Fractional Services – On-Demand Leadership
for Healthcare’s Inflection Points
Fractional Chief Marketing Officer (CMO) + Chief Growth Officer (CGO) services that deliver enterprise growth without the drag—no overhead, no politics, just results that move business.
Framing the Fit
The Right Answer When the Stakes Are High
Healthcare CEOs face a dual mandate: protect margin while driving growth. Traditional hiring models don’t fit this moment. Full-time CMO searches take months, cost millions in overhead, and often arrive too late for boards demanding ROI now. Fractional CMOs and CGOs provide an alternative—enterprise-grade leadership at 40–60% of the cost of a full-time hire, with board-ready proof in 90 days.
Scalable impact. Now.
Method Behind the Momentum
How It Works
Even when CEOs recognize the challenge, the math of traditional hiring works against them. The average healthcare CMO lasts just over four years. Each transition restarts strategy and adds months of ramp-up time. Executive searches stretch 90 to 120 days, leaving organizations without senior leadership for nearly half a year at a time when boards demand progress within a quarter.
Fractional CMOs and CGOs close this gap. They can step in within weeks, bringing proven playbooks and immediate clarity. Importantly, they are not limited to filling empty chairs. Many of the most effective deployments are alongside sitting CMOs, adding an external point of view, accelerating strategy, and relieving internal teams so leaders can deliver results at board pace.
SPIRTO Fractional Services operate from the inside to align strategy, teams, and outcomes. You get executive-level guidance that drives impact from day one—without complexities or a long runway.
What Makes SPIRTO Unique
Built for transition points: M&A, transformation, stagnation, or scale
Embedded leadership—without the challenges of fixed overhead
Aligns brand, demand, and enterprise performance via the SPIRTO Growth Lab
Accelerates results while building internal capability
Flexible scope: stabilization, interim, or long-term engagements
Key Deliverables May Include
Cost optimization plan
Growth strategy and go-to-market planning
Marketing org design and team advisory
Messaging and brand repositioning
Performance dashboards and KPIs
Martech evaluation and optimization
Agency/vendor evaluation and optimization
Case for Change
Cost Pressure Isn’t the Problem. Leadership Clarity Is.
Growth without waste starts at the top. SPIRTO delivers fractional CMO + CGO leadership that aligns enterprise ambition with operational reality—powered by the SPIRTO Growth Lab.
What You Gain with SPIRTO
A clear growth strategy aligned to enterprise goals
An executive partner who strengthens the C-suite
Marketing that pays its way—on budget, on mission, delivering ROI
A proven model for cost optimization + integrated growth
A scalable path forward, led with urgency and calm
Visibility into what’s working, what’s not, and where to focus next
Signals for Success
The Growth Audit
Unlock hidden revenue and costs in 60 minutes.
A diagnostic for CEOs to pressure-test the current growth model—revealing gaps, misaligned spend, and unrealized value across marketing, sales, and service.
Proof and Trust
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“Paula Serios was a true game-changer. At Silverado, she became a strategic partner within our leadership team—bringing education, discipline, creativity, and accountability. She delivered a precisely crafted brand and elevated our lead generation. Through performance marketing, she streamlined operations and integrated efforts, driving measurable improvements in marketing ROI.”
-Lauren Shook, President/CEO/Chairman of the Board, Silverado
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“We couldn’t afford a full-time CMO, but we needed senior-level expertise. SPIRTO gave us exactly that—executive leadership without the overhead. Our board sees the difference: clear strategy brand plus demand generation, disciplined execution, and results that justify every dollar.”
-Dr. Andrea Brault, Brault
Next Steps With Purpose
Decide Boldly. Move Strategically.
If growth is on your agenda, let’s pressure-test your path forward. One focused session with SPIRTO—no sales push. Just clear signals and actionable perspective for leaders who don’t have time to waste.
TOOLS FOR SMARTER, FASTER GROWTH
Case Studies
See how SPIRTO delivered results in real healthcare challenges.
Real-world stories of health systems and health plans that accelerated growth, optimized costs, and algin operations.
Insights
Provocative thinking for pressure-tested leaders.
Straight-talk POVs, growth playbooks, and SPIRTO’s signature frameworks—built for decision-makers at inflection points.
Frequently Asked Questions
Answers for executives who want clarity—not fluff.
How fractional leadership works, when to bring it in, what it costs, and what to expect—cutting through the noise to the essentials.