The hospital community and others have shown increasing interest in developing community care networks as a focal point for reforming health delivery and financing. The proponents agree that CCNs are to be fully integrated delivery systems, combining in a single organization the whole range of providers, with hospitals at the core. What is not clear is whether the CCN is to be a single community-wide collaboration of most providers, including most hospitals, or whether, instead, each community is to have several CCNs competing with one another.