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Journal of Finance Vol. 70 No. 4 2015

Investment Decisions of Nonprofit Firms: Evidence from Hospitals

Manuel Adelino1; Katharina Lewellen2,3; ANANT SUNDARAM2,3

1 Duke University · 2 Dartmouth College · 3 Dartmouth Hospital

open access

Abstract

This paper examines investment choices of nonprofit hospitals. It tests how shocks to cash flows caused by the performance of the hospitals’ financial assets affect hospital expenditures. Capital expenditures increase, on average, by 10 to 28 cents for every dollar received from financial assets. The sensitivity is similar to that found earlier for shareholder‐owned corporations. Executive compensation, other salaries, and perks do not respond significantly to cash flow shocks. Hospitals with an apparent tendency to overspend on medical procedures do not exhibit higher investment‐cash flow sensitivities. The sensitivities are higher for hospitals that appear financially constrained.

DOI
10.1111/jofi.12234
Volume
70
Issue
4
Pages
1583-1628
Language
en
Sources
bibtex:phds-export.bib openalex crossref

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