Merakey USA's recent affiliation with I Am Boundless, Ohio's largest behavioral health provider, represents more than a transaction. It signals a fundamental shift in how national human services organizations must operate to compete and sustain mission. In this fireside chat, Stacy DiStefano and Joe Martz, CEO of Merakey USA, examine the strategic architecture required for the next generation of service delivery.

Is $1 billion in revenue the baseline for competitiveness? What actually matters beyond scale? Martz addresses the hard questions leaders face navigating this administration's priorities and pressures while outlining how national structure enables local responsiveness. Whether you lead an established enterprise or are building partnerships from smaller platforms, this conversation reveals where scale matters and where strategic thinking and the right partners become the real differentiators for survival and growth.