The deal looks clean on paper. The IT reality rarely is. From EHR consolidation and data migration to cybersecurity remediation and cultural integration, the technology challenges that follow a health system merger or acquisition are among the most complex a CIO will ever face — and they often unfold while clinical operations can't afford to miss a beat. This panel pulls back the curtain on what integration actually looks like in practice. Leaders share hard-won lessons on where things go wrong, how to sequence the work, what to communicate and when, and how to bring acquired teams into a unified IT culture without losing the people you need most.