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From stethoscopes to boardrooms: CEOs’ medical degree and merger performance

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  • Unsal, Omer

Abstract

This study explores how CEOs with medical degrees (M.D.) impact mergers and acquisitions (M&A) in the U.S. pharmaceutical industry. We discover that doctor CEOs tend to engage in fewer M&A deals, but when they do, these transactions show better outcomes. Investors respond positively to mergers led by M.D. CEOs, signaling confidence in their decisions. Similarly, target firms led by doctor CEOs experience positive market reactions, lasting up to 20 %. Rather than engaging in frequent mergers, doctor CEOs form a greater number of strategic alliances, expand their businesses, and produce more medical innovation. Overall, this study sheds light on the distinctive strategies employed by doctor CEOs in the pharmaceutical industry, providing valuable insights for ever-changing landscape of healthcare business.

Suggested Citation

  • Unsal, Omer, 2025. "From stethoscopes to boardrooms: CEOs’ medical degree and merger performance," Journal of Contemporary Accounting and Economics, Elsevier, vol. 21(3).
  • Handle: RePEc:eee:jocaae:v:21:y:2025:i:3:s1815566925000554
    DOI: 10.1016/j.jcae.2025.100508
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    1. Md Noman Hossain & Md Nazmul Hasan Bhuyan, 2023. "CEO marital status and capital allocation efficiency," International Journal of Managerial Finance, Emerald Group Publishing Limited, vol. 19(5), pages 1098-1123, February.
    2. Matthew Rhodes‐Kropf & David T. Robinson, 2008. "The Market for Mergers and the Boundaries of the Firm," Journal of Finance, American Finance Association, vol. 63(3), pages 1169-1211, June.
    3. Dirk Jenter & Katharina Lewellen, 2015. "CEO Preferences and Acquisitions," Journal of Finance, American Finance Association, vol. 70(6), pages 2813-2852, December.
    4. Yenn‐Ru Chen & Tuck Siong Chung & Chia‐Hsien Lin & Angie Low, 2024. "When do stock options affect CEO risk‐taking? The moderating role of CEO regulatory focus," Journal of Business Finance & Accounting, Wiley Blackwell, vol. 51(7-8), pages 1724-1761, July.
    5. Benson, Bradley W. & Davidson, Wallace N. & Davidson, Travis R. & Wang, Hongxia, 2015. "Do busy directors and CEOs shirk their responsibilities? Evidence from mergers and acquisitions," The Quarterly Review of Economics and Finance, Elsevier, vol. 55(C), pages 1-19.
    6. Veronika K. Pool & Noah Stoffman & Scott E. Yonker, 2012. "No Place Like Home: Familiarity in Mutual Fund Manager Portfolio Choice," The Review of Financial Studies, Society for Financial Studies, vol. 25(8), pages 2563-2599.
    7. Custódio, Cláudia & Ferreira, Miguel A. & Matos, Pedro, 2013. "Generalists versus specialists: Lifetime work experience and chief executive officer pay," Journal of Financial Economics, Elsevier, vol. 108(2), pages 471-492.
    8. Ferris, Stephen P. & Jayaraman, Narayanan & Sabherwal, Sanjiv, 2013. "CEO Overconfidence and International Merger and Acquisition Activity," Journal of Financial and Quantitative Analysis, Cambridge University Press, vol. 48(1), pages 137-164, February.
    9. Hijzen, Alexander & Görg, Holger & Manchin, Miriam, 2008. "Cross-border mergers and acquisitions and the role of trade costs," European Economic Review, Elsevier, vol. 52(5), pages 849-866, July.
    10. Philippe Barla & Christos Constantatos, 2006. "On The Choice between Strategic Alliance and Merger in the Airline Sector: The Role of Strategic Effects," Journal of Transport Economics and Policy, University of Bath, vol. 40(3), pages 409-424, September.
    11. Joseph G. Altonji & Todd E. Elder & Christopher R. Taber, 2005. "Selection on Observed and Unobserved Variables: Assessing the Effectiveness of Catholic Schools," Journal of Political Economy, University of Chicago Press, vol. 113(1), pages 151-184, February.
    12. Shuangyan Li & Anum Shahzadi & Genfu Feng, 2022. "Top Executives’ Multi-Background and M&A Decisions: Evidence from Chinese-Listed Firms," Emerging Markets Finance and Trade, Taylor & Francis Journals, vol. 58(6), pages 1602-1614, May.
    13. Eunice S. Khoo & Louise Y. Lu & Zihang Peng, 2025. "The effect of CEO adverse professional experience on management forecast pessimism," Accounting and Finance, Accounting and Finance Association of Australia and New Zealand, vol. 65(1), pages 219-250, March.
    14. Haojun, Wang & Jiazhu, Li, 2024. "Professional experience of CEOs in industry associations and corporate green innovation-empirical evidence from China," Pacific-Basin Finance Journal, Elsevier, vol. 85(C).
    15. Yim, Soojin, 2013. "The acquisitiveness of youth: CEO age and acquisition behavior," Journal of Financial Economics, Elsevier, vol. 108(1), pages 250-273.
    16. Matvos, Gregor & Ostrovsky, Michael, 2008. "Cross-ownership, returns, and voting in mergers," Journal of Financial Economics, Elsevier, vol. 89(3), pages 391-403, September.
    17. Ahern, Kenneth R., 2012. "Bargaining power and industry dependence in mergers," Journal of Financial Economics, Elsevier, vol. 103(3), pages 530-550.
    18. Daniel L. Gamache & Cynthia E. Devers & Felice B. Klein & Timothy Hannigan, 2023. "Shifting perspectives: How scrutiny shapes the relationship between CEO gender and acquisition activity," Strategic Management Journal, Wiley Blackwell, vol. 44(12), pages 3012-3041, December.
    19. Chowdhury, Rajib & Doukas, John A. & Mandal, Sonik, 2023. "CEO risk preferences, hedging intensity, and firm value," Journal of International Money and Finance, Elsevier, vol. 130(C).
    20. Marianne Bertrand & Antoinette Schoar, 2003. "Managing with Style: The Effect of Managers on Firm Policies," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 118(4), pages 1169-1208.
    21. Ji, Mingming & Jiang, Liangliang, 2022. "Aggressive CEOs and bank mergers and acquisitions," Journal of Contemporary Accounting and Economics, Elsevier, vol. 18(3).
    22. Emily Oster, 2019. "Unobservable Selection and Coefficient Stability: Theory and Evidence," Journal of Business & Economic Statistics, Taylor & Francis Journals, vol. 37(2), pages 187-204, April.
    23. Ying Jiang & Xiuqi Jiang & Wendan Deng, 2024. "CEO industry tournament, investor attention, and company value," Managerial and Decision Economics, John Wiley & Sons, Ltd., vol. 45(6), pages 4084-4104, September.
    24. Fich, Eliezer M. & Cai, Jie & Tran, Anh L., 2011. "Stock option grants to target CEOs during private merger negotiations," Journal of Financial Economics, Elsevier, vol. 101(2), pages 413-430, August.
    25. repec:eme:mfppss:mf-12-2020-0606 is not listed on IDEAS
    26. Fich, Eliezer M. & Nguyen, Tu, 2020. "The value of CEOs' supply chain experience: Evidence from mergers and acquisitions," Journal of Corporate Finance, Elsevier, vol. 60(C).
    27. Kenneth R. Ahern & Jarrad Harford, 2014. "The Importance of Industry Links in Merger Waves," Journal of Finance, American Finance Association, vol. 69(2), pages 527-576, April.
    28. Wang, Ye & Yin, Sirui, 2018. "CEO educational background and acquisition targets selection," Journal of Corporate Finance, Elsevier, vol. 52(C), pages 238-259.
    29. El-Khatib, Rwan & Fogel, Kathy & Jandik, Tomas, 2015. "CEO network centrality and merger performance," Journal of Financial Economics, Elsevier, vol. 116(2), pages 349-382.
    30. Cai, Ye & Sevilir, Merih, 2012. "Board connections and M&A transactions," Journal of Financial Economics, Elsevier, vol. 103(2), pages 327-349.
    31. Jan Bena & Kai Li, 2014. "Corporate Innovations and Mergers and Acquisitions," Journal of Finance, American Finance Association, vol. 69(5), pages 1923-1960, October.
    32. Kathleen Fuller & Jeffry Netter & Mike Stegemoller, 2002. "What Do Returns to Acquiring Firms Tell Us? Evidence from Firms That Make Many Acquisitions," Journal of Finance, American Finance Association, vol. 57(4), pages 1763-1793, August.
    33. Kun Wang & Hao Huang & Youwei Yuan, 2024. "Can CEO's professional connections drive green innovation of SMEs?," Business Strategy and the Environment, Wiley Blackwell, vol. 33(6), pages 5975-5995, September.
    34. Ahmed, Mohamed Shaker & Kumar, Satish, 2023. "Are MBA CEOs really more risk-averse?," International Review of Financial Analysis, Elsevier, vol. 89(C).
    35. Linn, Scott C. & Switzer, Jeannette A., 2001. "Are cash acquisitions associated with better postcombination operating performance than stock acquisitions?," Journal of Banking & Finance, Elsevier, vol. 25(6), pages 1113-1138, June.
    36. Barringer, Bruce R. & Greening, Daniel W., 1998. "Small business growth through geographic expansion: A comparative case study," Journal of Business Venturing, Elsevier, vol. 13(6), pages 467-492, November.
    37. Leung, Henry & Tse, Jeffrey & Westerholm, P. Joakim, 2019. "CEO traders and corporate acquisitions," Journal of Corporate Finance, Elsevier, vol. 54(C), pages 107-127.
    38. Aabo, Tom & Hanousek, Jan & Pantzalis, Christos & Park, Jung Chul, 2023. "CEO personality traits and corporate value implication of acquisitions," Journal of Empirical Finance, Elsevier, vol. 73(C), pages 86-106.
    39. Ashrafee Hossain & Samir Saadi & Abu S. Amin, 2023. "Does CEO Risk-Aversion Affect Carbon Emission?," Journal of Business Ethics, Springer, vol. 182(4), pages 1171-1198, February.
    40. Golubov, Andrey & Yawson, Alfred & Zhang, Huizhong, 2015. "Extraordinary acquirers," Journal of Financial Economics, Elsevier, vol. 116(2), pages 314-330.
    41. Elnahas, Ahmed M. & Kim, Dongnyoung, 2017. "CEO political ideology and mergers and acquisitions decisions," Journal of Corporate Finance, Elsevier, vol. 45(C), pages 162-175.
    42. Malmendier, Ulrike & Tate, Geoffrey, 2008. "Who makes acquisitions? CEO overconfidence and the market's reaction," Journal of Financial Economics, Elsevier, vol. 89(1), pages 20-43, July.
    43. Huang, Jiekun & Kisgen, Darren J., 2013. "Gender and corporate finance: Are male executives overconfident relative to female executives?," Journal of Financial Economics, Elsevier, vol. 108(3), pages 822-839.
    44. Dimitrios Gounopoulos & Georgios Loukopoulos & Panagiotis Loukopoulos, 2021. "CEO education and the ability to raise capital," Corporate Governance: An International Review, Wiley Blackwell, vol. 29(1), pages 67-99, January.
    45. Chen, Yi-Min & Liu, Hsin-Hsien & Yang, Yung-Kai & Chen, Wei-Hua, 2016. "CEO succession in family firms: Stewardship perspective in the pre-succession context," Journal of Business Research, Elsevier, vol. 69(11), pages 5111-5116.
    46. Cláudia Custódio & Daniel Metzger, 2013. "How Do CEOs Matter? The Effect of Industry Expertise on Acquisition Returns," The Review of Financial Studies, Society for Financial Studies, vol. 26(8), pages 2008-2047.
    47. Aktas, Nihat & de Bodt, Eric & Bollaert, Helen & Roll, Richard, 2016. "CEO Narcissism and the Takeover Process: From Private Initiation to Deal Completion," Journal of Financial and Quantitative Analysis, Cambridge University Press, vol. 51(1), pages 113-137, February.
    48. Elkinawy, Susan & Hibbert, Ann Marie & Talukdar, Bakhtear, 2023. "Gender differences in CEO risk tolerance: A look at fixed pay," Global Finance Journal, Elsevier, vol. 57(C).
    49. Judith Chevalier & Glenn Ellison, 1999. "Are Some Mutual Fund Managers Better Than Others? Cross‐Sectional Patterns in Behavior and Performance," Journal of Finance, American Finance Association, vol. 54(3), pages 875-899, June.
    50. Jarrad Harford & Kai Li, 2007. "Decoupling CEO Wealth and Firm Performance: The Case of Acquiring CEOs," Journal of Finance, American Finance Association, vol. 62(2), pages 917-949, April.
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    Keywords

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    JEL classification:

    • G30 - Financial Economics - - Corporate Finance and Governance - - - General
    • G34 - Financial Economics - - Corporate Finance and Governance - - - Mergers; Acquisitions; Restructuring; Corporate Governance
    • G14 - Financial Economics - - General Financial Markets - - - Information and Market Efficiency; Event Studies; Insider Trading
    • M14 - Business Administration and Business Economics; Marketing; Accounting; Personnel Economics - - Business Administration - - - Corporate Culture; Diversity; Social Responsibility

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