Borrow

Borrow Our AI Talent

You can't hire a Power Platform developer to a rural health center. You can't justify a full-time BI analyst on an FQHC budget. But you still need the work done. Scale Street's Borrow services give you fractional access to Microsoft-certified AI specialists, embedded with your team, on your schedule, for as long as you need them.

Team collaboration on healthcare projects

Borrow is not project-based consulting. It's not a one-time engagement where someone builds a thing and disappears. It's ongoing, embedded access to a specialist who learns your workflows, your data, your people, and becomes a part of how your organization operates.

Think of it as hiring the person you need without the recruiting, onboarding, or benefits overhead.

A dedicated specialist (not a rotating team of junior consultants)
Predictable monthly engagement with defined hours
Healthcare-specific expertise (we only work in healthcare)
Microsoft-certified team (Power BI, Power Platform, Copilot, M365)
Flexible terms (no long-term lock-in required to start)

Borrow Roles

Fractional Chief Transformation Officer / Chief AI Officer

For organizations that need senior leadership to define and drive their AI strategy. Your fractional CTO/CAIO assesses organizational readiness, builds an AI adoption roadmap, aligns AI initiatives with strategic priorities, advises executive leadership and the board, and ensures your AI investments deliver measurable outcomes. This is the person who owns the "why" and the "what" so your team can focus on the "how."

Best for: FQHCs and rural hospitals that lack a senior technology or innovation leader, organizations preparing for Rural Health Transformation Program initiatives, and networks looking for strategic guidance across their member organizations.
Request This Role

Fractional AI Project Manager

For organizations that have AI initiatives underway (or about to launch) but no one dedicated to managing them. Your fractional PM coordinates deployments, manages timelines and stakeholders, tracks adoption metrics, removes blockers, and keeps AI projects moving. Whether it's a Copilot rollout, a Power Platform build, or a training program, your PM makes sure it actually gets done.

Best for: Organizations juggling multiple AI or technology projects without dedicated project management capacity. Especially valuable during Copilot deployments, Power Platform implementations, or RHT-funded technology initiatives.
Request This Role

Fractional AI Analyst

For organizations drowning in spreadsheets, manual reporting, and underused tools. Your fractional analyst builds Power BI dashboards, automates UDS and quality reporting, configures Copilot workflows, develops Power Automate processes, and turns your data into decisions. No more pulling reports by hand. No more month-end scrambles. No more paying for tools nobody uses.

Best for: FQHCs that need UDS reporting modernized, rural hospitals that want real-time operational dashboards, organizations with low Copilot adoption, and networks that need standardized reporting across member organizations.
Request This Role
Recommended

Comprehensive Bundle

For organizations that need more than one of the above, or that want a single fractional technology partner covering strategy, project management, and hands-on analytics. The Comprehensive Bundle gives you a coordinated team that owns your entire AI adoption effort from roadmap to execution.

Best for: Organizations going through a technology modernization or those preparing for the Rural Health Transformation Program's technology initiatives.
Let's Design a Bundle

Shared Fractional Talent Across Your Network

PCAs and HCCNs can contract Borrow services on behalf of multiple member organizations. A single Fractional BI Analyst can serve several health centers in a network, building standardized dashboards and reporting across all of them, at a per-organization investment that none of them could justify alone.

This is one of the most efficient ways to close the AI talent gap at scale. Your network provides the coordination. We provide the talent.

Design a Network Borrow Program
Health center network collaboration

Frequently asked questions

How quickly can a specialist start?

Most engagements begin within 2-3 weeks of contract signing. We match you with a specialist based on your specific needs and tech stack.

Do we need to have Power BI / Power Platform / Copilot already?

Not necessarily. If you have Microsoft 365, you likely have access to many of these tools already. We'll help you assess what's included in your current licensing and what (if anything) you'd need to add.

Can we start with one role and add more later?

Absolutely. Many organizations start with a single specialist and expand as they see results.

What if we need more hours than a standard engagement?

The Comprehensive Bundle covers expanded scope. For anything beyond that, we'll design a custom engagement.

Is there a minimum commitment?

We recommend a 3-month minimum to see meaningful results, but we don't require long-term contracts to get started. The work speaks for itself.

How much does it cost?

Engagements are scoped to your organization's size, needs, and hours required. Let's have a conversation and we'll put together a proposal that fits your budget.

Not sure what role you need?

Most organizations know they have a gap. They just aren't sure what to call it. Tell us what's not working, and we'll recommend the right fit.

Schedule a Conversation