I can tell you from personal experience that hospital funding priorities are wild. It's an ongoing turf war between hospitals. * Buying up private practices

I can tell you from personal experience that hospital funding priorities are wild. It's an ongoing turf war between hospitals. * Buying up private practices * Remodels so the hospital has a more pleasant ambiance * Having an excessive amount of cash on hand to signal various things to various parties * Working out the cost schedules with insurance companies * Audits for a certifications outside of regulatory requirements that are useless on the nursing floor (lean/six sigma/etc) * Adding new types of facilities outside the core competencies of the organization such as gyms or specialized satellite facilities. Really, healthcare is a cutthroat industry that's all about signaling.