For B2B CEOs and Boards
Demanding
GTM Effectiveness
I help leadership teams prove which GTM investments actually drive revenue.
- Prove which GTM investments drive revenue using Causal AI – not correlation guesswork.
- Align entire GTM teams with the GTM Operating System used by leading B2B companies.
- Scale growth with frameworks that earn confidence in boardrooms.
Trusted by Revenue Leaders at Companies Including:
SERVICES
What we’ve learned working with companies like these:
It’s not that you lack great people or ideas; it’s that traditional attribution often gives you a false sense of what’s working. It splits credit without proving what truly drives results.
We’re not here to sell you vanity metrics. We’re a GTM advisory that’s passionate about understanding real cause and effect.
We help you see clearly where your investments actually create impact, so you can direct your resources to what delivers the most value for your stakeholders and your customers.
It’s about cutting through the noise, making smarter choices, and building a go-to-market strategy that actually works in the real world.
Why Strategic Partnership Delivers Better Results Than Traditional Consulting
I’ve chosen to align with GTM Partners and Proof Analytics because CEOs, CFOs, and Boards deserve more than opinions—they deserve clarity, accountability, and confidence in every growth investment.
- The leading authority on Go-To-Market strategy.
- Creators of the MOVE framework trusted by scaling organizations.
- Helps leadership teams align on where to play and how to win.
- The standard in causal AI for marketing, sales, and CX.
- Turns data into forward-looking, board-level insights.
- Tightens forecasts, reduces wasted spend, and improves capital efficiency.
As a certified GTM partner, David brings rare clarity to the most complex B2B healthcare business problems – helping leaders align teams, de-risk GTM investments, and accelerate growth.
Sangram Vajre
CEO & Co-Founder, GTM Partners
David turns GTM strategy into measurable business impact, and he’s one of the easiest leaders to work with.
Mark Stouse Chairman
CEO, Proof Analytics
Finally, a GTM OPERATING SYSTEM That’s AI-Informed and Expert Facilitated
We’re obsessed with helping our clients achieve Go-to-Market clarity.
Healthcare and other mission–driven organizations are risk-adverse. Navigating external headwinds, crosswinds, and lag is complicated. Through our partnership with Proof Analytics (Causal AI) and GTM Partners (Go-to-Market research and OS), you gain the confidence and clarity to thrive in complex and competitive environments.
Define your ICP & prioritize segments
stop chasing the wrong customers.
Build a roadmap around your highest-value products
focus on what drives real revenue.
Develop a differentiated point of view
stand out instead of competing on price.
Implement a GTM motions playbook
repeatable plays that actually work.
Accelerate ROI & time-to-value
turn customers into advocates, fast.
Focus on data-driven customer and product insights
fuel NRR growth.
Create an executive GTM dashboard
full visibility, no surprises.
Align teams with clarity & trust
move faster, execute better.
What Clients Have to Say
I highly recommend David for any organization seeking a knowledgeable, strategic, and articulate GTM leader in the medical and healthcare spaces.
Greg Kaye Partner,
Blue Craze Media
David has brought a wealth of knowledge and wisdom to our company. He took the time to understand who we are, where we are currently at, and where we want to go before sharing his expertise.
Michelle “MACE” Curran
Professional Speaker
I have worked with David for well over two decades and found him to be an innovator, insightful industry leader who focuses on measurable results.
Todd LeDuc CEO,
Life Scan Wellness Centers
READY TO BEGIN?
Here’s how I can help....
GTM Alignment Workshop
See what’s really stalling your growth.
Modular GTM Sprints
Unlock Your GTM’s Full Potential
Strategic GTM Retainer
Build momentum. Sustain clarity. Evolve with confidence.
Discovery
Differentiation
Development
ABOUT US
David LaCombe
FRACTIONAL GTM OFFICER | SPEAKER | AUTHOR
We’re not here to do what everyone else is doing. We exist to help companies question what others accept without thought.
We ask why before how. We break down the mental fences that keep businesses small and stay curious about what could be, not just what is.
Our job isn’t to hand you a plan and walk away. We’re your partners in doing the work. Strategy becomes clear, practical steps your team can actually execute.
We guide change with empathy and rigor, earning trust as we turn ideas into action.
FAQs
Have Questions?
We have answers
Quick answers to questions you may have. Can’t find what you‘re looking for? Get in touch with us
What is a fractional CMO?
A seasoned GTM executive who embeds in your leadership team to prove marketing’s causal impact on revenue, margin, and cash flow. I unify revenue teams around shared outcomes, establish counterfactual measurement systems, and connect strategy to execution. You gain 20+ years of ecosystem-building expertise without full-time overhead.
How much does a fractional CMO cost?
$10,000–$15,000 monthly for strategic leadership versus $250,000–$375,000+ annually for full-time CMOs. You access proven expertise in reversing churn, launching products, and building growth ecosystems—while eliminating the 25% ineffective GTM spend standard. Investment delivers 120%+ ROI through reallocated budgets and causal optimization.
When should I hire a fractional CMO?
When you need seasoned leadership to prove marketing’s revenue impact, unify fragmented GTM teams, or reverse profit-killing churn. Ideal for B2B companies ($5M–$100M ARR) with product-market fit but struggling with misaligned teams, unpredictable pipeline, or board pressure requiring CFO-grade accountability without executive capital commitment.
What does a fractional CMO do?
I lead your GTM function: unifying product, marketing, sales, and customer success around causal measurement of revenue contribution. Build counterfactual models proving what’s working, coach teams, reverse churn, launch products, and create ecosystems. Establish marketing multiplier tracking across sales velocity, deal size, and margin expansion—delivering CFO-grade intelligence boards trust.
What’s the difference between a fractional CMO and a marketing consultant or agency?
I embed as your GTM leader—working side-by-side with your CEO. The CEO owns GTM, and I am accountable for strategy execution, coaching teams, and proving business outcomes through causal analytics. Consultants advise without accountability. Agencies execute tactics. I deliver both: unified revenue team leadership plus actuarial-grade forecasting of impact on margin, cash flow, and opportunity cost. Fractional CMOs speak CFO language.
How long does it take to see results from a fractional CMO?
Leadership clarity and quick wins emerge within 30 days. Measurable revenue impact appears within 90 days through causal modeling and team alignment. Full transformation—where unified teams, proven measurement systems, and compounding multiplier effects drive predictable growth—materializes over 2-3 quarters as capabilities mature and compound.
How do you measure the ROI of a fractional CMO?
Through causal analytics proving marketing’s multiplier effect on revenue, margin, and cash flow—not vanity metrics. I establish counterfactual models: “What would revenue be without this investment?” Then optimize based on evidence, eliminating waste, accelerating sales velocity, and reducing churn. Deliver actuarial-grade forecasts and CFO-certified impact that boards trust.
CONTACT US
Skip the costly 18-month learning curve.
Start with proven GTM frameworks that work.
Free 30-minute consultation.
We can’t fix everything in 30 minutes, but you’ll get peace of mind on how to fix your GTM problems.
What We’ll Explore Together
In this discovery call, we’ll review the most common causes of GTM breakdown, discuss the questions you want answered about your GTM, and highlight where you could use the most help.
No pitch. No pressure. Just clarity on what matters most to your growth.