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For more than two decades, Ledges Advisory has built enduring executive and operational leadership within innovative start-ups. Rooted in software engineering and product development, the firm has grown into a hands-on executive partner.
Advising and playing roles such as Chief Operating Officer, Executive in Residence, and Board Member, Ledges Advisory has guided product, operational, sales, and financial strategy across multiple stages of growth. The firm delivers executive services and collaborates with founders and investors to raise capital, design actionable roadmaps, manage cash flow, and steer companies through each phase of growth with discipline and momentum.
Your Questions,
Answered
What exactly does Ledges Advisory do, and who is it for?
Ledges Advisory partners with early stage and growth stage med tech companies that need executive level thinking and execution, but are not ready or do not want to hire a full time executive. We work alongside founders and leadership teams to translate strategy into clear priorities, operating decisions, and forward motion.
Our work sits at the intersection of business, technology, and healthcare operations. That includes helping teams clarify direction, align stakeholders, make high impact decisions, and move critical initiatives from idea to reality. Ledges Advisory is best suited for companies navigating growth, complexity, or transition, where focus and experienced leadership matter most.
How is Ledges Advisory different from a traditional consultant or a fractional executive?
Traditional consultants often deliver recommendations and slide decks, then step away. Fractional executives typically fill a defined role with a fixed scope and cadence. Ledges Advisory operates differently.
We function as a true extension of your leadership team. That means rolling up our sleeves, staying close to the work, and sharing accountability for outcomes. The focus is not on producing materials, but on helping teams make decisions, execute effectively, and avoid common growth traps. The goal is momentum that lasts after the engagement ends.
What does an engagement look like, and how are services priced?
Engagements with Ledges Advisory are structured to be clear, flexible, and aligned with the realities of growing companies. Most engagements are scoped around specific goals or milestones and run for a defined period of time, often on a monthly or project basis.
We start by understanding your priorities, constraints, and desired outcomes, then design an engagement that fits your needs and stage. Pricing reflects the scope, intensity, and duration of the work, with an emphasis on transparency and predictability. There are no long term commitments unless they make sense for both sides.
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