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The combining of two or more previously separate businesses is in full force among health care providers, with large numbers of mergers and acquisitions as providers seek both horizontal breadth and vertical integration to offer the most care services to the most people.

Earlier this decade, Medcenter One, based in Bismarck, N.(Full disclosure: Brainerd is the former chair of the board of directors for the Federal Reserve Bank of Minneapolis.) Specialists are also targets for vertical consolidation and integration.

According to a national survey by the American College of Cardiology, the share of cardiovascular practices that are owned by physicians dropped from 59 percent to 36 percent from 2007 to 2012.

However, the Housing for Older Persons Act of 1995 (HOPA) provides exemptions to familial status if a community meets either of the following conditions: 1.

All of the occupants of the community are over the age of 62.

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