This paper analyzes the effects of hospital ownership on three specific strategies to improve financial performance. These strategies include (1) spending on advertising to increase revenues through increased market share and premium prices; (2) spending on accounting systems to cut costs,...

Recently, patients, insurers, and regulators have increasingly focused on hospital quality (the inverse of patient mortality) in the U.S. Using California hospital data from 2006 through 2020, we find evidence that the effects of compensation and competition on hospital quality differ by...

Recent accounting research provides evidence that similar profit-based compensation incentives are used in for-profit and nonprofit hospitals. Because charity care reduces profits, such incentives should lead for-profit hospital managers to reduce charity care levels. Nonprofit hospital...