goldscott
About · Independent · Partner-led · est. 1998

We work small
on purpose.

Goldscott is a 14-person retained-search firm built around one stubborn idea: the right hire is one of fifty people in the world, and you find them by knowing the field, not by posting a job. We've placed 240+ leaders since 1998 and we've never run more than ten searches at a time.

§ 01 · The story

A firm built
around discretion.

Founded 1998
New York · SF · London

Goldscott was started in a one-room office on Lafayette Street by two former hospital operators who'd grown tired of how loudly the industry hired its leaders. Job postings tipped off competitors. Generalist agencies sent the same six résumés to every health system. Confidential searches weren't.

So they built something quieter. A firm that runs every search like a private brief: a hand-built target list, partner-only outreach, references taken before the candidate's name reaches the client. Twenty-eight years later the model hasn't changed — we've just gotten better at it.

Today Goldscott places C-suite and senior clinical leaders at health systems, multi-state provider groups, payer-adjacent startups, and life-sciences operators. We don't post. We don't farm out. Every search is led end-to-end by one of our nine partners.

§ 02 · Practice areas

Where we
actually place.

Roughly two-thirds of our work sits in healthcare delivery and behavioral health. We turn down what we can't run well — if a brief lands outside our circle, we say so and refer.

01

Health systems & hospitals

CEOs, CMOs, CNOs, service-line presidents. Academic and community.

02

Behavioral & mental health

Multi-state outpatient, SUD, digital MH. Chief Clinical, VP Ops.

03

Provider groups & MSOs

Specialty roll-ups, multi-site primary care, dental and dermatology platforms.

04

Digital health & payer-adjacent

Series B–pre-IPO. CMO, CCO, VP Clinical Ops, Head of UM.

05

Life sciences operators

General Counsel, Chief People, Head of Medical Affairs. Pre-IPO and growth.

06

Board & advisory

Independent directors, clinical advisors, transition-period interim execs.

07

Confidential succession

Sitting-exec replacements where the incumbent doesn't know yet.

08

What we don't do

Tech engineering, mid-management, contingency, contract staffing.

§ 03 · How we operate

Six rules
we live by.

We wrote these on the wall in 1998 and re-read them at every partner meeting. They're how we decide which clients to take, which candidates to surface, and when to walk away.

01
The list is the work.

We don't post jobs. We build a named target list of 30–60 operators per search and approach each one personally. If we can't name fifty people who could do the job, we don't take the brief.

02
Partner-led, end to end.

One of nine partners runs every search start to finish. No researchers on outreach, no juniors at intake. The person you brief is the person who calls candidates.

03
Confidential by default.

Client name doesn't leave the firm until a candidate is shortlist-bound. Candidate name doesn't reach the client until references are in. NDAs on request, but assumed in spirit.

04
Ten searches, not fifty.

We cap active work at ten searches across the firm. It limits revenue and it's the point — we'd rather close one search a month than juggle thirty and close none.

05
No fee until kickoff.

First retainer is invoiced only after the brief is signed and the target list is approved. If we can't see a path to the hire in 90 days, we won't take your money.

06
Stay close through day 90.

Placement isn't a handoff. We check in with both sides at week one, week four, and day ninety. A bad first quarter is fixable if you catch it early.

§ 04 · Milestones

Twenty-eight
years on the brief.

A short, honest version. We've grown slowly, opened offices only when a partner moved cities, and stayed independent through three would-be acquisitions.

1998
Founded in New York by Mara Goldscott & Henry Scott-Aikens

One room. Three searches. A hand-cranked rolodex of 800 names from their hospital days.

2004
San Francisco office opens

Partner Tomás Liu moves west to follow the post-Medicare-Modernization-Act provider boom.

2011
100th placement

A CFO at a children's hospital in Cleveland. She's still there.

2017
Behavioral health practice formalized

Six dedicated partners. First search for a Chief Clinical Officer at a multi-state outpatient platform.

2021
London office opens

First non-US engagements with European digital-health operators.

2024
Declined a third acquisition offer

From a global retained firm. Partnership voted unanimously to stay independent.

2026
240+ placements, 14 staff, still partner-led

We're not looking to scale headcount. We're looking for the next ten searches we can do well.

Want to know if
we're the right fit?

Brief us informally

A 20-minute call with a partner is the fastest way to find out. If we're not right, we'll tell you and point you toward who is.