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Financing constraints and investment: new evidence from hospital industry data

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  • Paul S. Calem
  • John A. Rizzo

Abstract

This paper tests for evidence of financing constraints in the U.S. hospital industry. The authors hypothesize that small hospitals and free-standing hospitals are more likely to face financing constraints than, respectively, large hospitals and members of hospital chains. They estimate the relationship between liquidity and investment within each cohort, controlling for a variety of factors that might affect the marginal profitability of hospital investment. The results provide strong evidence that small hospitals and free-standing hospitals face borrowing constraints due to agency costs. This supports earlier work that found evidence of financing constraints in other contexts. Copyright 1995 by Ohio State University Press.
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Suggested Citation

  • Paul S. Calem & John A. Rizzo, 1994. "Financing constraints and investment: new evidence from hospital industry data," Working Papers 94-9, Federal Reserve Bank of Philadelphia.
    • Handle: RePEc:fip:fedpwp:94-9
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    Cited by:

    1. Laure Latruffe & Sophia Davidova & Elodie Douarin & Matthew Gorton, 2010. "Farm Expansion in Lithuania after Accession to the EU: The Role of CAP Payments in Alleviating Potential Credit Constraints," Europe-Asia Studies, Taylor & Francis Journals, vol. 62(2), pages 351-365.
    2. Gentry, William M., 2002. "Debt, investment and endowment accumulation: the case of not-for-profit hospitals," Journal of Health Economics, Elsevier, vol. 21(5), pages 845-872, September.
    3. Prayagsing Chakeel Coomar & Jankee Kheswar, 2016. "Internal Financial Markets and Corporate Investment Strategies in Africa — A Case Study of Mauritius," The Review of Finance and Banking, Academia de Studii Economice din Bucuresti, Romania / Facultatea de Finante, Asigurari, Banci si Burse de Valori / Catedra de Finante, vol. 8(1), pages 007-020, June.
    4. Jaewoon Koo & Sunwoo Shin, 2004. "Financial Liberalization and Corporate Investments: Evidence from Korean Firm Data," Asian Economic Journal, East Asian Economic Association, vol. 18(3), pages 277-292, September.
    5. Allayannis, George & Mozumdar, Abon, 2004. "The impact of negative cash flow and influential observations on investment-cash flow sensitivity estimates," Journal of Banking & Finance, Elsevier, vol. 28(5), pages 901-930, May.
    6. Latruffe, Laure & Davidova, Sophia & Douarin, Elodie & Gorton, Matthew, 2008. "Can the CAP payments facilitate the growth of individual farms in the New Member States post-EU accession?," 2008 International Congress, August 26-29, 2008, Ghent, Belgium 43611, European Association of Agricultural Economists.
    7. Latruffe, Laure & Davidova, Sophia & Douarin, Elodie & Gorton, Matthew, 2008. "Can the CAP payments facilitate the growth of individual farms in the NMS post-EU accession?," 82nd Annual Conference, March 31 - April 2, 2008, Royal Agricultural College, Cirencester, UK 36861, Agricultural Economics Society.
    8. François-Serge Lhabitant & Olivier Tinguely, 2002. "Financial Constraints and Investment: the Swiss Case," Swiss Journal of Economics and Statistics (SJES), Swiss Society of Economics and Statistics (SSES), vol. 138(II), pages 137-163, June.
    9. Islam, Saiyid S. & Mozumdar, Abon, 2007. "Financial market development and the importance of internal cash: Evidence from international data," Journal of Banking & Finance, Elsevier, vol. 31(3), pages 641-658, March.
    10. Nathan E. Wilson, 2021. "The Impact of Competition on Investment: Evidence From California Hospitals," Journal of Industrial Economics, Wiley Blackwell, vol. 69(1), pages 1-32, March.
    11. Kadapakkam, Palani-Rajan & Kumar, P. C. & Riddick, Leigh A., 1998. "The impact of cash flows and firm size on investment: The international evidence," Journal of Banking & Finance, Elsevier, vol. 22(3), pages 293-320, March.
    12. Félix López-Iturriaga & Juan Rodríguez-Sanz, 2001. "Ownership Structure, Corporate Value and Firm Investment: A Simultaneous Equations Analysis of Spanish Companies," Journal of Management & Governance, Springer;Accademia Italiana di Economia Aziendale (AIDEA), vol. 5(2), pages 179-204, June.

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