.
Founder | Principal
I bring more than 25 years of healthcare experience across hospital, ambulatory, and ancillary settings, with a career focused on building, scaling, and improving real operating systems. I’ve served in senior executive and consulting roles across multi-site physician groups and MSOs, leading integration, growth initiatives, performance improvement, and enterprise reporting build-outs.My experience spans both sides of the healthcare growth lifecycle; operating inside physician groups and platform companies, and advising leadership teams through multiple transaction and growth phases. I’m also a U.S. Air Force (Medical Group) Veteran, which continues to shape my leadership style and commitment to disciplined execution.I enjoy working alongside leadership teams to solve real operational problems, build durable systems, and help organizations grow with discipline and clarity.I look forward to connecting!