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The health and human service field is seeing record numbers of mergers, acquisitions, and affiliations (MA&A) (see;Creating A Merger Strategy For Turbulent Times: A Managing Through Chaos Roundtable Discussion;and;Another Year, More Mergers). Many are driven by changing business models and questions about long-term financial sustainability.

But these various partnerships and collaborations are not guaranteed to succeed. In fact, many don’t achieve the original objectives (see;Purpose Trumps Structure;and;Don’t Make This Common M&A Mistake). So much of the potential success is dependent on . . .

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