For multi-site healthcare operators · Updated weekly

A curated library for
healthcare 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.

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About Paul

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.

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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