Tell that to Partner's Healthcare that has lost 100's of millions in recent years. It is a question of staying in business when you have to pay a mint before you make the first dime of profit. A no-frills strip mall bay alone in our area will run you between $5K-$10K per month. People who don't know shit about running businesses don't know shit about how expensive overhead can be before the first dime of payroll gets covered. It is why rural access to healthcare is in such huge danger.
"In most rural communities, the hospital is the first or second largest employer, but only if the hospital can keep its doors open. More than 44% of rural hospitals operate at a loss and 30% operate below a -3% margin. 83 rural hospitals have closed since 2010, and 674 are vulnerable to closure. If all 674 vulnerable hospitals close, we will lose 99,000 direct health care jobs, 137,000 community jobs, and $277 billion in GDP. Per-Capita annual income in rural communities will decrease by $703, while rural unemployment would increase by 1.6 percentage points." https://www.ruralhealthweb.org/blogs/ruralhealthvoices/february-2018/rebuild-rural-the-importance-of-health-care-in-in