Limited Retainer Availability Q1 2026

Executive Technology Leadership for Growth-Stage Healthcare Organizations

Fractional CTO Practice: I'm Craig Trulove, bringing Enterprise-quality expertise from 18+ years enterprise technology transformation at Perficient, including 7-8 years healthcare specialty with major integrated health systems and academic medical centers, to multi-location healthcare organizations managing post-acquisition technology consolidation and operational standardization. Limited retainer availability for Q1 2026.

For CEOs, COOs, and CFOs of multi-location healthcare organizations navigating growth complexity:

You've acquired multiple practices running different EHR systems across your locations. Your board demands a 3-year technology roadmap tied to your growth plan. You need post-acquisition EHR consolidation, multi-location technology standardization, and strategic vendor coordination—without the $500K Enterprise consulting fees.

I'm Craig Trulove, Fractional CTO providing Enterprise-quality strategic leadership at mid-market pricing, 100% vendor-neutral. Think of me like a CFO who hires the bookkeeper and oversees their work—you get executive strategy without managing technical details.

My background: Former Director at Perficient with 18+ years enterprise technology transformation experience leading strategic initiatives for major integrated health systems, academic medical centers, and Fortune 500 companies. Enterprise-scale strategic leadership adapted for multi-location healthcare organizations through efficient AI-augmented methodology.

Board-Level Technology Roadmaps: 3-year strategic plans aligned with growth objectives, acquisition technology due diligence, quarterly board updates.

Post-Acquisition EHR Consolidation: Multi-system integration planning, vendor selection and coordination, zero-downtime migration execution.

Multi-Location Technology Standardization: Process standardization across multiple locations, operational efficiency optimization, staff adoption and change management.

Vendor Coordination: I select best-fit vendors for your needs, coordinate implementation execution, manage vendor performance—you get CTO strategy + best-fit vendor expertise under single point of accountability.

Enterprise Technology Background: 18+ Years Building This Foundation

Before building an AI-augmented practice, I spent 18+ years in enterprise technology leadership—and that foundation matters.

I started at a helpdesk in 2007, knowing I wanted to solve complex problems with technology but not yet knowing how. Over nearly two decades at companies including Northridge Systems (acquired by Perficient in 2012), Troutman Sanders, and most recently Perficient (where I rose to Director of Cloud & AI Platforms), I learned how technology actually transforms organizations.

How my enterprise expertise applies to healthcare specialty clinics:

App Modernization & Migration

I've led 40+ migrations and modernizations across .NET and legacy enterprise platforms at Perficient. I understand when to consolidate EHR systems after acquisitions, when to migrate vs. replace legacy practice management systems, when to rebuild vs. refactor, and how to make data migration decisions that protect clinical continuity. Enterprise application lifecycle expertise applied to healthcare: EHR consolidation across acquired practices, legacy practice management modernization, system integration architecture for multi-location operations.

Change Management

I've managed organizational transformation projects for Fortune 500 companies—understanding how work actually flows, addressing staff resistance patterns, and enabling adoption at enterprise scale. This expertise is critical for healthcare AI adoption where clinicians fear job replacement and workflow disruption. Applied to specialty clinics: Staff adoption playbooks for new EHR systems, training protocols showing clinicians retain control while gaining efficiency, workflow redesign balancing automation benefits with human validation requirements for clinical safety.

Digital Transformation

I architected digital transformation programs on Microsoft Fabric, Synapse, Databricks at Perficient—understanding when technology creates actual value vs. adding operational complexity. Critical skill for filtering AI theater from real AI value in healthcare. Applied to specialty clinics: Multi-location process standardization across clinic sites, workflow automation for referral intake and revenue cycle, cross-system integration architecture connecting EHR/practice management/billing systems, capacity optimization analytics identifying scheduling bottlenecks.

AI Advisory

I've developed AI governance frameworks at Perficient (Director, Cloud & AI Platforms) and built a 30+ agent system demonstrating AI-augmented professional services. I understand vendor AI claims vs. reality, responsible adoption frameworks, cost control strategies, and risk assessment in regulated healthcare environments. Applied to specialty clinics: Evaluating ambient clinical documentation vendor claims, assessing AI scheduling/billing automation, building HIPAA-compliant AI governance, preventing Medicaid clawbacks from improper AI documentation.

Notable engagements: As Director at Perficient, I led multiple enterprise-scale platform modernization and migration projects for major integrated health systems, academic medical centers, Fortune 500 financial services and transportation companies, and large law firms—bringing cross-industry best practices to every engagement. This enterprise-scale experience informs my approach to multi-location healthcare technology leadership for specialty clinics managing post-acquisition consolidation and standardization.

My approach applies enterprise assessment frameworks to specialty clinic challenges: clinical documentation automation (analyzing documentation burden reduction while maintaining payer compliance), referral coordination systems (modeling cross-location capacity optimization), multi-payer revenue cycle optimization (identifying DSO and denial rate improvements), and EHR consolidation planning. The methodology adapts enterprise-scale assessment frameworks for mid-market healthcare practices through AI-augmented analysis.

I've managed distributed teams across the United States, India, and Latin America. That experience translating strategic direction into coordinated execution across time zones and cultures? It directly informs how I approach multi-location operational coordination for specialty clinics today.

Here's what matters from this background: I've seen what works at enterprise scale, and I understand how to adapt those patterns for mid-market organizations. I don't recommend technology because it's cutting-edge—I recommend it because I've implemented it successfully multiple times and know where the implementation risks hide.

AI-Augmented Methodology: Enterprise Results at Fractional Cost

I built a 30+ agent system to demonstrate the future of professional services.

I believed AI tools could augment—not replace—strategic consulting. That a practitioner using technology efficiently could deliver enterprise-quality results faster and at lower cost than traditional consulting firms. That transparency about methodology would build trust.

So I built it. AI tools for research, analysis, and pattern recognition, orchestrated through systematic processes and quality checks. Not a proof of concept—my actual business operations.

The architecture works like this:

  1. Task Planning: Issue-coordinator creates detailed plans with specific agent recommendations
  2. Multi-Agent Execution: Strategic-orchestrator coordinates specialists across domains
  3. Quality Validation: Quality-assurance-lead systematically reviews all deliverables
  4. Human Oversight: I validate every AI-generated insight against real-world applicability
  5. Client Delivery: Enterprise-grade deliverables at solo practitioner speed and cost

The results:

  • 14-day thorough assessments vs. 6+ weeks traditional
  • Research covering 50+ vendor alternatives vs. 10 typical
  • All locations analyzed simultaneously vs. sequential sampling
  • Systematic quality checks reduce errors
  • Solo practitioner economics with enterprise-quality results

I'm transparent about this approach because I believe the consulting industry is heading this direction. Solo practitioners and boutique firms will increasingly use technology to work more efficiently. Quality improves, costs decrease, speed increases. I'm proving this model works for complex, high-stakes consulting—and sharing the journey.

Why Healthcare Specialty Clinics?

I'm focusing on multi-location healthcare specialty clinics—pediatric therapy centers, behavioral health practices, outpatient rehabilitation facilities—because they face unique AI adoption and transformation challenges.

AI Adoption Challenges:

  • Vendor hype vs. reality: Vendors claim 90% efficiency gains; reality requires careful implementation
  • HIPAA compliance uncertainty: Most vendors have BAAs, few have proper PHI handling protocols
  • Staff resistance and fear: Change management needed to address job security concerns
  • Payer acceptance risk: Improper AI documentation can cause significant Medicaid clawbacks
  • Cost justification pressure: Need objective ROI analysis, not vendor marketing

Transformation Scaling Challenges:

  • EHR consolidation after acquisitions: Integrating multiple different EHR systems
  • Staff adoption resistance: Clinicians resisting workflow changes
  • Multi-location operational complexity: Standardizing processes across multiple clinic sites
  • Revenue cycle inefficiencies: Extended DSO and high denial rates vs. benchmarks

My enterprise healthcare background provides the AI Strategy expertise specialty clinics need but can't afford from Enterprise consultants. I bring enterprise AI governance and transformation expertise to mid-market healthcare through efficient AI-augmented methodology.

All future client work will operate under signed Business Associate Agreements with HIPAA-compliant protocols: de-identified operational data analysis, human validation before client-facing recommendations, comprehensive audit trails.

Clinical Operations Validation: Solutions That Work for Therapists

Enterprise technology expertise alone isn't enough—solutions must work in actual clinical environments with real therapists treating real patients.

My technology transformation expertise is complemented by insights from practicing clinicians, including my wife—a Doctor of Physical Therapy and Professional Development Director at a multi-location pediatric specialty clinic. This ensures every recommendation is validated for clinical workflow fit, therapist adoption barriers, and patient care impact.

What Clinical Validation Means for Your Practice:

  • Workflow Feasibility: Technology recommendations are reviewed against actual therapy clinic operations, not just technical specifications.
  • Adoption Viability: Solutions account for therapist workload constraints, training capacity, and job security concerns that drive resistance.
  • Clinical Language Accuracy: Assessments use terminology that matches how clinicians actually communicate, not IT consultant-speak.
  • Patient Care Focus: Technology changes are evaluated for impact on patient outcomes and family experience, not just operational efficiency.

Why This Matters

Most IT consultants design solutions that look great on paper but fail in real clinical environments. They don't understand:

  • • Why therapists resist EHR changes (not tech-phobia, but documentation burden)
  • • How professional development actually works in specialty clinics
  • • What referral workflows look like from clinical staff perspective
  • • Which training approaches therapists can realistically absorb
  • • How technology changes impact patient and family experience

I validate all recommendations with practicing clinical professionals to ensure they work in the real world, not just in theory.

You get enterprise transformation expertise grounded in clinical operations reality. That's the combination that makes technology implementations actually succeed.

How We're Different

Enterprise Discipline at Accessible Scale

You get Fortune 500 transformation rigor—zero-downtime migrations, structured change management, comprehensive risk assessment—without the $500K consulting fees. 18+ years leading complex implementations for American Express, Southwest Airlines, and major health systems, now focused on multi-location specialty clinics.

14 Days Instead of 6 Months

Traditional consulting: 6 months of interviews, workshops, and analysis. My approach: 30+ specialized AI agents process operational data, benchmark against healthcare best practices, and identify patterns in 14 days. You get the same depth of analysis, 12x faster, at 1/3 the cost.

Clinical Operations Validation

Most IT consultants design solutions that look great on paper but fail in actual clinical environments. Every recommendation I make is validated by practicing clinical professionals—including my wife, a Doctor of Physical Therapy and Professional Development Director at a multi-location pediatric specialty clinic.

This ensures technology recommendations account for therapist workflows, adoption barriers, training capacity constraints, and patient care impact—not just technical specifications. You get enterprise transformation expertise grounded in clinical operations reality.

Patient Outcomes, Not Just Tech Modernization

Technology for technology's sake doesn't improve patient care. Every recommendation ties back to patient outcomes: faster access to services (referral conversion), better documentation quality (patient care continuity), reduced therapist burnout (staff retention and quality), and sustainable growth (multi-location coordination). If it doesn't improve patient care or practice sustainability, I won't recommend it.

Values and Approach: How I Work

Authenticity

I don't make false claims. My expertise is enterprise technology leadership augmented by AI—not decades of healthcare specialization. Healthcare is where I'm currently applying the methodology because operational complexity makes it the ideal proving ground.

Results-Focused

I care about measurable outcomes. Assessments identify dollar-value opportunities. Recommendations include ROI estimates and implementation timelines. Technology selections balance capability, cost, integration complexity, and clinical workflow fit.

Cross-Industry Thinking

Healthcare specialty clinics benefit from best practices they've never seen—financial services approaches to revenue cycle optimization, legal sector matter management adapted to patient episodes, manufacturing lean principles applied to clinical workflows.

Transparent Methodology

I share my AI infrastructure publicly because transparency builds trust. Clients understand exactly how their assessments are developed, what AI handles, and where human judgment applies.

See how I work →

Ready to Work Together?

I offer four engagement tiers designed for low-risk entry and scalable growth:

Workshop: $2,995

4-8 hour workshop evaluating vendor AI claims, assessing organizational readiness, introducing governance frameworks. Low-risk test drive—no long-term commitment.

Full Assessment: $10,000

14-day comprehensive assessment covering four transformation pillars: app modernization, change management, digital transformation, and AI advisory. Equal expertise in each area (25% per pillar). 60-80 pages total.

Retainer: $12K-$16K/month

Ongoing AI advisory and transformation leadership. Vendor evaluation, governance development, implementation oversight. 3-12 month engagements. Limited Q1 2026 availability.

Transformation: $76,000-$120,000

Full AI strategy implementation plus comprehensive transformation delivery. 6-12 month programs for multi-location practices.

Let's talk if you're leading a multi-location specialty clinic and asking "What do we do about AI?" or wrestling with EHR consolidation, staff adoption challenges, or revenue cycle inefficiencies.