5TOPERATING GROUPCLOSING THE GAPFind Your Path

EXECUTIVE & TEAM TRANSFORMATION

Align leadership, culture and systems for reliable execution.

Practical executive operating support for established, healthcare, multi-site and complex organizations that need more than recommendations—they need alignment, operating discipline and implementation support.

Start with the Diagnostic Compare Partnerships

USE THIS PATH WHEN

The visible symptom is not the complete problem.

  • Goals stall between decision and execution
  • Team trust or accountability is inconsistent
  • Workflows vary across functions or locations
  • Measures do not drive timely decisions
  • Growth or regulation has outpaced the operating model
Take the 5T Assessment →

ONGOING OPERATING PARTNERSHIPS

Executive operating support—
without adding another full-time executive.

5T Operating Partnerships provide organizations with ongoing access to experienced operational leadership, structured problem-solving and implementation support.

Each partnership is designed around the organization’s size, complexity, priorities and required level of execution. Company size is a starting point; final scope also considers revenue, number of locations, regulatory requirements, urgency and the number of active workstreams.

ONGOING ADVISORYFRACTIONAL EXECUTIVE LEADERSHIPIMPLEMENTATION SUPPORTPREDICTABLE MONTHLY BILLING
ADVISORYEMBEDDED TRANSFORMATION LEADERSHIP
01

Founder Advisory Partner

Starting at $2,500 / month

TYPICAL ORGANIZATION1–10 employees

INITIAL COMMITMENTThree months

Founders who need structure, accountability and experienced guidance but are not ready for fractional executive leadership.

PARTNERSHIP INCLUDES

  • Two advisory sessions per month
  • Monthly priority and KPI review
  • 30- or 90-day action plan
  • Review of one focused business challenge
  • Limited email support
  • Access to applicable 5T templates
  • Quarterly operating-health summary
SCOPE LIMIT

One business, one primary leader and one focused priority at a time.

Strengthen My Foundation
02

Growth Operating Partner

Starting at $7,500 / month

TYPICAL ORGANIZATION11–49 employees

INITIAL COMMITMENTThree to six months

Growing organizations that need better workflows, stronger accountability and more consistent execution.

PARTNERSHIP INCLUDES

  • Biweekly executive operating sessions
  • One active improvement workstream
  • KPI scorecard development and review
  • Workflow and SOP improvement
  • Team-role and accountability clarification
  • Monthly operating review
  • Leadership decision support
  • Prioritized implementation roadmap
  • Reasonable between-session access
SCOPE LIMIT

One organization, one primary business unit and one active improvement workstream.

Build for Growth
03MOST COMPREHENSIVE PRINCIPAL-LED PARTNERSHIP

5T Operating Partner

Starting at $15,000 / month

TYPICAL ORGANIZATION50–249 employees, multi-site or complex growth-stage organizations

INITIAL COMMITMENTSix months

Organizations that need ongoing fractional operating leadership and hands-on execution support.

PARTNERSHIP INCLUDES

  • Weekly executive operating session
  • Up to two active transformation workstreams
  • Monthly executive operating review
  • Leadership alignment and accountability
  • KPI and performance-management structure
  • Workflow and process redesign
  • Quality and operational improvement
  • Team operating rhythms
  • Technology and tool recommendations
  • Special-project oversight
  • 30-, 60- and 90-day execution priorities
  • Executive decision support between scheduled meetings
  • Quarterly strategic progress review
  • One quarterly virtual leadership workshop

This is not an advisory-only engagement. The 5T Operating Partner helps translate decisions into operating plans, establish ownership, monitor execution and remove barriers to measurable progress.

Apply for a 5T Operating Partnership
04

Enterprise Transformation Partner

Starting at $30,000–$50,000+ / month

TYPICAL ORGANIZATION250+ employees, multiple markets, regulated operations or enterprise-wide transformation

INITIAL COMMITMENTSix to twelve months

Complex organizations requiring a team-based transformation, operating office or executive special-project structure.

PARTNERSHIP INCLUDES

  • Executive sponsor and steering-committee support
  • Multi-workstream transformation leadership
  • Transformation or program-management office structure
  • Enterprise KPI and governance design
  • Market, department and cross-functional alignment
  • Quality, productivity and financial-performance initiatives
  • Change-management structure
  • Leadership and workforce alignment
  • Technology-enabled workflow transformation
  • Executive reporting
  • Risk, dependency and barrier management
  • On-site support as separately scoped
  • Access to additional 5T advisors as required
Request an Enterprise Scope
03

PRINCIPAL-LED CAPACITY

Focused leadership requires protected capacity.

To protect execution quality, 5T Operating Group accepts no more than three concurrent Principal-led 5T Operating Partner engagements. Enterprise engagements requiring broader delivery teams are scoped separately.

TEAM & CULTURAL TRANSFORMATION

Build a culture that
supports the work.

Culture is not changed through slogans or a single workshop. It changes when leaders consistently shape expectations, communication, decisions, accountability and the systems people use every day.

5T treats cultural transformation as operating work—connecting leadership behavior, team experience and business performance.

Request a Team Transformation Scope
01

Leadership alignment

Create shared priorities, decision rules and consistent leadership expectations.

02

Trust & psychological safety

Strengthen honest communication, respectful challenge and early problem identification.

03

Roles & accountability

Clarify ownership, handoffs, decision rights and constructive follow-through.

04

Team operating rhythms

Establish dependable huddles, reviews, escalation paths and learning cycles.

05

Cross-functional collaboration

Reduce departmental friction and improve how information and work move across teams.

06

Manager capability

Equip leaders to coach, communicate, remove barriers and sustain expected behaviors.

5T CULTURE PRINCIPLE

Healthy culture and meaningful accountability reinforce one another. Clear standards, trustworthy leadership and reliable systems allow people to raise problems, improve the work and take ownership of results.

REQUIRED ENTRY PATHWAY FOR LARGER CLIENTS

5T Executive
Operating Diagnostic

Starting at $7,500

A focused current-state assessment that identifies constraints, clarifies priorities and recommends the right partnership structure before a larger engagement begins.

Start the Diagnostic

THE DIAGNOSTIC INCLUDES

01Executive interviews
02Current-state review
03Operating-model assessment
04KPI and performance review
05Workflow and accountability analysis
06Identification of system constraints
07Prioritized opportunity map
08Recommended partnership level
0990-day transformation roadmap

30-DAY CREDIT: For organizations entering a $15,000-per-month or larger partnership within 30 days, the diagnostic fee may be credited toward the first month’s engagement.

INTERACTIVE PARTNERSHIP COMPARISON

Compare the level of operating support.

Select at least two partnership levels. Company size is a guide; complexity, risk and active work determine final scope.

COMPARE BY
Founder Advisory PartnerStarting at $2,500 / month
Growth Operating PartnerStarting at $7,500 / month
5T Operating PartnerStarting at $15,000 / month
Enterprise Transformation PartnerStarting at $30,000–$50,000+ / month
Company size
1–10 employees
11–49 employees
50–249 employees, multi-site or complex growth-stage
250+ employees, multi-market or regulated
Leadership access
Founder / primary leader
Executive or owner leadership
Fractional executive operating leadership
Principal + scoped transformation team
Meeting cadence
Two advisory sessions monthly
Biweekly + monthly review
Weekly + monthly executive review
Executive, steering and workstream cadence
Number of workstreams
One focused priority
One active improvement workstream
Up to two transformation workstreams
Multiple, separately scoped workstreams
Implementation support
Leader-led with 5T guidance
Shared implementation roadmap
Hands-on planning, monitoring and barrier removal
Transformation office / team-based delivery
Team-development support
As relevant to the focused priority
Role and accountability clarification
Operating rhythms + quarterly virtual workshop
Leadership and workforce alignment
KPI and reporting structure
Monthly priority and KPI review
Scorecard development + monthly review
Performance structure + monthly and quarterly review
Enterprise governance + executive reporting
Minimum commitment
3 months
3–6 months
6 months
6–12 months

HIGH-LEVEL QUALIFICATION BEFORE SCHEDULING

Share the category—not confidential details.

This short readiness screen protects fit, scope and confidentiality. It asks only for high-level ranges and categories. The website does not store this selection; submitting opens a draft in your email application.

01 QUALIFY→02 SCOPE→03 AGREEMENT→04 SECURE ACTIVATE
PUBLIC-SITE SAFETY

Do not enter or email protected health information (PHI), patient or member information, employee records, passwords, credentials, financial account details, confidential contracts, proprietary data or other sensitive information. Initial inquiries must remain high-level. Sensitive information is exchanged only after a signed agreement and through an approved secure channel.

Opens your email application with only the categories selected above. Ordinary email is not a secure channel for sensitive information. The source tag “5T” is included automatically.

SECURITY & CONFIDENTIALITY BY DESIGN

Reduce exposure before information is ever shared.

The public website is designed for high-level qualification only. It does not request, process or store PHI, patient or member data, employee records, credentials, financial account information or confidential operational files.

01

Data minimization

Public inquiries use ranges and categories instead of names, narratives or sensitive operating details.

02

No public file uploads

Documents, screenshots, exports and data files are not accepted through the public website.

03

No automated regulated access

Work involving PHI, employee data or regulated operational access cannot be purchased or activated online.

04

Contract-first secure work

Sensitive work begins only after an agreement, defined scope, approved channels and access requirements are established.

05

Minimum necessary access

Engagement controls are scoped to the work, client policies and the least access required to perform it.

06

Defined escalation

Communication, access, risk and incident-escalation expectations are established before sensitive work begins.

IMPORTANT

Security controls reduce risk but no website or system can be guaranteed impossible to compromise. 5T does not ask prospective clients to send confidential or regulated information through this public site or ordinary email.

Review Privacy & Security →

PAYMENT & CONTRACT STRUCTURE

Clear scope before recurring billing begins.

Partnerships are billed monthly in advance through Stripe. A signed professional-services agreement and statement of work are required before recurring billing is activated.

  • Travel, specialized software, subcontractors and approved third-party expenses are separate.
  • Scope expansion requires written approval.
  • $15,000+ engagements use Apply, Request a Scope or Start the Diagnostic—never public automatic purchasing.
  • Projects involving protected health information, confidential employee data or regulated operational access cannot be purchased automatically.

TRANSFORM & SCALE

Complex work deserves
a defined scope.

Enterprise, healthcare, community and multi-market work begins with a scoped conversation. This protects the organization, the people affected by the change and the quality of the outcome.

Request a Scope

Request a custom scope when work involves:

01Multiple departments or markets
02Healthcare regulatory considerations
03Employee or patient information
04Complex technology integrations
05Organizational restructuring
06Enterprise transformation
07Custom analytics
08Multi-month implementation
REQUEST A SCOPE

WHERE IS THE SYSTEM BREAKING DOWN?

Start with evidence.
Build the right response.

Use the diagnostic for a deeper current-state review, or complete the assessment for an initial pathway recommendation.

Start the Diagnostic Take the Assessment