This paper advances Picot and Baumann's (2009) central paper on how organization and management theory (OMT) can enhance business information systems engineering (BISE). In particular, we extend their focus in three ways. We introduce the industry and inter-organizational relations as levels of analysis, which are of interests to BISE and we show specific methods to advance the links between OMT and BISE. We exemplify these points by a case study on BreatheCorp., a multinational company that recently entered into the provision of eHealth-based ventilation care services in Germany. Through our empirical study, we can also contribute to theorizing the role of context for inter-organizational information systems (IOIS).