Abstract
The explosion of health-related costs in U.S. firms over more than a decade is a huge concern for managers. The initiation of Health and Safety (H&S) programs at the firm level is an adequate Corporate Social Responsibility (CSR) initiative to contain this evolution. However, in spite of their documented efficiency, firms underinvest in those programs. This appears as a puzzle for health economists. In this paper, we uncover a strong negative relation of financial leverage to the implementation of H&S programs. The negative impact of debt on investment and CSR activities is generally interpreted as an efficient disciplinary effect of debt on managers. H&S are particularly well suited to revisit this evidence, given their strong profitability and homogeneity across firms. Very interestingly, the negative effect is stronger for firms with high free cash flows, for which debt is used to prevent overinvestment. This strongly suggests that debt, while disciplining managers, also discourages investments which are valuable both for firms and society.
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Notes
The latter variable is captured by the H&S score granted by the extra-financial rating agency KLD.
On the effectiveness of the OSHA, Weil (1996) shows that even moderate regulatory pressure (low probability of inspection and moderate penalties moderate) can induce a significant change in employers’ behavior.
According to the American Industrial Hygiene Association, firms spend $170 billion a year on workers’ compensation associated with occupational illnesses and injuries (OSHA 2012).
From 2000 to 2005, insurance premiums paid by firms increased by over 10 % per year (Gabel et al. 2005). In 2006, the average premium paid by an employer was $4,024 for single coverage and $10,880 for family coverage. As the next footnote reports, between 2005 and 2011, health coverage costs more than doubled in real terms, reaching more than 10 % of overall compensation costs.
Chasan reports in the Wall Street Journal (CFO Journal, June 29, 2011) the results of various studies: “At U.S. companies with at least 1,000 employees, total healthcare costs [have reached] $11,176 per active employee in 2011, with workers paying about 24 % of the premiums”, according to an earlier study from consulting firm Towers Watson […] According to another survey (Financial Executive Research Foundation), 88 % of companies declare they are sharing health costs with employees. The same survey reports health costs making up more than 10 % of the overall compensation costs.
Goetzel et al. (1998) documented that illnesses related to modifiable factors represent 25 % of employers’ healthcare expenses.
Goetzel et al. (2004) provide a precise assessment of these benefits for ten diseases.
The authors find on a large employer-level panel dataset from the universe of Maryland quarterly wage Reports that 42 % of workers were still employed by the same employer after 9 years in nonmanufacturing, 32 % in manufacturing.
The Worldscope database is a major source of detailed financial statements data. It contains complete coverage of U.S. companies filing with the Securities Exchange Commission, with the exception of close end funds.
The Boardex database contains biographical information of senior executives and board directors of firms around the word.
Our results are unchanged when we replace the book value of total assets by its market value, which is obtained by adding the difference between the market and book value of equity to total assets.
Our results are robust to the use of different time horizons to define labor mobility (e.g., the absolute value of the growth rate of the number of employees between t − 2 and t).
The standard deviation of total debt to total assets is around 19 % in the global sample.
For example, Aldana (2001) provided a review of return on investment studies of corporate H&S initiatives; as regards the impact on health costs, the review reports an average return of $3.48 for every dollar expended across seven studies; regarding absenteeism reduction, the ROI estimates for four studies range from $2.50 to $10.10.
For example, Erfurt and Foote (1990) found that although half of employees indicated an interest in smoking and weight-loss classes, fewer than 1 % enrolled in the classes when offered offsite, compared with 8–12 % when offered onsite.
For example, Serxner et al. (2004) observe that a $100 incentive is necessary to encourage the majority of employees to perform a health risk appraisal.
References
Ahn, S., Denis, D., & Denis, D. (2006). Leverage and investment in diversified firms. Journal of Financial Economics, 79(2), 317–337.
Aldana, S. (2001). Financial impact of health promotion programs: A comprehensive review of the literature. American Journal of Health Promotion, 15(5), 296–320.
Almeida, H., Campello, M., & Weisbach, M. (2011). Corporate financial and investment policies when future financing is not frictionless. Journal of Corporate Finance, 17(3), 675–693.
Bae, K., Kang, J., & Wang, J. (2011). Employee treatment and firm leverage: A test of the stakeholder theory of capital structure. Journal of Financial Economics, 100(1), 130–153.
Baicker, K., Cutler, D., & Song, Z. (2010). Workplace wellness programs can generate savings. Health Affairs, 29(2), 304–311.
Baker, J., Coleman, B., & Sormin, S. (2002). Workplace health promotion: Assessing employees’ health-related needs. Unpublished Working Paper.
Barnea, A., & Rubin, A. (2010). Corporate social responsibility as a conflict between shareholders. Journal of Business Ethics, 97(1), 71–86.
Bøhren, Ø. (1998). The agent’s ethics in the principal–agent model. Journal of Business Ethics, 17(7), 745–755.
Brennan, M. (1994). Incentives, rationality and society. Journal of Applied Corporate Finance, 7(2), 31–39.
Burgess, S., Lane, J., & Stevens, D. (2000). Job flows, worker flows, and churning. Journal of Labor Economics, 18(3), 473–502.
Carroll, A. B. (2000). Ethical challenges for business in the new millennium: Corporate social responsibility and models of management morality. Business Ethics Quarterly, 10(1), 33–42.
Chatterji, A. K., Levine, D. I., & Toffel, M. W. (2009). How well do social ratings actually measure Corporate Social Responsibility? Journal of Economics & Management Strategy, 18, 125–169.
Chava, S., & Roberts, M. (2008). How does financing impact investment? The role of debt covenant violations. Journal of Finance, 63(5), 2085–2121.
Cheng, S. (2004). R&D expenditures and CEO compensation. The Accounting Review, 79(2), 305–328.
Cornell, B., & Shapiro, A. (1987). Corporate stakeholders and corporate finance. Financial Management, 16(1), 5–14.
Davis, S. J., Jason Faberman, R., & Haltiwanger, J. (2006). The flow approach to labor markets: New data sources and micro-macro links. The Journal of Economic Perspectives, 20(3), 3–26.
Dionne, G., Gagné, R., Gagnon, F., & Vanasse, C. (1997). Debt, moral hazard and airline safety: Empirical evidence. Journal of Econometrics, 79(2), 379–402.
Erfurt, J., & Foote, A. (1990). Maintenance of blood pressure treatment and control after discontinuation of work site follow-up. Journal of Occupational and Environmental Medicine, 32(6), 13–20.
Filer, R., & Golbe, L. (2003). Debt, operating margin, and investment in workplace safety. Journal of Industrial Economics, 51(3), 359–381.
Gabel, J., Claxton, G., Gil, I., Pickreign, J., Whitmore, H., Finder, B., et al. (2005). Health benefits in 2005: Premium increases slow down, coverage continues to erode. Health Affairs, 24(5), 1273–1280.
Goetzel, R., Anderson, D., Whitmer, W., Ozminkowski, R., Dunn, R., & Wasserman, J. (1998). The relationship between modifiable health risks and healthcare expenditures: An analysis of the multi-employer HERO health risk and cost database. Journal of Occupational and Environmental Medicine, 40(10), 843–854.
Goetzel, R., Long, S., Ozminkowski, R., Hawkins, K., Wang, S., & Lynch, W. (2004). Health, absence, disability, and presenteeism cost estimates of certain physical and mental health conditions affecting U.S. employers. Journal of Occupational and Environmental Medicine, 46(4), 398–412.
Goetzel, R., & Ozminkowski, R. (2008). The health and cost benefits of work site health-promotion programs. The Annual Review of Public Health, 29, 303–323.
Hadlock, C., & Pierce, J. (2010). New evidence on measuring financial constraints: Moving beyond the KZ index. Review of Financial Studies, 23(5), 1909–1940.
Harris, J. (2009). What’s wrong with executive compensation? Journal of Business Ethics, 85(1), 147–156.
Jensen, M. (1986). Agency costs of free cash flow, corporate finance, and takeovers. American Economic Review, 76(2), 323–329.
Jensen, M., & Meckling, W. (1976). Theory of the firm: Managerial behaviour, agency costs and ownership structure. Journal of Financial Economics, 3(4), 305–360.
Jensen, M., & Meckling, W. (1994). Self-interest, altruism, incentives, and agency theory. Journal of Applied Corporate Finance, 7(2), 40–45.
Jo, H., & Harjoto, M. A. (2011). Corporate governance and firm value: The impact of corporate social responsibility. Journal of Business Ethics, 103(3), 351–383.
Lang, L., Ofek, E., & Stulz, R. (1996). Leverage, investment, and firm growth. Journal of Financial Economics, 40(1), 3–30.
Linnan, L., Bowling, M., Lindsay, G., Childress, J., Blakey, C., et al. (2008). Results of the 2004 National Worksite Health Promotion Survey. American Journal of Public Health, 98(8), 1503–1509.
Maksimovic, V., & Titman, S. (2001). Financial policy and reputation for product quality. Review of Financial Studies, 4(1), 175–200.
Maxwell, J., Temin, P., & Watts, C. (2001). Corporate healthcare purchasing among Fortune 500 firms. Health Affairs, 20(3), 181–188.
Myers, S. (1977). Determinants of corporate borrowing. Journal of Financial Economics, 5(5), 147–175.
OSHA. (2012). Injury and illness prevention programs. Unpublished White Paper.
Parsons, C., & Titman, S. (2009). Empirical capital structure: A review. Foundations and Trends in Finance, 3(1), 1–93.
Peyer, U., & Shivdasani, A. (2001). Leverage and internal capital markets: Evidence from leveraged recapitalizations. Journal of Financial Economics, 59(3), 477–515.
Rose, N. (1990). Profitability and product quality: Economic determinants of airline safety performance. Journal of Political Economy, 98(5), 944–964.
Serxner, S., Anderson, D., & Gold, D. (2004). Building program participation: Strategies for recruitment and retention in worksite health promotion programs. American Journal of Health Promotion, 18(4), 1–6.
Smith, C., & Watts, R. (1992). The investment opportunity set and corporate financing, dividend, and compensation policies. Journal of Financial Economics, 32(3), 263–292.
Stulz, R. (1996). Rethinking risk management. Journal of Applied Corporate Finance, 9(3), 8–25.
Surroca, J., & Tribo, J. (2008). Managerial entrenchment and corporate social performance. Journal of Business Finance and Accounting, 35(5), 748–789.
Thompson, J., & Turner, J. (2011). Trends and tradeoffs in employee medical benefits, executive report from Corporate Synergies Group and Financial Executives Research Foundation. Unpublished White Paper.
Titman, S. (1984). The effect of capital structure on a firm’s liquidation decision. Journal of Financial Economics, 13(1), 137–151.
Weil, D. (1996). If OSHA is so bad, why is compliance so good? Rand Journal of Economics, 27(3), 618–640.
Werhane, P. H., Hartman, L. P., Moberg, D., Englehardt, E., Pritchard, M., & Parmar, B. (2011). Social constructivism, mental models, and problems of obedience. Journal of Business Ethics, 100(1), 103–118.
Whited, T., & Wu, G. (2006). Financial constraints risk. Review of Financial Studies, 19(2), 531–559.
Acknowledgments
We sincerely thank an anonymous referee, whose comments helped us to considerably improve the paper. We are very grateful to Clifford Holderness and Jeffrey Pontiff for their comments on a previous version of the paper, as well as to Dr Sylvaine Rocquelin for sharing her experience and thoughts on health issues in the workplace. We also thank Gérard Charreaux, Ghislain Deslandes, Arthur Petit-Romec, Michael Troege, Marti Subrahmanyan and François Xavier-Albouy for helpful discussions, as well as seminar participants at ESCP Europe, Technion University, Malakoff Médéric, MEDEC 2010, Indian Finance Conference 2012, International Conference on Governance 2013 and AFFI Conference 2014. This work has benefited from a financial support from the KPMG-ESCP Europe Chair in Governance, Strategy and Performance. All errors are ours.
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Moussu, C., Ohana, S. Do Leveraged Firms Underinvest in Corporate Social Responsibility? Evidence from Health and Safety Programs in U.S. Firms. J Bus Ethics 135, 715–729 (2016). https://doi.org/10.1007/s10551-014-2493-0
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DOI: https://doi.org/10.1007/s10551-014-2493-0