Getting Down to Business: Chain Ownership and Fertility Clinic Performance

Ambar La Forgia, Julia Bodner

Research output: Working paperResearch


Chain ownership has been credited with boosting firm performance in the retail and service sectors but criticized for prioritizing profits over the well-being of patients in the healthcare sector. This paper finds that chain organizations improve healthcare outcomes in a setting with relatively minimal market frictions and information asymmetries: the market for In Vitro Fertilization (IVF). After acquisition by a fertility chain, IVF clinic volume increases by 28.2%, and IVF success rates increase by 13.6%. We provide evidence that fertility chains facilitate resource and knowledge transfers needed to enhance clinic quality, benefit underperforming clinics, and expand the IVF market.
Original languageEnglish
Place of PublicationWWW
PublisherSSRN: Social Science Research Network
Number of pages93
Publication statusPublished - Aug 2023


  • Chain organizations
  • Acquisitions
  • Fertility
  • IVF
  • Quality
  • Firm Performance

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