**  **P-value**^**0**^   ------------------------------------------------ ------------------------------------------- --------------------   Develops new revenue sources                                                                      Yes                                                                 0.0                     P \< 0.00    No                                                                  0.0                         Determines which services should be outsourced                                                    Yes                                                                 0.0                     P \< 0.00    No                                                                  0.0                         Reviews reports on patient complaints                                                             Yes                                                                 0.0                     P \< 0.00    No                                                                  0.0                        ^0^P-value calculated from linear regression; results remained significant after adjusting for hospital type.  