This study examined the relationship between the acquisition of technological innovations and organizational performance using the framework of firm resource-based theory, as proposed by Barney [Barney, J., 1991. Firm resources and sustained competitive advantage. J. Manage. 17, 99-120]. It was hypothesized that there would be a significant and positive relationship between the acquisition of technological innovations and organizational performance. It was further hypothesized that this relationship would be moderated by the extent to which the technological innovations were simultaneously valuable, imperfectly imitable, and rare. A sample of 189 Florida hospitals was used in the study. A positive and significant relationship was found between the acquisition of medical technological innovations and hospital financial performance, and the relationship was found to be strongest when the hospital's medical technologies were simultaneously valuable, imperfectly imitable, and rare. (C) 1998 Elsevier Science B.V.