This resulted in the concept of the primary health care in better housed and better staffed practises, stimulating doctors to join together and the development of the modern group practice.
It is the first and largest integrated nonprofit medical group practice in the world, employing more than 3,800 physicians and scientists and 50,900 allied health staff.
Thus, leadership and many functional operations changed from a department-based model to a multi-specialty group practice with a shared management team, governance and standards, managed care contracting and marketing.