Robert Rinck, IT Director, Tom O’Keefe, IT Manager, and Aaron Predum, Biomedical Electronics Manager, Spectrum Health. Spectrum Health in Grand Rapids, MI, has been voted by Reuters as a Top-10 Healthcare System in 2010 and 2011. In 2007, Spectrum Health integrated Clinical Engineering and Information Technology teams into a single organization. In a five-year retrospective review, leaders from Spectrum Health discuss: What the safety, clinical, and technology drivers were for convergence; how the team was initially organized and how is it organized today; the important roles that were created in the new organization; key processes that were implemented, and which were discontinued; unique cultures and behaviors that were sustained from the original teams and whether a new culture converged; what the most significant leadership challenges were and how were they managed; what the outcomes and benefits of convergence were; and, how we would do it differently.