Therefore, less than 2 miles from the previous hospital, Henry Ford built a health center in Woodhaven that was interoperable within the Henry Ford Health System, but responsive to meet the necessary medical needs of the community (Henry Ford Health System, 2011). By doing so, Henry Ford Health System ensured that the public would not turn to the competitor, which at the time was Oakwood Health System. Perhaps the most striking result of a health care organization's response to the external environment occurred when the Beaumont Health System merged with Oakwood and Botsford. Beaumont merged with the other two health systems in anticipation of the Affordable Care Act (ACA), severely affecting the health care organization's profitability (Greene, 2014). Through environmental scanning of the external environment, Beaumont is now the third largest organization in Michigan, but it has now become a serious competitor to Henry Ford Health.