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But there is a lot more to community service than just charity care.
The hospital will have no choice but to cut services or pay for charity care from other accounts.
"And charity care is one way to provide benefit to the community.
University Hospital is also the state's single largest provider of charity care.
But it is unclear who would foot the bill if the need for charity care were to go higher.
"Why pursue litigation instead of charity care at that point?"
And charity care is one aspect of such service to the community, the rulings say.
And even with payment cuts, Medicare is not charity care.
To maintain that kind of system, we have to make sure charity care continues."
Even so, more than three-fourths of the doctors provided some charity care.
Every non-profit hospital has an obligation to provide what's called charity care.
Almost $1.6 billion has been taken out of the fund to pay for charity care since 1993.
The rest of the charity care bill would be paid with $56 million from the state budget.
Federal law does not say exactly how much charity care tax-exempt hospitals must provide.
What also emerged was a greater reluctance to lower the bottom line through charity care.
If it's a hospital, see if they give charity care.
Texas recently ordered all nonprofit hospitals to provide basic charity care.
Medicare financing of graduate medical studies and charity care is another concern.
At current payment rates, he said, "Medicare is almost charity care."
No wonder the "charity care" bill is so high.
"What is the legal obligation to provide charity care?"
In 1997, the state would increase spending for charity care from the general budget to $68 million.
In Massachusetts, hospital administrators say they can no longer carry the burden of charity care alone.
The law needs some adjustments to ensure that the charity care funds are sufficient.
It encourages hospitals to give discounts and charity care to people without insurance.