--Shows how current theories of coordination (e.g market competition, state regulation) breakdown when considering complex modern events. --The findings indicate alternative ways of thinking about social capital and its effectiveness in changing human behavior, the role of organizational change and the importance of adaptiveness. --Moving beyond theory, the second chapter outlines an epic case study of how these theoretical ideas were applied to rebuild the health care system in rural Nicaragua after a major natural disaster in 1998 (Hurricane Mitch). --Peer recommended text for upper-division courses on management, inter-organizational collaboration, crisis management, public health.