Between regulatory hurdles and financial imperatives, getting a hospital merger or acquisition across the line is hard enough. But that’s just the start. A common aim of healthcare mergers is to integrate the organizations involved, yet bringing everyone together is its own jigsaw puzzle. All the pieces are there on the table, but how to bring them together, undergo the difficult change management and create the big picture? Kim Fox and Tim Stewart sit down to discuss the challenges facing mergers and acquisitions after the transaction is closed, the role culture plays in bringing organizations together – or keeping them apart – and how healthcare leaders can best lead through the process.