Healthcare growth strategies,
curated for operators.
The news, research, and frameworks I return to most on growth, operations, and M&A across multi-site healthcare — curated and organized by function.
Handpicked from the library.
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ChatGPT Sends Under 1% of Google Organic Traffic: 2026 Data on 100 Sites
ChatGPT referrals equal just 0.62% of Google organic sessions, according to Marie Haynes’ analysis of 12 months of GA4 data across 100 websites and more…
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AI Search Visibility for Multi-Location Brands: 1 in 5 Locations Never Appear
Brand-level AI visibility scores hide the locations that never show up. In Birdeye’s study of 16,240 location-level ChatGPT scans across 1,762 multi-location brands, 18.6% of…
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How Heartland Dental Reached 2,000 Offices: Its Doctor-First Deal Rubric
Heartland Dental grew toward 2,000 supported offices by screening every deal on the doctor first, then the facility, then the market, and only then the…
Find resources by practice area.
Focused on marketing? Start with the healthcare marketing strategies overview.
Latest from the library.
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Medicare 2027 Final Fee Schedule: 2.31% Conversion Factor Cut and 20% Same-Day Visit Reduction
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PE-Acquired Hospices: Medicare Paid $993 More Per Encounter, Health Affairs Study Finds
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Private Equity Owns 561 U.S. Hospitals, 11.9% of Private Hospitals, per PESP Fall 2026 Tracker
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AI Citations Churn Daily: Ahrefs Tracked 37,500 Across Five AI Tools
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Patient No-Show Rates by Specialty 2026: Benchmarks From 17 Sources
Tools and original research.
Built when the reading raises a question worth modeling. Free, ungated, and open about method.
- Live toolPractice Valuation CalculatorA directional enterprise-value range from adjusted EBITDA and the drivers buyers weigh.Open →
- Live toolPatient Touchpoint Growth CalculatorSee how small gains at each funnel step compound into kept first visits.Open →
- Research DeskResearch DeskOriginal, sourced analysis on brand, access and the math of growth.Read →
- In the worksExplore by TopicAn interactive map of how the library connects across 22 topics.Coming soon
I’m Paul Gruensfelder, a healthcare growth operator. For 13+ years I’ve helped hospital systems, medical groups, and multi-site DSOs build patient acquisition, retention, and reputation programs — and 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.
This site is where I collect the research I rely on, and the workbench is where I turn the questions it raises into models and tools.
Work With Me →