Len's ability to foster cooperation and build trust among the leadership of divergent healthcare organizations has been one of the cornerstones of his 16-year consulting career. Len has worked closely with a variety of leading hospitals, health systems, and medical groups nationwide, directing engagements involving system and organizational strategic planning, hospital/medical group affiliations and transactions, physician organization development and design, and clinical service line planning. Len has advanced numerous engagements as a facilitator between hospital executives and physicians in designing creative and effective alignment vehicles to further mutual goals, and his clients appreciate his ability to find common ground among stakeholders with competing interests. He completed a strategic integration plan for a large, independent community hospital and a regional health system; facilitated the merger of four large, independent multispecialty groups into a single group; and assisted in the development of an integrated employed physician network for a major health system. In addition, Len has designed dozens of physician compensation plans, including value-based plans that incorporate quality, efficiency, and other metrics, to help organizations succeed in the era of accountable care.