As safety net providers, public hospitals play a crucial role in providing care for vulnerable populations. They are also required to provide education to medical, nursing and allied health students, conduct research and provide high-technology services. Research suggests that privatization is one of the strategies that public hospitals adopt to stay competitive. Studies have examined the impact of privatization on access, quality, efficiency, and financial performance but little empirical attention has been given to the potential impact of privatization on the provision of high-technology health services. For health care organizations, maintaining the provision of high-technology health services can be expensive and unprofitable for some of these services. One of the means by which privatization may help hospitals stay competitive is by closing unprofitable high-technology service lines and opening profitable ones. A better understanding of the factors associated with changes in high- technology services...