1440
Clinically aligned advisory, coordination, and continuity services.
1440 Advisory Group is a private, referral-based advisory firm supporting complex, high-stakes situations where continuity and responsibility must remain clear across providers, environments, and decision-makers.
Position
1440 Advisory Group operates alongside licensed medical providers, as well as legal and institutional counterparts, to reduce breakdown at transitions, handoffs, and points of misalignment.
The firm is intentionally selective, discreet, and long-horizon in orientation.
Role
1440 functions as a central coordination and governance layer where responsibility is often diffuse.
- Maintain continuity across environments, providers, and phases.
- Clarify authority and decision rights.
- Coordinate execution and follow-through across stakeholders.
- Preserve alignment between clinical direction, family systems, and real-world conditions.
Clinical decisions remain with licensed professionals. 1440 ensures integration, continuity, and accountability over time.
Problem Domain
Even in the presence of capable professionals, complex situations frequently degrade due to system-level conditions:
- Fragmentation across providers or institutions.
- Loss of continuity during transitions (stabilization, discharge, return home, travel, work).
- Unclear ownership of decisions and escalation.
- Family or stakeholder dynamics that undermine stability.
- Absence of sustained oversight after acute risk resolves.
1440 exists to address these conditions deliberately and quietly.
Engagement Context
When appropriate
- Multiple providers, institutions, or jurisdictions are involved.
- Transitions present elevated risk.
- Oversight is required beyond episodic intervention.
- Authority and consent can be clearly established.
- Discretion and continuity are critical.
When not appropriate
- Required licensed care is not established.
- Expectations extend beyond advisory, coordination, or continuity roles.
- Authority, consent, or collaboration cannot be maintained.
Initial contact is referral-based and exploratory. Engagement proceeds only after alignment on scope, authority, and responsibility is established.