Non-Profit Hospital Governance, Conduct, and CEO Pay.

IF 2.3 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Daniel P Kessler, William Wygal
{"title":"Non-Profit Hospital Governance, Conduct, and CEO Pay.","authors":"Daniel P Kessler, William Wygal","doi":"10.1177/00469580251366975","DOIUrl":null,"url":null,"abstract":"<p><p>We investigate whether the membership of a non-profit hospital's CEO on its board of directors is associated with CEO pay and several measures of hospital performance, including price, operating margin, quality, and service to low-income patients. Although the consequences of CEO board membership for for-profit firms have been studied extensively, the consequences for non-profits in general, and non-profit hospitals in particular, have received less attention. Because most hospitals are non-profit and non-profit hospital prices have increased rapidly over the past 20 years, this gap is important. We use regression models to estimate the association between various measures of hospital performance and CEO board membership, holding constant fixed effects denoting the hospital's county of location, hospital board size, and other hospital characteristics. We find a strong positive association between CEO board membership and non-profit hospital prices, operating margins, and CEO pay, with a weaker positive (negative) association between CEO board membership and quality (service to low-income patients). We conclude that non-profit hospitals' CEO board membership is likely associated with increases in agency costs due to a lack of separation between management and control.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251366975"},"PeriodicalIF":2.3000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12391706/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Inquiry-The Journal of Health Care Organization Provision and Financing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/00469580251366975","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/8/27 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0

Abstract

We investigate whether the membership of a non-profit hospital's CEO on its board of directors is associated with CEO pay and several measures of hospital performance, including price, operating margin, quality, and service to low-income patients. Although the consequences of CEO board membership for for-profit firms have been studied extensively, the consequences for non-profits in general, and non-profit hospitals in particular, have received less attention. Because most hospitals are non-profit and non-profit hospital prices have increased rapidly over the past 20 years, this gap is important. We use regression models to estimate the association between various measures of hospital performance and CEO board membership, holding constant fixed effects denoting the hospital's county of location, hospital board size, and other hospital characteristics. We find a strong positive association between CEO board membership and non-profit hospital prices, operating margins, and CEO pay, with a weaker positive (negative) association between CEO board membership and quality (service to low-income patients). We conclude that non-profit hospitals' CEO board membership is likely associated with increases in agency costs due to a lack of separation between management and control.

Abstract Image

Abstract Image

Abstract Image

非营利性医院治理、行为和CEO薪酬。
我们调查了一家非营利性医院的首席执行官在其董事会中的成员资格是否与首席执行官薪酬和医院绩效的几个指标有关,包括价格、营业利润率、质量和对低收入患者的服务。尽管对盈利性公司的CEO董事会成员资格的影响进行了广泛的研究,但对一般非营利组织,特别是非营利医院的影响却很少受到关注。由于大多数医院是非营利性的,而非营利性医院的价格在过去20年里迅速上涨,这一差距很重要。我们使用回归模型来估计医院绩效的各种指标与CEO董事会成员之间的关联,保持恒定的固定效应,表示医院所在的县,医院董事会规模和其他医院特征。我们发现CEO董事会成员与非营利性医院价格、营业利润率和CEO薪酬之间存在很强的正相关关系,而CEO董事会成员与质量(对低收入患者的服务)之间存在较弱的正(负)相关关系。我们得出结论,非营利性医院的CEO董事会成员可能与代理成本的增加有关,因为缺乏管理和控制之间的分离。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
2.50
自引率
0.00%
发文量
192
审稿时长
>12 weeks
期刊介绍: INQUIRY is a peer-reviewed open access journal whose msision is to to improve health by sharing research spanning health care, including public health, health services, and health policy.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信