What happens when two health systems come together and the libraries become one unified library service? That all depends on attitude, collaboration, and preparation. In January 2018, Providence St. Joseph Health (PSJH) System Library Services became the first fully integrated system department following the merger of St. Joseph Health and Providence Health & Services. Now, with a year under our belts, I want to share a bit about our journey – the steps along the way that helped make our first year a success, as well as some of the challenges we had to navigate.