Private Advisory

For clinic founders and leaders ready to work directly in 2026.

This is a 12-month, one-to-one strategic partnership — designed for founders who need structure, judgement, and long-term alignment, not ad-hoc support.

The Problem

The business you built no longer behaves the way it used to.

At a certain point, growth stops feeling linear.

The clinic is running.
Patients are coming.
The team is in place.

Yet decisions feel heavier than they should.
Progress is harder to predict.
And the same issues keep resurfacing in different forms.

Not because the foundations were wrong —
but because the business has outgrown the structure it was built on.

What once felt like momentum now feels like resistance.

Shane Guna assisting a client.
The constraint

Why it doesn't fix itself.

Most advice is designed for building — not for what comes after.

It assumes clean systems, simple incentives, and problems that can be solved in isolation.

But once a clinic reaches real complexity, those assumptions break.

Changes ripple instead of resolving.
Optimisations create side-effects.
And leadership becomes the hidden bottleneck — not because of ability, but because of load.

At this stage, more tactics don’t restore clarity.

Only structure does.

How Advisory Is Different

Private Advisory is a bespoke, year-long partnership structured around outcomes, not sessions.

You and I work together at the level where growth actually breaks or compounds — not tactics, templates, or surface fixes.

This work happens inside strategy architecture, systemic operational clarity, pricing and positioning decisions, leadership judgement, and the structures that hold teams accountable as complexity increases.

This isn’t scripts or frameworks handed over and forgotten.
This is realignment at the source.

Key elements include:

Priority Access & Support: Context-aware guidance when decisions matter most.

Your 2026 Team Architecture: A living strategic plan that aligns leadership, team design, pricing, and delivery — and evolves as the business does.

Quarterly Structural Reviews: Focused 90 day implementation cycles to ensure systems evolve with growth.

Image of Shane Guna talking 
 with a client on location at a clinic.

This is the next step if you’re serious about 2026.

A working session to assess alignment and determine whether Private Advisory makes sense.