I'm Alex Kosik, MD — a seasoned health-tech entrepreneur, scaleup mentor, and angel with 19+ years of experience in executive leadership, board governance, and VC portfolio management. I have dedicated over 3,000 hours to mentoring investor-backed founders, guiding leaders through the toughest scaling challenges, and helping them thrive and win in fiercely competitive markets.
Let’s be honest—leading a company isn’t all vision boards and hockey-stick growth curves.
It’s late-night wrestling with operations and strategy.
It's tough calls, that keep you up and wondering if you’re steering the ship or patching leaks.
I’ve been there. I’ve done that.
And I know the ocean well enough to guide you through it.
About Me
I started my journey as a spine orthopedic surgeon, where precision, innovation, and resilience weren't just virtues - they were survival skills.
My career has been forged through pragmatism, grit, and serendipity. I’ve treated patients with quadriplegia, invented accessibility solutions, and even crossed paths with 'Superman' Christopher Reeve.
I’ve shared ideas with Bill Gates, delivered keynotes at G20 Summits, and earned recognition as one of the “10 Spine Orthopedic Surgeon Tech Entrepreneurs to Know.” My ventures have been backed by Intel Digital Health, Microsoft, and other global leaders for pushing boundaries in health tech and beyond.
Eventually, I traded surgical scrubs for a travel backpack and a suit, diving headfirst into the cutthroat world of technology entrepreneurship. Over the past two decades, I’ve scaled startups, raised capital, built high-performing teams, structured complex deals, sold products and services, managed portfolios, and wrestled with the relentless unpredictability of building businesses from scratch.
Here's the hard truth I've learned:
Competition is relentless.
Success is neither easy nor fair.
Projects that ignore ARR die quickly.
In entrepreneurship, cash flow is survival.
Best talent is already in demand and engaged.
'Fake it till you make it' often ruins reputations.
Strategic mistakes slip by and mount unnoticed.
Investors don’t just negotiate—they play hardball.
Overdiluted founders are replaced in their ventures.
With pragmatism, timely advice, and a laser focus, you can beat the odds and build something that lasts—even when the odds are stacked against you.
I’ve mentored hundreds of tech entrepreneurs fed up with advice that doesn’t match the stakes of their reality. I’ve heard their frustration with executive coaches recycling outdated corporate playbooks and psychology coaches who’ve never stared down a burn rate at 4 AM, but sell six-month retainers to “unlock your inner potential” while your runway evaporates. When the pressure is on—an investor showdown, a critical hire, or a do-or-die product launch—you don’t need a cheerleader or a mirror for self-reflection.
You need to execute. Your business needs clarity and answers. Now.
Today, I channel my hard-won experience to help founders who’ve hit their breaking point—those who’ve realized that saving the world doesn’t pay the bills and that it’s time to build something real, that delivers results, and actually pays off. After decades weathering the storms of entrepreneurship, I’ve earned the privilege of picking my battles. I’ve built an equity portfolio with sharp, driven founders who value blunt advice and have the grit to act on it. Now, I devote two office hours a day to mentoring external projects—not because I have to, but because helping founders sidestep the mistakes I made is far more rewarding.
My Philosophy
Here's the thing about entrepreneurship: It's a grind.There are no shortcuts. But with the right knowledge, you can tackle the challenges and come out stronger.
I cut straight to the heart of the matter with the precision of a surgical scalpel—eliminating noise, isolating business issues, and delivering actionable solutions. Because building something meaningful isn’t about funding or luck; it’s about showing up, making smart decisions, and thriving when others would falter.
My approach is rooted in three principles:
Realism Over Optimism:
Deal with what is, not what we wish it could be.
Execution Wins:
Fancy plans mean nothing without action. Focus on moving the needle.
Growth Through Grit:
Resilience is the difference between good ideas and great outcomes.
What I Do
No fluff, no hand-holding: just actionable insights and real-world experience. I work with founders to tackle the toughest strategic challenges in building and scaling high-impact ventures:
Ad-hoc mentorship:
Got a critical decision or a make-or-break deadline, or need unbiased advice?Book a 1-hr sessionfor rapid, experienced validation. Or a reality check.
Strategic advisory:
Your roadmap to success starts with asking hard questions and making tough calls. I help design strategies that work inthe real world.
Board alignment:
Boards are powerful allies. I can help set up your first board, bridge gaps, align priorities, and ensure governance actually drives value.
Scaling solutions:
Whether it’s designing new products, building teams, or exploring new markets, I bring a hands-on approach to sustainable growth.
Negotiations:
Facing a deal that could make or break your company? I’ll help you identify leverage points, cut the noise, and close the deal without losing your sanity.
Interim Leadership:
Need someone to step in and make an impact right now? I’ve taken thereins before. I can help stabilize, scale, or pivot your business.
Fractional leadership:
Part-time, equity-based CxO support tailored to address critical blind spots. Access to strategic executive expertise without the overhead.
Due Diligence:
I'll help you flip the script when investors scrutinize your business, identify redflags they’ll latch onto, and prepare confident answers that impress.
Subject Matter Expert:
Vetting an investment? I bring a sharp eye and a skeptical mind to uncover what’s real, and what’s wishful thinking, so you avoid expensive mistakes.
Let's Talk
No platitudes. No sugarcoating. Just sharp, experienced insights.Real talk about where you are, where you want to go, and how you get there:
Flat Rate:
$250/hour. Transparent and straightforward.
24-hour confirmation:
Your call slot will be confirmed within 24 hours.
5-day flexibility:
Calls are typically scheduled within five business days.
Urgent requests:
When time is critical, I prioritize your urgent needs.
Your agenda:
I focus on your business case. We tackle your real business challenges.
No-nonsense advice:
No lengthy reflections. Absolutely no couch-laying.
No strings attached:
No artificial waitlists. No retainers. No annual packages.
Your pace:
Whether you need one session or ongoing support, it’s entirely up to you.