top of page
ChatGPT Image Sep 21, 2026, 12_59_33 PM.png

Early decisions.
Long-term consequences.

Helping early-stage healthcare technology founders make commercial decisions today that create more possibilities tomorrow.

lecture

COMMERCIAL PROGRAMMING FOR FOUNDERS

Practical operator-led sessions designed around the commercial decisions that shape what comes next.

Early decisions shape what comes next.

Bring a downstream perspective upstream.

Early-stage companies are making decisions about markets, pilots, customers, pricing and growth long before they know exactly where those decisions will lead.

​

Bostonia brings experience from later-stage commercialization and scale upstream helping founders consider not only what gets them to the next milestone, but what those decisions make possible.

image_edited.png

Define the right problem, the right market and customer.

Validate value with the right customers.

Build evidence that drives buying decisions.

Position for funding and expansion.

Grow with intention and resilience.

ChatGPT Image Aug 18, 2026, 12_47_45 AM.png

FOUNDER SUPPORT

Founder Sessions

1:1 strategy sessions and office hours focused on the commercial decisions founders are navigating now.

image.png

Commercial Focus

ICP + Positioning

Pilot Strategy​

Commercial Proof

image.png

Workshops + Cohorts

Interactive, operator-led sessions that strengthen commercial decision-making across a founder cohort.

What Comes Next

From Pilot to Revenue

Building Commercial Proof

Founder Office Hours

image.png
image.png

Program Partnerships

Flexible commercial support designed to complement your existing accelerator, innovation or portfolio programming.

image.png

Accelerator Programs

Innovation Ecosystems

Investor Portfolios

Universities + Health Systems

AI Programming.png

AI founders building for healthcare face the fundamentals of commercialization—and a new set of questions around economics, pricing, trust, privacy, risk, governance, defensibility and incumbent response that traditional SaaS playbooks weren’t built to address.

THE 10 DECISIONS

10 early commercial decisions that can shape sustainable, repeatable, defensible growth.

Better decisions today.

Greater opportunity tomorrow.

image.png
founder guide ii.png

​A practical guide for looking beyond the immediate milestone and considering how early commercial decisions influence the path to scale.

MEET JULIE SPENCE

More than three decades operating across healthcare technology-from implementation and enterprise sales through commercialization, growth and scale.

​

The experience of seeing what happens later creates a difference perspective of the decisions founders make earlier.

EXPERIENCE AT SCALE

YEARS COMMERCIALIZING  HEALTH TECH

GROWTH-STAGE TO ENTERPRISE SCALE

PRODUCTS AND GROWTH INITIATIVES

M&A, EXITS
& IPOs

10M-500M

bottom of page