Old Competition and the New Proselytization

My mind is still trying to get around the evolving convulsion that is the state of hospital governance in Pittsburgh and its environs... but I may just leave it to the more eloquent words in one of the very last columns of the late Clarke T.: Pittsburgh - a hospital history.  Was he working on a longer project?  I will need to ask about that.

So we have gone from the Lankenau Lutheran Sisters to this?