Ontario Health Teams (OHTs) were introduced in 2019 as a new way of integrating care delivery. They were developed to enable patients, families, and health care providers work together to create a coordinated continuum of care that is better connected to patients in their local communities. OHTs involve a cross-sectoral group of providers and organizations, and at maturity will be clinically and fiscally account-able for a defined geographic population1. In Fall 2019, 30 teams were invited by Ontario’s Ministry of Health (MOH) to submit full applications to apply to become OHT candidates. This report is a preliminary snapshot of interviews conducted with OHT participants. Our goal was to develop an understanding of what was important to participants when developing an OHT. In this report, we will present preliminary results on the strengths and challenges participants experienced, and the strategies they deployed, as participants began the work of developing OHTs.