A great many hospitals and care networks in the U.S. are non-profit. Many are attached to public or private but otherwise non-profit universities. Some are re

A great many hospitals and care networks in the U.S. are non-profit. Many are attached to public or private but otherwise non-profit universities. Some are religious and/or regional non-profit organizations (e.g. Partners, Intermountain Healthcare) Some are operated though mutual insurance or local municipal governments. This doesn't mean that administration isn't paid exceptionally well. In particular, patients and even the physicians in the health care systems rarely have a say in how it is operated. In most university contexts, there is no real democracy other than through the board of trustees which is often appointed via an inner-circle. Although mutuals should permit insured patients a democratic vote, most are not setup to encourage participation in any sort of elections. That said, the drug industry is predominantly for-profit. Health care software vendors (Epic, Cerner) are for-profit. Some insurance systems are for-profit, such as Anthem. So are physicians who work independently or as part of a larger privately-held network. Even so, the vast majority of the U.S. healthcare system is a patchwork of "non-profits" (with lots of holes in it).