The Courage To Act When It Matters Most

When navigating areas of consequence in the medical device industry and healthcare ecosystem, you need a partner who transforms advice into decisive action that advances healthcare solutions.

ibex Passage partners with companies, boards, and leaders to navigate areas of consequence. We don’t just point out the path—we walk it with you, accelerating desired outcomes through strategic guidance, leadership development, and most importantly, decisive action.

PROVEN

Trusted By Leaders Across Healthcare and Beyond

Our expertise has driven transformative results for organizations facing their most consequential moments.

Transformative Business Development

Transformation

Executed transformative business development initiatives for both startups and established public companies

Navigate critical transitions

Navigation

Navigated critical transitions for companies across cardiology, infectious disease, and digital health sectors

Leading Corporate Development Evaluation

Leadership

Led corporate development evaluation of 200+ early-stage healthcare companies, identifying strategic partnerships that created significant market value

Transformation

Navigate Uncertainty With Confidence

Navigate
Uncertainty
With Confidence

ibex Passage relies on extensive experience and skilled interpersonal engagement to navigate situations with significant downside exposure. When facing critical decisions that require partnership and leadership in transforming culture, acquiring or integrating a portfolio, restructuring a business or department, entering a new market, or managing change, we embody one core virtue: demonstrating the courage to act.

Summit Measurable Results

measurable results

Accelerate Your Desired Outcomes

We partner with you to identify clear objectives and create actionable strategies that drive measurable results. Our approach combines deep industry expertise with tactical implementation, ensuring that strategy translates into successful execution.

DEEP KNOWLEDGE

Access Specialized Expertise

Our team brings decades of experience across healthcare, business development, and organizational transformation. We offer precise domain knowledge and deep relationships within hyper-focused sectors, providing insights that only come from insider expertise.

OUR SERVICES

Specialized Healthcare Expertise Driving Commercial Success

Our strategically focused services address critical challenges facing healthcare organizations today. With deep industry knowledge and hands-on implementation expertise, we deliver comprehensive solutions in product commercialization, supply chain optimization, business development, and organizational transformation—all with a singular focus on driving measurable results that exceed expectations.

Approach Navigation

Medical Device Commercialization: From Concept to Market Success

Go-to-market strategy and execution: We develop comprehensive commercialization roadmaps that transform innovative medical technologies into market successes.

Hospital and healthcare system purchasing pathway optimization: Navigate complex healthcare purchasing ecosystems with precision, leveraging our deep understanding of hospital systems, IDNs, and GPOs.

Sales channel expansion and brand development: Transform your market presence by identifying and activating new sales channels while elevating your brand position within the clinical community.

KOL and advisory board development: Establish credibility through strategic relationships with key opinion leaders who provide clinical validation while opening doors to premier institutions.

Clinical pathway integration: We build cadences of clinical questions and identify advocates who will validate your product’s place in the standard of care.

Regulatory claim strategy and implementation: Maximize the impact of your regulatory clearances by identifying opportunities to leverage existing claims while developing roadmaps for expanded indications.

Talent Architecture and Strategic Staffing: By leveraging deep connections spanning clinical expertise to executive leadership, we identify and secure the precise talent your organization needs to thrive.

Value proposition development and positioning: We develop positioning strategies that differentiate your products in crowded markets while demonstrating clear value to patients, providers, and healthcare systems.

Clinical pathway integration: We build cadences of clinical questions and identify advocates who will validate your product’s place in the standard of care.

Regulatory claim strategy and implementation: Maximize the impact of your regulatory clearances by identifying opportunities to leverage existing claims while developing roadmaps for expanded indications.

Talent Architecture and Strategic Staffing: By leveraging deep connections spanning clinical expertise to executive leadership, we identify and secure the precise talent your organization needs to thrive.

Value proposition development and positioning: We develop positioning strategies that differentiate your products in crowded markets while demonstrating clear value to patients, providers, and healthcare systems.

End-to-end stakeholder alignment within the purchasing pathway

Supply Chain Strategy

End-to-end stakeholder alignment within the purchasing pathway

  • Align stakeholders for marketplace entry with products
  • Value analysis committee navigation
  • Contract Access
  • Local, Independent, ASC, National IDN, and GPO
  • Manufacturing logistics optimization
  • Inventory control and distribution efficiency
  • Integration of acquired business units and product lines
  • Supply chain risk assessment and mitigation

Business Development

Navigation on buy and sell side for mergers and acquisitions

  • Strategic positioning of companies for acquisition
  • Value optimization for selling companies
  • Early-stage investment evaluation
  • Due diligence and market assessment
  • Deal structuring and negotiation
  • Board representation
  • Growth acceleration

Strategic Consulting

Business transformation and restructuring

  • Team performance management and reorganization
  • Recruiting, team building, and networking
  • Team alignment and development
  • Portfolio acquisition and integration
  • Market entry strategy
    Commercial pathway optimization
  • Strategic partnerships development
  • Executive coaching
  • Change management
  • Cultural transformation
  • Decision-making frameworks

Guided by Experience, Led by Expertise

Gray Fleming Bio Image

Gray Fleming, managing Partner

Dynamic and results-driven C-Suite executive with over two decades of experience leading high-performance teams and driving commercial success in the medical and healthcare industries. Proven track record of consistently delivering exceptional growth, revitalizing business units, and significantly enhancing profitability in challenging markets. Thought leader focusing on expanding product footprint, managing manufacturing logistics, and aligning teams for seamless go-to-market execution. Gray rapidly diagnoses situations, combines strategic vision with a hands-on approach, and operates at exceptional clock-speed to drive execution and consistency that exceeds organizational goals.

Dynamic and results-driven C-Suite executive with over two decades of experience leading high-performance teams and driving commercial success in the medical and healthcare industries. Proven track record of consistently delivering exceptional growth, revitalizing business units, and significantly enhancing profitability in challenging markets. Thought leader focusing on expanding product footprint, managing manufacturing logistics, and aligning teams for seamless go-to-market execution. Gray rapidly diagnoses situations, combines strategic vision with a hands-on approach, and operates at exceptional clock-speed to drive execution and consistency that exceeds organizational goals.

The ibex Passage Team: White River National Forest, Pandora Zone, 2022

NAVIGATE THE UNKNOWN

Partner with Guides Who've Mastered the Terrain

When facing uncharted business challenges, you need experienced 
guides who’ve successfully navigated areas of consequence and most complicated terrain.

At Ibex Passage, we’ve navigated countless organizations through the unmarked backcountry of critical decisions, transformational change, and accelerated growth. Our team brings both the expertise to read the conditions and the courage to lead the descent—ensuring you emerge with confidence and achieve the exhilarating success that comes from conquering your most daunting business challenges.

Whether you’re facing a critical decision, seeking to transform your organization, or looking to accelerate growth, Ibex Passage has the expertise and courage to help you act decisively.

Contact us:

Fill out the form to start navigating your business challenge.

Follow our journey for industry insights, case studies, and transformation strategies demonstrating courage to act.

Follow our journey for industry insights, case studies, and transformation strategies demonstrating courage to act.

Holding Down Base Camp

Scott Holstine, Founder & Non-executive director

West Point Graduate and U.S. Army Officer with 26 years in the Medical Device industry, most recently serving as President of Teleflex Interventional. Scott has led corporate acquisition and strategic investment initiatives, successfully executing due diligence on over two hundred early-stage medical device companies and identifying ten successful strategic investments. His combination of military discipline and business acumen makes him a uniquely qualified leader for organizations navigating complex commercialization challenges.

Scott’s current assignment is to build out the entire US Commercial Operation for Nyxoah (NASDAQ: NYXH) in advance of FDA Approval and US launch of the Genio System, a novel technology and therapy for the treatment of Obstructive Sleep Apnea.

West Point Graduate and U.S. Army Officer with 26 years in the Medical Device industry, most recently serving as President of Teleflex Interventional. Scott has led corporate acquisition and strategic investment initiatives, successfully executing due diligence on over two hundred early-stage medical device companies and identifying ten successful strategic investments. His combination of military discipline and business acumen makes him a uniquely qualified leader for organizations navigating complex commercialization challenges.

Scott’s current assignment is to build out the entire US Commercial Operation for Nyxoah (NASDAQ: NYXH) in advance of FDA Approval and US launch of the Genio System, a novel technology and therapy for the treatment of Obstructive Sleep Apnea.

Frequently Asked Questions

We begin driving value from day one. While the timeline for full implementation varies based on your specific challenges, we typically help clients achieve meaningful progress within the first 30-60 days of engagement. Our approach is designed to create both immediate wins and sustainable long-term results.
While we have expertise across multiple sectors, our deepest experience is in healthcare, particularly in medical devices, digital health, and healthcare services. We bring specialized knowledge in areas including cardiology, infectious disease, structural heart, and electrophysiology. However, our methodologies for navigating complex change are applicable across industries.
We customize our engagement model to suit your specific needs. This may include project-based consulting, retainer relationships, or strategic advisory roles. We believe in aligning our success with yours and structure our arrangements accordingly. Contact us for a personalized discussion about your specific situation.

Unlike traditional consultants who may leave you with recommendations but no implementation plan, we demonstrate the courage to act. We don’t just identify what needs to change—we help you make that change happen. Our team brings both big-picture strategic vision and hands-on execution experience, ensuring that recommendations translate into real-world results.