Growth through strategic collaborations has fueled the expansion of many a company involved in the health care space such as Intermountain Healthcare System and McKesson to add new technologies and markets relatively rapidly. The forms these partnerships take vary according to need and size. Although frequently between smaller and larger companies, it can also be a partnership of equals. It can be particularly useful for small; growing companies to validate their products and give them broader market exposure. On the other hand, if there's a fundamental difference in goals by the companies in the partnership or the customers isn't happy with the agreement in practice, it could all go pear shaped, especially for the smaller companies.