Board Characteristics, Managerial Controls and Corporate Strategy: A Study of U.S. Hospitals

This study examined the relationships among board characteristics, emphasis on managerial controls, and corporate strategy. Results suggest that certain board characteristics that decrease board members’ access to information about CEO performance-related behavior, e.g., infrequent CEO-board meetings and lack of a strategic planning committee, are likely to increase the emphasis on out come based controls. Results also indicate that an emphasis on out come based controls is likely to lead to more risk averse strategic decisions on the part of the CEO, specifically with respect to capital investment.

[1]  Formal Relationships Among Governing Boards, CEOs, and Medical Staffs in Independent and System Hospitals , 1985, Medical care.

[2]  Larry E. Mainstone,et al.  An Investigation of the Rater-Ratee Acquaintance and Rater Bias , 1985 .

[3]  K. Provan RECEIPT OF INFORMATION AND INFLUENCE OVER DECISIONS IN HOSPITALS BY THE BOARD, CHIEF EXECUTIVE OFFICER AND MEDICAL STAFF , 1991 .

[4]  Robert E. Hoskisson,et al.  The Composition of Boards of Directors and Strategic Control: Effects on Corporate Strategy , 1990 .

[5]  J. Clement,et al.  The financial performance of diversified hospital subsidiaries. , 1993, Health services research.

[6]  M. Fennell,et al.  Leadership instability in hospitals: the influence of Board-CEO relations and organizational growth and decline. , 1993, Administrative science quarterly.

[7]  M. Hitt,et al.  Strategic Control Systems And Relative R&D Investment , 1988 .

[8]  Y. Amihud,et al.  Risk Reduction as a Managerial Motive for Conglomerate Mergers , 1981 .

[9]  L. Gómez-Mejia,et al.  New Perspectives on Compensation , 1987 .

[10]  G. Young,et al.  Governing board structure, business strategy, and performance of acute care hospitals: a contingency perspective. , 1992, Health services research.

[11]  S. Snell Control Theory In Strategic Human Resource Management: The Mediating Effect Of Administrative Information , 1992 .

[12]  W. Richard Scott Organizations: Rational, Natural, and Open Systems , 1981 .

[13]  James C. Robinson,et al.  The impact of hospital market structure on patient volume, average length of stay, and the cost of care. , 1985, Journal of health economics.

[14]  Scott A. Snell,et al.  External control, corporate strategy, and firm performance in research‐intensive industries , 1988 .

[15]  C. Goodman Prospective Payment Assessment Commission , 1988 .

[16]  E. Fama,et al.  Separation of Ownership and Control , 1983, The Journal of Law and Economics.

[17]  J. Lorsch,et al.  Managing Diversity and Interdependence , 1973 .

[18]  Robert E. Hoskisson,et al.  Diversification Strategy and R&D Intensity in Multiproduct Firms , 1989 .

[19]  Henry Mintzberg A new look at the Chief Executive's Job , 1973 .

[20]  Thomas A. Turk,et al.  Effects of Board and Ownership Structure on Corporate R&D Strategy , 1991 .

[21]  P. Cotterill Prospective payment for Medicare hospital capital: Implications of the research , 1992, Health care financing review.

[22]  Jay W. Lorsch,et al.  Pawns or Potentates: The Reality of America's Corporate Boards , 1989 .

[23]  Kanak Gautam,et al.  The effects of board size and diversity on strategic change , 1994 .

[24]  Larry Peters,et al.  Behavioral Commitment and Tenure of New Employees: A Replication and Extension , 1991 .

[25]  David F. Larcker,et al.  The association between performance plan adoption and corporate capital investment , 1983 .

[26]  R. Bettis,et al.  Boards of Directors, Top Management Compensation, and Shareholder Returns , 1987 .

[27]  David B. Balkin,et al.  Compensation, Organizational Strategy, and Firm Performance , 1992 .

[28]  Paul Mallette,et al.  Effects of Board Composition and Stock Ownership on the Adoption of “Poison Pills” , 1992 .

[29]  Kathleen M. Eisenhardt,et al.  Control: Organizational and Economic Approaches , 1985 .

[30]  W. Boeker,et al.  Turbulence at the top: a new perspective on governance structure changes and strategic change. , 1991, Academy of Management journal. Academy of Management.

[31]  Douglas D. Moesel,et al.  Corporate Divestiture Intensity in Restructuring Firms: Effects of Governance, Strategy, and Performance , 1994 .

[32]  C. Zeithaml,et al.  An empirical comparison between the board's strategic role in nonprofit hospitals and in for-profit industrial firms. , 1992, Health services research.

[33]  J. Pfeffer Size and Composition of Corporate Boards of Directors: The Organization and its Environment , 1972 .

[34]  D. Fischel,et al.  The Role of Liability Rules and the Derivative Suit in Corporate Law: A Theoretical and Empirical Analysis , 1986 .

[35]  Henry L. Tosi,et al.  CEO Compensation Monitoring and firm performance , 1994 .

[36]  W. Ouchi The Relationship Between Organizational Structure and Organizational Control. , 1977 .

[37]  W. Boeker,et al.  Organizational performance and adaptation: effects of environment and performance on changes in board composition. , 1991, Academy of Management journal. Academy of Management.

[38]  J. Alexander,et al.  The effects of corporate restructuring on hospital policymaking. , 1988, Health services research.

[39]  J. Clement Does Hospital Diversification Improve Financial Outcomes? , 1987, Medical care.

[40]  M. Beer,et al.  Performance appraisal: dilemmas and possibilities. , 1981, Organizational dynamics.

[41]  James P. Walsh,et al.  On the Efficiency of Internal and External Corporate Control Mechanisms , 1990 .

[42]  K. Eisenhardt Agency- and Institutional-Theory Explanations: The Case of Retail Sales Compensation , 1988 .

[43]  William G. Ouchi,et al.  Markets, Bureaucracies, and Clans. , 1980 .