Internal Audit, Risk, Business & Technology Consulting Like tall buildings, large organizations require strong foundations. This is especially true during periods of rapid growth and acquisitions. In such hectic times it is essential to have strategies and plans in place to ensure that critical infrastructure — people, processes and technology — will meet the increasing demands of a larger, and more complex, organization. Failure to do so can not only interfere with future acquisitions, but also jeopardize the business, as critical systems break down under pressure. Such was the case with a fast-growing healthcare organization, which had been notified by several of its acquired providers that revenue had fallen precipitously after they were acquired. The organization knew it had a

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