This document discusses the attributes, observations, trends, and key findings regarding for-profit (FP) and not-for-profit (NFP) health organizations. It finds that ownership status determines how profits are distributed and where hospitals locate, which influences their behavior and performance. Environmental and financial factors are causing some NFPs to become more commercial and potentially convert to FP status. The document concludes that while ownership affects certain outcomes, both FP and NFP hospitals can exist and make profits, but they distribute and use those profits differently according to their ownership model and mission.
24. Governance 7 Behavior (CEO Turnover) Stakeholders Governing Board Mission Investors FP Business People Economic Viability Low Income Community FPNFP Community Leaders Quality of Care High Admin Expenses Physicians FPNFP Physicians / Nurses Donors NFP Foundation Members Community Benefit High charity care Churchs NFP Religious Leaders Eldenberg, Hermalin, Weisbach & Wosinska, 2001
54. References 16 Cleverly, W. (2008) Not-For-Profit Hospitals: Still a Community Value. Healthcare Financial Management. June 2008. Carryrou, J. & Martinez, B. (2008) Nonprofit Hospitals, Once For the Poor, Strike It Rich. The Wall Street Journal. April 8, 2008. American Hospital Association (2009) Fast Facts on American Hospitals. Retrieved from http://www.aha.org/aha/resource-center/Statistics-and-Studies/fast-facts.html. April 13, 2009. Healthcare Financial Management Association (2009) Comments on Attributes of Tax-Exempt Healthcare Providers. Retrieved from http://www.hfma.org/library/compliance/taxexempt/400662.htm. June 18, 2009. Eldenburg, L., Hermalin, B., Weisbach, M., Wosinka, M. (2001) Hospital Governance, Performance Objectives, and Organizational Form. National Bureau of Economic Research. Working Paper 8201. April 2001. Falaschetti, D., & Castaneda, M. (2008) Does Hospital’s Profit Status Affect its Operational Scope? Springer Science and Business Media, LLC. October 5, 2008. Sloan, F. (1998) Commercialism in Nonprofit Hospitals. Journal of Policy Analysis and Management, Vol. 17, No. 2. Spring, 1998. Schlesinger, M. & Gray, B. (2006) How Nonprofits Matter in American Medicine, and What to Do About It. Health Affairs, web exclusive. June 20, 2006. Cutler, D. (2000) The Changing Hospital Industry. Chicago: University of Chicago Press.