There are areas of medicine that are profitable: cardiovascular medicine, stroke management, orthopedics (ie hip surgeries), diabetes care. In other words the problems that the now retiring baby boomers will soon be dealing with.
You can see hospitals setting themselves up to specialize in these areas where the money will be, building new wings with state of the art equipment and hotel like furnishings. Getting certifications in these areas so that they can make a big banner touting their "expertise" and hang it on the side of the building.
The parts of the hospital where people go who don't fit into the above categories are left to deteriorate. The medical/surgical floors, the emergency room. They don't make the money, so the money doesn't go there. You aren't going to find wood floors and single rooms in the med/surg areas.
This is especially true in a private inner city hospital. The places where the insured people go are nice. The med/surg area and the emergency room where the people on medicaid/medicare end up are shabby. Is this the future of medicine?