Analysis and field observations from a fractional CTO & CPO who has built, sold, and operated inside physical-world technology platforms — not from the sidelines.
Why chasing every hospital budget kills health tech companies before they scale, and the operator playbook for building durable, profitable product lines inside Mayo Clinic, Cleveland Clinic, Kaiser Permanente, and the rest of the top U.S. health systems.
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A 2026 M&A study found that culture and leadership misalignment, not synergy math, is what private equity investors now name as the top risk to deal value after close. Drawing on his own experience as both the founder who sold a company and the executive who ran post-acquisition integration, Matthew Johnson breaks down why acquisitions underperform, the psychology behind broken integration promises, and three operating principles that separate roll-ups that work from the ones that quietly don't.
You think your hospital's AI problem is a model problem. An airport just proved you wrong. A look at the psychology behind healthcare's blind spot on agentic AI, and the six question test that exposes it.
Bill Gates says there is no plan for the AI transition. He is right about the disruption and wrong about the panic, and the same pattern that took us from horse to car, and candle to light, already shows leaders how to adjust instead of freeze.
Fractional CTO & CPO engagements for PE-backed and founder-led companies in IoT, healthcare technology, and industrial monitoring.
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Co-founder of Bluvision, acquired by HID Global in 2016. Former VP of Product, IoT at HID Global. Managing Partner, Johnson Holdings Group.
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