This paper examines the incentives of CEOs in not-for-profit institutions to engage in earnings management. We predict and find that, with one exception, this different setting induces CEOs to engage in patterns of earnings management that are similar to those of their for-profit counterparts....

This paper examines the incentives of CEOs in a large sample of nonprofit hospitals. The evidence indicates that both turnover and compensation of these CEOs are significantly related to financial performance (return on assets). We find no evidence that nonprofit hospitals provide explicit...

This article reports the survey results from attendees at a large US health-care conference. Conference attendees were polled on a number of healthcare reform issues along with some basic demographic information. Few significant differences were found based on respondents’ gender, or...

The American Medical Association and the Pharmaceutical Research and Manufacturers of America have developed new standards to curb the influence sales representatives may have on physicians' drug choices. Yet the literature fails to clarify the extent to which shares of prescriptions for branded...

Health plans create competition among hospitals by threatening to “steer” patients to preferred facilities. Mergers can reduce this competition and economists have begun using travel cost demand models to predict their effects. In this paper, we document an anomaly in estimation: for any...

We hypothesize that, unlike for-profit firms, nonprofit hospitals have incentives to manage earnings to a range just above zero. We consider two ways managers can achieve this. They can adjust discretionary spending [Hoerger, T.J., 1991. Profit variability in for-profit and not-for-profit...

This amicus brief was filed in Federal Trade Commission v. Phoebe Putney Health System, Inc., in which the FTC has obtained review of an 11th Circuit decision that insulated a merger of two nonprofit hospitals from antitrust scrutiny. We make two arguments in the amicus brief. First, there is no...

In this paper we discuss the potential role capital markets will play in health care restructuring. According to theory, agency costs, asymmetric information and strategic interactions cause the cost of capital for nonprofit entities to slope upward. Freestanding nonprofits are particularly...