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  "documentTitle": "Penumbra, Inc. (PEN)",
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  "authorName": "Spruce Point Capital Management",
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  "presentationDate": "2019-07-31 00:00:00",
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  "notes": "Uses testimonials from industry participants to support the claim of aggressive marketing tactics.",
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      "text": "The Open Payments database also reveals that Penumbra has issued an unusually large quantity of travel and lodging reimbursements to doctors, with the most popular destination being Las Vegas (just ahead of Penumbra's own headquarters in Alameda).",
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      "text": "Total Travel & Lodging Reimbursements: $281,678.68",
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      "text": "The Open Payments database also reveals that Penumbra has issued an unusually large quantity of travel and lodging reimbursements to doctors, with the most popular destination being Las Vegas (just ahead of Penumbra’s own headquarters in Alameda). After cross-checking the dates and locations of these reimbursements with the dates and locations of relevant medical conferences and industry conferences, it appears that most of these trips were not related to conferences. Our conversations with industry participants confirm that Penumbra has a reputation for pampering doctors.",
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      "text": "“Penumbra will cross the line that many won’t to get their products in the hands of surgeons.” - Neurovascular Products Sales Director 1",
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      "text": "“Penumbra is aggressive....At symposiums, they will cover all costs of a nice hotel stay, food, travel, etc.” - Neurovascular Products Sales Director 2",
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      "text": "\"Penumbra will cross the line that many won't to get their products in the hands of surgeons.\" — Neurovascular Products Sales Director 1; \"Penumbra is aggressive....At symposiums, they will cover all costs of a nice hotel stay, food, travel, etc.\" — Neurovascular Products Sales Director 2",
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      "text": "Destinations For Penumbra Travel & Lodging Reimbursements",
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      "text": "Unusually High Payments To Non-Employee Doctors",
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