U.S. House Committee Chairman Jason Smith Criticizes Non-Profit Hospitals for 'Hedge Fund' Practices
U.S. House Committee on Ways & Means Chairman Jason Smith has voiced strong criticism regarding the financial practices of non-profit hospitals, stating they 'look like hedge funds with hospital beds because of how they're acting.' This comment was made in the context of examining the financial statements of large healthcare systems like Advocate Health (Atrium Health). According to the source, Advocate Health, which operated 69 hospitals across six states at the end of 2025, is engaged in a merger spree, acquiring profitable tax-exempt hospitals with minimal upfront cash. The organization reportedly holds $58 billion in untaxed assets, including hedge funds, private equity limited partnerships, stocks, bonds, and self-insurance trust funds. Advocate Health has consolidated the management of all its cash and investments, with its board of directors controlling finances that include legacy entities like the Charlotte-Mecklenburg Hospital Authority. As of June, Advocate reported nearly $30 billion of its $58...