The performance scores of not-for-profit church-owned and other not-for-profit hospitals suggest that these hospitals are adhering to and achieving the mission of service to the community. The performance scores of for-profit hospitals suggest increased success in serving both the community and shareholders. The results showed that not-for-profit church-owned hospitals have had the greatest success in achieving balanced excellence (highest overall score on the balanced scorecard) in serving their communities. Given the performance across the measures in the scorecard, the church-owned hospitals are still leading other ownership groups in delivering high value to their communities with reliable high quality and efficiency and high patient perception of care at a reasonable cost. These hospitals are also financially stable. For-profit hospital performance shows increased balance between financial and clinical performance, but weakness in other metrics. More specifically, the for-profit hospitals excel in lower expenses and higher profits for shareholders and have made a significant gain in quality. Government hospitals demonstrate the weakest balanced performance, with significantly worse performance on core measures and inpatient expenses.