America’s healthcare system is at a turning point. While we lead the world in research and innovation, our health outcomes are worsening, and costs continue to skyrocket. It’s not that people are getting sicker—it’s that the system is failing to provide the care people need.
Many of the challenges driving poor outcomes could be addressed through coordinated, compassionate care, but our fragmented system often gets in the way. By focusing on mission-driven, community-based solutions, we can redefine what healthcare should be—centered around people, not profits.
Why Nonprofit Community-Based Providers Matter
Our nonprofit members are the original architects of care in the home—and they know how to do it right. Deeply connected to their communities, these providers prioritize personalized, quality care that meets the unique needs of patients and families.
They treat the whole person—not just the illness—by caring for the body, mind, spirit, and the patient’s loved ones. It’s a model rooted in compassion and connection, and one the broader healthcare system could learn a lot from.
A Story About Healthcare in America
Discover what everyday Americans really think about their healthcare system in NPHI’s blueprint report. Backed by compelling caregiver stories and powerful data, this report offers a clear snapshot of both the challenges and the opportunities shaping care today.
Only 18% trust health system
18% of Americans trust the healthcare system to put their wellbeing ahead of profits
2x more therapy visits per day
Nonprofit providers offer 2x the daily therapy sessions—giving patients more support, more often
10% more nursing visits
Patients cared for by nonprofit providers receive 10% more nursing visits than those served by for-profits
35% more social worker visits
Social worker visits are 35% more frequent in nonprofit care settings
Only 1/3 have written documentation
Just 1 in 3 people have documented their preferences for how they want to age and be cared for at the end of life
Only 25% have spoken to a care provider
Three out of four Americans have not had a conversation with their provider about how they want to be cared for
52% concerned about declining health
More than half express concern about their health deteriorating with age
58% would prefer to die in the comfort of home
A majority of those surveyed (58%) would rather die at home than in a clinical setting
Data based on a 2022 NPHI survey that probed public trust of the healthcare system:
Views and Experiences of Aging & End-of-Life Care in the US
