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ARTICLE · 23 NOVEMBER 2018

New FTC Interpretation Will Require HSR Act Filing For Many Hospital Affiliation Transactions

The Premerger Notification Office of the Federal Trade Commission recently formalized a new position on Hart-Scott-Rodino Act reporting obligations for certain not-for-profit, non-stock transactions.

United StatesAntitrust/Competition Law

The Premerger Notification Office (PNO) of the Federal Trade Commission (FTC) recently formalized a new position on Hart-Scott-Rodino Act (HSR Act) reporting obligations for certain not-for-profit, non-stock transactions. The change is currently in effect and applies to transactions that have not yet closed. The change in position will require reporting of many hospital transactions that have not traditionally been treated as reportable events. The biggest area of change relates to affiliation transactions where hospitals or health systems affiliate under a new parent entity.

Under its previous position, the PNO focused on whether a transaction results in a change of "control" of the board of directors of one or more of the combining entities. Under its new position, the PNO will focus on beneficial ownership–whether one party receives beneficial ownership over the assets of another party as a result of the transaction. Now, a potentially reportable acquisition can

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