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July 2004

ShareCharity 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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