Key Takeaways •Planning and coordination •Economies of scale •It’s not just hospitals •Centralization Bayhealth Medical Center •Economies of scale improve care at lower cost •Merger of equals philosophy benefits the whole •Regional size and strength supports independence •Cohesive development improves service lines Baylor Health Care System •Coordinated process strengthens inpatient, outpatient elements •Acquisitions help spread fixed corporate costs •Operating company model enhances unity •Cultural fit and physician alignment essential to success North Shore-LIJ •Desirable market aids strategic growth and scale •Deep financial review reveals underlying strengths •Growing (not cutting) staff enhances throughput, efficiency •Deliberate “go-to-them” approach helps clinician integration Novant Health •Partnering from a position of strength enables selectivity •Similar organizational priorities and cultures important •Investing in the acquisition generates support •Don’t let it evolve; act to create a single culture