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Hospitals today face many challenges, so they should leave no opportunity for additional advantage unrealized. That's why it's important for today's hospital systems to address leadership infrastructure. 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 accomplished. But the multiorganizational structure still has significant advantages-at least for those who are willing to challenge old paradigms and adopt new strategies.