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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76% of Gen Z Turn to AI Before a Doctor: 2026 Aflac Survey
Seventy-six percent of Gen Z and 63% of millennials now turn to AI tools for health support before seeking professional medical care, according to Aflac’s…
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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…
Find resources by practice area.
The full library, organized by original publication date.
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Hopscotch Raises $53M to Scale Rural Value-Based Primary Care
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Nonprofit Hospital Margins Hit 1.5% in 2025 — But Fitch Warns of a Peak
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EHR Integration Overtakes Trust as the Top Barrier to Scaling Healthcare AI
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Park Dental Partners to Acquire Village Family Dental DSO, Entering North Carolina
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Google Opens Gemini Business-Profile Management to Multi-Location Accounts
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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