title: Hospitals acquiring local businesses: the art and challenge of buying beyond the four walls.
abstract: As managed care pushes hospitals to redesign themselves into "integrated health care delivery systems," hospital executives are faced with "make or buy" decisions for a variety of alternate site care businesses. This article dissects the nuances of the buy option, which involves some rather subtle issues often new to most hospital-based executives.
authors.affiliation: Healthcare Resources of America, Lewisville, TX, USA.
authors.forename: K P
authors.initials: KP
authors.lastname: O'Donnell
mesh_terms: D003153:Community Health Services / Q000191:economics; D003365:Costs and Cost Analysis; D003659:Decision Making, Organizational; D019033:Delivery of Health Care, Integrated / Q000191:economics*; D005375:Financial Audit / Q000379:methods; D005377:Financial Management, Hospital / Q000379:methods; D006754:Hospital Restructuring / Q000191:economics*; D007449:Investments / Q000191:economics; D014481:United States