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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Five Forces Shaping Dental Tech in 2026: Revere Partners’ Mid-Year View
Dental care demand is resilient—Americans spent $189 billion in 2024, tied for the highest annual total this century—but delivery margins are the tightest in years,…
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How Marketing Is Becoming a Health System Growth Engine
Health system CMOs are repositioning marketing as a growth function rather than a support function, with measurable revenue results. At UW Medicine, a digital self-referral…
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Thoreau’s Growth Investment in Ensemble Signals RCM Consolidation
Thoreau, the healthcare investment platform launched by former New Mountain Capital private equity president Matt Holt, has agreed to make a strategic growth investment in…
Find resources by practice area.
The full library, organized by original publication date.
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Five Forces Shaping Dental Tech in 2026: Revere Partners’ Mid-Year View
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How Marketing Is Becoming a Health System Growth Engine
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Deacon Associates Acquires 31 Hospice, Home Health Agencies From HCA Healthcare
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Health services M&A is active in 2026, but uncertainty slows volume: PwC
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ChartSpan-Validic Deal Signals RPM Platform Consolidation
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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