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Non-Profit Hospital Governance, Conduct, and CEO Pay

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  • Daniel Kessler
  • William Wygal

Abstract

We investigate whether two characteristics of non-profit hospital boards – the number of board members and whether the CEO is a board member – are 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 little 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 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 CEO board membership contributes to the fundamental agency problem between non-profit hospitals’ management and the hospitals’ intended beneficiaries, consistent with the concerns expressed by Fama and Jensen (1983).

Suggested Citation

  • Daniel Kessler & William Wygal, 2024. "Non-Profit Hospital Governance, Conduct, and CEO Pay," NBER Working Papers 33278, National Bureau of Economic Research, Inc.
  • Handle: RePEc:nbr:nberwo:33278
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    More about this item

    JEL classification:

    • G39 - Financial Economics - - Corporate Finance and Governance - - - Other
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • L31 - Industrial Organization - - Nonprofit Organizations and Public Enterprise - - - Nonprofit Institutions; NGOs; Social Entrepreneurship

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