Fractional COO services built for practices ready to scale

Your practice has grown past the systems that have gotten you to this point, and now you're expected to run the day-to-day, lead your team, and grow the business, all at once. Clear to Scale's fractional COO services build the operational strategy that makes scaling possible, so less is dependent on your capacity.

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Fractional COO services make all the difference when business growth outpaces structure

Business coaches can help with mindset, consultants can hand you a list of what’s broken, but neither one designs the operational structure that makes things run smoother. Without someone who understands both the ops strategy and the day-to-day reality of running a practice, most fixes stay surface-level.

That's where Clear to Scale comes in.

Latha brings fractional COO services that combine strategic advisory work and the operational structure and systems, built specifically for health and wellness practices.

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Fractional COO Support

Starting at $5,000/month, 3 month minimum

Ongoing strategic and operational support to build the structure and systems that scale your business 

  • Biweekly strategy calls

  • Custom operational strategy built around your highest-leverage opportunities

  • Systems and tools for your team to use going forward that add value to your business

  • Access to a dedicated Slack channel between calls

  • AI and SaaS tool recommendations based on your strategy

  • Custom built dashboard pulling metrics from relevant tools and spreadsheets

SERVICES

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What to expect when you work with Clear to Scale

  • STEP 1: GET CLEAR ON DIRECTION

    We identify the single highest-leverage opportunity for you and your goals.

  • STEP 2: BUILD STRUCTURE AND SYSTEMS

    We build the infrastructure, systems, and structures your practice needs to grow.

  • STEP 3: HAND OVER, STABILIZE, AND TRACK

    The systems we build are handed over to your team to use for years to come. An asset that increases the value of your business.

Grow with confidence

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Expand your reach

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Scale your impact

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Grow with confidence • Expand your reach • Scale your impact •

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ILLUMINATE

We find what is holding the practice at its current size.

ALIGN

We agree on what gets built and in what order.

ACTIVATE

We design the repeatable systems that support your growth.

Is fractional COO support right for you?

Our Fractional COO services are especially valuable if:

  • You've hired good people, but you're still fielding the same questions every week

  • You don’t have systems in place but know they will help you grow

  • You do have some systems in place, but you’re the only person who knows how half of them work

  • There’s someone on your team handling ops who would benefit from support to build foundational systems and structures to accelerate growth without adding more to your plate.

  • You can see what's not working, but you don't have the bandwidth to fix it without help

  • You can’t take a vacation and have the business run without you

The Result

  • Structure

  • Systems

  • Expansion

  • Purple bar graph trending upwards

    Growth

  • Purple upward trending arrow with a star

    Momentum

  • "Latha is extremely thorough and it was great to have some specific & tangible recommendations for meeting our practice goals for the year. She answered some big questions for me around hiring and how to meet revenue goals for the year. Now I'll be using her recommendations to focus my marketing efforts for the year to continue to scale my practice. Having the metrics dashboards for tracking has been extremely helpful. Highly recommend her for folks looking to get this type of clarity for how to grow their business!"

    – Christina S., Founder of Sea + Spruce Nutrition

  • "Tracking our KPIs has given us a much clearer picture of our business. We'r enow able to identify gaps more quickly and respond faster when challenges arise. Having a custom dashboard has made it easier to stay on top of our financial health, overall performance, and team productivity. Working with latha has been an amazing and eye-opening experience. Her process was smooth, and the way she explained everything made it easy to understand and incredibly helpful. I only wish we had done this two years go."

    —Mario M., President of Integrated Movement Therapy Institute

  • “Latha has been working closely with our teams to build sustainable, scalable processes that can be automated, so we aren’t relying on heroics to deliver great care. With Latha’s guidance, we now have a weekly KPI dashboard so we lead with facts, SOPs and automation for scheduling, onboarding, payroll, and compliance, as well as financial clarity so growth aligns with our mission and model. What I value most is Latha builds systems that last, sets clear direction, and helps owners step out of daily firefighting allowing us to lead with real confidence. If you’re ready to scale without the chaos, Latha is exactly the partner who can help you get there.”

    – Kasey C., Owner/CEO, Home Care

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Have questions about fractional COO services?

  • A fractional COO is an experienced operations leader who works with your practice part-time, providing the strategic and operational leadership of a full-time COO without the full-time cost or commitment. 

  • Clear to Scale Advising primarily works with established practices generating $500K–$3M in revenue, though a limited number of spots are available each year for new founders who are pre-revenue and building their operational foundation from the ground up. Reach out to see what fits your stage.

  • Coaching is valuable for mindset and strategy, but it doesn't typically build the operational systems, SOPs, and accountability structures your team needs day to day.

  • Latha has extensive first-hand experience inside clinics and health policy, so she understands the operational realities of running a health or wellness practice. That means the systems she builds are shaped by what truly works in a busy practice, not just what seems like it might work on paper.

  • Most practices at this size do, and the engagement works even better when they have one. An operations manager runs what exists. Latha designs what the practice needs to run at the size you are building toward.

    Latha works with both you and your operations manager. You bring where the practice is going, your operations manager brings how the work runs today, and the systems get designed for both. Your operations manager usually ends up owning the result.

  • An in-house COO makes sense for some practices, but it's a significant financial commitment, and many practices aren't ready for that step yet. A fractional COO gives you experienced operational leadership on a defined timeline, so you can build the structure your practice needs now and decide later if a full-time hire makes sense.

  • Fractional COO engagements start at $5,000 per month for a 3-month engagement. Every practice's needs are different, so the exact scope and investment are confirmed on a consultation call, where we'll map out what your practice needs and what that looks like in terms of cost.

Ready for fractional COO services that will get your growing practice to its next level?

You don't have to figure this out alone, and you don't have to keep holding it all together by yourself. Book a discovery call with Latha to talk through where your practice is today and where you want it to go.

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