Scott & Bill Presenting at NHPCO in 2022

Scott and Bill will presenting an on-demand workshop at the 2022 NHPCO Leadership and Advocacy Conference, entitled: Effectively Exploring Affiliations for Nonprofit Hospices


What Hospice Boards Should Know About Strategic Restructuring

Due to a number of forces, hospice boards are increasingly drawn into looking at opportunities for affiliation with other organizations….certainly other hospices, but also non hospice entities as well. In this Hospice Governance Academy Spotlight Interview, Bill Musick, President of Integriti3D, interviews Scott Cotenoff, Partner at La Piana Consulting, a firm well-known for their pioneering work on opportunities for affiliations between organizations. Scott talks with Bill about the general concept of strategic restructuring, key success factors, and the challenges boards should anticipate.


Scott Cotenoff

Partner, La Piana Consulting

Segment 1: The Basics

La Piana Consulting thinks of strategic restructuring, which includes mergers and joint ventures, as a subset of the broad array of strategic relationships organizations can enter into. In considering strategic restructuring, organizations should focus on mission alignment first and foremost.

In this first segment, Scott Cotenoff introduces the concept of strategic restructuring and shares insights into trends and drivers for these types of relationships in the hospice industry.

Segment 2: Key Success Factors

Scott Cotenoff shares keys for success when it comes to restructuring with new partners, as well as challenges to anticipate. At the end of the day, it is about focusing on the opportunities and the strengths that both organizations bring to the table:

  1. Complimentary Missions
  2. Orientation Toward Risk and Growth
  3. Shared Vision for What a Successful Partnership Looks Like
  4. Past Experience
  5. The Absence of an Immediate Crisis


Segment 3: For-profit vs. nonprofit Mergers

Scott Cotenoff discusses the differences between for-profit and nonprofit mergers that board members may need to take into account during strategic restructuring. There is a distinct orientation for each type of organization, and it is important to keep these differences in mind.

  1. Drivers
  2. Negotiations
  3. Financial Implications
  4. Advancing Missions and Strategies


Veteran Owned Small Business logo
Board Source Certified Governance Trainer logo
Standards of Excellence logo
CHC logo
CHC logo