Scale and Reach TVG-Medulla operates 80+ clinics across two chiropractic brands, indicating a substantial, scalable network ripe for cross-sell of management, billing, IT, marketing, and HR services to support rapid growth and multi-site operations.

Integrated Practice Management Current model includes centralized back-office functions (billing, insurance, marketing, clinical ops, HR, IT), presenting opportunities to upsell or expand efficiency software, revenue cycle optimization, and platform integrations across a broader client base.

Wellness and Education Beyond clinical care, the company offers wellness programs and education services to communities and employers, signaling potential for SaaS or subscription-based wellness content, employer health partnerships, and scalable training offerings.

Private Equity Backing Ownership by The Vistria Group suggests financial stability and growth trajectories, providing a favorable environment for long-term contracts, capital-enabled expansions, and performance-based technology investments.

Mid-Market Revenue Potential With revenue in the 50 to 100 million range and a mid-sized employee base, there is clear potential to target mid-market clinics and health networks with scalable IT security, cloud hosting, and compliance solutions aligned to healthcare standards.