Launch a Dietitian EMR Roll-Up Strategy

1. 1

   Understand the fragmented market

   Several competitors (Practice Better, Healthie, Nutrium, Kalix, Zanda) overlap on features with no dominant winner. That fragmentation is the roll-up thesis. Map each player's customers, revenue, and weaknesses.

2. 2

   Arrange acquisition capital

   Roll-ups require significant capital to acquire companies, whether raised from investors or via debt. The capital structure shapes the whole strategy. Line up funding before you approach targets.

3. 3

   Identify and value targets

   Find undervalued or subscale players where consolidation adds value through shared customers, cost, or technology. Disciplined valuation prevents overpaying. The right targets make or break the return.

4. 4

   Integrate acquisitions

   The hard work is combining products, teams, and customers into a coherent platform without losing customers. Integration is where roll-ups succeed or fail. Retention through transitions is critical given low switching costs.

5. 5

   Build combined economics

   The goal is a larger, more profitable platform through shared costs and cross-selling. Track combined margins and churn closely. Consolidation only wins if the whole is worth more than the parts.

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