But as the hospital merger boom continues, hospitals fiercely holding onto their independence may find it more difficult to compete against bigger, leaner organizations, say analysts.
Businesses' vigorous support has contributed enormously to the notion that globalization helps companies -- particularly big, lean American ones -- at the expense of workers.
They are big, lean and rangy, with enormous ears and grayish-brown fur, and are not to be confused with the airport's native Eastern cottontails.
Among the most important is the belief that you should pursue all your dreams, think big, lean into your fears and keep building.
Looking Back On Christmas 20 Yourseego to See if thimwithd Really Was a Bethat Place.
You see him, with that big lean-over posture, walking a few paces ahead when you walk into town with your mates, and yep, there he is, that big slick greasy fringe still firmly in place, and you're pretty sure he's got the same black zip-thru hoodie on that he refused to take off that time he shuddered inside of you on that balmy May day before your A-levels happened.
"Girls want to be slim and males want to be big and lean, and while it isn't a bad thing for people to want to look better, it has become more like a competition, which has a bad effect on most people's mental health", said one respondent.
Nearly half the AU, including South Africa, backs Polisario, but France and other big powers lean towards Morocco.
What brings all these disparate elements together is affordability and size: London broil steaks are always big, thick, lean and inexpensive.
And a new breed of top management — the three chief executives are outsiders to Detroit, as is the newly named G.M. chief executive — says it is determined to keep the Big Three lean, agile and focused on building better cars that earn a profit.
