What is the difference between nonprofit and for-profit hospitals? (2024)

In the U.S., hospitals come in various models, each designed to meet specific healthcare needs, financial structures, or community requirements. Among these facilities, the two most common models are nonprofit and for-profit hospitals. Each organization has unique characteristics and fundamental differences that shape its approach to healthcare delivery.

In this blog, we’ll compare and contrast nonprofit and for-profit hospitals.

What is a nonprofit hospital?

Nonprofit hospitals are driven by a commitment to community service and a mission to provide accessible healthcare to all, regardless of a patient’s ability to pay. These facilities are often founded by charitable organizations, religious groups, or community initiatives, or may be affiliated with a medical school. Nonprofit hospitals are sometimes known as not-for-profit or NFP.

What is the largest nonprofit hospital?

Determining the largest nonprofit hospital depends on the financial, clinical, or quality metric being measured.

For example, New York Presbyterian Weill Cornell Medical Center is the largest nonprofit hospital by net patient revenue (NPR), with an NPR of $7.6B, according to the most recent 12-month interval tracked in our database. Advent Health Orlando is the largest nonprofit hospital by number of staffed beds—2,247. Vanderbilt University Medical Center is the largest nonprofit hospital by total facility square footage at more than 8 million square feet.

Check out our Healthcare Insight on the largest nonprofit hospital systems for more trends and information.

What is a for-profit hospital?

For-profit hospitals, by contrast, operate under a business-oriented model. Like most common businesses, for-profit hospitals are owned and managed by private entities or corporations and prioritize generating profits for shareholders or owners.

Some of the largest for-profit health systems in the U.S. include HCA Healthcare, Tenet Healthcare, and Community Health Systems (CHS).

While the primary goal of both nonprofit and for-profit hospitals is to deliver high-quality care to patients, profit generation may influence how for-profit facilities make decisions regarding service offerings and resource allocation.

Are most hospitals for-profit or nonprofit?

According to the American Hospital Association, there are 6,129 active hospitals in the U.S. Among those facilities, 2,978 are nonprofit, and 1,235 are for-profit hospitals. The number of for-profit hospitals in America is growing every year, and more and more nonprofit hospitals are exploring potential transitions to an investor-owned financial model in the future.

While traditional wisdom once held that nonprofit hospitals maintain a firm advantage over for-profit hospitals, the tides seem to be turning.

Nonprofit hospitals vs. for-profit hospitals

There are several foundational and functional aspects that set nonprofit and for-profit hospitals apart from one another.

  • Ownership. As said above, for-profit hospitals are typically owned by private entities or corporations. Nonprofit hospitals may be owned by academic institutions, religious groups, or charitable organizations.
  • Tax-exempt. Nonprofit hospitals are not required to pay income or property taxes at federal, state, or local levels.
  • Financial objectives. Nonprofit hospitals must invest any profits ‘into the community,’ which can include facility improvements or paying executive salaries. For-profit hospitals may prioritize generating profit for shareholders.
  • Access to funding. Due to their charitable nature, nonprofit hospitals may rely on tax exemptions, philanthropic donations, and government grants. For-profits rely on investments, patient fees, and insurance reimbursem*nts.
  • Services provided. Typically, nonprofit hospitals focus on offering services that benefit the community, like home healthcare, emergency psychiatric services, drug addiction recovery, and trauma wards. These services tend to provide smaller profit margins, so they may not be highly desirable for for-profit hospitals, which may prioritize services that bring in more revenue.

What’s not different between nonprofit and for-profit hospitals?

From a patient’s perspective, there is likely to be very little difference between a nonprofit and a for-profit hospital. According to veteran doctors and executives who have led at both types of facilities, there is no significant difference in operational efficiency, administrative structure, or quality of care. The objective of both for-profit and nonprofit hospitals is to provide the best possible care to as many people as possible.

Both types of facilities exist on lists of the best hospitals in the U.S., indicating that tax exemption status has little correlation with how a hospital functions.

Whether a hospital is nonprofit or for-profit should be of interest to the communities it serves and its staff. A nonprofit or for-profit designation can help people understand how the hospital allocates its resources and plans to reach its goals.

Check out our Healthcare Insight on nonprofit vs for-profit hospital payor mix for more information.

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What is the difference between nonprofit and for-profit hospitals? (2024)

FAQs

What is the difference between nonprofit and for-profit hospitals? ›

Due to their charitable nature, nonprofit hospitals

nonprofit hospitals
A non-profit hospital is a hospital that does not make profits for owners of the hospital from the funds collected for patient services. The owners of non-profit hospitals are often a charitable organization or non-profit corporations. Fees for service above the cost of service are reinvested in the hospital.
https://en.wikipedia.org › wiki › Non-profit_hospital
may rely on tax exemptions, philanthropic donations, and government grants. For-profits rely on investments, patient fees, and insurance reimbursem*nts.

What is the difference between a non profit hospital and a for-profit hospital? ›

In keeping with their charitable purpose and community focus, nonprofit hospitals are often affiliated with a particular religious denomination. For-profit hospitals are owned either by investors or the shareholders of a publicly-traded company.

What is the difference between for-profit and nonprofit institutions? ›

For-profit colleges distribute their profits among the institution's owners, investors, and shareholders. In contrast, nonprofit colleges reinvest their profits back into the institution.

Why would a hospital be for-profit? ›

A for-profit hospital is a medical center that is investor-owned. These hospitals are motivated to make a profit for shareholders, and they are typically the highest-billing hospitals in the U.S. Like most hospitals, for-profit hospitals have a corporate hierarchal structure.

What are the differences between marketing in for-profit and nonprofit health care organizations? ›

Nonprofit marketing is about relationships.

In comparison, for-profit businesses need to showcase the benefits of their products or services to customers. They rely more on communicating value propositions and product features, and they often focus on one-time transactions over long-lasting relationships.

What does it mean when a hospital is not-for-profit? ›

Non-profit hospitals are the most common type, but for-profit and government hospitals also play substantial roles. A non-profit hospital, or not-for-profit hospital, is a hospital which is organized as a non-profit corporation. Non-profit hospitals are mostly funded by charity, religion or research/educational funds.

What are the benefits of a nonprofit hospital? ›

Nonprofit hospitals are exempt from paying most federal and state taxes, can issue tax-exempt bonds, and can receive tax-deductible contributions,1 with the expectation that they will direct proceeds to community benefit.

Are nonprofit or for-profit hospitals better? ›

Nonprofit hospitals are ideal for most illnesses and injuries, but the lack of advanced technology may force some patients to seek specialized care from the more-expensive for-profit facilities.

Are most hospitals for-profit or nonprofit? ›

Almost half of hospitals are non-profit and they are larger hospitals on average, with a mean bed size of 209 (vs. 107 for for-profit and 175 for government hospitals). Hospitals structured as corporations constitute 54.6 percent of hospitals and are larger than average by bed size.

How do nonprofit hospitals make money? ›

Not-for-profit hospitals and health systems have essentially two sources of funding: they either earn revenue from operations and investments (providing patient services makes up most of this revenue) or they borrow funds through issuance of debt in the bond markets or other forms of borrowing (e.g., bank lines of ...

What hospital ownership falls into three major categories nonprofit for-profit or what? ›

Surplus revenues in nonprofit organizations are reinvested to improve or expand services. Explanation: Hospital ownership falls into three major categories: nonprofit, for-profit, or governmental. Other than nonprofit and for-profit hospitals, the third category includes hospitals owned by governmental agencies.

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