Joe Monroe · MedTech & Healthcare CEO

I build, grow, and fix healthcare companies.

20+ years in regulated healthcare. I take on businesses at inflection points — build what is missing, grow what is working, fix what has stalled, or make the hard call on what comes next.

20+
Years in healthcare
22
Companies across the career
6
IPO-company experiences
8
Acquisition & exit experiences

The pattern is the point: diagnose the asset, choose the right operating mandate, and own the outcome.

The operating pattern

Different companies need different leadership. The first job is knowing which problem you’re actually solving.

01
Build
Thorasys
Built the global commercial organization from zero.
02
Grow
Xenex
Scaled the commercial organization and hospital footprint.
03
Fix
GraMedica
Reset a stalled business around access, execution, and profitability.
04
Decide
JTECH
Assessed the asset, recommended the path, and executed the sale.

The operating model changes with the problem. The accountability does not.

Track record

Three seats. Three different jobs.

Three recent seats, three different jobs: fix one, sell another, hold the group over both. The judgement is knowing which is which. The full career runs deeper — the record is just below.

Managing Director · Current

ADDvise Group

Lead selected healthcare portfolio companies for ADDvise, part of Amplex AB, with full operating responsibility across the businesses assigned to me.

Hold · group seat
CEO · Current

GraMedica

Took over a proven implant business that had stalled below breakeven. Secured financing, cleared EU MDR, and rebuilt the commercial organization — returning the business to growth and profitability in year one.

Fix · turnaround
CEO · Exited

JTECH Medical

Appointed to determine the highest-value path forward. The read was the opposite of GraMedica: the commercial and financial assessment did not support another investment cycle. I took that recommendation to the board, ran the process, and sold JTECH to CAT Medical Technologies.

Sell · exit

Knowing when to invest, when to fix, and when to exit is the discipline that protects and creates enterprise value.

Commercial engines rebuilt Regulated products launched Companies scaled toward exit Federal and institutional channels opened
Case study · GraMedica

A twenty-year-old device, relaunched.

HyProCure is the only FDA-cleared implant of its kind, with more than 100,000 procedures across 46 countries. The read was simple: underleveraged, not unproven. The product was proven; the commercial engine had stalled. I stepped in as CEO in 2025 to turn it around.

A HyProCure sinus tarsi implant held in a gloved hand
100,000+
Procedures across 46 countries, a proven device
Breakthrough
Premier technology recognition for a device first cleared in 2004
VA · DoD · IHS
Federal channels opened for the first time
Global market access

Global markets. Both directions.

International manufacturers entering the U.S. and U.S. manufacturers expanding abroad. Regulatory pathway through commercial launch, both directions.

Tap or hover a country to see its regulatory approval pathway and market-access route.
Joe Monroe walking a London street, Big Ben behind
GLOBAL
Market entry, both directions.
Inbound

Into the U.S.

Regulatory · Market access · Channel · Launch

Outbound

Out to the world

Registration · Partners · Distribution · Scale

Selected experience

A career built across different stages of the same problem.

Selected companies from a 20+ year operating career.

Xenex
Global commercial scale · hospital technology
Thorasys
Built global commercial organization from zero
Novadaq
Fluorescence-guided surgery · acquired by Stryker
Invuity
Differentiated surgical technology · acquired by Stryker
RF Surgical
Patient-safety technology · acquired by Medtronic
Karl Storz
Global endoscopy and surgical technology
GraMedica
CEO · turnaround, regulatory access, commercial rebuild
JTECH Medical
CEO · strategic assessment and exit
20+ years · 22 companies · experience across 6 IPOs · 8 exits
Hillrom
Connected-care platform · acquired by Baxter
Medline
Global med-surg and healthcare supply
Agiliti
Hospital equipment and clinical services
Ceribell
AI bedside EEG · IPO 2024
Accuray
CyberKnife radiosurgery · public company
Arjo
Patient handling and medical technology
Viora
Energy-based aesthetics · acquired by Sinclair
Enovate
Point-of-care EHR workstations · acquired by Ergotron
Gorbel
Rehabilitation robotics · SafeGait
RF Technologies
Infant-protection RTLS and recurring revenue
Richard Wolf
German endoscopy · U.S. commercial build-out
Graham-Field
DME and post-acute healthcare
CooperSurgical
Fertility and women’s health
Polaris
Consumer and industrial brand turnaround
How I work

Close to the work. Always have been.

I’ve stayed close to customers, teams, operations, and the numbers throughout my career.

How I got here

I started in the dirt. Literally.

Hauling rocks and laying pavers long before I knew what EBITDA meant. I was one of five kids, so hard work and competition were pretty normal growing up.

At sixteen, I split my time between high school and business lectures at the University of Michigan. By my early twenties I was running a $10M medical device territory — too young to rent a car, old enough to close the deal. I learned fast from surgeons in the OR, CFOs across the table, and mentors who never sugarcoated a thing.

That experience shaped how I operate today. Some companies I helped build from the first sale. Others I helped rebuild when growth stalled. Either way, execution is the strategy.

Build great teams, move fast, stay humble, and laugh when you can. The work is too hard not to enjoy it.

Industry advisory

Staying close to what comes next.

I work with founders, innovators, and healthcare organizations evaluating how new technologies move from promising ideas to real-world adoption.

MedTech Innovator

Value Workshop Advisor

Working with emerging MedTech companies on value creation, commercialization, and market readiness.

Canada’s Drug Agency

MedTech & Digital Health Advisory

Contributing industry perspective on emerging healthcare technologies and the systems that determine access and adoption.

It keeps me close to the technologies, founders, and market-access decisions shaping what comes next in healthcare.
Recommendations

Ask the people who watched me operate.

The pattern is consistent: business acumen beyond sales, hands-on leadership, and strategy that gets executed.

40+PUBLIC
RECOMMENDATIONS

“The depth of his business acumen extends well beyond sales, to finance, operations, and the key drivers of enterprise growth. A rare combination of strategic foresight and hands-on execution.”

Jaime FiaccoCommercial Strategy Consultant, MedTech & Healthcare AI

“He doesn’t hesitate to lead from the front and be hands on. He led a region while rebuilding the team and hiring an entirely new sales force.”

Joshua CoppSVP, Global Products & Services, Vantive

“His strategic vision and execution abilities profoundly impacted our growth and market presence. Not just a strategic thinker but a pragmatic leader who makes the ambitious goals he sets achievable.”

Albert MouawadMcKinsey & Company
Every recommendation is public on LinkedIn. Read 40+ →
Connect

Let’s talk.

I’m always interested in meeting owners, boards, investors, and leaders building great healthcare companies.

Connect with Joe Download overview (PDF)