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Ballad Health formed in February 2018 as a result of a merger between two regional health systems, Wellmont Health System and Mountain States Health Alliance. Combining these two entities, which had been long-time competitors, was a complicated process that involved integrating different vendors, operations styles and company cultures. By mid-2019, at the height of the merger, Ballad Health was only given around four months to bring all parts ordering in-house and create one fully integrated, seamless parts ordering process.

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