Military health, expeditionary medicine, and healthcare operations advisory — built on twenty-four years of Leadership and Military Health experience.
Not a brand exercise. A set of standing orders that govern how we staff teams, write proposals, and report progress to senior sponsors.
Earned at the deckplate, kept in the boardroom.
Trusted advisor experience supporting senior military and healthcare leadership. Every engagement begins with a candid assessment and a written commitment — we surface risk and stand behind our recommendations long after the deliverable ships.
Joint-force discipline applied to civilian missions.
Cross-functional leadership honed across Navy Medicine headquarters, operational forces, training commands, and joint healthcare environments. We embed with your people and replace consulting theater with operational tempo.
The work after the work is the work.
Forged leading cross-functional teams through high-risk operational and expeditionary environments. Hard programs fail in the last ten percent — 4T is built to finish through reorganizations, continuing resolutions, and leadership turnover.
Modernization that survives the next administration.
Organizational transformation and change management aligned with DHA integration efforts and MHS modernization. We translate strategic objectives into executable operational outcomes that compound long after we leave.
We work in four practice areas. Each engagement is led by a partner with operational time in the chair — not a junior team running plays from a binder.
Senior advisory support across MHS and DHA transition initiatives. Subject-matter depth from Navy Medicine headquarters, operational forces, and joint enterprise healthcare.
EXMEDS consulting and TCCC / trauma systems integration support. Direct experience leading cross-functional teams through high-risk operational and expeditionary environments.
Performance improvement and PMI-aligned program / project management for healthcare organizations. We translate strategic objectives into executable operational outcomes — not slideware.
Training command experience translated into modernized curricula, readiness alignment, and competency-based development for medical and operational forces.
Trusted-advisor support to senior military and healthcare leadership. Leadership development, executive coaching, and decision support grounded in 24+ years of command.
Education-focused coaching helping service members and veterans understand, navigate, and document disability benefits. We guide — we are not a claims agent.
RJ Galgana is a retired US Navy Command Master Chief and Master Chief Hospital Corpsman (FMF) with more than 24 years of distinguished service leading military healthcare operations, enterprise readiness, and executive-level strategic initiatives. He began his career as a Hospital Corpsman, providing frontline patient care while also serving in healthcare administration, medical records management, radiology, expeditionary medicine, and trauma care across operational environments. Building on that diverse clinical and operational foundation, RJ advanced through every level of enlisted leadership before attaining the Navy's highest enlisted rank, where he served as a senior executive advisor responsible for leading organizations, developing leaders, and driving strategic initiatives across the Navy and military healthcare enterprise.
Throughout his career, RJ led complex organizations across Navy Medicine headquarters, operational forces, training commands, and joint healthcare enterprises. His expertise spans expeditionary medicine, military medical readiness, Defense Health Agency (DHA) transformation initiatives, Tactical Combat Casualty Care (TCCC), trauma system integration, organizational leadership, and strategic planning. He has advised senior military leaders on initiatives that directly improved operational readiness, medical capability, and enterprise performance across the Department of Defense.
RJ founded 4T Solutions Group to combine decades of operational healthcare experience with executive leadership and strategic consulting. The firm's mission is to help organizations and veterans navigate complex challenges through disciplined planning, operational excellence, and practical execution.
His clinical background provides a unique perspective when educating service members and veterans about the VA disability benefits process. Having personally treated service members and worked extensively with military medical documentation throughout his career, RJ understands how medical evidence is created, documented, and maintained—and why that documentation matters long after military service. He helps veterans better understand the relationship between their medical history, military records, and the evidence required to support a well-developed claim, empowering them to make informed decisions throughout the process.
Known for his calm leadership, disciplined execution, and mission-focused approach, RJ continues to advise organizations and individuals by transforming complex challenges into practical, executable solutions. Whether supporting healthcare modernization, organizational strategy, or veteran education, he remains committed to one principle: preparation, leadership, and execution produce results.
Preparation creates confidence. Leadership inspires trust. Execution delivers results.— RJ Galgana, Founder
Briefings are offered without obligation. We will tell you within one session whether we are the right firm for the work in front of you — and who is, if we are not.