paraphrase Our company brought in a third-party consultant to evaluate factors such as services, operations, leadership structures, market demand, payer contracts, and organizational cultures at each health system. Armed with those insights, the organizations identified numerous opportunities including duplicative services that could be combined for greater economies of scale, service line gaps that could be addressed by shifting resources from closing facilities to new areas, and a need to renegotiate payer contracts to make them more favorable for the larger, combined organization