Well, the mega-mergers continue. Today's new announcement—Catholic Health Initiatives and Dignity Health will merge to create the country’s largest non-profit health care system in the nation, spanning 28 states, 139 hospitals, and 700 care sites (see Catholic-Dignity Merger To Forge Nonprofit Health Giant).

I recently wrote about the challenges of strategy and sustainability in a time of these mega-combinations and of new entrants in the market—David Versus Goliath? and Can You Teach A Fish To Climb A Tree?. But it isn't mega-mergers alone. There has been a steady stream of . . .

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