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Prime Example. A Calif. community's inability to stop a failing not-for-profit hospital from being sold, converted has national implications.

Approval of the sale of a California hospital to a for-profit ended a contentious struggle in the community, where advocates of keeping it not-for-profit worked to stop the sale. The battle highlights the difficulties facing not-for-profits. "Everybody is interested in the best thing for their community and yet because of the difficult economics of healthcare, there are no solutions agreeable to all parties," says consultant Phil Dalton, left.