The Operational MRI
$10K · 90 minutes · The exact changes that unlock speed and margin.
Post-PMF founders only.
Not once. Three times.
Omron Healthcare
They planned 300 hires to scale.
I built the systems instead.
10 people delivered what 300 were supposed to.
In half the time. 78% faster ops. 42% lower costs.
One of the largest RPM programs in America.
Oculus Health
Rebuilt how 400 Care Managers worked.
300% productivity improvement.
108% quality improvement.
Within 90 days.
NHCPS
Founded. Scaled. Exited.
$120K/month by day 90.
$1.5M net profit year one.
Served 200,000+ clinicians.
"Generated +$5M incremental net profit over our organizational KPIs for three consecutive years."Jeff Ray — Executive Director of Global Business and Technology, Omron Healthcare (2008–Present)
Personal reference; not proffered on behalf of Omron Healthcare Inc.
This is how market leaders are made.
Speed
Ship more. Iterate faster. Compound advantages before competitors wake up.
Quality
Fewer fires. Fewer escalations. Customers stay because the product works.
Margin
Overhead stops exploding. Profit scales with revenue. Reach Profit-Market Fit.
Sound familiar?
You didn't hire wrong. You're stuck where hiring is the only move you've got.
"Automation applied to an inefficient operation will magnify the inefficiency."— Bill Gates
Most founders scale the inefficiency. 10 people with better systems beat 300-person organizations. Every time.
Two playbooks. Two trajectories.
Same ambition. One wins.
The Default
Hire to grow
More coordination
More meetings
Slower shipping
Higher burn
Death spiral
The VentureIO Method
Systems before headcount
Clear ownership
Fewer syncs
Faster shipping
Controlled burn
Runaway leader
The difference isn't luck. It's what you build before you hire.
The Operational MRI
In 90 minutes, you'll know exactly where you stand.
Constraint Map
Not what you think is slowing you down. What's actually slowing you down.
Hiring ROI Matrix
Before you spend $400K on your next three hires, find out if they'll speed you up or add to the drag.
Trajectory Model
Here's where you end up if you keep going. Here's where you end up if you change. Real numbers.
Monday Plan
Three specific actions. Not a 50-page report. Things you can do this week.
Execution Credit: Full $10K applies toward implementation within 60 days.
Ready to stop hiring your way into a wall?
There's a different playbook. Let's see if it fits.
Let's TalkPost-PMF founders only.
Prefer email? john@vioperators.com