Universität zu Köln

Kuntz, Ludwig, Pulm, Jannis and Wittland, Michael (2016). Hospital ownership, decisions on supervisory board characteristics, and financial performance. Health Care Manage. Rev., 41 (2). S. 165 - 177. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 1550-5030

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Abstract

Background: Dynamic and complex transformations in the hospital market increase the relevance of good corporate governance. However, hospital performance and the characteristics of supervisory boards differ depending on ownership. The question therefore arises whether hospital owners can influence performance by addressing supervisory board characteristics. Purpose: The objective of this study is to explain differences in the financial performance of hospitals with regard to ownership by studying the size and composition of supervisory boards. Methodology: The AMADEUS database was used to collect information on hospital financial performance in 2009 and 2010. Business and quality reports, hospital websites, and data from health insurer were used to obtain information on hospital and board characteristics. The resulting sample consisted of 175 German hospital corporations. We utilized ANOVA and regression analysis to test a mediation hypothesis that investigated whether decisions regarding board size and composition were associated with financial performance and could explain performance differences. Findings: Financial performance and board size and composition depend on ownership. An increase in board size and greater politician participation were negatively associated with all five tested measures of financial performance. Furthermore, an increase in physician participation was positively associated with one dimension of financial performance, whereas one negative relationship was identified for nurse and economist participation. For clerics, no associations were found. Practice Implications: Decisions concerning board size and composition are important as they relate to hospital financial performance. We contribute to existing research by showing that, in addition to board size and physician participation, the participation of other professionals can also influence financial performance.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Kuntz, Ludwig UNSPECIFIED UNSPECIFIED UNSPECIFIED Pulm, Jannis UNSPECIFIED UNSPECIFIED UNSPECIFIED Wittland, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-280491
DOI:	10.1097/HMR.0000000000000066
Journal or Publication Title:	Health Care Manage. Rev.
Volume:	41
Number:	2
Page Range:	S. 165 - 177
Date:	2016
Publisher:	LIPPINCOTT WILLIAMS & WILKINS
Place of Publication:	PHILADELPHIA
ISSN:	1550-5030
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CORPORATE GOVERNANCE; PHYSICIAN INTEGRATION; DIRECTORS; MANAGEMENT; SIZE; FIRM Multiple languages Health Policy & Services Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/28049