THE LEDGER
MKM-R-2026-014New edition: The State of Mid-Market Transformation 2026
01 / 04
MARKHAMConsultation

Expansion

Restructuring

Relocation

Separation

The move, made once, made right.LONDON · SYDNEY

By sector

By ownership

By territory

The firm

The move, made once, made right.LONDON · SYDNEY

The four gates

Check before entry

What breaks in year one

Briefings

The move, made once, made right.LONDON · SYDNEY

Research

Perspectives

Frameworks

Engagements

The move, made once, made right.LONDON · SYDNEY
The firm

Engagements

Selected case studies, anonymised where required, with outcomes stated only after they have passed verification. Every figure below survived an audit.

Documented continuously since 2022Outcomes verified against month-0 baselinesAnonymised under client clearanceFull case files available under NDA
Industry
Capability
Rebuilding a $220M logistics operating modelLogistics · 2024–2025 · Three drawn phases from diagnosis to verified outcomes across network, pricing and control tower.
+4.2ptEBITDA margin, verified
Throughput recovery in a two-plant industrial groupManufacturing · 2025 · Constraint mapping and cadence redesign, with no capital expenditure required.
+19%Throughput at month 9
Portfolio strategy for a regional insurerFinancial services · 2024 · Exited two lines, repriced one, and redeployed capital against a written strategy on a page.
2.1×Return on redeployed capital
Decision rights redesign in a hospital networkHealthcare · 2025–2026 · A ledger of who decides what, tested against the last ten decisions before adoption.
−54%Decision latency
ERP re-platforming under independent oversightManufacturing · 2025 · Selection, contract and delivery assurance with HolisticAutomation as delivery partner.
0Days of unplanned downtime at cutover
AI adoption as an operating-model programmeConsumer · 2026 · Demand forecasting and service automation, owned by the operating committee, priced per use case.
11Use cases in production
Rescuing a stalled network consolidationLogistics · 2023–2024 · Called in at month 14. Re-sequenced to one drawn phase, with delivery verified at month 26.
84%Of original case recovered
Post-acquisition integration of two lendersFinancial services · 2023 · First-100-days ledger, one operating model by month 8, synergies verified line by line.
112%Of synergy case delivered