All hospitals serve patients, employ physicians and nurses, and adhere to the rules and regulations defined by the legal framework for clinical services. Although nonprofit and for-profit hospitals are fundamentally similar, there are significant cultural and operational differences, such as the purpose or mission for running the hospital, strategic approaches to scale, financial strategies, and operational discipline. The culture at for-profit hospitals is business driven, and at nonprofit hospitals, it is service driven. For balanced healthcare services, both are important.