Modern Healthcare recently surveyed 24 health system CEOs on growth and found a divergence of approaches.

Around 12 percent believe M&A will be the way to grow in 2019, while 25 percent responded that innovation will be part of their strategy. A whopping 42 percent believe updating their current business lines, rather than M&A, will drive company growth.

The CEOs also ranked their biggest challenges of 2018, with competition for talent coming in at No. 1 and regulations taking the No. 2 spot.

These CEOs certainly know their sector, because Healthcare Dive reported in April that health system M&A had “receded slightly” in the first quarter of 2019.