Thank you for providing this article. There is a huge misconception within the nursing community as well as the community as a whole, that not-for profits typically just break even except for small margins to be used for upgrades and repairs to property and equipment.
And why wouldn't we believe that is the case? Year after year we are told that there is no money for decent raises, for adequate supplies, for adequate support services, for funding pension plans etc etc.....
Look beyond the poor-mouthing, folks, and you'll find huge profits being generated with multi-billions (yes, that's with a "B") held in cash and investments all made possible by unconscionable mark-ups, aggressive collection techniques, and a tax status which permits avoidance of most types of taxes without demanding anywhere near parity in benefits returned to the community. When expressed as costs (as opposed to hospital charges which includes their huge mark-ups) the percent of revenues returned to the community is typically a pittance.
If you've suspected that your hospital has forgotten their mission over the past 10-15 years while focusing instead on optimal financial performance, do a little investigating------in most cases you'll find that's EXACTLY what's happened.