The Preservation Of Charitable Health Care Assets

Bell, Judith; Snyder, Harry; Tien, Christine; Silas, Julie

doi:10.1377/hlthaff.16.2.125

Cited by 3 publications

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“…The cash and stock were used to endow a grant-making charity (the California Wellness Foundation) with assets that are now worth $800-$900 million. 21 Explicit valuation guidelines are likely to have a more systematic impact on the terms of conversions, although respondents reported that their impact has not yet been sufficiently tested.…”

Section: Regulation and Oversight Of Not-for-profit Conversionsmentioning

confidence: 99%

Rules Of The Game: How Public Policy Affects Local Health Care Markets

Solomon

1998

Health Affairs

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Although private-sector actions grab headlines, public policy continues its important role in shaping health care systems. b y L o e l S . S o l o m o nABSTRACT: This paper explores the impact of public policy on local health care systems in a representative sample of twelve U.S. communities. Site visits conducted in those communities suggest that public policy is an important force that shapes health system change, for instance, by establishing the underlying "rules of the game" for private and public actors and by influencing the decisions of national and regional entities to enter and exit local markets. These dynamics are explored through a discussion of several key policy areas, including Medicaid and Medicare managed care programs, state regulation of managed care, regulation of providers' rates, certificate-of-need rules, and oversight of conversions from nonprofit to for-profit status.T he t u mu lt u ou s pa c e of health system change is driven, in large measure, by private-sector actions such as the vote of a community hospital board to affiliate with a national hospital chain or the decision of a large employer to move its employees into managed care plans. Given the headlinegrabbing nature of these changes, it is easy to lose sight of the critical role that public policy plays in shaping health system change. This paper explores the impact of public policy on local health care systems in a representative sample of twelve U.S. communities being monitored as part of the Community Tracking Study, conducted by the Center for Studying Health System Change and sponsored by the Robert Wood Johnson Foundation (RWJF).1 The first round of site visits conducted between May 1996 and January

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Section: Regulation and Oversight Of Not-for-profit Conversionsmentioning

confidence: 99%

Rules Of The Game: How Public Policy Affects Local Health Care Markets

Solomon

1998

Health Affairs

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Fiduciary Responsibilities in Nonprofit Health Care Conversions

Wilkins

Jacobson²

1998

Health Care Management Review

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Conversions of nonprofit hospitals to for-profit status have been controversial because of concerns that community interests are not represented in the deals. As a result, several states have either passed or are considering conversion legislation. However, dramatic variability among states in approaching conversions remains, including the extent of attorney general intervention. Federal or state legislation could standardize rules for nonprofit conversions, but such comprehensive legislation is unlikely. Instead, this article argues that CEOs and trustees of nonprofit organizations undergoing conversions must honor their fiduciary duties to ensure that a conversion represents community interests.

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Hospital Conversion Foundations

Baker¹

2001

JONA's Healthcare Law, Ethics, and Regulation

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A major healthcare transformation in the United States is the conversion of nonprofit hospitals to for-profit entities, and the creation of hospital conversion foundations for the nonprofit charitable assets, which now exceeds $9 billion. Because less than 21% of the 525 hospitals converting from nonprofit to for-profit ownership have established a hospital conversion foundation, the public's monetary losses are considerable. This article examines some of the key legal and organizational issues related to hospital conversion foundations including factors related to establishing fair value of the converting hospital, foundation mission, use of conversion revenue, governance, and evaluation.

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The Preservation Of Charitable Health Care Assets

Cited by 3 publications

References 0 publications

Rules Of The Game: How Public Policy Affects Local Health Care Markets

Rules Of The Game: How Public Policy Affects Local Health Care Markets

Fiduciary Responsibilities in Nonprofit Health Care Conversions

Hospital Conversion Foundations

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