Creating a new functional whole out of two or more separate companies requires walking a delicate tightrope without losing your balance. Simmons has integrated acquisitions for medical device manufacturers. She has also handled project redesign for ticker resellers during a major merger, including consolidating systems and call centers. In addition, she handled due diligence and technology consolidation when a major packaging company purchased a $500 million division, as well as developing an acquisition and integration strategy for yet another division purchased by the senior company. She has also helped establish new strategies for acquisitions in the food, pharmaceutical, agricultural and chemical fields.