The adage that “all health care is local” hasn’t aged well. Once a distinct part of specific communities, hospitals are now often multi-state health systems. Many specialty provider organizations now have footprints in multiple (and often many) states. Retail providers with a truly national reach are building health clinics, and virtual care is available everywhere. This current market reality means that geographic expansion is now a standard consideration (or should be) for many health and human services executives.

There are pitfalls—geographic expansion is a high-risk strategy that moves resources into the new venture, away from current . . .

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