About
Clearstart was built for the messy middle.
You're past PMF. You're not yet at scale. You've got traction, but a number and system that still isn't moving the way it should.
We've been there, as the CMO, CRO, and COO inside growth-stage and PE-backed healthcare companies. So we built the team we wished we could've hired: senior operators, working together, accountable to revenue, all focused on driving change.
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Philosophies
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Collaboration
We have partners, not clients. Success is only found if we go through this journey together, combining our unique strengths to create extraordinary results that exceed expectations.
Leadership
We’ve seen it all, we know what it takes to win, and we help you get there. We'll handle the heavy lifting so you can focus on what you do best.
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Empathy
We know the late nights, the endless pivots, the constant question marks. That’s why we see you as you are — human. Together, we’ll navigate every challenge and celebrate all the wins.
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Adaptability
Startups move fast. So do we. We’ve thrown out the red tape most agencies plaster everywhere so you get what you need when you need it — because not everything can be planned.
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Results
We don't just solve problems; we prevent them. By taking the weight of marketing off your shoulders, we empower you to focus on what truly matters: scaling your business.
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The Team
Meet your new team.
Get to know the people you'll work with day in and day out, all as dedicated to your growth as you are.



Ashley Kent
Ashley is the Founder and CEO of Clearstart, which she launched in 2018 to support growth-stage healthcare companies. Her journey began as the first full-time hire at a venture-backed healthcare startup, where she managed everything from product and marketing to sales and operations. Living through that early stage showed her firsthand the intense strain leadership teams face when trying to hit aggressive revenue targets while managing day-to-day operations. She launched Clearstart with a clear mission: to build the specialized brand and marketing partner that early startups were missing.
After partnering with dozens of healthcare companies over the following years, Ashley recognized a recurring pattern—even the most compelling brand identity falls flat if the underlying commercial strategy isn't built to scale.
Realizing that marketing cannot operate in a silo, and that brand, GTM, sales, and RevOps must function as a single connected system, she shifted Clearstart’s focus. Today, Ashley has evolved the firm from a creative marketing agency into a full GTM partner that seamlessly bridges high-impact brand strategy with sales alignment, RevOps, and executive execution.
As a trusted advisor to founders and healthcare executives, Ashley helps leadership teams step back, evaluate their full business landscape, and turn growth ambitions into predictable, repeatable revenue engines.
Outside of leading Clearstart, she stays active in the healthcare community, spends time with her family, and even teaches barre classes.



Hope Del Santo
As Chief Operating Officer at Clearstart, Hope is a business operator and GTM leader focused on helping healthcare companies scale with clarity, alignment, and operational rigor. Over the past decade, she has partnered with founders and leadership teams across startups and enterprise organizations ($1M–$500M+) to connect high-level strategy with grounded execution across business operations, go-to-market, marketing, and client success.
At her core, Hope is a builder and problem solver who excels at stepping into ambiguity, identifying operational bottlenecks, and serving as the connective tissue inside growing businesses. Known for balancing strategic thinking with hands-on execution, she works closely with healthcare executives to establish the systems, process designs, and cross-functional alignment needed to move organizations from reactive execution to intentional growth.
Outside of building operational foundations at Clearstart, Hope lives in South Florida with her husband and two daughters, where you can find her weightlifting, doing hot pilates, or baking.



Damon Sgrignoli
Damon Sgrignoli serves as a Healthcare GTM Advisor at Clearstart, leveraging his affinity for creative thinking and persuasive storytelling to drive strategic growth across Health Tech, Payor, and PBM sectors.
Throughout his career, Damon has rapidly scaled sales, marketing, and product teams, building key partnerships and expanding market revenue across the startup-to-enterprise continuum.
His track record spans high-growth VC and PE-backed ventures—including Seed to Pre-IPO and IPO stages like Included Health, Omada Health, and Transcarent—as well as Fortune 500 enterprises such as Optum, Pfizer, Mercer, and Cigna/Evernorth. As an advisor, Damon specializes in designing and fast-tracking revenue engines for ambitious healthcare companies.



Isabella Garcia
As an Account Director, Isabella enjoys helping clients turn big ideas into thoughtful marketing strategies. She loves getting to understand the “why” behind a business challenge, asking thoughtful questions, and working alongside clients and teammates to bring ideas to life.
Before jumping into tactics, Isabella enjoys taking a step back to understand the bigger picture – who the audience is, what the business is trying to achieve, and how each piece of a marketing strategy connects. Whether she’s building a campaign plan, improving a CRM workflow, or helping shape messaging, she’s always looking for ways to bring more clarity and structure to complex projects.
Working with organizations across healthcare, SaaS, and professional services has given Isabella the opportunity to support a wide range of marketing initiatives – from campaign planning and content development to CRM optimization and go-to-market strategy. She enjoys collaborating across teams, finding creative solutions, and learning something new with every client and project.
When she’s not coordinating campaigns, organizing project plans, or living in a spreadsheet, you’ll probably find her catching up on her latest reality TV obsession, taking a reformer pilates class, training for her next race, planning a new trip, or exploring Austin, TX with her black lab, Penny.



Rachel Doll
Rachel is a healthcare marketer with experience helping organizations navigate growth, change, and commercialization. She partners with healthcare brands to execute integrated marketing initiatives, align tactics to business goals, and measure performance to demonstrate impact and ROI. Her experience spans provider organizations, digital health, healthcare technology, and membership-based organizations.
Rachel enjoys making complex healthcare solutions easier to understand and harder to ignore.



Madi Keck
Madi thrives at the intersection of design and execution. Give her a vision, and she'll transform it into a polished digital experience, owning every step from visual design through Webflow development. She's wired to see how all the moving pieces fit together—from interactions and responsive layouts to CMS architecture and performance—and refine each one until the experience feels effortless. She believes every website should feel like a natural extension of the brand behind it, not a template wearing someone else's clothes.
Although her background spans packaging, print, social campaigns, animation, and 3D design, the web is where she's most at home. It's the perfect blend of creativity and problem solving, allowing her to combine design thinking with front-end development to create websites that look beautiful, perform seamlessly, and feel intuitive from the very first click.
When she's not building the next fan-favorite website, you can find Madi in a Reddit thread helping people identify obscure typefaces, laying in the sun with Champ, her golden retriever, or somewhere near the beach with a bottle of Prosecco in hand.



Jules Gordon
As an integrated designer, Jules believes the strongest brands are built by understanding audiences, asking thoughtful questions, and bringing clarity to complex challenges. Don’t be surprised when a design conversation with her starts to drift more towards the strategy and systems that inform the visuals, rather than just the aesthetics.
Before she's thinking about colors, typefaces, or layouts, she's pressure testing ideas against strategy, messaging, and the real world they'll eventually live in. Like a sculptor considering a piece of marble, she explores every avenue before picking up the chisel.
With her experience working with enterprises and start-ups in the SaaS, Fintech, B2C, and nonprofit industries, she’s learned the identities that work are those that scale in real-life; rather than just look pretty on the page.
When she's not designing in Figma or presenting with her trusty podcaster mic, you'll probably find her hosting dinner parties, hiking Chattanooga trails with her husband, or delighting her teeny-tiny cavapoo, Miso, with her constitutionally-protected belly-rubs.



Maddy Keller
A healthcare marketer passionate about bringing ideas to life and creating meaningful connections, Maddy brings a hands-on approach to impactful marketing initiatives. Her experience spans content marketing, digital campaigns, and sales enablement, helping organizations simplify complex ideas, connect with their audiences, and achieve measurable growth. From crafting marketing resources and supporting campaign execution to delivering integrated initiatives, Maddy blends creativity with strategy to drive results for Clearstart and its clients.



McKenna Malott
As a Marketing and Operations Manager at Clearstart, McKenna helps healthcare businesses scale, execute, and stand out in a crowded market. Her career began in healthcare administration and medical aesthetic marketing, giving her a unique hybrid skillset: a foundational understanding of healthcare business operations combined with an intuitive sense for creative marketing.
McKenna bridges the gap between high-energy creative brainstorms and disciplined project management. She loves being in the room where ideas happen—whether that’s mapping out campaign concepts or designing memorable corporate event experiences—and then stepping in to build the operational structure needed to execute them. Dedicated to supporting her team and expanding her own scope across healthcare operations, McKenna takes pride in being a versatile, detail-oriented partner who turns big-picture goals into measurable results.
Testimonials
Let's build what's next.
We partner with a select number of clients at any given time. Inquire about our availability and discover if we're the right fit for your vision.
Not a form person? Email us at hello@theclearstart.com or give us a ring at 423-883-2002.













