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June 5, 20252 min readKevin Lam

Expanding a Healthcare Account by $350K After a Merger

Account ManagerM&AHealthcareExpansionProactive

The Challenge

A $400K healthcare customer announced the acquisition of a five-hospital system, doubling their employee count from 5,000 to 10,000. The acquired hospitals used a different authentication vendor. There was a risk that the merged entity could standardize on the other vendor instead of ours, which would mean losing the account entirely.

The Approach

Within a week of the acquisition announcement, I reached out to the CISO with a pre-prepared integration brief. The brief outlined a recommended approach for standardizing authentication across the merged entity, including a comparison of our solution versus the acquired system's vendor, migration timeline estimates, and a cost analysis showing that standardizing on our platform would be $120K cheaper than standardizing on the competitor due to our existing enterprise pricing.

I also offered to conduct the IT security assessment of the acquired hospitals at no charge, helping the CISO understand the security posture of the systems he was inheriting. This positioned us as a strategic partner in the integration, not just a vendor waiting for a purchase order.

The Result

The CISO chose to standardize on our platform. The expansion was $350K to cover the acquired hospitals, bringing the total account to $750K. The migration was completed in four months, and the CISO credited our proactive engagement during the merger as the reason they chose to expand with us rather than rationalize to the competitor.

Key Takeaway

M&A events are the most significant expansion or churn risk in account management. The vendor who engages proactively in the first week after an acquisition announcement has a massive advantage over the vendor who waits to be told what will happen. Prepare a merger playbook before you need it.

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