Journal of Business Ethics

, Volume 118, Issue 1, pp 171–187 | Cite as

How Do Board Size and Occupational Background of Directors Influence Social Performance in For-profit and Non-profit Organizations? Evidence from California Hospitals

Article

Abstract

This study investigates how board size and occupational background of directors differentially influence social performance in for-profit and non-profit organizations. Using data from California hospitals, we develop a quantitative measure of social performance and provide the following empirical evidence. First, board size is negatively (positively) associated with social performance in for-profit (non-profit) hospitals. Second, the presence of government officials on the board is negatively (positively) related to social performance in for-profit (non-profit) hospitals. Third, representation of physicians on the board is positively associated with social performance in for-profit hospitals, whereas their presence is not significantly related to social performance in non-profit hospitals. Our findings highlight the different effects of governance mechanisms on social performance in for-profit and non-profit organizations.

Keywords

Board size Governance Occupational background Ownership Social performance 

References

  1. Adams, R., Hermalin, B., & Weisbach, M. (2010). The role of boards of directors in corporate governance: A conceptual framework and survey. Journal of Economic Literature, 48(1), 58–107.CrossRefGoogle Scholar
  2. Aggarwal, R. K., Evans, M. E., & Nanda, D. (2011). Nonprofit boards: Size, performance and managerial incentives. Journal of Economic Literature, 48(1), 58–107.Google Scholar
  3. Agrawal, A., & Knoeber, C. (2001). Do some outside directors play a political role? Journal of Law and Economics, 44(1), 179–198.CrossRefGoogle Scholar
  4. Alexander, J., Morlock, L., & Gifford, B. (1988). The effects of corporate restructuring on hospital policymaking. Health Services Research, 23(2), 311–337.Google Scholar
  5. Alexander, J., Weiner, B., & Bogue, R. (2001). Changes in the structure, composition, and activity of hospital governing boards, 1989–1997: Evidence from two national surveys. The Milbank Quarterly, 79(2), 254–279.CrossRefGoogle Scholar
  6. Alexander, J., Young, G., Weiner, B., & Hearld, L. (2008). Governance and community benefits: Are non-profit hospitals good candidates for Sarbanes–Oxley type reforms? Journal of Health Politics, Policy and Law, 33(2), 200–224.CrossRefGoogle Scholar
  7. Ashby, J., Guterman, S., & Greene, T. (2000). An analysis of hospital productivity and product change. Health Affairs, 19(5), 197–205.CrossRefGoogle Scholar
  8. Bai, G., Coronado, F., & Krishnan, R. (2010). The role of performance measure noise in mediating the relation between task complexity and outsourcing. Journal of Management Accounting Research, 22, 75–102.CrossRefGoogle Scholar
  9. Baker, D. W., Stevens, C. D., & Brook, R. H. (1991). Patients who leave a public hospital emergency department without being seen by a physician. Journal of American Medical Association, 266, 1085–1090.CrossRefGoogle Scholar
  10. Banks, D., Paterson, M., & Wendel, J. (1997). Uncompensated hospital care: Charitable mission or-profitable business decision? Health Economics, 6, 133–143.CrossRefGoogle Scholar
  11. Bear, S., Rahman, N., & Post, C. (2010). The impact of board diversity and gender composition on corporate social responsibility and firm reputation. Journal of Business Ethics, 97, 207–221.CrossRefGoogle Scholar
  12. Beasley, M. (1986). An empirical analysis of the relation between the board of director composition and financial statement fraud. The Accounting Review, 71(4), 443–465.Google Scholar
  13. Bindman, A., Grumbach, K., Keane, D., Rauch, L., & Luce, J. (1991). Consequences of queuing for care at a public hospital emergency department. Journal of American Medical Association, 266, 1091–1096.CrossRefGoogle Scholar
  14. Bingham, J. B., Dyer, W. G., Jr, Smith, I., & Adams, G. L. (2011). A Stakeholder identity orientation approach to corporate social performance in family firms. Journal of Business Ethics, 99, 565–585.CrossRefGoogle Scholar
  15. Bouckaert, L., & Vandenhove, J. (1998). Business ethics and the management of non-profit institutions. Journal of Business Ethics, 17, 1073–1081.CrossRefGoogle Scholar
  16. Bowen, W. (1994). Inside the boardroom: Governance by directors and trustees?. New York: Wiley.Google Scholar
  17. Bravo, R., Matute, J., & Pina, J. M. (2012). Corporate social responsibility as a vehicle to reveal the corporate identity: A study focused on the websites of Spanish financial entities. Journal of Business Ethics, 107, 129–146.CrossRefGoogle Scholar
  18. Brickley, J., & Van Horn, R. L. (2002). Managerial incentives in nonprofit organizations: Evidence from hospitals. Journal of Law and Economics, 45(1), 227–249.CrossRefGoogle Scholar
  19. Buczko, W. (1994). Factors affecting charity care and bad debt charges in Washington hospitals. Hospital and Health Services Administration, 39, 179–191.Google Scholar
  20. Bushman, R., & Smith, A. (2001). Financial accounting information and corporate governance. Journal of Accounting and Economics, 32, 237–333.CrossRefGoogle Scholar
  21. Callen, J., Klein, A., & Tinkelman, D. (2003). Board composition, committees, and organizational efficiency: The case of non-profits. Non-profit and Voluntary Sector Quarterly, 32(4), 493–520.CrossRefGoogle Scholar
  22. Claxton, G., Feder, J., Shactman, D., & Altman, S. (1997). Public policy issues in non-profit conversions: An overview. Health Affairs, 16(2), 9–28.CrossRefGoogle Scholar
  23. Coffey, B. S., & Wang, J. (1998). Board diversity and managerial control as predictors of corporate social performance. Journal of Business Ethics, 17, 1595–1603.CrossRefGoogle Scholar
  24. Coyle, S. (2003). Providing care to undocumented immigrants. Retrieved from http://www.acponline.org/running_practice/ethics/case_studies/care_imm.pdf.
  25. Cunningham, P., & Tu, H. (1997). A changing picture of uncompensated care. Health Affairs, 16(4), 167–175.CrossRefGoogle Scholar
  26. Dalton, D., Daily, C., Ellstrand, A., & Johnson, J. (1998). Meta-analytic review of board composition, leadership structure, and financial performance. Strategic Management Journal, 19, 269–290.CrossRefGoogle Scholar
  27. Dechow, P., Ge, W., & Schrand, C. (2010). Understanding earnings quality: A review of the proxies, their determinants and their consequences. Journal of Accounting and Economics, 50, 344–401.CrossRefGoogle Scholar
  28. Dechow, P., & Skinner, D. (2000). Earnings management: Reconciling the views of accounting academics, practitioners, and regulators. Accounting Horizons, 14(2), 235–250.CrossRefGoogle Scholar
  29. Desai, K. R., Lukas, C. V., & Young, G. J. (2000). Public hospitals: Privatization and uncompensated care. Health Affairs, 19(2), 167–172.CrossRefGoogle Scholar
  30. Duggan, M. (2000). Hospital ownership and public medical spending. Quarterly Journal of Economics, 115(4), 1343–1373.CrossRefGoogle Scholar
  31. Eisenberg, T., Sundgren, S., & Wells, M. (1998). Larger board size and decreasing firm value in small firms. Journal of Financial Economics, 48, 35–54.CrossRefGoogle Scholar
  32. Eldenburg, L., Hermalin, B., Weisbach, M., & Wosinska, M. (2004). Governance, performance objectives and organizational form: Evidence from hospitals. Journal of Corporate Finance, 10, 527–548.CrossRefGoogle Scholar
  33. Eldenburg, L., & Krishnan, R. (2008). The influence of ownership on accounting information expenditures. Contemporary Accounting Research, 25(3), 739–772.CrossRefGoogle Scholar
  34. Fama, E., & Jensen, M. (1983). Separation of ownership and control. Journal of Law and Economics, 26(2), 301–325.CrossRefGoogle Scholar
  35. Frank, R., & Salkever, D. (1991). The supply of charity services by non-profit hospitals: Motives and market structure. Rand Journal of Economics, 22(3), 430–445.CrossRefGoogle Scholar
  36. Franklin, D. (2008). Just good business: A special report on corporate social responsibility. The Economist, 386, 3–6.Google Scholar
  37. Gray, B., & Schlesinger, M. (2009). Charitable expectations of non-profit hospitals: Lessons from Maryland. Health Affairs, 28(5), w810–w821.CrossRefGoogle Scholar
  38. Green, J., & Griesinger, D. (1996). Board performance and organizational effectiveness in social services organizations. Non-profit Management and Leadership, 6(4), 381–401.CrossRefGoogle Scholar
  39. Gruber, J. (1994). The effect of competitive pressure on charity: Hospital responses to price shopping in California. Journal of Health Economics, 13, 183–212.CrossRefGoogle Scholar
  40. Gruber, J., & Rodriguez, D. (2007). How much uncompensated care do doctors provide? Journal of Health Economics, 26, 1151–1169.CrossRefGoogle Scholar
  41. Grunewald, D., & Baron, P. (2004). Plum Valley Hospital: A critical governance matter instructor’s note. Journal of Business Ethics, 52, 303–309.CrossRefGoogle Scholar
  42. Healy, P., & Wahlen, J. (1999). A review of the earnings management literature and its implications for standard setting. Accounting Horizons, 13(4), 365–383.CrossRefGoogle Scholar
  43. Hermalin, B., & Weisbach, M. (2003). Boards of directors as an endogenously determined institution: A survey of the economic literature. Federal Reserve Bank of New York Economic Policy Review, 9, 7–26.Google Scholar
  44. Ho, F. N., Wang, H. D., & Vitell, S. J. (2012). A global analysis of corporate social performance: The effects of cultural and geographic environments. Journal of Business Ethics, 107, 423–433.CrossRefGoogle Scholar
  45. Hung, H. (2011). Directors’ role in corporate social responsibility: A stakeholder perspective. Journal of Business Ethics, 103, 385–402.CrossRefGoogle Scholar
  46. Huse, M., Nielsen, S. T., & Hagen, I. M. (2009). Women and employee-elected board members, and their contributions to board control tasks. Journal of Business Ethics, 89, 581–597.CrossRefGoogle Scholar
  47. Ibrahim, N. A., Howard, D. P., & Angelidis, J. P. (2003). Board members in the service industry: An empirical examination of the relationship between corporate social responsibility orientation and directorial type. Journal of Business Ethics, 47, 393–401.CrossRefGoogle Scholar
  48. Jensen, M. (1993). The modern industrial revolution, exit and the failure of internal control systems. Journal of Finance, 48, 831–880.CrossRefGoogle Scholar
  49. Jo, H., & Harjoto, M. A. (2011). Corporate governance and firm value: The impact of corporate social responsibility. Journal of Business Ethics, 103, 351–383.CrossRefGoogle Scholar
  50. Kaiser Family Foundation. (2011). The uninsured: Key facts about Americans without health insurance. Retrieved from http://www.kff.org/uninsured/upload/7451-07.pdf.
  51. Lee, S., Alexander, J., & Bazzoli, G. (2003). Whom do they serve? Community responsiveness among hospitals affiliated with health systems and networks. Medical Care, 41(1), 165–179.CrossRefGoogle Scholar
  52. Lee, S., Chen, W., & Weiner, B. (2004). Communities and hospitals: Social capital, community accountability, and service provision in U.S. community hospitals. Health Service Research, 39(5), 1487–1509.CrossRefGoogle Scholar
  53. Leone, A., & Van Horn, R. (2005). How do non-profit hospitals manage earnings? Journal of Health Economics, 24, 815–837.CrossRefGoogle Scholar
  54. Li, L., & Benton, W. C. (2003). Hospital capacity management decisions: Emphasis on cost control and quality enhancement. European Journal of Operational Research, 146(3), 596–614.CrossRefGoogle Scholar
  55. Liang, K. Y., & Zeger, S. L. (1986). Longitudinal data-analysis using generalized linear models. Biometrika, 73, 13–22.CrossRefGoogle Scholar
  56. Lindgreen, A., Swaen, V., & Johnston, W. J. (2009). Corporate social responsibility: An empirical investigation of U.S. organizations. Journal of Business Ethics, 85, 303–323.CrossRefGoogle Scholar
  57. Lynk, W. J. (1995). Non-profit mergers and the exercise of market power. Journal of Law and Economics, 38, 437–461.CrossRefGoogle Scholar
  58. Mann, J., Melnick, G., Bamezai, A., & Zwanziger, J. (1995). Uncompensated care: Hospitals’ responses to fiscal pressures. Health Affairs, 14(1), 263–270.CrossRefGoogle Scholar
  59. Mann, J., Melnick, G., Bamezai, A., & Zwanziger, J. (1997). A profile of uncompensated hospital care, 1983–1995. Health Affairs, 16(4), 223–232.CrossRefGoogle Scholar
  60. Margolin, F., Hawkins, S., Alexander, J., & Prybil, L. (2006). Hospital governance: Summary report of 2005 survey of CEOS and Board Chairs. Chicago: Health Research and Educational Trust.Google Scholar
  61. McGuire, J., Dow, S., & Argheyd, K. (2003). CEO incentives and corporate social performance. Journal of Business Ethics, 45, 341–359.CrossRefGoogle Scholar
  62. McGuire, J., Sundgren, A., & Schneeweis, T. (1988). Corporate social responsibility and firm financial performance. Academy of Management Journal, 31(4), 854–872.CrossRefGoogle Scholar
  63. McWilliams, A., & Siegel, D. (2000). Corporate social responsibility and financial performance: Correlation or misspecification? Strategic Management Journal, 21(5), 603–609.CrossRefGoogle Scholar
  64. Morrisey, M., Wedig, G., & Hassan, M. (1996). Do non-profit hospitals pay their way? Health Affairs, 15(4), 132–144.CrossRefGoogle Scholar
  65. Needleman, J. (2001). The role of non-profits in health care. Journal of Health Politics, Policy and Law, 26(5), 1113–1130.CrossRefGoogle Scholar
  66. Nicholson, S., Pauly, M., Burns, L., Baumritter, A., & Asch, D. (2000). Measuring community benefits provided by for-profit and non-profit hospitals. Health Affairs, 19(6), 168–177.CrossRefGoogle Scholar
  67. Norton, E. C., & Staiger, D. O. (1994). How hospital ownership affects access to care for the uninsured. RAND Journal of Economics, 25(1), 171–185.CrossRefGoogle Scholar
  68. O’Regan, K., & Oster, S. (2005). Does the structure and composition of the board matter? The case of non-profit organizations. Journal of Law Economics and Organization, 21(1), 205–227.CrossRefGoogle Scholar
  69. Oster, S. (1995). The strategic management of non-profit organizations. New York: Oxford Press.Google Scholar
  70. Owens, B. (2005). The plight of the not-for-profit. Journal of Healthcare Management, 50(4), 237–250.Google Scholar
  71. Petersen, M. A. (2009). Estimating standard errors in finance panel data sets: Comparing approaches. Review of Financial Studies, 22, 435–480.CrossRefGoogle Scholar
  72. Porter, M. E., & Kramer, M. R. (2006). The link between competitive advantage and corporate social responsibility. Harvard Business Review, 84(12), 78–92.Google Scholar
  73. Robinson, J., & Luft, H. (1985). The impact of hospital market structure on patient volume, average length of stay, and the cost of care. Journal of Economics, 4(4), 333–356.Google Scholar
  74. Roomkin, M., & Weisbrod, B. (1999). Managerial compensation and incentives in for-profit and non-profit hospitals. Journal of Law Economics and Organization, 15(3), 750–781.CrossRefGoogle Scholar
  75. Rose-Ackerman, S. (1996). Altruism, non-profits, and economic theory. Journal of Economic Literature, 34, 701–728.Google Scholar
  76. Salazar, J., Husted, B. W., & Biehl, M. (2012). Thoughts on the evaluation of corporate social performance through projects. Journal of Business Ethics, 105, 175–186.CrossRefGoogle Scholar
  77. Schwartz, M. S., Dunfee, T. W., & Kline, M. J. (2005). Tone at the top: An ethics code for directors? Journal of Business Ethics, 58, 79–100.CrossRefGoogle Scholar
  78. Shivdasani, A., & Zenner, M. (2004). Best practice in corporate governance: What two decades of research reveals. Journal of Applied Corporate Finance, 16, 28–42.CrossRefGoogle Scholar
  79. Siciliano, J. I. (1996). The relationship of board member diversity to organizational performance. Journal of Business Ethics, 15, 1313–1320.CrossRefGoogle Scholar
  80. Sloan, F. A. (1998). Commercialism in non-profit hospitals. Journal of Policy Analysis and Management, 12(2), 234–252.CrossRefGoogle Scholar
  81. Taylor, D. H., Whellan, D. J., & Sloan, F. A. (1999). Effects of admission to a teaching hospital on the cost and quality of care for Medicare beneficiaries. The New England Journal of Medicine, 340, 293–299.CrossRefGoogle Scholar
  82. The American Hospital Association (AHA). (2009). Uncompensated hospital care cost fact sheet. Retrieved from http://www.aha.org/aha/content/2009/pdf/09uncompensatedcare.pdf.
  83. The American Hospital Association (AHA). (2011). Fast facts on U.S. hospitals. Retrieved from http://www.aha.org/research/rc/stat-studies/fast-facts.shtml.
  84. The World Bank. (2011). Data by country. Retrieved from http://data.worldbank.org/country.
  85. Thorpe, K. E., & Phelps, C. (1991). The social role of not-for-profit organizations: Hospital provision of charity care. Economic Inquiry, 29(3), 472–484.CrossRefGoogle Scholar
  86. Vladeck, B. (2006). Paying for hospitals’ community service. Health Affairs, 25(1), 34–43.CrossRefGoogle Scholar
  87. Weisbrod, B. (1988). The nonprofit economy. Cambridge, MA: Harvard University Press.Google Scholar
  88. Weissman, J., Dryfoos, P., & London, K. (1999). Income levels of bad-debt and free-care patients in Massachusetts hospitals. Health Affairs, 18(4), 156–166.CrossRefGoogle Scholar
  89. Weitzner, D., & Peridis, T. (2011). Corporate governance as part of the strategic process: Rethinking the role of the board. Journal of Business Ethics, 102, 33–42.CrossRefGoogle Scholar
  90. White, H. (1980). A heteroskedasticity-consistent covariance matrix estimator and a direct test for heteroskedasticity. Econometrica, 48, 817–838.CrossRefGoogle Scholar
  91. Wooldridge, J. (2002). Econometric analysis of cross section and panel data. Cambridge, MA: MIT Press.Google Scholar
  92. Yermack, D. (1996). Higher market valuation of companies with a small board of directors. Journal of Financial Economics, 40(2), 185–212.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2012

Authors and Affiliations

  1. 1.Department of Accounting, Williams School of Commerce, Economics and PoliticsWashington & Lee UniversityLexingtonUSA

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