Back to Dr. Wano

Specialist support, agreed when needed.

Dr. Wano leads the operational advisory work. Where a practice needs additional finance, growth or technology support, specialist work can be scoped separately with 4xLeverage. Agree the responsibilities, deliverables and fees before that work begins.

4xLeverage

COO-led operations team

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Finance, growth and technology expertise.

These are areas of specialist capability that may support a practice. They are not automatically included in the Practice X-Ray, Install or Run engagement.

Finance

Clarity and control for the practice you want to build.

Run with financial control

Accounting, cash management, budgeting, financial controls and forecasting.

Fund organic growth

Support organic growth with capital planning and lender readiness.

Plan your next chapter

If you choose to buy another practice or prepare for retirement: acquisition or transition planning, due diligence and data-room preparation, on your terms and timeline.

Growth

From market strategy to ongoing execution.

Set the direction

Positioning, brand and channel strategy.

Bring the strategy to life

Content and video production, campaigns and paid media.

Build lasting relationships

Lead generation, conversion, CRM and patient retention.

Technology

Technical leadership guides security, reliability and scale.

Build systems that fit

From technical strategy to working systems: custom software, applications and internal tools.

Connect the business

Databases, integrations and APIs bring systems together.

Put automation to work

AI and workflow automation, connected through technical leadership.

Leadership background

PwCMicrosoftTuck at Dartmouth

Your priorities set the work.

Dr. Wano and the practice owner agree which support is needed, who is responsible and how progress will be measured. Any additional specialist engagement has its own agreed scope.

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