title: Economic climate and cultural diversity: a merging picture.
abstract: This article explores the merging of a single nonprofit hospital with a nonprofit health care system of hospitals. It also provides the unique financial history of health care reimbursement in California that makes such merges imperative for the success of single hospitals. A unique patient-focused care model, shared governance, and the implications in the financial diversity of merging health care entities also are discussed.
authors.forename: D
authors.initials: D
authors.lastname: Schori-Ahmed
authors.forename: J
authors.initials: J
authors.lastname: Murray
mesh_terms: D002140:California; D017046:Cost Savings; D018864:Cultural Diversity; D003659:Decision Making, Organizational; D006273:Health Facility Merger / Q000458:organization & administration*; D006754:Hospital Restructuring / Q000458:organization & administration; D006788:Hospitals, Voluntary / Q000458:organization & administration*; D006801:Humans; D017146:Models, Organizational; D009096:Multi-Institutional Systems / Q000458:organization & administration*; D015401:Nursing Administration Research; D015279:Organizational Culture; D018802:Patient-Centered Care / Q000458:organization & administration; D012051:Reimbursement Mechanisms / Q000458:organization & administration