White Papers

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Procurement Strategy

13 pages

Published: August 2025

Don’t Sign the LOI: Pre-Deal Procurement Diligence for ENT Acquisitions

By Jonathan Simmonds, MD & Ardil Orcen

A playbook for MSOs and private equity teams to surface hidden costs, negotiate smarter LOIs, and turn procurement into a value-creation engine before closing ENT deals.

Productivity Analysis

17 pages

Published: April 2024

Enhancing Private Practice Sustainability through Strategic Equipment Acquisition

By Jonathan Simmonds, MD

A quantitative analysis of productivity gains in nasal endoscopy procedures achieved through smarter capital planning and equipment upgrades.

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