Market forces have created a competitive health care environment in which hospitals are responding by changing hospital ownership status. Changes in ownership are attempts to ensure survival and strengthen the hospital's ability to compete and provide services. This report provides a description of hospitals by ownership status and by county in Texas. It also contains a summary of hospital ownership changes that have occurred in Texas from 1900 to 1996. An examination of reasons for changes in hospital ownership status, some of the effects of the changes, the types of transactions that occur, the valuation and distribution of assets, the decision-making process, challenges faced during a change in ownership, and community awareness, participation and perception the changes is included. Data was collected from the Texas Department of Health Bureau of Data and Policy Analysis and from a survey of Texas hospital administrators that were in place during a hospital conversion between 1990 and 1996.
-- Author's foreword.