A (newspaper) article said Lutheran was the 11th most profitable hospital in the U.S. There was a quote: “I really believe that if we take care of patients, business takes care of itself,” said Joe Dorko, Lutheran Hospital's CEO.
Well, one way they get more profit is by extracting the maximum from patient procedures. They buy free-standing operations like Fort Wayne Orthopedic, then change them from an ambulatory facility to an out-patient facility.
Why? Because the patient's co-pay is higher. The insurance company pays the same either way, but the hospital gets a little more from the patient, (which equals) higher profit. They know a single patient cannot fight back against a large operation like Lutheran. There is no place to fight this.