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Insights

Operator perspective, in writing.

Field notes on healthcare staffing M&A integration, operating models, and the work that builds firms worth buying. Drawn from twenty-seven years on every side of the table.

M&A Integration

How effective integration protects PE return

Integration is where return either gets built or quietly leaks. A look at the seams where the plan stops mapping to the work, and the operating discipline that protects the IRR.

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Training & Development

The realities of developing a remote workforce

Ramp times have stretched and first-year attrition has climbed. The curriculum problem most healthcare staffing firms still call a culture problem.

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Operating Partner

When the operating model has outgrown the founder

The signals that say it is time to put structure around the founder, and why a permanent COO is sometimes the right answer at the wrong time.

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