David W. Flickinger, MBA
Military Precision Meets Market Opportunity: From Medical to Roofing
From Healthcare Consolidation to Roofing Revolution: Applying Proven Playbooks to the Next $60B Opportunity
Proven executive operator with experience and track record now targeting the fragmented roofing industry—where the same consolidation patterns that transformed healthcare are just beginning.
The Strategic Vision
"I'm not leaving healthcare for roofing—I'm applying proven healthcare consolidation playbooks to an even more compelling market opportunity."
David W. Flickinger brings a unique combination of military-trained leadership discipline, sophisticated healthcare M&A expertise, and operational excellence to lead the consolidation of America's fragmented roofing industry. With a track record of building, scaling, and transforming businesses from startup to exit, David has consistently delivered exceptional growth in high-stakes, resource-constrained environments.
The Opportunity
The roofing industry represents the same fragmentation patterns healthcare exhibited 15-20 years ago: thousands of owner-operators without succession plans, minimal technology adoption, and enormous opportunities to create value through operational excellence and scale. Unlike mature healthcare markets, roofing offers superior cash flow characteristics (10-20% EBITDA margins), minimal capex requirements, and non-discretionary demand that creates more predictable revenue streams.
Track Record & Qualifications
1
Next Orthosurgical (2024-Present)
  • 34% year-over-year growth in 2024
  • 64% year-over-year growth YTD 2025
  • Leading all Sales, Marketing, M&A/JVs, and Business Development functions
2
Medicrea (2019-2020)
  • Grew company valuation from $37M to $158M in under 16 months
  • Successfully navigated acquisition by Medtronic for $158M
  • Initiated and led M&A diligence with Zimmer Biomet, NuVasive, Stryker, and Medtronic
3
NuVasive (2016-2019)
  • Led commercial strategy and due diligence for $750M in closed M&A transactions
  • Managed integration of 68+ distributorships and 45 direct sales representatives
  • Achieved 110-135 PTQ post-integration performance metrics
1
Operational Excellence
Surgalign - Vice President, U.S. Sales (2020-2022)
  • Managed $95M P&L across all spinal hardware sales and business development
  • Grew specialty products from $27M to $32M despite pandemic restrictions
  • Expanded ASC business from 18% to 35% of sales for predictable revenue
2
Military Foundation
U.S. Marine Corps Infantry Officer (2008-2013)
  • Company Executive Officer responsible for 100+ team leader certifications
  • Awarded Navy Achievement Medal for developing standard operating procedures now used Corps-wide
  • Consistently rated "top 1%" by commanding officers
3
Current Directorships
Excel Health (2023-Present) - Co-Founder, Board Member
  • Roll-up of Ambulatory Surgery Centers and medical practices
  • Six acquisitions completed: two surgery centers, four medical practices
Doc Social (2020-Present) - Co-Founder & Board Chairman
  • Largest physician education platform with 3,400+ active members
  • Corporate sponsors include DePuy Synthes, Medtronic, Stryker, Smith & Nephew
The $60 Billion Roofing Consolidation Thesis
Market Dynamics
Fragmented Industry Ripe for Consolidation
  • $60 billion market dominated by thousands of small, regional operators
  • Baby boomer contractor retirement wave creating motivated seller pipeline
  • Minimal technology adoption across the industry
  • Low barriers to operational improvement and margin expansion
Private Equity Validation
  • PE multiples normalized from 8-11x to 6-9x EBITDA (better entry valuations)
  • Institutional capital recognizing consolidation opportunity
  • Diversified platforms (commercial + residential) commanding premium valuations
  • Proven path to exit through strategic buyers or continuation funds
Why Roofing Outperforms Healthcare Economics
Superior Cash Flow Characteristics
  • 10-20% EBITDA margins with minimal capex requirements
  • Better cash flow conversion than most healthcare businesses
  • Significantly lower regulatory and compliance costs
  • Non-discretionary demand creates predictable revenue streams
Episodic Growth Drivers
  • Hurricane and storm cycles create demand spikes
  • Insurance work provides stable, recurring revenue base
  • Essential repairs cannot be delayed or canceled
  • Adjacent services (gutters, solar, HVAC) expand revenue per customer
Competitive Advantages Available
  • Low digitization creates opportunity for CRM and lead generation systems
  • Relationship-driven business where operational credibility matters
  • High friction barriers through licensing, permitting, and insurance complexity
  • Brand and digital marketing gaps among existing competitors
Market Timing Advantages
First-Mover Opportunity
  • Earlier in consolidation cycle than healthcare was during our entry
  • Less competition from sophisticated strategic buyers
  • Motivated sellers seeking retirement rather than maximum exit multiples
  • Technology adoption curve similar to healthcare 20 years ago
Demographic Tailwinds
  • Baby boomer roofing contractor retirement creating once-in-generation opportunity
  • Succession planning gaps in family-owned businesses
  • Increasing complexity of business operations favoring professional management
  • Labor shortage driving need for operational efficiency and retention strategies
Applying Healthcare Consolidation Playbooks
"These skills are directly transferable and arguably more valuable in roofing, where most competitors lack institutional-grade operational systems."
The Proven Framework
Acquisition Strategy
  • Target fragmented markets with proven operators seeking succession solutions
  • Focus on businesses with strong local relationships and recurring customer bases
  • Prioritize markets with favorable regulatory environments and growth potential
  • Build diversified platform combining commercial and residential capabilities
Integration Excellence
  • Apply healthcare M&A integration experience to systematically onboard acquisitions
  • Implement standardized operational systems across all locations
  • Maintain local brand equity while building enterprise-level capabilities
  • Develop scalable training and development programs for workforce retention
Technology and Process Innovation
  • Digitize traditionally relationship-based business operations
  • Implement proven CRM systems and centralized lead generation
  • Deploy operational dashboards that transform productivity and margins
  • Apply lessons learned from healthcare digitization 20 years ago
Competitive Differentiation
Blue-Collar Services Expertise
  • Military background provides credibility with workforce and owner-operators
  • Hands-on operational experience in relationship-driven businesses
  • Understanding of both financial mechanics and operational realities
  • Proven ability to work effectively in high-stakes, compliance-focused environments
Operational Leverage
  • Risk management expertise from regulated healthcare environments
  • Quality control systems adaptable to safety and insurance requirements
  • Performance measurement and accountability frameworks
  • Systematic approach to workflow optimization and margin improvement
Military-Forged, Business-Refined Leadership
"My leadership philosophy is forged from the discipline, accountability, and excellence I internalized as an infantry officer in the Marine Corps and refined in high-stakes private sector roles."
Core Leadership Principles
Ruthless Accountability
  • Set clear, non-negotiable standards across all organizational levels
  • Establish rigorous KPIs tied directly to strategic objectives
  • Ensure transparency in performance measurement and swift correction of shortfalls
  • Build culture where results matter more than excuses
Operational Excellence
  • Treat excellence as baseline expectation, not aspiration
  • Drive relentless execution through streamlined processes and waste elimination
  • Embed continuous improvement culture throughout organization
  • Align every action with mission-critical objectives
Innovation Through Discipline
  • Foster calculated risk-taking grounded in structure and purpose
  • Empower teams to push boundaries while maintaining operational rigor
  • Solve problems with creativity constrained by accountability frameworks
  • Balance technological advancement with regulatory compliance and market demands
Leadership in Action
Team Integration Approach
  • Model leadership principles through daily consistency and results delivery
  • Earn trust through transparent communication and follow-through
  • Integrate with existing teams by respecting institutional knowledge while driving improvement
  • Build consensus around shared vision while maintaining decision-making authority
Cultural Transformation
  • Translate military-grade accountability to civilian business environments
  • Create performance-driven culture that rewards excellence and addresses underperformance
  • Develop talent pipeline through mentorship and systematic skills development
  • Balance high expectations with supportive development environment
Why Now, Why Roofing, Why David
Market Timing Convergence
Perfect Storm of Opportunity
  • Industry fragmentation at optimal point for systematic consolidation
  • Private equity multiples creating attractive entry valuations
  • Demographic shift providing motivated seller pipeline
  • Technology adoption gap creating sustainable competitive advantages
Capital Efficiency
  • Better cash flow conversion than healthcare businesses
  • Minimal capex requirements for growth
  • Lower regulatory burden than previous industry experience
  • Proven demand patterns with episodic upside potential
Superior
Return Potential
Multiple Expansion Opportunity
  • Build scaled platform commanding premium valuations
  • Create sustainable competitive moats through operational excellence
  • Develop predictable cash flow streams attractive to strategic buyers
  • Position for optimal exit timing as industry consolidation accelerates
Operational Leverage
  • Immediate margin improvement through technology and process optimization
  • Revenue synergies through cross-selling and market expansion
  • Cost reduction through shared services and procurement advantages
  • Talent retention through professional development and career pathing
Purpose-Driven Leadership
"Whether I'm helping surgeons repair spines or helping families protect their homes, I'm solving fundamental human needs."
Meaningful Impact
The transition from healthcare to roofing represents continuity of purpose rather than industry switching. Both sectors involve protecting what matters most to people—their health and their homes. The satisfaction of building something meaningful while generating superior returns for investors drives every strategic decision.
Long-Term Vision
"Five years from now, when roofing looks like dental services or ophthalmology—branded, scaled, technologically sophisticated—we'll have built the category-defining platform."
The goal extends beyond financial returns to industry transformation. By applying healthcare-style consolidation and operational excellence to roofing, we can create a blueprint for other fragmented service industries while building sustainable value for all stakeholders.
Stakeholder Alignment
  • Investors: Superior risk-adjusted returns through disciplined execution and market timing
  • Employees: Professional development opportunities and career advancement in growing organization
  • Customers: Higher service quality and reliability through systematic operational improvements
  • Industry: Elevation of professional standards and business practices across the sector