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Agency implications of debt in not-for-profit hospitals: A conceptual framework and overview Export

Research in Healthcare Financial Management, Vol. 8, No. 1. (2003), pp. 7-17.

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This article argues that mainstream finance theories about the agency role of debt in for-profit corporations may not apply fully in a not-for-profit hospital context. We outline a set of propositions about the impact of not-for-profit status on capital structure decisions and related agency relationships. By examining not-for-profit hospitals in the context of finance theories on debt, we raise concerns that debt financing may exacerbate or create agency problems, rather than resolve them.


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