Hospice News May 28, 2024
Jim Parker

Nonprofit hospices can combine their businesses in a number of ways, including traditional acquisitions, board member substitutions and other types of affiliations.

However, member substitutions are becoming more common, according to Meg Pekarske, partner at the law firm Husch Blackwell. While this model offers benefits it can also become a political minefield that can sink an affiliation.

“The governance issues are really where the cultural concerns come out in the details of a deal. In these members substitutions … the parties oftentimes are more collaborative and are looking for an affiliation and are looking to retain some level of identity in the member substitution,” Adam Royal, attorney at Husch Blackwell, said in a recent podcast. “That’s how the governance issues...

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