Studies have shown for-profit health care institutions do not provide the same quality of care as nonprofits. How can they, when ROI is more important than patient need? Granted, everyone needs to earn more revenue then they spend to stay in business, but for-profits add a layer of costs (for shareholders, performance bonuses, stock options, etc.) that nonprofits do not have to worry about. Of course, administrators in a for-profit system also tend to earn higher salaries with more benefits (stock options) than those in the nonprofit field, which is why management and Boards (whose members also can benefit financially) love the idea. But I am really surprised to see Catholic institutions (with their traditions of caring for all) getting on board the for-profit wagon. Nothing against joining together in systems so as to achieve greater efficiencies, but why do they have to be for-profit?