Insights
Field notes from twenty years of operating.
Short essays for founders scaling digital health SaaS. Written to be useful before it's clever.
- 01
When does a founder actually need a COO?
Five signals — none of them are 'we hit $10M ARR.' Most founders miss the real ones for a year longer than they should.
Mar 20278 min read - 02
The ten operational mistakes that quietly kill SaaS growth
A field guide to the things that don't show up in a P&L until it's too late — from misaligned CS ratios to founder-in-the-loop pricing.
Feb 202712 min read - 03
What buyers actually look for before acquiring a healthcare SaaS company
From seven transactions: the diligence items that move multiples, and the ones founders over-invest in for no return.
Jan 202710 min read - 04
Preparing operations for due diligence — 12 months out
The unglamorous work that keeps a purchase price intact. Do it early, do it once.
Dec 20269 min read - 05
Scaling without breaking customer success
The three CS ratios I watch, and what to do when they drift.
Nov 20267 min read