King J G, Avery J E
Legacy Health System, Portland, OR 97209, USA.
Health Serv Res. 1999 Apr;34(1 Pt 1):103-21.
To introduce and develop a decision model that can be used by the leadership of nonprofit healthcare organizations to assist them in evaluating whether selling to a for-profit organization is in their community's best interest.
STUDY SETTING/DATA SOURCES: A case study of the planning process and decision model that Legacy Health System used to evaluate whether to sell to a for-profit hospital management company and use the proceeds of the sale to establish a community health foundation. Data sources included financial statements of benchmark organizations, internal company records, and numerous existing studies.
The development of the multivariate model was based on insight gathered through a review of the current literature regarding the conversion of nonprofit healthcare organizations.
DATA COLLECTION/EXTRACTION METHODS: The effect that conversion from nonprofit to for-profit status would have on each variable was estimated based on assumptions drawn from the current literature and on an analysis of Legacy and for-profit hospital company data.
The results of the decision model calculations indicate that the sale of Legacy to a for-profit firm and the subsequent creation of a community foundation would have a negative effect on the local community.
The use of the decision model enabled senior management and trustees to systematically address the conversion question and to conclude that continuing to operate as a nonprofit organization would provide the most benefit to the local community. The model will prove useful to organizations that decide to sell to a for-profit organization as well as those that choose to continue nonprofit operations. For those that decide to sell, the model will assist in minimizing any potential negative effect that conversion may have on the community. The model will help those who choose not to sell to develop a better understanding of the organization's value to the community.
引入并开发一种决策模型，供非营利性医疗保健组织的领导层使用，以协助他们评估出售给营利性组织是否符合其所在社区的最佳利益。
研究背景/数据来源：对遗产健康系统（Legacy Health System）用于评估是否出售给营利性医院管理公司并利用出售所得设立社区健康基金会的规划过程和决策模型进行案例研究。数据来源包括标杆组织的财务报表、公司内部记录以及众多现有研究。
多变量模型的开发基于通过回顾当前有关非营利性医疗保健组织转型的文献所获得的见解。
数据收集/提取方法：根据当前文献中的假设以及对遗产健康系统和营利性医院公司数据的分析，估计从非营利性转为营利性状态对每个变量的影响。
决策模型计算结果表明，将遗产健康系统出售给营利性公司并随后创建社区基金会将对当地社区产生负面影响。
使用该决策模型使高级管理层和受托人能够系统地解决转型问题，并得出继续作为非营利性组织运营将为当地社区带来最大利益的结论。该模型将被证明对决定出售给营利性组织的机构以及选择继续非营利性运营的机构都有用。对于决定出售的机构，该模型将有助于将转型可能对社区产生的任何潜在负面影响降至最低。该模型将帮助那些选择不出售的机构更好地理解该组织对社区的价值。
