I grew up in a town with two not-for-profit hospitals. Each year, each hospital had a big "fair" to raise money for their efforts (building programs, equipment additions, etc. etc.) Even as a kid, I got roped into the city-wide extravaganzas. BOTH hospitals totally remodeled their buildings to code-of-the day over the years, partially with the proceeds of the fairs (mostly through much higher prices to the consumer.) Virtually the DAY they completed their transition into the 21st century, they literally abandoned their old (now old on the outside but new on the inside) buildings and built new in totally new locations OUTSIDE the city.
During the process, they dumped tons of equipment and materials. Example: 15 tons of scrubs (I know because I helped snag them to be sent to Africa, heh, heh) BECAUSE the labels were now wrong since the hospitals had each changed their names (happened twice during the transition.)
I vowed never again to get involved with a not for profit unless I was directly involved in their work (so, maybe a church, but not a hospital, etc.) YMMV