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Growth will always be a strategic objective for provider organizations, and it is achievable through many means. Increasingly, consolidation has proven necessary for health and human service organizations as business costs make it difficult to compete for contracts or achieve long-term profitability without a critical level of revenue and scale.

In my experience, organizations under $60 million are racing for survival, and those over $60 million are looking to position themselves for sustainability against an influx of new competitors—including well-funded and privately backed newcomers and organizations that consolidate proven provider organizations. Given the need for growth and . . .

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