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Charitable expectations of nonprofit hospitals: lessons from Maryland.

Authors
  • Gray, Bradford H
  • Schlesinger, Mark
Type
Published Article
Journal
Health affairs (Project Hope)
Publication Date
Jan 01, 2009
Volume
28
Issue
5
Identifiers
DOI: 10.1377/hlthaff.28.5.w809
PMID: 19628474
Source
Medline
License
Unknown

Abstract

Little is known about nonprofit hospitals' community benefit spending other than for charity care. Better accountability is desirable, but critics have focused too narrowly on charity care. Using data from reporting requirements in Maryland similar to federal rules that take effect in 2010, we describe the broad range of community benefit spending in nonprofit hospitals there, which amounted to 7.4 percent of expenses in 2007. Charity care for hospital services accounted for one-third of this amount (payments to physicians for charity patients are reported separately). Hospitals' community benefit spending varies with local needs, resources, and resource allocation decisions.

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