Joe Monroe · CEO & Operator

I build, scale, and turn around medical device companies.

I run complex healthcare businesses where the product is strong but growth, execution, or regulation is getting in the way.

22
Companies across my career
20 yrs
In regulated markets
6
Companies taken public (IPOs)
8
Companies acquired or exited
70+
Countries entered

Career and company milestones shown for context; not claimed as my individual outcomes.

How I operate

I came up through the commercial side. I learned to run the whole company.

Sales taught me to stay close to the customer. Running companies taught me the rest — finance, operations, quality, regulatory, and people only create value when they move together.

Joe Monroe in a regulatory hearing
01
Build
Product to business
02
Approve
FDA, EU MDR, clearances
03
Access
GPO, payers, channels
04
Adopt
Win clinicians and patients
05
Scale
Grow the commercial engine
06
Decide
Fix, fund, sell, or stop

Most people grow things. The last step is the one that matters: knowing when to keep investing, and when to fix, sell, or stop. I know the file, not the summary.

Track record

Three seats. Three different jobs.

Fix one. Sell another. Hold the group seat over both. The judgement is knowing which is which.

Managing Director · Current

ADDvise Group

Lead selected healthcare portfolio companies for the Swedish group ADDvise (Amplex AB), with full operating responsibility.

CEO · Current

GraMedica

A proven implant under a stalled business, running below breakeven. I rebuilt how it sells, opened the channels it deserved, and took it back to growth and profitability in year one. The full account is directly below.

CEO · Exited

JTECH Medical

Appointed to answer one question honestly: what is the highest-value path forward for this business? A full commercial and financial assessment said it was not another investment cycle. I took that to the board, ran the process, and sold the company to CAT Medical Technologies — a clean outcome for ownership and a continuing home for the technology.

Knowing when to invest, when to fix, and when to exit is the discipline that creates enterprise value. Most operators only ever learn the first two.

Commercial engines rebuilt Regulated products launched Companies scaled toward exit Federal and institutional channels opened
Case study · GraMedica
Joe Monroe mapping a growth plan

I took a twenty-year-old device and relaunched it.

HyProCure is the only FDA-cleared implant of its kind, with more than 100,000 procedures across 46 countries. The product was proven. Sales had stalled. I stepped in as CEO in January 2025 to rebuild its commercial trajectory.

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

Seventy countries. Both directions.

I've helped international manufacturers enter the U.S., and U.S. manufacturers expand abroad — from regulatory pathway through commercial launch.

Tap or hover a country to see its regulatory approval pathway and market-access route.
Joe Monroe walking through a northern European city at dawn
70+
Countries entered, both directions.
Inbound

Into the U.S.

Regulatory · Market access · Channel · Launch

Outbound

Out to the world

Registration · Partners · Distribution · Scale

Career

A career built across different stages of the same problem.

Roles ran from commercial leadership to CEO. Company milestones are shown for context — not claimed as my individual outcomes.

By technology
Hillrom
Connected-care platform · $10.5B to Baxter
Medline
Med-surg giant · $34B LBO → 2025 IPO
Novadaq
Fluorescence-guided surgery · $701M to Stryker
Agiliti
Hospital equipment-as-a-service · $2.5B take-private
Ceribell
AI bedside EEG · Breakthrough · IPO 2024
Accuray
CyberKnife radiosurgery · category creator (Nasdaq)
Karl Storz
Endoscopy leader · family-held · ~€2.2B
Arjo
Patient-handling leader · public (Stockholm)
Invuity
Surgical lighting · IPO → $190M to Stryker
RF Surgical
Patient-safety RFID · $235M to Medtronic
Xenex
UV disinfection robots · FDA De Novo · category leader
Viora
Energy-based aesthetics · 510(k) · sold to Sinclair
Enovate
Point-of-care EHR workstations · sold to Ergotron
Gorbel
Fall-safe rehab robotics · sold to DIH
RF Technologies
Infant-protection RTLS · recurring revenue · PE-owned
Thorasys
Lung diagnostics · built global commercial org from zero
Richard Wolf
German endoscopy · U.S. commercial build-out
Graham-Field
DME / post-acute · distressed turnaround
CooperSurgical
Fertility & women's health roll-up · NYSE: COO
Polaris
Rebuilt America's first motorcycle brand

Companies in my career have gone on to IPOs and strategic acquisitions by:

Company outcomes shown for career context; not claimed as my individual transaction results.

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 competition and work 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’s where I got interested in why some good technologies get adopted and others don’t — the real work of getting something funded, approved, reimbursed, and trusted.

The pattern has held across every one of them. Some I helped build from the first sale. Some 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.

Joe Monroe
Giving back

MedTech Innovator · Value Workshop advisor. Canada’s Drug Agency · MedTech / digital-health advisory.

I stay close to founders and the market-access systems that decide which technologies actually reach patients.

Recommendations

Ask the people who watched me operate.

Forty-two recommendations, unedited and public, say the same five things: leads from the front, strategy and execution both, business sense beyond sales, develops people, calm under pressure.

“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

“Joe's intelligence and strategic acumen set him apart as an invaluable asset to our team and our clients. He navigated the complexities of government sales with unparalleled skill and determination.”

Irene HahnChief Operating Officer, greater:SATX

“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

“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

“From market-entry strategy to key partnerships, Joe goes above and beyond. His strategic insight and industry expertise will propel your business to new heights.”

Brandon GehresChief Financial Officer, Sanovo Technology Group

“He integrates variables across every area of operations into a meaningful picture of a business problem, and its solution. Composed under pressure.”

Keith LebelVP, Commercial Operations, Morgan Scientific

“An in-depth understanding of the US healthcare system, from market access to product positioning. He rallied a cross-functional team to a clear commercial strategy, US and global.”

Doreen MiaoVP, Marketing & Strategic Development, Thorasys

“An incredible ability to inspire teams, align goals, and execute initiatives with precision.”

Christian GossmannManaging Director, Thorasys

“Twenty-plus years in this business, and Joe is one of the sharpest leaders I've worked with. Meticulous, methodical, highly focused.”

Randy RamosCeribell

“I watched him transform a challenging territory with grace and determination. His calm, steady presence was an anchor for our team.”

Jenn AbeshouseRegional Sales Director, Ceribell

“I had more growth in my two years with Joe than in my previous seven years of sales combined.”

Ryan RoetmanGovernment Account Executive, Xenex

“The truest sign of a great leader is whether you'd work for them again. I would, happily. He's one of the good ones.”

Danielle JamesReported directly to Joe, 3 years

“A rare combination of strategic vision and tactical execution. His ability to navigate complex regulatory environments and forge partnerships across borders has been instrumental.”

Michael WillsSales Representative, LeMaitre

“He brought breakthrough technologies into crowded markets and drove them to market-leading sales, with an unbiased, data-driven perspective.”

Rachael SparksCo-Founder & CMO, Phase Advance

“Exceptional ability to bring new products to market and pioneer entry into new verticals. He doesn't just meet targets; he builds pathways for sustained growth.”

Karina CobosChief of Staff, Xenex

“A driver in expanding the business into new markets, building an exceptionally strong network of partners and distributors. A genuine strategist.”

Lennart LundbladClinical Science Director, Thorasys

“His leadership was fundamental to strengthening the company's success, a remarkable blend of integrity and creativity aligned to the strategic vision.”

Stefánia D. DancsRegional Manager EMEA-APAC, Thorasys

“Joe knew what to say, how to do it, and most importantly, how to engage and deliver.”

Tabitha JaramilloDirector of QA & Regulatory Affairs, Thorasys

“He has a history of taking startups and growing them into successful businesses. Goal-oriented, focused, and highly ambitious.”

Brian ShefferlyTerritory Manager, Getinge

“His ability to navigate complex, fast-paced sales environments and deliver under pressure is truly impressive, a strategic mindset balanced with intuition.”

Greg Del CampoSales Director, Ceribell

“The best leader and mentor I've had. He led from the trenches with vision, integrity, and an unwavering commitment to excellence.”

Sarah HarsCeribell

“He single-handedly developed a detailed sales-enablement program and articulated our value to the C-suite and the largest hospital networks in the nation.”

Michael PoncherRegional Sales Manager, Xenex

“He puts his people first and himself second. He steps back and lets others take credit, and stands in front to take responsibility.”

Jason LealForum Financial Management

“He can assess any situation, quickly identify challenges, and create a clear path forward. He calmly inspires confidence and leads with clarity and humility.”

Steven PaulArea Sales Director, BD

“One of the most dynamic professionals I've ever met. He builds specialized strategies for his team that are both effective and efficient.”

Taylor MorrisonSenior Clinical Account Manager, Ceribell

“Never afraid to roll his sleeves up in the field to get deals across the finish line. First class through and through.”

Thomas EvansNational Account Executive, Xenex

“He's mastered the balance of strong, driven, and motivational while staying empathetic, honest, and kind. Exceptional in a leader.”

Amanda JonesAccount Executive, Xenex

“Leading a team of nearly 30, his business acumen is impeccable. He created an environment where sales and marketing worked cohesively.”

Kimberly ManganelloMarketing Project Manager, Xenex

“A continuous learner, competent, confident, and results-focused. He builds relationships on trust and doing what's right.”

Erik BekkedahlRegional Sales Director, Tri-anim Health Services

“Exactly what you look for in a sales leader. He engages his team with the corporate goals in a way that's motivating and accountable.”

Mark YorkRegional Sales Director, Route 92 Medical

“He looks at the big picture of where we want to go while also getting into the dirt and working onsite with his people.”

John RizzoRegional Account Director, Ceribell

“His deep knowledge of go-to-market strategy in the medical field made him a key player in shaping the company's strategic decisions.”

Jonathan PhamProject Manager, padoa

“No matter the challenge, he keeps everything running smoothly, making even the most difficult obstacles seem manageable.”

Caitlin Weber, MBARegional Account Director, Ceribell

“One of the most inspiring leaders I've worked under. He brings a stress-free energy to a high-demand environment.”

Amanda JamesClinical Account Manager, Ceribell

“He approaches every challenge with integrity, a positive attitude, and a drive for excellence.”

Alyssa TomaselliDirector of Training, Ceribell

“Since his arrival, our team has experienced improved organization, strategic planning, and efficiency.”

Tessa WhiteleySales Representative, Morgan Scientific

“He encouraged us to perform at our best and complete some of our greatest work. A leader of real calibre.”

Andrew LivernoisTerritory Account Manager, STERIS

“He follows through on promises, values differing opinions, and faces challenges with poise. He builds confidence in his team.”

Simone (Garcia) PrestiaSr. Customer Relationship Manager, Xenex

“A true open-door mentor and a master at creating a culture that thrives on collaboration.”

Jennifer ThomasSenior Account Executive, Xenex

“Extremely focused on each individual and the outcome they were trying to achieve. He would make an elite addition to any company.”

Tom ArnoldAccount Executive, Xenex

“He came in as VP of Sales after the pandemic and took our team to the next level. His knowledge of healthcare from the C-suite down was incredible.”

Koco GunnWorked with Joe at Xenex

“Skilled at building and encouraging a team in an ever-changing environment to find ways forward.”

Sam D'AnielloTerritory Manager, Kurin
Every recommendation is public on LinkedIn. See for yourself →
Where I create value

The asset is usually better than the results.

Most of my work has been in medical devices, diagnostics, and healthcare technology — businesses where regulation, clinical adoption, market access, and execution all have to work together.

Build

A good technology needs a commercial company around it.

Product development is not a go-to-market strategy. I turn a strong product into a business that can sell, deliver, support, and scale.

Scale

The market is there. The operating system hasn’t caught up.

Growth exposes weak process, unclear accountability, bad forecasting, and organizational gaps. I build the systems and the team around the next stage.

Fix

The product is proven. The results have stalled.

I get close to the numbers, the customers, the people, and the process, and rebuild from there.

Decide

Not every business needs another growth plan.

Sometimes ownership needs a clear answer on what to fix, fund, integrate, sell, or stop.

Work together

Have a company that needs an operator? Let's talk.

I work with owners, boards, founders, and capital partners on businesses that need to build, scale, reset, or make a hard call. Every conversation is confidential.

Discuss your company Download overview (PDF)