DOI: 10.3163/1536-5050.97.4.018 The nature of the affiliations between large, academic health sciences centers and their teaching hospitals vary tremendously from institution to institution. During the past few decades, many university-run teaching hospitals have shifted governance to the private, corporate sector . The sometimes complex governance and organizational structure among these institutions can complicate the library’s provision of services and online resources. For example, since the 1997 merger of the university-governed hospital at the University of Nebraska Medical Center with a privately owned hospital, the university’s McGoogan Library of Medicine has made great strides in extending services and resource access to the hospital. However, access to online resources such as electronic journals and other bibliographic and clinical tools remains a challenge.