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IDS conversions to for-profit status: structuring the deal.

D A Jaques1

  • 1McDermott, Will & Emery, Los Angeles, CA, USA.

Healthcare Financial Management : Journal of the Healthcare Financial Management Association
|September 4, 1998
PubMed
Summary

Not-for-profit integrated delivery systems (IDSs) can convert to for-profit status via asset sales, joint ventures, or lease agreements. Executives must analyze legal, business, and political factors to choose the best structure for their organization.

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Area of Science:

  • Healthcare Management
  • Health Services Research

Background:

  • Not-for-profit integrated delivery systems (IDSs) face decisions regarding asset conversion.
  • Conversion to for-profit status offers strategic financial and operational opportunities.

Purpose of the Study:

  • To outline common conversion structures for not-for-profit IDSs.
  • To guide executives in selecting an optimal conversion strategy.

Main Methods:

  • Analysis of three primary conversion structures: asset sales, joint ventures, and lease/management agreements.
  • Examination of legal, business, and political implications for each structure.

Main Results:

  • Each conversion structure (sale, joint venture, lease) presents distinct advantages and disadvantages.

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  • The optimal choice depends on the specific circumstances and strategic goals of the IDS.

    • Conclusions:

    • Informed decision-making requires a thorough understanding of conversion drivers.
    • Careful consideration of legal, business, and political factors is crucial for successful asset conversion.