GMAT Reading Comprehension (RC) | Re: GMATPREP ChallengeQ -The United States hospital industry is

Can someone please explain how the answer to third question is D and not E? From the passage: "For-profit hospital managers, for example, generally work independently of hospital owners and thus may not always make maximum financial efficiency their highest priority."


3. The passage suggests which of the following about the managers mentioned in the highlighted text?
A. They have generally been motivated to streamline hospital services as a result of direct intervention by hospital