A wellness clinic hires a handsome receptionist. More patients come. You cut your price on physical examinations. More patients come. The Federal government releases a report saying that your hospital has death rates that are significantly higher than average.
Patients go elsewhere.
You extend your operating hours. You see more patients per day. You double what you charge patients in your hospital emergency room. It only makes a little difference in patients per day. You buy a mammography laboratory on wheels, and schedule stops around your area.