A Regional Healthcare System in the Northeast signed a letter of intent to merge with a larger Regional Healthcare System. The transition would address several business challenges they experienced and would integrate them into a larger, financially stable healthcare system. In addition to the business aspect of the merger, the transition was significant for employees, patients, and the community at large because they didn’t want to lose the culture, character, and values that had been a key part of the hospital‘s identity since its founding. After a failed negotiation to merge with another large hospital system, the newly signed agreement meant smooth transition activities would be a sensitive priority. Both hospital systems used Lawson across their organizations so Lawson was identified as a key element in the successful integration of organizations and systems. The integration of their Lawson systems across Supply Chain Management, Accounting, Finance, HR Payroll and Benefits would affect every patient and employee of both healthcare systems.