Advisory retainer
A standing monthly relationship: scheduled working sessions, async access in between, and a thinking partner who knows your business cold.
Best for owners and founders who want steady judgment in their corner.
Six Seasons Advisors · Houston, TX
Every business
moves in seasons.
Six Seasons Advisors is the practice of Binod Shrestha, MD, MBA — an emergency and critical care physician who helped build a digital health company through to acquisition, then bought two small businesses and runs them today. Advice from someone who operates, not just advises.
Now in Nepal's calendar: Barsha — the downpour
MD, emergency & critical care MBA, Rice University 9-year digital health run to acquisition Owner-operator of two Houston businesses 1 patented patient dashboard
The approach
A year has six seasons.
So does a business.
In the calendar I grew up with in Nepal, the year turns through six seasons, not four — including the monsoon, when everything arrives at once. Businesses move the same way. Most advisors know one season well. I've operated through all six, and the work changes with each one.
Season 1 · Validation
Basanta — spring, first light
The idea is alive but unproven.
- Product–market fit and voice-of-customer research
- Market sizing and early business model design
- Clinical problem validation with the people who feel it
Season 2 · Launch
Grishma — summer, heat
Time to commit and go to market.
- Go-to-market strategy and positioning
- Pricing and ROI models buyers believe
- Launch playbooks and the first reference customers
Season 3 · Growth
Barsha — monsoon, the downpour
Everything happens at once.
- Pipeline, partnerships, and channel development
- Implementation at scale without drowning the team
- An operating rhythm for when demand outruns process
Season 4 · Evidence
Sharad — autumn, clear skies
Prove what you built.
- Medical affairs: KOLs, advisory boards, congresses
- Studies, registries, and publications that compound
- Turning outcomes into credibility — and sales
Season 5 · Transition
Hemanta — pre-winter, the turn
Ownership changes hands.
- Acquisition evaluation and due diligence
- Deal support for buyers and sellers
- Transition planning and the first hundred days
Season 6 · Stewardship
Shishir — winter, quiet work
The discipline nobody sees.
- Finance rhythm, dashboards, and close discipline
- Systems, staffing, and process that hold
- The steady operations that make spring possible
Two practices, one operator
Who I work with.
Different industries, one starting point: understanding the customer. From there, every engagement works the same four fundamentals — the 3Ps + P.
- Peopleemployees & clients
- Productwhat you sell
- Processeshow it runs
- Pricewhat it earns
Track one
Healthcare technology companies
HealthTech, MedTech, and therapeutics teams that need commercial and medical leadership without a full-time hire.
- Go-to-market & commercialization strategy
- Stakeholder analysis — mapping the buying committee
- Fractional medical affairs — KOLs, advisory boards, evidence
- Clinical strategy, study design, and publications
- Partnerships, business development & investor diligence
Track two
Small business owners & buyers
Owner-operated companies — and the people acquiring them — who want an advisor with his own P&L, not a framework.
- Owner-operator advisory — operations, finance & marketing rhythm
- Working capital & cash flow analysis
- Acquisition support — sourcing, evaluation & due diligence
- Transition planning and the first hundred days
- Small business M&A, buy-side and sell-side
- Practical AI — putting modern tools to work in daily operations
Operating record
Numbers from the field, not the deck.
$1M+
annual recurring revenue secured through health system and Fortune 500 channel partnerships
10%+
improvement in patient survival demonstrated in validation studies of a platform I helped commercialize
50
medical centers across three continents in an international trauma registry I direct
2
small businesses bought and operated as president — payroll, leases, and all
500+
clinicians and staff supported through product implementations and workflow redesign
6
podium presentations at national scientific congresses, built with KOL partners
About
A jack of all trades — on purpose.
For nine years I helped build a venture-backed clinical decision support company — from first customer through acquisition — leading business development, strategic marketing, and medical affairs. Partnerships, pricing, health system sales, evidence: the full commercial engine. The medicine came first — emergency and critical care in Kathmandu, then trauma research in the Texas Medical Center — and it still opens doors. But the last decade has been about one thing: making businesses work.
In 2024 I did something most consultants never do: I bought a business. Then another. I now run two owner-operated companies in Houston — hiring, pricing, payroll, leases, insurance, the works. That's the difference in the advice. Every recommendation I make is one I'd have to live with myself.
The generalist path has been the point all along. I've sat in the clinic, the lab, the boardroom, and behind the register — and businesses don't have department-shaped problems. They have seasons.
Ways to work together
Three shapes of engagement.
Every engagement is scoped in a conversation first. No hourly meters running — just a clear shape, a clear fee, and an operator on your side.
Fractional engagement
A part-time seat on your team — roughly a day a week as your medical affairs lead, commercial lead, or operating partner.
Best for companies that need the function before they can justify the full-time hire.
Project sprint
Fixed scope, fixed fee, real deadline: a go-to-market strategy, a diligence review, a commercialization roadmap — delivered in four to eight weeks.
Best for a decision that needs an answer, not a relationship yet.
Single-day workshops, advisory board facilitation, and expert consultations are also available.
Contact
Start a conversation.
Tell me where your business is and what's in the way. I read every note myself and reply within two business days — usually sooner.
- No pitch deck required. A few honest sentences are plenty.
- First call is free and useful either way.
- Prefer email? info@sixseasons.us