Nonprofit providers of psychiatric inpatient care perform as well as or better than their for-profit counterparts. This is the major finding of a literature review by Pauline Vaillancourt Rosenau, Ph.D., M.P.H., and Stephen H. Linder, Ph.D., in this month's issue that examined peer-reviewed studies comparing the performance of U.S. for-profit and nonprofit providers of medical and psychiatric care. Four performance areas were examined: access, quality of care, cost-efficiency, and the amount of charity care provided. The search yielded 149 articles published since 1980, 17 of which focused on providers of psychiatric care. Thirteen of the 17 studies were national, one included data from 32 states, and three focused on California. Sixteen studies found that the performance of the nonprofit providers was superior or equal to that of the for-profit providers. The results were much the same for all other health care providers—such as hospitals, nursing homes, home health care organizations, and dialysis centers—although less pronounced than for psychiatric care providers (see page 183).