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Volume 335:446-453 August 8, 1996 Number 6

Columbia/HCA and the Resurgence of the For-Profit Hospital Business— Second of Two Parts
Robert Kuttner

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Columbia/HCA'S drive to increase its market power by purchasing not-for-profit community hospitals has raised thorny questions. Lately, it has also met escalating resistance. Columbia's deals are notable for the speed, secrecy, and legal ingenuity with which they are accomplished. The company has flying squads of acquisition specialists backed by financial analysts, accountants, lawyers, and consultants and can negotiate a binding letter of intent with a hospital's board of trustees in a matter of weeks. To a town with fiscal strains and a money-losing hospital, Columbia/HCA can look like a white knight. A tax-exempt institution stands to become a tax-paying one. . . . [Full Text of this Article]

Conversions and the Law

A Growing Backlash

Commercial and Political Hardball

Efficiency and Convergence

What's the Difference?


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Co-editor, The American Prospect, 6 University Rd., Cambridge, MA 02138, where reprint requests should be addressed to Mr. Kuttner.

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