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St. Matthews is a fairly well-run regional hospital that strives to be the preferred hospital for patients and insurance companies. To become the preferred hospital, St. Matthews needs to increase patient satisfaction, become more cost-efficient, and increase the quality of care. This has an impact on both the business and the IT sides of St. Matthews. The hospital has decided to use enterprise architecture to trace the business drivers all the way down to the IT systems, and even the infrastructure they run on. This will ensure that the architecture of the hospital is fully aligned with the (business) strategy of St. Matthews. The next step is to design a suitable architecture for St. Matthews, given the business objectives discussed in this chapter and continued in the next.