Every dollar spent on enterprise content management (ECM) software usually requires another dollar to make it work. Services such as project management, systems design, and integration support are a few of the needed services that systems integrators provide information and knowledge management (I&KM) professionals to get ECM up and running. Systems integrators tend to get mixed reviews but are making efforts to expand offerings beyond ECM to information management and to become versatile with hybrid on- and off-premise delivery models. Enterprises can make better systems integrator choices if they understand what strengths each type of ECM integrator has and how they correspond to ECM efforts underway.