24+
HOURS SAVED PER CLIENT / WEEK
40%
REDUCTION IN OPERATIONAL CHAOS
30–50%
LEADERSHIP BANDWIDTH RECOVERED
$500K–$50M
CLIENT REVENUE RANGE SERVED
01 · DIAGNOSIS
If your business depends on you to function, the issue isn't effort. It's operational design.
Most of the founders we work with are running $500K–$50M businesses in healthcare, wellness, aesthetics, and professional services. They're not lazy. They're not undisciplined. They're stuck with a business that can't function without them; and that's a design problem, not a work-harder problem.
01
Decisions bottleneck at the top
Every question, every escalation, every "quick check" routes back to you. Your team is capable; they just can't move without you.
02
Teams stay busy, but don't own outcomes
Everyone's working. Nobody's accountable for results. Tasks get done; the goal doesn't.
03
Revenue slows when you step back
Vacation, illness, focus time, family. Anything that removes you from the day-to-day quietly costs you money.
04
Ops, billing, or compliance feel fragile
The systems technically work. They also technically break. You've built a business you can't hand to anyone without a briefing.
05
Growth added complexity, not structure
More clients, more team, more tools. None of it made the business easier to run. It just added surface area.
06
Hiring keeps not solving the problem
Another admin, another coordinator, another ops manager. They still need direction. Direction is the missing piece.
This isn't fixed by hiring another admin, coordinator, or ops manager. Those roles still require direction. Leadership creates direction.
02 · WHO WE SERVE
Two kinds of leaders. One embedded team.
RNR is built for two audiences: founders scaling a business, and fractional executives scaling their own book of clients. The pain is different. The prescription is the same. Embedded operations.
FOR FOUNDERS
Founders building past themselves.
Healthcare, aesthetics, wellness, and service-based businesses running $500K–$50M. The kind of founder who's ready for structure, but not ready to hire a full-time COO at $250K+.
→ Fractional COO leadership without full-time overhead
→ Ops team that runs day-to-day, so you don't have to
→ Systems that hold when you step away
→ Growth without hiring your way into more chaos
FOR FRACTIONAL LEADERS
Fractional executives who need a delivery team.
Fractional COOs, Chiefs of Staff, and Fractional CXOs who lead the strategy but need trusted operators behind them. RNR becomes your embedded ops team across client engagements.
→ Executive support and admin capacity across your book
→ Trained operators who can execute your frameworks
→ Coverage so you scale clients without scaling your hours
→ White-label option available for your engagements
TESTIMONIALS
03 · PRESCRIPTION
An operating team that lives inside your business.
This isn't transactional consulting. We don't drop off a deliverable and wave. RNR embeds as your fractional COO, your ops team, or your executive support, depending on where you are and what you actually need. Four ways in.
01
Fractional COO / CSO
EXECUTIVE LEADERSHIP · EMBEDDED
Strategic operating leadership inside your business. The person your team goes to instead of you.
• Weekly leadership rhythm, ownership assignments, and decision routing
• Growth strategy, operating cadence, and cross-functional coordination
• Direct oversight of ops, admin, and delivery teams
• Best fit for founders $1M–$50M in revenue
GET PRICING →
02
Director of Operations
OPERATIONAL OWNERSHIP · EMBEDDED
Day-to-day operational leadership. Runs your systems, your team, your delivery. With you, not for you.
• Ops management, SOP development, and system maintenance
• Team coordination, hiring support, and performance tracking
• Vendor, tool, and workflow ownership
• Best fit for founders scaling past their first ops hire
GET PRICING →
03
Embedded Ops Team
FULL COVERAGE · 3 TIERS
A configured team inside your business: Ops Lead plus admin and delivery support, sized to your stage. Foundation, Growth, and Scale tiers available.
GET PRICING →
• Foundation: Ops Lead + 1 admin, for teams stabilizing
• Growth: Ops Lead + admin + specialist, for teams expanding
• Scale: full crew with vertical specialists, for teams building leverage
04
Admin & Executive Support
THE RIGHT HAND · STANDALONE
Trained, vetted, and managed executive support: inbox, calendar, client care, and the things that keep quietly falling off your list.
• Executive assistant with US-hours coverage
• Client-facing communication and coordination
• Managed by RNR, not “you're on your own after hire”
• Best fit for solopreneurs and fractional CXOs
GET PRICING →
04 · METHOD
Three phases. One durable operating system.
Every RNR engagement moves through the same three phases. It's not a template. It's an operating cadence built from years of running multi-state healthcare operations. It works because the sequence is right.
01
Realign
A deep-dive audit of the business as it actually runs today, not how the org chart says it runs. We map decisions, dependencies, and drag. You'll see your business the way we see it before we change anything.
↳ BUSINESS AUDIT + SYSTEMS INVENTORY
↳ FOUNDER DEPENDENCY MAPPING
↳ PRIORITY + OWNERSHIP AUDIT
02
Redesign
Custom operating frameworks built to your business, not generic playbooks bolted on. Decision rights, workflows, roles, and the cadence that ties them together. You approve; we build.
↳ OPERATING MODEL + ROLE DESIGN
↳ SOPS, TOOLS + SYSTEM ARCHITECTURE
↳ KPI + REPORTING FRAMEWORK
03
Reinforce
We run it with you. Weekly leadership rhythms, team accountability, live problem-solving. The system doesn't just exist; it holds. This is the phase most consulting engagements skip. It's the one that matters.
↳ WEEKLY OPS RHYTHM + LEADERSHIP CADENCE
↳ TEAM MANAGEMENT + ACCOUNTABILITY
↳ CONTINUOUS REFINEMENT BASED ON LIVED DATA
05 · PRINCIPLES
OUR GUIDING QUESTION
How does this strengthen the business behind the visionary?
Every decision we make inside a client's business runs through this one filter.
Right team = great business
01
02
Operational foundation = success
Good systems + great people + great strategy = growth
03
Visionaries dream. Operators execute.
04
MISSION
RNR is the trusted team behind growing businesses.
VISION
No visionary should have to build alone.
06 · MEET UCHE
Uche Ferguson
RN · BS · MBA · FOUNDER & COO
I built RNR because I've been on both sides of the “we can't scale like this” conversation.
Before RNR, I was a Registered Nurse who moved into multi-state healthcare operations leadership. My job was to keep clinical operations running across markets: through crises, growth, staffing failures, and everything in between.
Nursing trained me to assess quickly, prioritize under pressure, and lead teams when nothing is going to plan. Operations leadership taught me to build systems that hold. The kind you can hand to someone else without losing sleep.
RNR is what happens when you combine those two disciplines and point them at founders who need what I needed: not another vendor, not another consultant with a PDF. An operating team that steps inside the business and helps run it.
That's why we're embedded, not adjacent. That's why my tagline says “build alone.” Because I've seen what happens to founders who try.
REGISTERED NURSE · BS · MBA · MULTI-STATE HEALTHCARE OPS · FRACTIONAL COO · SYSTEMS ARCHITECT · EXECUTIVE LEADERSHIP · NURSE → COO → CEO · SPEAKER · AUTHOR, OPS LIFE · FAITH-DRIVEN · HOUSTON, TX
07 · PRICE IT YOURSELF
Before you book a call, know the math.
Most consulting sites make you fill out a form to find out what things cost. We built calculators instead. Configure the engagement you actually need, see the number, then decide if you want to talk.
FOR FOUNDERS
03
Admin &
Executive Support
Standalone executive support with US-hours coverage. Pick your hours, get your number. Perfect for founders who don't yet need a full ops team.
STARTING AT $1,800 / MONTH
02
Embedded
Ops Team
Foundation, Growth, or Scale. Choose the tier and see the full team configuration and pricing for a delivery pod inside your business.
THREE TIERS · FROM $4,500 / MONTH
01
Fractional
Leadership
Embedded operational leadership at two altitudes. Configure by scope, hours, and involvement level. See your monthly investment before the call.
FRACTIONAL CSO / COO FROM $6,500 / MO · DIRECTOR OF OPERATIONS FROM $3,800 / MO
Pricing for the business you're scaling.
FOR FRACTIONAL EXECUTIVES
The delivery admin behind your client engagements.
You've built the practice. You've secured the clients. RNR embeds a dedicated admin to support your engagements, so you stay in strategy and never touch delivery ops. Add more admins as your book grows.
PER ADMIN / MONTH
● 40 HOURS PER ADMIN / MONTH
● US-HOURS COVERAGE
● STACK MULTIPLE ADMINS AS YOUR BOOK SCALES
$1,000 flat
IDEAL FOR FRACTIONAL EXECUTIVES WITH 3+ ACTIVE CLIENT ENGAGEMENTS.
Need more capacity? Hours scale beyond 40/month, and pricing scales proportionally.
08 · CLIENT WORK
The math, in real businesses.
Healthcare Staffing · RNs & CNAs
Launching a healthcare staffing agency to $1.2M in year one
$1.2M
year-one revenue on an end-to-end operations buildout
Zero to a $1.2M staffing agency in twelve months. End-to-end operations buildout: systems, hiring pipeline, compliance backbone, delivery rhythm. The full operational stack that makes a startup actually run.
Healthcare Practice · Year 3 Startup
4× revenue growth through operational restructuring
4×
revenue multiplier, delivered by fractional operations + process design
A three-year-old practice that had hit a wall. We rebuilt the operating model, redesigned the process backbone, and unlocked a 4× revenue jump without adding leadership headcount.
Professional Services · Social & Content
Building social presence without adding headcount
3–7×
posts per week: planned, designed, scheduled, and monitored, no internal hire
A client with no bandwidth for social. RNR ran the full content operation: planning, design, automated posting, DM monitoring, and community engagement. Consistent brand presence without adding a marketing role to payroll.
Healthcare · Solo Provider
Scaling a nurse practitioner without burnout
1:1
operations admin support built around a solo clinical provider
A nurse practitioner who was the whole business. We built the admin infrastructure and daily operating rhythm that lets her deliver care and grow, without paying for it with her nights and weekends.
Professional Services · SOP & Policy Development
Creating foundational SOPs from scratch
0 → 1
operational documentation, built from zero
A growing company with no documented policies or procedures. We ran an operational assessment, then built the SOP foundation: onboarding, hiring, background checks, internal processes. Structure replaced guesswork; tribal knowledge became a scalable base for growth.
09 · SPEAKING
On stage.
Keynotes, panels, podcast conversations, and brand activations for founders.
AVAILABLE FOR
Keynotes · Panels · Podcasts · Activations
TALK 01
How Does This Strengthen the Business Behind the Visionary?
TALK 02
From Firefighter to Architect
TALK 03
The Embedded Advantage
TALK 04
Accountability Without Micromanaging
10 · OPS LIFE
The content brand for people who actually run things.
Ops Life is where the work gets written down. Kits you can use the same day, notes on what is actually breaking inside growing companies, and the tools we keep on the desk. Everything on it came out of running real operating teams, so nothing on it is theory.
Read the work
One idea at a time, from inside the work.
THE BLOG
Run the work
What an operator keeps on the desk.
THE SHORTLIST
Wear the work
A small edit for people who build things.
THE CAPSULE · SOON
11 · START HERE
Lead with efficiency. Grow with confidence.
A 15-minute discovery call. No pitch deck. We'll walk your business, identify the actual bottleneck, and tell you whether embedded ops is a fit. Or not.
OPS LIFE MONTHLY
One email a month. Real notes from inside the work. Unsubscribe anytime.