A curated library for
healthcare operators.
I created this library to help organize news and best practices around the frameworks, research, and thinking I return to most when navigating growth, operations, and M&A across multi-site healthcare. Organized by function. Updated regularly.
I’m Paul Gruensfelder, a healthcare growth operator with 13+ years scaling patient acquisition, retention and reputation/branding programs across numerous healthcare organizations spanning hospital systems, medical groups and DSOs.
Work With Me ?Handpicked from the library.
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AI Adoption Outpaces Governance: 63% of Health Systems Lack a Mature AI Strategy
Health systems are deploying AI faster than they can govern it: more than 90% now use third-party AI tools, yet only 44% have a dedicated…
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Dental M&A Rebounds: 175 Practices Sold in H1 2026 as Valuations Head Lower
Dental practice M&A activity rebounded in the first half of 2026, with at least 175 practice locations sold to DSOs, private equity groups, and other…
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Local Search in the Age of AI: 6 Moves for Healthcare Marketers
Winning healthcare local search now means appearing as the trusted answer across search engines, maps, and AI tools—not simply ranking on Google. Press Ganey outlines…
Find resources by practice area.
The full library, organized by original publication date.
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EHR Integration Overtakes Trust as the Top Barrier to Scaling Healthcare AI
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Google Opens Gemini Business-Profile Management to Multi-Location Accounts
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AI Adoption Outpaces Governance: 63% of Health Systems Lack a Mature AI Strategy
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CHG 2026 APP Workforce Report: 92% of Leaders Call Advanced Practice Providers Core Strategy
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DSO Deal Roundup: July 2026 Acquisitions, De Novos, and Platform Moves
I’ve spent most of my career helping healthcare systems and multi-site DSOs build patient acquisition programs, strengthen retention, and create the cross-functional alignment that makes growth stick.
What I find most interesting is how the biggest opportunities in this industry tend to live where departments connect. When patient access improves, care experiences get better, and teams work toward the same outcomes, growth follows naturally. And when healthcare organizations scale well, more people get high-quality care close to where they live. That’s always been the north star.
That belief is what shaped the PRS framework, an approach to building healthcare organizations genuinely poised for sustainable growth. This site is where I collect the research and thinking that informs it.
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