Depends on the hospital, but very possible. It's also very complex.

Sometimes it is just a matter of what you offer as a hospital, the volume of people you bring in, and what you do.

Example:

Obstetrics is becoming a major money looser due to changes in the insurance market. So insurance companies how require a hospital who handle's births to also have a surgery center and be able to handle c-sections in order to insure any birthing. The thing is that requires an on call surge and staff and things that previously a lot of hospitals didn't have.

So in order provide that service the overhead just skyrocketed. Many rural hospitals just don't offer it anymore or if they are / are taking big losses to provide the service.

That's just one area.

Thank you for the insight! Can you reveal where you learned this? I would love to get a better understanding of the financials of the healthcare industry.

Sadly it's not from an site that covers it all. I too am interested in the topic.

This was just a local news story, they tend to do a good job:

https://www.mprnews.org/story/2019/01/22/rural-clinics-end-b...

If you read the article you'll see that the reasons they're asking is for improved "amenities". But its a bit misleading since they also charge through the roof for said "amenities".