The company without a strategy is willing to try anything.
Strategic thinking rarely occurs spontaneously
Ultimately, health care fails the most basic test. It's not organized around the needs of the patient.
Health care historically has been a very siloed field that's organized around medical specialties - urology, cardiac surgery, and so forth - and around the supply of these specialty services. The patient is the ping-pong ball that moves from service to service.
The chief strategist of an organization has to be the leader - the CEO.
You can't be all things to all people.