Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/18605 
Year of Publication: 
2006
Series/Report no.: 
RWI Discussion Papers No. 54
Publisher: 
Rheinisch-Westfälisches Institut für Wirtschaftsforschung (RWI), Essen
Abstract: 
Huge underinvestment increases the need for private borrowing in the German hospital sector, the access to which is partly determined by the probability of default (PD) of individual hospitals. Using ordinary least squares and quantile regression techniques this paper provides first empirical evidence of its kind to evaluate the PD in the hospital sector and its constituent determinants. Based on annual account and medical data from 17% of all German hospitals we find that the current average probability of default amounts to approximately 1.7%, which is slightly higher than the average probability for all German firms. Among other determinants, we find that public ownership significantly increases the risk of default, while private for-profit and private not-for-profit hospitals do not differ. Moreover, demographic change in the form of population growth is confirmed to be relevant for the PD.
Subjects: 
Hospital profitability
quantile regression
probability of default
ownership type theories
JEL: 
I11
L31
Document Type: 
Working Paper

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