Stephen Holbrook and Austin Pulsipher (both HBS '19) had been leading Nutrishare since acquiring the company six months earlier in mid-2021. The company, based in Sacramento CA, was a compounding pharmacy serving Total Parenteral Nutrition ("TPN") patients nationwide. Holbrook and Pulsipher generally believed it was best to not make big changes during the first year after an acquisition. However, two competitors had recently exited their TPN businesses, creating an opportunity for Nutrishare to add a significant number of new clients. This opportunity would grow the business by about a quarter which would immediately reverse the stagnant client count and have a substantial impact on value. However, it would also add stresses on the Company to serve the new clients.