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This paper analyzes, across time, the government-nonprofit relationship in the hospice program. Specifically, it frames the relationship within the context of the supplementary, complementary, and adversarial framework developed by Young (1999). The developed study sheds light on the effects of government entry, spending, and regulation on market share in nonprofit organizations. The outcomes indicate that nonprofit market share is negatively affected by government entry into the market place and increased government spending, providing evidence of a supplementary relationship. Given the budgetary challenges and growing cost of healthcare, the outcomes of this analysis begins a discussion of the affects of government entry, spending and regulation on the wellbeing of healthcare providing nonprofit organizations.