Jim Carroll was a featured speaker at the Ontario Hospital Association’s (OHA) Region 5 Educational Conference, held September 6–7, 2012, in Stratford, Ontario. The conference brought together hospital trustees, health system leaders, and administrators at a time when Ontario’s healthcare system was navigating record provincial deficits, new funding reform, and growing pressure for accountability and system integration. Jim’s futurist perspective on trends, innovation, and the future of health systems provided an essential complement to the event’s focus on sustainability and transformation in a region-wide context. His presence at this gathering gave Ontario’s health leaders direct access to some of the world’s sharpest thinking on navigating disruption.