About the firm

Connect market strategy, clinical adoption and commercial execution.

USHSG works with medical technology and healthcare innovation companies that have a credible product but need the market, evidence, access, expert, buyer and operating workstreams to function as one commercialization plan.

Why the firm exists

Commercialization is a cross-functional operating problem.

Products can stall between regulatory status and actual adoption because market selection, clinical workflow, reimbursement, KOL strategy, purchasing, sales coverage, distribution and evidence are planned separately. USHSG works across those dependencies and keeps the client decision visible.

How engagements are organized

  • A small strategy core accountable to the client
  • Project-specific clinical and industry expertise
  • Written deliverables, roles, timelines and acceptance criteria
  • Bounded pilots where in-market learning is needed
  • Separate responsibility for advisory and regulated execution

Founder & principal

Dylan Gaar

Dylan Gaar leads client strategy, commercial planning, partner coordination and program design for USHSG.

Zynex

Greenfield medical-device market development in Oregon and President’s Club recognition.

Upstream Rehabilitation

Advanced from account management into Pacific Northwest and multi-state commercial leadership across nine states.

Medical technology & neuromodulation

Commercialization experience involving physician engagement, institutional strategy, field execution and neuromodulation markets.

U.S. Health Strategy Group LLC

Built the firm to connect commercialization strategy with project-based expertise, pilots, access pathways and operating partners.

Client expectation

One strategy lead. Specialists accountable for their work.

USHSG can lead strategy and coordination while bringing the appropriate specialists and operating organizations into the work. Their licenses, professional judgment, contracts and regulated responsibilities remain their own.

Purpose and structure

Public-benefit commitments do not erase legal or operating boundaries.

US Health Strategy Group LLC is a separate operating company. Tributary Network Inc. is the Delaware public benefit corporation associated with the Public Benefit Group brand. USHSG participates in the Tributary purpose framework through its own joinder while preserving its own contracts, clients, books and responsibilities.

Public-benefit parent / brand

Tributary Network Inc. / Public Benefit Group

Purpose-governance and public-benefit architecture.

Public Benefit Group →

Distribution network

U.S. Distribution Group LLC

Distribution-network structure and separately authorized operating execution.

U.S. Distribution Group →

Technology

Tributaries

Separate multi-organization software for initiatives, governance, resources, workflow and outcomes.

Tributaries →

Independent charity

Tributary Foundation / Public Pathways

Independent charitable governance, programs and restricted public-benefit initiatives.

Public Pathways →

Work with the firm

Bring the product and the decision that comes next.

We will tell you whether the work fits USHSG and what a credible scope should include.

Discuss a project