The not-for-profit dilemma: business approach or bankruptcy?

Not-for-profit hospitals are facing a lack of access to capital, management skills for a competitive marketplace, and boards that find it difficult to wear business hats in their decision-making processes. They must act now. If not-for-profits do not overcome their one-room school house syndrome of local control, give up autonomy to form national networks, and create new ways to generate capital, they will lose quality of care, and for-profits or government will assume healthcare leadership in our country. The following article addresses this dilemma.