All ETDs from UAB

Advisory Committee Chair

Robert Hernandez

Advisory Committee Members

Amy Landry

Jeff Szychowski

Stephen O'Connor

Document Type


Date of Award



SENIOR EXECUTIVE EXPERIENCE AND THE PERFORMANCE OF HEALTHCARE ORGANIZATIONS JOHN P. WALSH HEALTH SERVICES ADMINISTRATION ABSTRACT The healthcare industry has become increasingly complex over the past two decades causing concern for stakeholders of hospitals and health systems regarding the future viability. Given the tumultuous times, understanding who is best suited to lead these organizations is essential. While some work has been done studying certain characteristics of the Senior Leaders of these organizations, none have looked at the relationship between the Senior Leader’s work experience comparing those with for-profit experience and those without and performance. Using Upper Echelon’s Theory as a basis, we compared the performance of organizations using total operating margin, net operating margin and overall CMS star rating between Senior Leaders with for-profit work experience and those without. This performance was compared and the multivariable linear regression with gee model using several hospital controls demonstrated no statistically significant differences between the two groups in operating margin, total margin, or CMS star rating. A bivariate analysis also demonstrated no statistically significant differences between the groups.