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Nearly all providers want to hit a home run every time they step up to bat. For every 100 (or 1,000) glorious schemes intended to result in a devastating victory over competitors, only one or a few succeed. The battle is more often won in hand-to-hand combat, day after day in the trenches, with excellent […]

Strategic planning in health care organizations, especially in hospitals and hospital-centered health care organizations, has been evolving over the past several decades. Spurred by changes in reimbursement, strategic planning shifted from a facilities orientation in the 1970s to a market orientation in the 1980s. While the shape of strategic planning in the 1990s is not […]

The Problem Growth and development of a Midwestern metropolitan area has resulted in a pocket of opportunity for a significant healthcare presence in the expanding southern suburbs. Sisters Health Care System (SHCS) has historically considered this area to be its market, but believes a major facility in the market may be required to preserve its […]

Community General Hospital (a fictitious institution) is a 250-bed hospital located at the periphery of a major metropolitan area. Community General’s revenues were flat for the three years ending 2001, and with rising expenses, the hospital’s operating deficit increased from $2 million in 1998 to $5 million in 2001. The hospital’s financial managers applied every […]

A second wave of healthcare provider consolidation is on the horizon, rivaling what occurred in the 1990s and is guaranteed to bring a new round of challenges and opportunities for providers across the country. Although the number of mergers and acquisitions has been modest for the past five years, six key environmental forces are converging […]