# Services *by: [Scott Booher](https://www.linkedin.com/in/scottbooher/)* Healthcare technology leadership isn't a one-size-fits-all problem. The challenges facing a growth-stage telehealth company are different from those facing a PE-backed SaaS platform preparing for exit — and both are different from a large payer building net-new capabilities. The engagements below reflect the range of situations where fractional and interim CTO leadership tends to create the most value. --- ### [[Technical Due Diligence]] For investors, acquirers, and boards evaluating healthcare technology assets, technical due diligence is only as useful as the judgment behind it. With 20+ completed engagements across healthcare and adjacent sectors, Scott brings a former CIO/CTO perspective — including what it looks like from the other side of the table — to every review. Evaluation scope spans platform architecture, SDLC maturity, technical debt, compliance posture, leadership assessment, and the technology's ability to support projected growth targets. --- ### [[Growth Stage|Growth-Stage Leadership]] Growth-stage healthcare companies face a specific kind of pressure: building enterprise-grade trust while scaling platforms and organizations that weren't designed for their current demands. Missteps at this stage are expensive — in credibility, customer relationships, and capital. Scott has served in fractional CTO, COO, and interim leadership roles at venture and PE-backed digital health companies across telehealth, patient logistics, clinical SaaS, and pharma — consistently helping organizations reach their next stage with stronger foundations and greater execution confidence. --- ### [[Scaling Tech Operations|Scaling Technology & Operations]] Scaling a technology organization in healthcare is about more than headcount. It requires the process maturity, governance, and cultural infrastructure that will support a company's next order of magnitude of growth — before that growth arrives and exposes the gaps. With experience leading technology organizations from startup scale to 200+ staff and $150M annual budgets, Scott has built and rebuilt these foundations across enterprise payers, growth-stage SaaS platforms, and everything in between. --- ### [[Startup Architecture Planning|Startup Architecture & Strategic Planning]] Architectural decisions made early in a company's life have a long half-life. The choices about platform design, data models, infrastructure, and technology stack made in year one tend to shape what's possible — and what's expensive — for years afterward. Scott's startup planning experience spans Newco development within large health systems, technology architecture for venture-backed digital health firms, and strategic planning for companies navigating complex regulatory and stakeholder environments. Engagements often include contributions to investor materials, board presentations, and partnership discussions. --- ### [[Strategic Partnerships]] In healthcare technology, the right partnerships can define a company's trajectory. The wrong ones — or the absence of a clear partner strategy — create dependencies that are difficult and costly to unwind. Scott has built and structured strategic partnerships across a wide range of contexts: staffing and outsourcing agreements, Newco development, BPO relationships, technology M&A evaluation, and go-to-market partnerships — for both enterprise organizations and growth-stage firms. --- ### New Entrant Research Understanding who is entering your market — and what they are building — is a material competitive advantage in healthcare technology. New market entrants rarely announce themselves clearly, and by the time a competitor's capabilities become visible, the window to respond has often narrowed. Scott's deep familiarity with the digital health landscape, combined with structured research methodologies developed over 25+ years in the sector, supports both point-in-time market assessments and ongoing competitive intelligence for healthcare technology companies navigating rapidly shifting competitive environments. --- > [!tip] Not sure which fits your situation? > Most engagements begin with a conversation. [[Working with Scott|Here's how that typically works.]] > > > [email](mailto:[email protected]) > > [linkedin](https://www.linkedin.com/in/scottbooher/)