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by Michael Abrams, MA, and Lisa Bevilacqua, MBA The past decade has seen unparalleled consolidation of individual healthcare delivery organizations into larger systems. The goal that initially drove this trend-leveraging size to lower costs-has largely been achieved. But there are still significant advantages to the multiorganizational structure-at least for those willing to challenge old paradigms and adopt new strategies. One of the challenges for a newly formed healthcare system is to integrate all of the varied organizations under its umbrella into a coherent whole while continuing to achieve its patient-care mission.