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Bankruptcy duration and resolution in healthcare: Evidence from chapter 11 filings

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  • Robert Leach
  • Paul Newsom

Abstract

This study investigates the determinants of bankruptcy duration and resolution outcomes among publicly traded U.S. healthcare firms filing under Chapter 11. Using parametric survival models, we find that firm age and capital structure complexity are associated with longer proceedings, particularly among firms that ultimately liquidate. In contrast, prearranged filings, debtor‐in‐possession financing, and broader client reach shorten durations, especially in reorganizations. Governance disruptions such as fraud discovery and management turnover accelerate liquidation exits by eroding stakeholder confidence and reducing resistance to closure. The findings carry implications for policy design, creditor coordination, and institutional resilience in healthcare, where financial distress has systemic consequences for service continuity and public accountability.

Suggested Citation

  • Robert Leach & Paul Newsom, 2026. "Bankruptcy duration and resolution in healthcare: Evidence from chapter 11 filings," Review of Financial Economics, John Wiley & Sons, vol. 44(2), April.
  • Handle: RePEc:wly:revfec:v:44:y:2026:i:2:n:e70049
    DOI: 10.1002/rfe.70049
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    References listed on IDEAS

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    1. Bandopadhyaya, Arindam, 1994. "An Estimation of the Hazard Rate of Firms under Chapter 11 Protection," The Review of Economics and Statistics, MIT Press, vol. 76(2), pages 346-350, May.
    2. Sanjiv Jaggia & Satish Thosar, 2019. "An evaluation of chapter 11 bankruptcy filings in a competing risks framework," Journal of Economics and Finance, Springer;Academy of Economics and Finance, vol. 43(3), pages 569-581, July.
    3. Chatterjee, Sris & Dhillon, Upinder S. & Ramirez, Gabriel G., 2004. "Debtor-in-possession financing," Journal of Banking & Finance, Elsevier, vol. 28(12), pages 3097-3111, December.
    4. John J. McConnell & Henri Servaes, 2023. "The economics of prepackaged bankruptcy," Journal of Applied Corporate Finance, Morgan Stanley, vol. 35(1), pages 16-19, January.
    5. Edith Hotchkiss & Karin S. Thorburn & Wei Wang, 2023. "The Changing Face of Chapter 11 Bankruptcy: Insights from Recent Trends and Research," Annual Review of Financial Economics, Annual Reviews, vol. 15(1), pages 351-367, November.
    6. Mohamed A. Ayadi & Skander Lazrak & Dan Xing, 2019. "Bankruptcy protection duration and outcome of Canadian public firms," International Journal of Managerial Finance, Emerald Group Publishing Limited, vol. 15(5), pages 858-888, May.
    7. Edward I. Altman, 1968. "Financial Ratios, Discriminant Analysis And The Prediction Of Corporate Bankruptcy," Journal of Finance, American Finance Association, vol. 23(4), pages 589-609, September.
    8. Betker, Brian L, 1995. "Management's Incentives, Equity's Bargaining Power, and Deviations from Absolute Priority in Chapter 11 Bankruptcies," The Journal of Business, University of Chicago Press, vol. 68(2), pages 161-183, April.
    9. repec:bla:jfinan:v:44:y:1989:i:3:p:747-69 is not listed on IDEAS
    10. Ohlson, Ja, 1980. "Financial Ratios And The Probabilistic Prediction Of Bankruptcy," Journal of Accounting Research, John Wiley & Sons, Ltd., vol. 18(1), pages 109-131.
    11. Julian R. Franks & Walter N. Torous, 1989. "An Empirical Investigation of U.S. Firms in Reorganization," Journal of Finance, American Finance Association, vol. 44(3), pages 747-769, July.
    12. Gilson, Stuart C., 1989. "Management turnover and financial distress," Journal of Financial Economics, Elsevier, vol. 25(2), pages 241-262, December.
    13. Stewart Thornhill & Raphael Amit, 2003. "Learning About Failure: Bankruptcy, Firm Age, and the Resource-Based View," Organization Science, INFORMS, vol. 14(5), pages 497-509, October.
    14. Beaver, Wh, 1966. "Financial Ratios As Predictors Of Failure - Reply," Journal of Accounting Research, John Wiley & Sons, Ltd., vol. 4, pages 123-127.
    15. Myers, Stewart C., 1977. "Determinants of corporate borrowing," Journal of Financial Economics, Elsevier, vol. 5(2), pages 147-175, November.
    16. Denis, Diane K. & Rodgers, Kimberly J., 2007. "Chapter 11: Duration, Outcome, and Post-Reorganization Performance," Journal of Financial and Quantitative Analysis, Cambridge University Press, vol. 42(1), pages 101-118, March.
    17. Monica Giancotti & Annamaria Guglielmo & Marianna Mauro, 2017. "Efficiency and optimal size of hospitals: Results of a systematic search," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-40, March.
    18. Eberhart, Allan C & Moore, William T & Roenfeldt, Rodney L, 1990. "Security Pricing and Deviations from the Absolute Priority Rule in Bankruptcy Proceedings," Journal of Finance, American Finance Association, vol. 45(5), pages 1457-1469, December.
    19. Bebchuk, Lucian Ayre & Chang, Howard F, 1992. "Bargaining and the Division of Value in Corporate Reorganization," The Journal of Law, Economics, and Organization, Oxford University Press, vol. 8(2), pages 253-279, April.
    20. Li, Kai, 1999. "Bayesian analysis of duration models: an application to Chapter 11 bankruptcy," Economics Letters, Elsevier, vol. 63(3), pages 305-312, June.
    21. Bolton, Patrick & Scharfstein, David S, 1996. "Optimal Debt Structure and the Number of Creditors," Journal of Political Economy, University of Chicago Press, vol. 104(1), pages 1-25, February.
    22. Orbe, Jesus & Ferreira, Eva & Nunez-Anton, Vicente, 2001. "Modelling the duration of firms in Chapter 11 bankruptcy using a flexible model," Economics Letters, Elsevier, vol. 71(1), pages 35-42, April.
    23. Beaver, Wh, 1966. "Financial Ratios As Predictors Of Failure," Journal of Accounting Research, John Wiley & Sons, Ltd., vol. 4, pages 71-111.
    24. Matthew S. Lewis & Kevin E. Pflum, 2015. "Diagnosing Hospital System Bargaining Power in Managed Care Networks," American Economic Journal: Economic Policy, American Economic Association, vol. 7(1), pages 243-274, February.
    25. Jonathan M. Karpoff & D. Scott Lee & Valaria P. Vendrzyk, 1999. "Defense Procurement Fraud, Penalties, and Contractor Influence," Journal of Political Economy, University of Chicago Press, vol. 107(4), pages 809-842, August.
    26. Mohamed A. Ayadi & Skander Lazrak & Dan Xing, 2019. "Bankruptcy protection duration and outcome of Canadian public firms," International Journal of Managerial Finance, Emerald Group Publishing Limited, vol. 15(5), pages 858-888, May.
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