Formerly a general manager at Synlab, Gregor Rothe now heads up a project to transform the lab function at a group of charitable or not-for-profit hospitals in Hamburg. He started his career as a scientist at Max Planck Institute for Biochemistry and is a university lecturer in laboratory medicine. Gregor coordinated the hospital activities of the German laboratory group LADR and later of synlab for Germany. In his current work he demonstrates that cost-efficient and competitive lab structures can be established by hospitals themselves. In this context, new reimbursement schemes addressing the integrated quality of the diagnostic and therapeutic process speed up the formation of laboratory networks as integral structures of hospital groups in Germany.