ROi

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.

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

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

• Healthcare supply chain
• Private label medical supplies
• Group purchasing organization
• Healthcare logistics services
• Custom procedure trays

Headquarters

HQ city

Nashville

HQ country

United States

HQ region

North America

Offices6 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Supply Chain, Operations, Personnel, Infrastructure, Technology or R&D, Marketing or Sales

Revenue model

1. 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.
2. 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.
3. 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

Core 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

Named customers10 records

Segments3 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

Six partnerships are on record, tiered core, major and minor.

• HealthTrustcoreStrategic or Co-development Partner · 1 January 2019HealthTrust 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 HealthmajorChannel Partner/ Reseller/ Distributor · 1 January 2017ROi partners with Orlando Health to provide supply chain management services and medical supply products.
• Spartanburg Regional Healthcare SystemmajorChannel Partner/ Reseller/ Distributor · 1 January 2012ROi partners with Spartanburg Regional to deliver supply chain solutions and medical products.
• Franciscan Missionaries of Our Lady Health System (FMOLHS)majorChannel Partner/ Reseller/ Distributor · 1 January 2011ROi partners with FMOLHS to provide supply chain solutions and Regard medical supplies to their healthcare facilities.
• Mercy HealthcoreStrategic or Co-development Partner · 1 January 2002ROi 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-GlobalminorChannel Partner/ Reseller/ DistributorROi, 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

Direct 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

• Xx.com/ROiSCS
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Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Subsidiaries2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about ROi