Essays · The Hillman Letter

Operator notes from inside regulated medicine.

Essays that walk through FDA regulatory strategy, frontier therapeutics, family office capital, and healthcare compliance. Thirty years of operating experience, written to read in twenty minutes each. Seven essays published. New essays weekly.

Essays

The Hillman Letter · Latest · 2026-10-12

The Shred Bin Is Evidence

Retention schedules and litigation holds are one system. Build it before the subpoena lands, not after.

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DOI: https://doi.org/10.5281/zenodo.23352303

The Hillman Letter · 2026-10-05

How to Write a Healthcare Compliance Expert Report That Survives Rule 702

The 2023 amendment moved gatekeeping from theory to practice.

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DOI: https://doi.org/10.5281/zenodo.23352301

The Hillman Letter · 2026-09-28

Pathway Diligence Before the Check Clears

An operator checklist for family-office diligence before the wire.

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DOI: https://doi.org/10.5281/zenodo.23352299

The Hillman Letter · 2026-09-21

The R3 Medical Warning Letter Is a Pattern, Not a Mood

What operators should extract from FDA warning-letter patterns in regenerative clinics.

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DOI: https://doi.org/10.5281/zenodo.23352297

The Hillman Letter · 2026-09-14

The Same Surgical Procedure Loophole Is Closed. Here Is What the Cell Surgical Network Injunction Means for Everyone Building a Cell or Exosome Product.

Eight years, one reversal, and a nine-page order that ends the argument.

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The Hillman Letter · 2026-09-07

After the Tissue Grey Market Warning Letters, What Clinics Should Pressure-Test Before a CID Arrives

A clinic-facing checklist for pressure-testing operations after tissue grey-market warning letters, before a CID arrives.

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DOI: https://doi.org/10.5281/zenodo.23352295

The Hillman Letter · 2026-08-31

What Retaining Counsel Actually Needs from an Operator Expert

The designation is wasted if the role is fuzzy, the file is a theory, and the opinion is asked to outrun the operating record.

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DOI: https://doi.org/10.5281/zenodo.23352293

The Hillman Letter · 2026-08-16

The Permission Gap

Twelve states rewrote regenerative medicine law in eighteen months. Federal law did not move. Here is what that costs you.

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DOI: https://doi.org/10.5281/zenodo.23352291

The Hillman Letter · 2026-08-11

Exosome trial halted after five patients (Aug 2026)

The sponsor terminated its ExoFlo trial in perianal fistula (NCT05836883) on August 11.

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DOI: https://doi.org/10.5281/zenodo.23352289

Guide · Brand · 2026-08-20

How to Build a Brand People Remember

An eight-step operator checklist for distinctive, consistent brands in regulated healthcare and biotech.

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Essay · 2026-06-11 · 1450 words

The NextMed Settlement Is a Roadmap. Read It Before You Build the Next Telehealth Brand.

The FTC handed the telehealth industry an inspection checklist.

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DOI: https://doi.org/10.5281/zenodo.23352265

Essay · 2026-06-11 · 1380 words

The Specific Pattern That Killed Five Biotech Programs I Personally Watched

The pattern was the same across five programs. In case you are running one of the next ones.

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Essay · 2026-06-10 · 1410 words

Why Dallas Is Quietly Becoming the Right Place to Build FDA-Regulated Biotech

The Dallas-Fort Worth biotech ecosystem has been compounding for three decades.

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Essay · 2026-06-09 · 1320 words

The 351 vs 361 Decision That Kills Most Exosome Programs

Why most exosome programs pick the wrong FDA pathway, and what the BLA route actually demands.

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Exosome and mesenchymal stem cell-derived extracellular vesicle products are not approved by the FDA for any indication. The work referenced here describes published scientific literature. It does not describe an available treatment.

Essay · 2026-06-08 · 1280 words

Why Family Office Capital Fits FDA-Regulated Biotech Better Than Venture Money

A ten-year venture fund has to return capital on a schedule. The FDA does not care about your schedule.

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Essay · 2026-06-07 · 1380 words

The Six Documentation Patterns That Show Up Before Federal Healthcare Enforcement

Every enforcement action I have served on involved a pattern visible eighteen to thirty-six months before.

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Essay · 2026-06-12 · 1480 words

What Thirty Years of Operating in FDA-Regulated Healthcare Actually Taught Me

Five lessons I would tell my younger self if I could.

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Andrew Jonathan Hillman

Dallas senior paralegal and healthcare compliance expert witness. Not an attorney.

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