This document discusses the growth of large consulting firms in the healthcare IT industry, specifically focusing on Superior Consultants. It describes how Superior Consultants was founded in 1984 by Rich Helppie as a one-man firm focused on IBM systems. Over time, Superior Consultants expanded its services and grew rapidly to employ over 1,400 people with annual revenues of $149 million serving 3,000 clients across the US. In 2004, Superior Consultants was acquired by ACS for $95 million.