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Nonprofit Hospital Investments At $300 Billion In 2023 With Rising Complexity, Volatility.

Created on 08 Jul 2026

Authors

Cal Chengqi Fang, Joseph Dov Bruch

Published in

Health affairs (Project Hope). Volume 45. Issue 7. Pages 750-755.

Abstract

Using Internal Revenue Service tax return data for 2,366 nonprofit hospitals from the period 2010-23, we examined trends in securities holdings, investment management fees, and investment income volatility. Total securities holdings increased 57 percent to $296 billion, with other securities investments more than doubling. Investment income fluctuated sharply, whereas net patient revenue growth remained near zero, highlighting increasing financial market exposure among nonprofit hospitals.

PMID:
42413057
Bibliographic data and abstract were imported from PubMed on 08 Jul 2026.

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