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When Your Portco Needs a CGO, Not a CRO
Every board deck with flat growth says the same thing: "we need a CRO." Half the time, it's the wrong hire. I say this as someone who has carried the CRO title. The CRO is one of the most misdiagnosed seats in PE-backed healthcare. Boards reach for it whenever revenue disappoints, regardless of what's actually broken. CRO vs. CGO: different jobs A Chief Revenue Officer runs the revenue engine: pipeline discipline, forecast accuracy, sales leadership, pricing execution. You hi

Sarah Kerns
7 days ago2 min read


The 7 Commercial Red Flags PE Firms Miss in Healthcare Deals
Most healthcare deals don't blow up on valuation. They blow up on commercial assumptions nobody tested during diligence. I've sat on both sides of this table: the operator defending the forecast, and the advisor stress-testing it. The financial diligence is almost always excellent. The commercial diligence is where the expensive surprises hide. Here are the seven I look for first. 1. Founder-led revenue The top three customer relationships all run through the founder or CEO.

Sarah Kerns
7 days ago3 min read


Series B Healthcare Companies: The Commercial Playbook Investors Expect
Series B due diligence in healthcare is not about whether your product works. It is about whether your commercial engine can repeat itself without the founder closing every deal. Here is the playbook investors expect to see.

Sarah Kerns
Jul 144 min read


Why Healthcare Growth Stalls After the Deal
Most healthcare companies do not have a growth problem. They have an operating model problem. The market opportunity may be real, but revenue slows when sales, operations, pricing, and leadership stop working as one system.

Sarah Kerns
Jul 134 min read


Before You Hire a CRO, Read This
Most growth-stage healthcare companies open a CRO search about a year before they should. A 25-year healthcare revenue leader shares the five questions to answer before you spend six figures on the hire.

Sarah Kerns
Jul 23 min read


Fractional CRO vs. Full-Time CRO: The Real Cost Math for Healthcare Companies
A full-time CRO hire in healthcare runs well past $500K a year once you count salary, bonus, equity, and ramp time. The mis-hire risk is the number nobody budgets. Here is the honest cost math on fractional versus full-time revenue leadership, and when each one is right.

Sarah Kerns
Jul 23 min read


Selling to Health Systems: How Enterprise Healthcare Deals Actually Get Done
Selling to health systems is not a longer version of selling to anyone else. It is a different discipline. The buying committee, the budget cycle, the business case, and procurement each kill deals on their own. Here is how enterprise healthcare deals actually get done.

Sarah Kerns
Jul 23 min read


Healthcare Revenue Growth Strategies: How to Drive Revenue Growth in Healthcare
Revenue growth in healthcare comes down to execution: a repeatable enterprise sales model, disciplined pipeline math, and pricing that holds. The strategies that actually move the number.

Sarah Kerns
Jun 94 min read


Why Go-To-Market Strategy Fails in Healthcare
Most healthcare companies do not fail on product. They fail because sales, marketing, and operations never align around one go-to-market strategy. How to build one that scales.

Sarah Kerns
May 252 min read


Do You Need a Chief Revenue Officer (CRO) for Your Healthcare Company?
Somewhere between $5M and $25M ARR, every board asks the CRO question. Hire full-time, go fractional, or wait? A practical framework for healthcare founders.

Sarah Kerns
May 233 min read


Fractional CRO Services for Healthcare Companies | Harborline Growth Advisory
Healthcare companies with lumpy revenue rarely have an effort problem. They have a structure problem. What a fractional CRO actually does, and when it makes sense.

Sarah Kerns
May 226 min read


The 90-Day Commercial Reset for Post-Acquisition Healthcare Companies
The acquisition closed. Now the commercial clock is running. How post-acquisition healthcare companies reset sales, pricing, and pipeline in the first ninety days.

Sarah Kerns
May 223 min read


What PE Investors Actually Want From Your Commercial Team
PE investors are not asking whether you have good salespeople. They are asking whether your revenue system produces a predictable outcome at a known cost. What they look for.

Sarah Kerns
May 223 min read


Five Signs Your Revenue Architecture Has Stopped Scaling
Rising acquisition costs, slipping deals, pipeline that looks fine on paper: the early warning signs that your revenue architecture has stopped scaling, and what to do about each.

Sarah Kerns
May 223 min read


The Four Questions That Define Revenue Leadership
Growth slowed, and four executives give four different answers. The four questions that separate real revenue leadership from a soft-quarter explanation.

Sarah Kerns
May 174 min read
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