Bill is the COO of a three-hospital health system in a small town. He’s been with the system for 30 years, starting as a nurse and moving up through the organization. He's been in his current role for 10 years. He’s seen as a bit abrasive at times, but bright, direct, and effective. He’s been serving the same CEO for those ten years. They’re a good team. The system is merging with another, slightly larger system with a more progressive culture. He’s being considered for a larger role in the newly created system. Is he a good fit?