Accelerating EBITDA Growth for Middle Market PE-Backed Companies

Proven Value Creation

$200M+

enterprise value created

through EBITDA expansion, cost reduction, and growth acceleration.

$10M+

annual EBITDA uplift delivered

across portfolio company initiatives

$120M+

in capital raised supported

with market intelligence and operational insights

$100M+

in accelerated cash flow

realized through revenue cycle optimization

What Clients Say

“Our company faced a unique challenge — we needed to gain consent from our clients to provide services from a global location while protecting our brand and strengthening trust. D4 helped us design a marketing-led consent campaign that elevated our value proposition, showcased our global capabilities, and reinforced our commitment to security and service. D4 moved quickly, listened deeply, and executed with the same care we bring to our own clients. They helped us tell a story that inspired confidence.”

– SVP of Marketing, PE-backed Healthcare Company

Industries

We focus our approach on providing transformation services across healthcare, life sciences, and private equity

Healthcare

Life Sciences

Private Equity

Consulting Services

Business Strategy

Refine decision-making with strategic insights

Sales and Marketing

Increase sales with customer and market insights

Process Redesign

Generate cost and process efficiencies with advanced methodologies

Technology Implementation

Connect your business and technology change initiatives expertly

Operational Excellence

Drive growth through operational excellence

Major Project Management

Turn ambitious plans into reality and capture outsized value

Insights

Offshoring in a highly regulated industry?

Build an integrated transformation team and communicate with clients proactively to address their concerns and highlight the benefits of offshoring.

Deploy account-level intelligence for a winning sales strategy

The deep knowledge provided by a single customer profile can be scaled to your entire existing portfolio and your targeted customer population, transforming your sales & marketing strategy.

Take a whole market approach to your sales strategy

Expand on a refined sales and marketing approach by scaling account-level customer profiles to your entire target market.

Get the edge with deep customer intelligence

Capture detailed customer insights to transform your sales approach and create a lasting competitive advantage.