ROi
ROi, a HealthTrust-affiliated healthcare supply chain solutions company, operates the Regard private-label medical supplies brand and provides end-to-end supply chain management, logistics, and clinical consulting services to large U.S. integrated delivery networks and health systems.
- Company typePrivate
- Founded2002
- HeadquartersNashville, United States
- Headcount501–1,000
- GTM typeB2B
- OfferingServices
What ROi does
ROi (Resource Optimization & Innovation LLC) is a Nashville-headquartered healthcare supply chain solutions company founded in 2002 out of Mercy Health and acquired by HealthTrust Purchasing Group in 2019. It operates two integrated divisions: Regard Medical Supplies — positioned as the first provider-owned private label medical supplies program in the United States, offering FDA-approved nursing, surgical, and clinical packaging products — and ROi Supply Chain, which delivers end-to-end supply chain management, consolidated services center operations, logistics management, 3PL storage, and surgical/procedural consulting services. The company owns and operates manufacturing and distribution facilities in Missouri (Republic, Springfield, Earth City) and a sourcing office in Shanghai, supporting domestic production of custom procedure trays and centralized distribution for member health systems.
The company generates revenue through three principal streams: (1) sales of Regard-branded hardware and consumables — gloves, masks, gowns, surgical instruments, DVT compression devices, blood pressure cuffs, and custom procedure trays — distributed through HealthTrust member channels; (2) managed supply chain services including on-site clinical account executive support, OR utilization reviews, and standardization studies; and (3) recurring GPO services embedded in HealthTrust membership, offering secured distribution and pricing on medical supplies. Customers are primarily large U.S. integrated delivery networks and health systems, with named relationships including HCA Healthcare, Lifepoint Health, Trinity Health, Tenet Health, CHS Community Health Systems, Orlando Health, Spartanburg Regional, Franciscan Missionaries of Our Lady Health System, and Mercy. Go-to-market is predominantly enterprise field sales through HealthTrust membership, supplemented by co-development partnerships with Cardinal Health (DVT compression) and ASP-Global (pneumatic tourniquets).
ROi employs between 501 and 1,000 people across the United States and Asia. The company does not publicly disclose revenue and operates as a privately held subsidiary, with reported outcomes emphasizing SKU rationalization (up to 55% reduction) and material cost savings (~$1.4M per customer) for clinical resource programs. There is no disclosed AI/ML capability, no public product API, and no external funding events; growth has been driven by incremental product line expansion, GPO channel leverage, and operational scaling rather than capital-intensive expansion.
ROi firmographics
Firmographics- Name
- ROi
- Legal name
- Resource Optimization & Innovation LLC
- Website
- https://roiscs.com
- Company type
- Private
- Founded year
- 2002
- Operating status
- Operating
- Headcount range
- 501–1,000 employees
- Short description
- ROi, a HealthTrust-affiliated healthcare supply chain solutions company, operates the Regard private-label medical supplies brand and provides end-to-end supply chain management, logistics, and clinical consulting services to large U.S. integrated delivery networks and health systems.
- Ownership category
- akta.pro rank
ROi industry classification
Industry- Product category
- Healthcare Supply Chain Solutions
- NAICS
- Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers (42345), Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers (423450)
- SIC
- Wholesale-Medical, Dental & Hospital Equipment & Supplies (5047), Wholesale-Drugs, Proprietaries & Druggists' Sundries (5122)
- akta.pro primary industry
- Direct-to-Provider / Clinic Buy-and-Bill Distributors (HLAIAJAM)
- akta.pro secondary industries
- Hospital & Health-System Pharmaceutical Distributors (HLAIAJAD), Specialty Pharmaceutical Distributors (HLAIAJAB)
Keywords
Where ROi is headquartered
LocationHeadquarters
- HQ city
- Nashville
- HQ country
- United States
- HQ region
- North America
Offices6 records
Markets served
ROi business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Supply Chain, Operations, Personnel, Infrastructure, Technology or R&D, Marketing or Sales
Revenue model
- Medical Supplies Sales: ROi generates revenue through the sale of Regard brand medical supplies including nursing products (gloves, masks, gowns, prep pads), surgical products (masks, gowns, tourniquets, port closure systems), and PPE to healthcare providers through HealthTrust membership.
- Supply Chain Management Services: End-to-end supply chain solutions offered à la carte including supply chain management, consolidated services center operations, logistics management, 3PL storage services, and surgical/procedural services for healthcare providers.
- Group Purchasing Organization (GPO) Services: As a HealthTrust Purchasing Group company, ROi provides GPO services offering secured distribution and savings on medical supplies for members.
Go-to-market motion2 records
Distribution channels3 records
Marketing channels4 records
ROi product offering
Product offeringCore offering
ROi sells its own provider-owned Regard brand of FDA-approved medical supplies (nursing, surgical, PPE, DVT compression, port closure, blood pressure cuffs, etc.) and delivers contracted, end-to-end healthcare supply chain services (supply chain management, consolidated distribution-center design and operations, logistics/transportation management, 3PL storage, and OR/procedural consultative services). Offerings are sold primarily to U.S. enterprise hospital systems via HealthTrust membership and direct enterprise engagement.
Product overview
ROi is a healthcare supply chain solutions company affiliated with HealthTrust, offering a portfolio of products and services through two main divisions. The first division is Regard Medical Supplies — the first provider-owned private label medical supplies program in the United States — which provides nursing and surgical products including gloves, masks, PPE, surgical instruments, compression devices, and patient care supplies. The second division is ROi Supply Chain, which provides end-to-end supply chain services including Supply Chain Management, Consolidated Services Center Design & Operations, Logistics Management, 3PL Storage Services, and Surgical and Procedural Services. Together, these divisions serve the nation's leading healthcare systems with medical supplies under the Regard brand and comprehensive supply chain optimization services.
Differentiator
Problem solved
Functional benefit
Brands
- Regard: Private label medical supplies brand offering nursing products, surgical products, and clinical packaging solutions for healthcare providers.
Products and services
- Regard Private Label Medical Supplies Regard is ROi's provider-owned private label medical supplies program offering FDA-approved nursing, surgical and ancillary products (gloves, masks, gowns, alcohol prep pads, port closure systems, DVT compression devices, blood pressure cuffs, air transfer mattresses, etc.) to U.S. healthcare providers, positioned as the first provider-owned private label program in the United States.
- Supply Chain Management End-to-end supply chain management service for healthcare providers covering central sterile/instrument reprocessing, supply and linen distribution, mailroom, receiving, recalls, crash carts, inventory management, and oversight of supply chain processes in OR, Cath Lab, ED, EVS and general nursing areas.
- Consolidated Services Center Design & Operations Design, implementation and operation of product distribution centers for healthcare providers, including warehousing, distribution, purchasing and accounts payable services.
- Logistics Management Transportation management service for healthcare providers that includes carrier sourcing for dedicated, LTL, TL, Air and Ocean shipping, transportation management systems, inbound and outbound freight management, delivery service and courier management.
- 3PL Storage Services Outsourced end-to-end logistics service offering inventory management, order fulfillment, shipping, freight distribution and import/export for healthcare providers.
- Surgical and Procedural Services Consultative service for OR and procedural areas covering utilization reviews, clinical efficiency reviews, standardization studies, waste reduction identification and price benchmarking, delivered by OR-trained Clinical Account Executives.
Quantifiable outcome
- 55% SKU reduction and $1.4M cost savings for clinical resource analysis customer
- +2 more outcomes
Companies that use ROi
Customer profileNamed customers10 records
Segments3 records
Ideal customer profiles1 record
ROi technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature1 record
ROi partnerships and signals
Strategic signalPartnerships
Six partnerships are on record, tiered core, major and minor.
- HealthTrustcoreHealthTrust acquired ROi in 2019. ROi operates as a HealthTrust affiliated company providing products and services to the healthcare community. HealthTrust provides the GPO infrastructure and purchasing power that enables ROi to serve healthcare providers across the United States.
- Orlando HealthmajorROi partners with Orlando Health to provide supply chain management services and medical supply products.
- Spartanburg Regional Healthcare SystemmajorROi partners with Spartanburg Regional to deliver supply chain solutions and medical products.
- Franciscan Missionaries of Our Lady Health System (FMOLHS)majorROi partners with FMOLHS to provide supply chain solutions and Regard medical supplies to their healthcare facilities.
- Mercy HealthcoreROi was born out of Mercy Health in the early 2000s to integrate key functions across Mercy and build a supply chain model. In 2011, ROi and Mercy decided to commercialize the supply-chain and GPO offerings.
- ASP-GlobalminorROi, partnered with ASP-Global, offers Pneumatic Tourniquets that are sterile, disposable to reduce the risk of cross-contamination. ASP-Global provides the tourniquet products distributed through ROi's healthcare supply chain.
Scale indicators5 records
Recent moves12 records
Expansion highlights5 records
ROi competitors and assessment
Company assessmentDirect peers
- Medline Industries: Largest privately held manufacturer and distributor of medical supplies in the US, offering a broad catalog of nursing, surgical, and PPE products to hospitals. Direct competitor to ROi's Regard private label business and core medical supply distribution.
- Owens & Minor: Specialized medical/surgical supply distributor serving hospitals and health systems, with growing direct-to-manufacturer and supply chain services. Direct overlap with ROi's Regard consumables and end-to-end supply chain solutions.
- Concordance Healthcare Solutions: Independent medical/surgical distributor formed from the acquisition of H.D. Smith and others, providing acute care and post-acute supply distribution. Direct competitor in medical supply distribution to hospitals.
Broad incumbents
- Cardinal Health: Major medical and pharmaceutical distributor with extensive hospital supply chain services. Comparable to ROi's supply chain management and pharmacy distribution offerings, though operating at vastly greater scale and breadth.
- McKesson: Largest US pharmaceutical distributor and major medical supply wholesaler, providing logistics, 3PL, and supply chain services. Comparable to ROi across pharma distribution and supply chain services.
- Henry Schein: Distributor of medical, dental, and office supplies to providers. Overlaps with ROi on medical supply distribution to non-acute and ambulatory care settings.
- Premier Inc. Healthcare performance improvement company operating a major GPO with supply chain services. Competes with HealthTrust/ROi on GPO contracting, sourcing, and supply chain optimization.
- Vizient: Largest US healthcare performance and GPO company, offering supply chain analytics and contracting services. Directly comparable to ROi's supply chain consulting and GPO-enabled sourcing.
- HealthTrust Purchasing Group: ROi's parent organization and a major healthcare GPO; included as a peer given its role as the primary commercial channel and comparable GPO/supply chain platform.
Regional players
- NDC (National Distribution & Contracting): Independent medical supply distributor serving hospitals, surgery centers, and physicians. Comparable to ROi's nursing and surgical supply distribution focus, particularly for non-acute and ASC segments.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
ROi social profiles
Digital presenceROi financial estimates
Financial estimateRevenue estimate
Valuation estimate
ROi leadership team
Management profileNumber of profiles
Profiles5 records
ROi subsidiaries and ownership
Company hierarchySubsidiaries2 records
ROi funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
ROi M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about ROi
What does ROi do?
ROi sells its own provider-owned Regard brand of FDA-approved medical supplies (nursing, surgical, PPE, DVT compression, port closure, blood pressure cuffs, etc.) and delivers contracted, end-to-end healthcare supply chain services (supply chain management, consolidated distribution-center design and operations, logistics/transportation management, 3PL storage, and OR/procedural consultative services). Offerings are sold primarily to U.S. enterprise hospital systems via HealthTrust membership and direct enterprise engagement.
Is ROi a public or private company?
ROi is a private company. It is classified as corporate owned and is currently operating.
When was ROi founded?
ROi was founded in 2002. It employs 501 to 1,000 people.
Where is ROi based?
ROi is headquartered in Nashville, United States, in the North America region.
How does ROi make money?
Three revenue lines are on record. Medical Supplies Sales are the primary driver. The others are supply Chain Management Services and group Purchasing Organization (GPO) Services.
Who are ROi's main competitors?
Direct peers on record are Medline Industries, Owens & Minor and Concordance Healthcare Solutions. Broad incumbents are Cardinal Health, McKesson, Henry Schein, Premier Inc., Vizient and HealthTrust Purchasing Group. NDC (National Distribution & Contracting) is listed as a regional player.
Does ROi have an API?
No public API is recorded for ROi.
What industry is ROi in?
ROi's product category is Healthcare Supply Chain Solutions. Its primary akta.pro industry code is HLAIAJAM, Direct-to-Provider / Clinic Buy-and-Bill Distributors, with a secondary code of HLAIAJAD, Hospital & Health-System Pharmaceutical Distributors. Its NAICS code is 42345 and its SIC code is 5047.