title: Changing course. Columbia the buyer becomes Columbia the builder as the company seeks to overcome market impediments.
abstract: In an attempt to overcome market roadblocks, Columbia/HCA Healthcare Corp is revising its strategy from buying existing hospitals to constructing new ones. In this issue we take a look at the investor-owned giant's changing tactics as well as its sometimes rocky relations with the media. We also examine Columbia's performance in its former headquarters city, Louisville, Ky.
authors.forename: B
authors.initials: B
authors.lastname: Japsen
authors.forename: C
authors.initials: C
authors.lastname: Snow
mesh_terms: D002391:Catchment Area, Health; D002567:Certificate of Need; D004465:Economic Competition; D006749:Hospital Design and Construction / Q000639:trends; D006752:Hospital Planning / Q000639:trends; D006754:Hospital Restructuring; D006777:Hospitals, Proprietary / Q000191:economics / Q000458:organization & administration / Q000639:trends*; D007629:Kentucky; D009096:Multi-Institutional Systems / Q000191:economics / Q000458:organization & administration / Q000639:trends*; D011641:Public Relations; D014481:United States