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Joining forces, fortunes, and futures: restructuring and adaptation in nonprofit hospice organizations
Abstract
Nonprofit organizations operate in tumultuous times characterized by
constrained funding, increased competition, and greater demand for
social services. Existing bases of intangible and tangible assets
often are insufficient to fulfill service missions. These
organizations appear to be responding by joining forces and
restructuring to better accommodate diminished resources. Relatively
little is known about the reorganization strategies being employed.
The study described in this chapter examined the phenomenon of
organizational restructuring among nonprofit hospice organizations. In
particular, it identified the factors that propel nonprofits to pursue
restructuring as a strategic solution, the elements that impede such
restructuring efforts, and how organizations that pursue and implement
restructuring differ from those that do not. The study found that an
organization's relative placement along a continuum of political and
economic strength is determinative in the outcome of its restructuring
efforts. Those that take affirmative steps operate from a position of
economic strength and exhibit independence in governance and decision
making; those that do not are impeded by internal political factors.
Journal
(2004)
vol15
no1
pages117-138
Categories
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Nonprofit Service Sectors
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Health
