Publications

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June 2012 (Revised October 2018)
Case

Home Nursing of North Carolina

By: Richard S. Ruback and Royce Yudkoff

Ari Medoff's (HBS '11) goal was to control his own professional destiny by owning his own company. His search identified a suitable acquisition in Home Nursing of North Carolina, and he had negotiated a purchase price of $3.5 million, or 4.2x trailing EBITDA. Medoff... View Details

Keywords: Search Funds; Small Companies; Acquisitions; Negotiation; Medical Services; Negotiation Process; Valuation; Investment; Acquisition; Health Industry

June 2018 (Revised February 2019)
Teaching Note

Home Nursing of North Carolina

By: Richard S. Ruback, Royce Yudkoff and Ahron Rosenfeld

In 2011, immediately after graduating HBS, Ari Medoff began a self-funded search for a small firm to buy and run as its CEO. After just three month of searching, he identified Home Nursing of North Carolina (HNNC), a home care agency based in Greensboro, NC, as a... View Details

Keywords: Small Firms Management; Acquisition; Negotiation Process; Investment; Small Business; Management; Personal Development and Career

November 2018
Supplement

Home Nursing of North Carolina

By: Richard S. Ruback and Royce Yudkoff

1984
Article

Return to Nursing Home Investment: Issues for Public Policy

By: Carliss Y. Baldwin and Christine E. Bishop

Keywords: Health; Investment; Policy; Health Industry

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Article

Incidence and Preventability of Adverse Drug Events in the Nursing Home Setting

By: J. H. Gurwitz, T. S. Field, J. Avorn, D. McCormick, S. Jain, M. Eckler, M. Benser, A. Edmondson and D. W. Bates

Keywords: Health; Health Industry

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September 2011 (Revised January 2012)
Case

Telemonitoring at Visiting Nurse Health System

By: F. Warren McFarlan, Mark Keil and Mala Kaul

The Telemonitoring at Visiting Nurse Health System case presents one home healthcare organization's efforts to use telemonitoring to improve the quality of care provided to at-risk patients who were discharged from hospitals and needed home care. After two years of... View Details

Keywords: Capital Budgeting; Cost vs Benefits; Risk Management; Technology Adoption; Technological Innovation; Organizational Change and Adaptation; Competitive Strategy; Health Industry; Technology Industry

May 2015 (Revised September 2015)
Case

AIP Healthcare Japan: Investing in Japan's Retirement Home Market

By: John A. Quelch and Qing Xia

The CEO of a health care-based REIT is considering alternative nursing home investment strategies. Students must consider macro-industry trends, scale and scope issues and consumer segmentation data in making their recommendations. View Details

Keywords: Health Care; Health Care Services; REIT; Marketing; Investment; Health Care and Treatment; Segmentation; Accommodations Industry; Health Industry; Real Estate Industry; Japan

February 2017 (Revised February 2021)
Case

Hebrew SeniorLife: Next Steps

By: Regina E. Herzlinger, Carin-Isabel Knoop and Olivia Hull

The CEO of Hebrew SeniorLife is contemplating how to scale his highly successful but asset-intensive continuing care retirement community for elders. Among the strategies he is considering is an expansion to China; virtual web-based care; providing continuing care in... View Details

Keywords: Continuing Care; Nursing Home; Rehabilitation; Assisted Living; Elder Care; Entrepreneurial Management; Health Care and Treatment; Entrepreneurship; Growth and Development Strategy; Health Industry; United States

23 Jun 2023
HBS Case

This Company Lets Employees Take Charge—Even with Life and Death Decisions

Is it possible to truly empower employees to make their own decisions—even when those decisions could mean life or death? That is the question posed by Dutch home healthcare organization Buurtzorg, which has radically avoided almost all... View Details

Keywords: by Annelena Lobb; Health

January 2011 (Revised January 2012)
Case

The Case of the Unidentified Healthcare Companies2010

By: Richard Bohmer, Ethan Bernstein, Margarita Krivitski and Srinidhi Reddy

This case presents financial statements and selected ratios for 14 unidentified healthcare organizations and asks that each set of financial information be matched with one of the following healthcare companies: a biotechnology firm, a community nursing company, a... View Details

Keywords: Financial Reporting; Financial Statements; Health Care and Treatment; Health Industry

January 2011 (Revised January 2012)
Supplement

The Case of the Unidentified Healthcare Companies2010 (CW)

By: Richard M.J. Bohmer, Ethan S Bernstein, Margarita Krivitski and Srinidhi Reddy

This case presents financial statements and selected rations for 14 unidentified healthcare organizations and asks that each set of financial information be matched with one of the following healthcare companies: a biotechnology firm, a community nursing company, a... View Details

Keywords: Financial Statements; Financial Management; Health Care and Treatment; Biotechnology Industry; Health Industry

January 1994 (Revised June 1996)
Case

Problems at InSpeech

By: Lynn S. Paine

InSpeech, Inc., the largest U.S. provider of speech, occupational, and physical therapists to nursing homes and hospitals, is faltering badly. The company is having trouble retaining its frontline employees--the clinicians who deliver its services--and its customers.... View Details

Keywords: Organizational Change and Adaptation; Business Strategy; Problems and Challenges; Health Care and Treatment; Crisis Management; Mission and Purpose; Values and Beliefs; Health Industry

January 1994 (Revised March 1995)
Case

NovaCare, Inc.: Living the Vision

By: Lynn S. Paine

NovaCare's CEO is considering how further to institutionalize the company's espoused values and beliefs. One challenge is integrating two newly acquired businesses; another is better aligning the values of the company's managers with those of its front-line... View Details

Keywords: Organizational Change and Adaptation; Health Care and Treatment; Labor and Management Relations; Management Teams; Values and Beliefs; Mergers and Acquisitions; Mission and Purpose; Health Industry

June 2022 (Revised January 2023)
Case

Buurtzorg

By: Ethan Bernstein, Tatiana Sandino, Joost Minnaar and Annelena Lobb

As co-founders of home nursing company Buurtzorg, Jos de Blok and Gonnie Kronenberg prized both self-management and organizational learning. Buurtzorg’s 10,000 nurses across 950 neighborhood nursing teams in the Netherlands were empowered to manage themselves, both in... View Details

December 2023
Teaching Note

Buurtzorg

By: Ethan Bernstein and Tatiana Sandino

Teaching Note for HBS Case No. 122-101. As co-founders of home nursing company Buurtzorg, Jos de Blok and Gonnie Kronenberg prized both self-management and organizational learning. Buurtzorg’s 10,000 nurses across 950 neighborhood nursing teams in the Netherlands were... View Details

Keywords: Health Care and Treatment; Employee Relationship Management; Knowledge Dissemination; Knowledge Management; Management Practices and Processes; Organizational Design; Organizational Structure; Groups and Teams; Learning; Health Industry; Netherlands

January 2024
Supplement

Buurtzorg

By: Ethan Bernstein and Tatiana Sandino

As co-founders of home nursing company Buurtzorg, Jos de Blok and Gonnie Kronenberg prized both self-management and organizational learning. Buurtzorg’s 10,000 nurses across 950 neighborhood nursing teams in the Netherlands were empowered to manage themselves, both in... View Details

Keywords: Organizational Design; Management Style; Business Model; Knowledge Dissemination; Learning; Organizational Culture; Health Industry; Netherlands