Strategic Restructuring for California Community Clinics


This is archived content; for historical reference only.

Recently the California Health Care Foundation (CHCF) has been helping clinics to better understand strategic restructuring — or the range of collaborative strategies they might use to expand the delivery of services, achieve operational efficiencies, and fulfill their roles as leaders in the health of their communities. In October 2010, CHCF issued a Request for Applications (RFA) as an opportunity for interested nonprofit clinics, or groups of clinics, to take the next step to obtain expert consulting assistance in assessing their readiness for, and planning for, strategic restructuring.

Between the economic crisis and the shifting landscape of health care reform, California’s community clinics face unprecedented challenges and opportunities. Now more than ever, their prospects for survival depend on both their individual ability to compete for resources and their willingness to collaborate with other organizations. Working with national experts, CHCF has published materials and hosted forums to share information with the field about the current status and future potential for strategic restructuring among clinics (available under the Related CHCF Pages below).

CHCF is supporting resources to assist California clinics with the assessment and development of a range of strategic restructuring options, such as: administrative consolidation; joint programming; management services organization; joint venture corporation; and merger.

The RFA opportunity was open to nonprofit providers of primary care based in California and serving primarily underserved populations. Applications were due in November 2010 and in February 2011, grants were awarded to these organizations:

  • Mountain Valley Health Centers
  • North County Health Services
  • Santa Barbara Neighborhood Clinics
  • St. Anthony’s Free Clinic
  • The Children’s Clinic, Serving Children and Their Families

The complete Request for Applications and the required application form can be found under Document Downloads. An October 12 informational webinar is available below and presentation slides from the webinar are available as a Document Download.