Dave McNamee

I%27ve spent 25+ years running engineering and technology organizations inside regulated, mission-critical environments — Cisco, Allscripts, EverHealth, and now Spok — and I%27ve done it at every stage: hypergrowth, turnaround, and modernization. I bring pattern recognition that most advisors don%27t have because I%27ve actually lived the failure modes: I%27ve taken over organizations after systemic outages and rebuilt them to five-nines reliability, replaced 65% of a leadership team while holding voluntary attrition to 1%, and quadrupled transaction throughput on a platform processing hundreds of millions of healthcare transactions. I already operate at board level — I own the technical vision and strategy presentation to Spok%27s Cabinet and Board — so I know how to translate deep technical and organizational risk into the language a board needs to make capital and governance decisions. I also bring M&A and JV technical diligence experience (Joint partnerships, merger, IP and talent acquisitions) across all roles, so I can evaluate not just %22is the tech good%22 but %22is this a sound bet.%22

Where I add the most value:

Healthcare IT and health-tech companies — especially those wrestling with EMR/EHR interoperability (FHIR/HL7), platform consolidation of legacy + SaaS product lines, or scaling an engineering org through PE ownership or post-M&A integration. I%27m also well-suited to companies navigating AI adoption inside regulated, compliance-heavy environments (HIPAA, clinical workflows) who need someone who%27s evaluated AI/conversational-AI vendors seriously rather than chasing hype, and to companies facing a technical or organizational turnaround where the board needs someone who%27s rebuilt teams and products from a failing state rather than just advised from the outside.