Two lare reputable long tanding lal community based healthcare systems have recently merged into XYZ Health System. As a result of the merger xyz has expanded its footprint by opening several new hospitals and clincs. They have combined human capital management purchasing marketing branding supply management and staffing pools to gain efficiencies. Whil their pricing has increased somewhat to offset their expansion their market share and brand recognition continue to increase exponentially. Which strategy does the scenerio describe? 1) vertical integratio, 2) Horizonal integration 3) strategic alliance, 4) joint venture.