Abstract
This paper considers a case that Chinese healthcare organizations in China leverage mobile smart cloud platform (MSCP) to build a self-sustaining healthcare ecosystem, which presents an evolutionary process of three phases. Multiple elements have been involved in the system, which has reinforced one another. Finally, an ecosystem is formed, which is economically sustainable and scalable nationwide. The study adds to the understanding of the ecosystem-based approach to address complex problems. It offers important implications for designing healthcare MSCPs which may help transform the healthcare industry.