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July 2004
Charity Care And Financial Aid Guidelines For Pennsylvania Hospitals
Pennsylvania hospitals
and health systems have a long history of addressing charity care
and financial aid responsibilities through their health care
missions in their communities and compliance with Hill-Burton
funding, federal tax-exempt status, Act 55 of 1997 (the
Institutions of Purely Public Charity Act), and Act 77 of 2001
(the Tobacco Settlement Act) requirements. Providing charity care
to indigent patients is only one aspect of the current intricate
health care system that includes government funding for some
patients (Medicare and Medicaid), private commercial insurance
funding for others, and at times, inadequate funding for services
even when insurance is available. An ever-increasing number of
other patients with no form of insurance to help pay for their
hospital care must also be treated.
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