Purpose: Faced with resource constraints, many hospital libraries have considered joint operations. This case study describes how Providence Health & Services created a single group to provide library services.Methods: Using a holding group model, staff worked to unify more than 6,100 nonlibrary subscriptions and 14 internal library sites.Results: Our library services grew by unifying 2,138 nonlibrary subscriptions and 11 library sites and hiring more library staff. We expanded access to 26,018 more patrons.Conclusions: A model with built-in flexibility allowed successful library expansion. Although challenges remain, this success points to a viable model of unified operations.