Chief Operating Officer · Professional & Healthcare Practices

The MD who fixes P&Ls.

AI can now gather and analyze anything, at almost no cost. What stays scarce is judgment, taste, and agency — the operator who builds what he specifies.

See the Truth. Implement Actions. Achieve your Goals.

Victor Santoro, MD, MBA — black-and-white portrait

0% 25%

Peak net margin in nine months

7-FIGURE

Exit, five years from launch

4.4X 7.5X

Marketing ROI in 12 months

DOUBLED

Average sale value in six months

All figures from businesses I ran and measured myself. The recent ones come from a 20-person professional-services firm, tracked in a business-intelligence system I designed and built.

Proof

Three operating chapters

Chief Operating Officer · 20-person professional-services firm · May 2025 – July 2026

Hired to professionalize operations and restore profitability at a fully remote, owner-led firm. Took it from break-even to sustained double-digit net margins, with peak months above 25%, in nine months — cost discipline, incentive-compensation redesign, collections held near 100%, chargebacks at zero for six consecutive months, average sale value more than doubled. Rebuilt the intake funnel end to end. Supported the owner's repositioning and built out the new service line's operations, which grew from its first two clients to $32,500 a month in eight months.

74% 95%

Consult show-up rate in 9 months

Founder & Executive Director · Right at Home, Sun City Center FL · 2015 – 2021

Built a home-healthcare franchise from launch to a profitable, systems-run agency serving 200+ senior clients and families — licensure and compliance, clinical staffing at scale, scheduling economics, payer mix, full P&L ownership. Earned the franchise's Rising Star award for fastest revenue growth four consecutive years. Sold to a private-equity buyer in 2021.

$0 $1M+

Annual revenue · launch to private-equity exit

Co-founder & CEO · Profit Leap · 2023 – 2025

Built a business-intelligence and advisory practice for small professional-services firms — dashboards, diagnostic frameworks, and operating counsel for owner-operators. Clients averaged better than 50% year-over-year revenue growth. Exited by selling my shares to my co-founder in December 2025 to take a full-time operating seat.

50%+

Revenue growth year over year across the client base

Recognition

What owners say

“…grew from under one million dollars a year in revenue to over 2.5 million.”

Beth M. TibbottFamily law and criminal defense attorney · client · 2023

“A unique and uncanny ability to make you face things that are uncomfortable.”

Karen Brown WilliamsPresident, The Williams Firm, P.C. · client · 2023

“…identifies the two or three levers that will actually move your business forward.”

Charles LunaMarketing strategy · colleague · 2025

“…structure my business and understand my role as a founder, partner, and doctor.”

Marlon Monarim, MDInterventional radiologist and practice founder · client · 2024

Twenty-five recommendations, all from owners and colleagues who worked with me directly. Read them on LinkedIn.

Method

TAG — two endpoints and a line

The TAG method: See the Truth. Implement Actions. Achieve your Goals. The tagline spells the name; the method is a picture — where the business truly is on the left, where it has decided to go on the right, and the work that connects them drawn as the line. Most firms set the goal before they know the truth, so the goal is fiction: a point floating with no line to it. TAG will not draw the line until both ends are real.

See the method drawn in full →

The role I'm built for

A full-time operating seat

COO or CEO at a $2M–$20M professional services firm struggling with growth, profitability, or exit planning. Remote-first, some travel acceptable. An owner or founder who wants a true operating partner: honest counsel before decisions, complete execution after them.

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