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

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Non-profit hospital CEOs on their own boards correlate with higher prices, operating margins, and CEO pay. This structure may increase agency costs due to reduced management-control separation.

Keywords:
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Area of Science:

  • Health Services Research
  • Organizational Economics
  • Healthcare Management

Background:

  • The consequences of CEO board membership in for-profit firms are well-documented.
  • Less attention has been given to CEO board membership in non-profit organizations, particularly non-profit hospitals.
  • This research gap is significant given the prevalence of non-profit hospitals and rising healthcare prices.

Purpose of the Study:

  • To investigate the association between non-profit hospital CEO board membership and CEO compensation.
  • To examine the relationship between CEO board membership and key hospital performance indicators: price, operating margin, quality, and service to low-income patients.

Main Methods:

  • Utilized regression models to analyze data from non-profit hospitals.
  • Controlled for hospital location (county fixed effects), board size, and other relevant hospital characteristics.
  • Examined the correlation between CEO board membership and measures of hospital price, operating margin, quality, and service provision.

Main Results:

  • Found a significant positive association between CEO board membership and non-profit hospital prices.
  • Observed a positive correlation between CEO board membership and operating margins, as well as CEO pay.
  • Identified a weaker positive association with quality and a negative association with service to low-income patients.

Conclusions:

  • Non-profit hospital CEO board membership is linked to increased prices, operating margins, and CEO compensation.
  • This governance structure may lead to higher agency costs due to the intertwining of management and control.
  • The findings suggest potential conflicts of interest within non-profit hospital governance.