While I may be stating the obvious, hospitals and health systems are complex creatures that frequently drive local economies, culture and population health status (among other things). Accordingly, when considering a potential change of control transaction, it is critical that you examine what drives your organization and what [in the community] your organization drives. In particular, the latter is frequently overlooked in these circumstances.
What Drives Your Organization (Your Mission)
So, how do you begin to identify your organization’s priorities? I recommend starting with the low hanging fruit—the hospital’s mission. It is critical in the early stages of a potential transaction to consider your organization’s mission, how that mission relates to your current operations and if that
mission is capable of evolving. For instance, if your hospital’s focus for the last 50 years has related to teaching and research, then partnering with an organization that will continue to enhance and invest in these pursuits may be a key priority. Likewise, if charity care and serving the indigent population has been the hospital’s mission historically, you will want to ensure charity care is high on your list and considered when your board evaluates a potential transaction partner. These are the points on which you will be less likely to compromise as the deal progresses.
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