Kroger, a well-known grocery giant, has been facing growing competition with competitor consolidations and major conglomerates entering the grocery market industry in the last decade. This case describes how Kroger has been adapting to these changes, including technological advancements and growing involvement in health care. Students are challenged to evaluate the impact of such strategies on Kroger's market growth and penetration, and to consider how Kroger should continue to evolve within the health care sector in the long term