Conversions of nonprofit hospitals to for-profit status have been cont
roversial because of concerns that community interests are not represe
nted in the deals. As a result, several states have,either passed or a
re considering conversion legislation. However, dramatic variability a
mong states in approaching conversions remains, including the extent o
f attorney general intervention. Federal or state legislation could st
andardize rules for nonprofit conversions, but such comprehensive legi
slation is unlikely. Instead, this article argues that CEOs and truste
es of nonprofit organizations undergoing conversions must honor their
fiduciary duties to ensure that a conversion represents community inte
rests.