Fractional commercial team · Healthcare

Healthcare startups don't need another advisor. They need someone who's actually done the work.

OnBoard Healthcare Studio is a fractional commercial team for funded healthcare companies — built by operators who've run commercial, product, and technology inside the industry, not consulted around its edges.

We don't hand you a deck and a bill. We embed, build the engine, and move on once it runs without us.

Built by operators

The difference between advice and ownership

01

We've carried the number

Quota, P&L, launch dates. Our team has owned commercial outcomes inside payers, providers, and health tech — not observed them from a slide.

02

Senior hands, not a pyramid

The people in the kickoff are the people doing the work. No junior bench, no ghost staffing, no handoff to someone learning your market on your budget.

03

Built to be handed over

Every motion we build comes with the playbook, the data, and the hiring profile so your team runs it after we leave.

04

Speed that matches your runway

Funded companies are on a clock. We work in weeks against a defined commercial thesis, not open-ended retainers.

Founders

The operators behind OnBoard

The people you meet are the people who do the work.

Albie Salvatore

Co-founder

Albie has spent his career building and scaling healthcare businesses by staying close to the market — turning real feedback from customers, sales teams, and partners into products and commercial strategies that work. He has led teams across commercial, product, marketing, and technology, helping take new ideas from early market validation through launch and scale. At OnBoard, he works with founders to understand the market, sharpen the strategy, and build sustainable growth engines grounded in what customers actually need.

Connect on LinkedIn

Jeff McHugh

Co-founder

Jeff has spent his career building and scaling healthcare businesses, turning market opportunity into repeatable commercial growth. He has led go-to-market strategy, sales, partnerships, and market development across healthcare, with a focus on understanding how customers buy and building the teams and processes to reach them. At OnBoard, he works with founders to sharpen their commercial strategy, validate the market, and build sustainable revenue engines designed to scale.

Connect on LinkedIn

Testimonials

In our clients’ words

“We had a proven offering but needed the bandwidth and structure to scale it. OnBoard Healthcare Studio understood our market quickly, focused on what mattered most, and worked alongside our team to build the right commercial process. Within a few months, we had a clearer strategy, a stronger pipeline, and a team equipped to carry it forward on our own.”

President & COO, Innovation Arm of a Leading Health System

“OnBoard Healthcare Studio has been a true extension of our team, helping us turn a new product vision into a clear path to market. They’ve helped us identify the right technology partners, navigate integrations with leading EHR platforms, secure early pilot opportunities, and shape our go-to-market strategy. What sets them apart is their ability to work across product, partnerships, and growth — and then turn that strategy into real execution.”

Matthew Chaiken

Co-Founder BlinkRx - Leading Digital Pharmacy Platform

Capabilities

One team across the commercial surface

We scope to what's blocking revenue right now — and bring the rest of the bench when the constraint moves.

Go-to-market strategy

ICP definition, segmentation, pricing and packaging, and a channel plan grounded in how healthcare actually buys.

Sales engine build

Pipeline design, outbound motion, enterprise deal architecture, CRM hygiene, and forecasting your board can trust.

Payer & provider access

Contracting strategy, reimbursement pathways, pilot-to-enterprise conversion, and navigating committee-driven buying.

Product commercialization

Positioning, launch readiness, packaging tied to workflow value, and closing the gap between roadmap and revenue.

Technology & data

Integration strategy, EHR and interoperability realities, security review readiness, and a reporting layer that holds up.

Commercial leadership

Fractional CRO / CCO coverage, team design, comp plans, and hiring the permanent leader who replaces us.

Engagement model

Embed. Build. Transfer.

A finite engagement with a designed ending. Success is measured by what keeps running after we're gone.

  1. 1

    Embed

    Weeks 1–4

    We join the team, not the vendor list. Diligence on pipeline, product, and data; direct time with customers and prospects; a shared commercial thesis with the founders by week four.

  2. 2

    Build

    Months 2–6

    We build and run the engine in-market — messaging, pipeline, pricing, process, and the systems underneath. Real deals, real feedback, iterated in the open with your team alongside us.

  3. 3

    Transfer

    Exit

    Documented playbooks, instrumented reporting, and hired or trained owners. We plan our exit from day one and leave when the engine runs without us.

The OnBoard Brief

Curated healthcare news, strategy, and signals for healthcare leaders.

Illustration of a performance-based contract with a gold seal beside a rising chart

Issue 001 · October 2026

Your buyers just rewrote the contract. Most digital health companies haven’t noticed.

PHTI’s 2026 purchasing survey dropped this week. The headline: 57% of employers, health plans, and health systems now use performance-based contracts for digital health. 85% of those put at least a quarter of fees at risk.

And the metric vendors miss most often? Cost savings. The thing on the first slide of almost every pitch deck.

  • Your pricing model is now a risk model. If you can’t say which outcomes you’ll stake fees on, a buyer will pick them for you.
  • Your engagement numbers need to hold up to someone else’s claims data. “Enrolled” doesn’t count anymore. Active use and clinical milestones do.
  • Your sales team is negotiating actuarial terms. Most were hired to run demos.

Budgets are flat for most purchasers, and they’re cutting the number of vendors they keep. The companies that survive the next renewal cycle will be the ones that built contracting, measurement, and reporting into the commercial engine, not bolted on after the pilot.

We’ve sat on the buyer side of these deals. If you’re rethinking how you price and contract, tell us what’s stuck.

Source: Peterson Health Technology Institute — 2026 State of Digital Health Purchasing

Contact

Tell us what's stuck

Send a short note about the company and the commercial problem in front of you. If we're the right team, we'll come back with a point of view — not a proposal template.

  • — We work with funded healthcare companies, Seed through Series C.
  • — Engagements typically run three to six months.
  • — We take a small number of clients at a time.