Military health, expeditionary medicine, and healthcare operations advisory — built on twenty-four years of Navy Medicine 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 U.S. Navy Command Master Chief and Master Chief Hospital Corpsman with twenty-four-plus years of operational and enterprise healthcare leadership. His career began in direct patient care as a hospital corpsman — practicing frontline medicine and documenting and managing service members' medical records — before rising to the Navy's most senior enlisted ranks. He founded 4T Solutions Group to bridge that frontline clinical expertise with executive-level strategy.
His senior leadership experience spans Navy Medicine headquarters, operational forces, training commands, and joint enterprise healthcare environments. Subject-matter expertise includes expeditionary medicine, military medical readiness, DHA transition initiatives, TCCC and trauma systems integration, and healthcare leadership.
That clinical foundation is exactly what shapes how RJ guides service members and veterans through the disability benefits landscape. Having practiced medicine and worked directly with military medical records, he understands how conditions are documented in service, how that documentation connects to a claim, and where veterans most often get lost — and he turns it into clear, practical education. He is a trusted advisor to senior military and healthcare leaders, carrying the same standard into every engagement: translating strategic objectives into executable operational outcomes.
Twenty-four years taught me that the plan always changes. What matters is whether the team is ready when it does.— 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.