A largely unexamined sense of compatibility has existed between the ideals of professionalism and the not-for-profit form for health care organizations such as hospitals Steinwald and Neuhauser, ; Majones, The value questions about health care can be discussed under two broad categories—health care as an economic good and health care as a social good.
Too, certificate-of-need regulations greatly constrain the ability of firms to enter the hospital industry. Second, the committee believes that physicians' responsibilities to patients require that they play a role in monitoring and assuring the quality of care in medical organizations to which they refer or admit patients.
Hirschman, Albert O. Related to, but distinct from, the question of not-for-profit status is the availability to not-for-profit organizations, under certain conditions, of exemptions from federal income taxes under Section c 3 of the Internal Revenue Code and from state and local income, property, and sales taxes.
However, there also is a question of whether pure profit maximization is the sole objective of private firms in this or indeed any industry.
The sale of gifts and T-shirts to subsidize the exhibits and research activities of the Metropolitan Museum and the Smithsonian Institution is one example.