Charity care and community benefits by hospital type in Texas

Hospital care is the largest component of the health care sector. This industry is made up of for profit hospital (FPH) organizations, not for profit (NFP) hospitals, and government (GOV) run hospital facilities. Objectives of this analysis were: (a) to conduct a literature review on NFP hospital legislation at the state level in Texas and at the federal level in the broader U.S.; and (b) to describe the types of charity care and community benefits currently being provided: by NFP hospitals compared to FPH hospitals and GOV hospitals; by hospitals geographic proximity to the Texas-Mexico border; and by hospital community type (rural, suburban, and urban); and (c) propose specific policy changes that may be needed to improve the current Texas State statute. Methods. In describing the historical and current policy context of NFP hospital legislation in the United States, federal legislation was reviewed from 1913 to the present and Texas State legislation was reviewed from 1980 to the present. In describing the provision of charity care, data from the 2008 Annual Cooperative Hospital Survey were examined by hospital organizational type, size, proximity to the border, and community type using linear regression and chi-squared tests to assess differences in charity care and community benefits. Results. The data included 123 NFP hospitals, 114 GOV hospitals, and 123 FPH. Results. Small sized (p<0.001) and medium sized (p<0.001) NFP hospitals provide a greater percent of total charity care when compared to FPH hospitals and to both GOV and FPH hospitals respectively; however, no significant difference in total charity care was found among large sized NFP hospitals when compared to FPH hospitals alone (p=.345) and both GOV and FPH facilities (p=.214). The amount of charity care provided was not found to be different based on proximity to the border or community type. Community benefit planning and budgeting was found to be similar regardless of community type and proximity to the border. Conclusion. No differences in charity care in Texas were found for large sized NFP hospitals compared to FPH and GOV hospitals. Contrary to widely held beliefs, this study did not find the border region to provide a greater amount of charity care or bad debt. Charity care also did not vary by community type. These findings underscore the need for continued collection of transparent data from all hospitals in order to provide policy makers and consumers with information on utilization trends to ensure benefits are being provided to the community. Policy changes or revoking tax-benefits may occur as charity care utilization declines with the implementation of health reform in the next few years.^

Address of the Trustees of a London Charity School to the Parent of a proposed scholar, 1776 June 24

This two-and-a-half-page handwritten document contains a copy of a set of rules for a parent of a school identified as "Saint Mary Rotherhith United Society."

Charity organization bulletin.

Title from caption.

Culinary Americana; cookbooks published in the cities and towns of the United States of America during the years from 1860 through 1960,

Mode of access: Internet.

The charity visitor; a handbook for beginners,

Mode of access: Internet.

Annual report of the State Board of Lunacy and Charity of Massachusetts.

Report year ends Sept. 30.

A letter from a subscriber to the York lunatic asylum to the governors of that charity ...

An answer to William Mason's Animadversions.

The breeding birds of the Charity Islands with additional notes on the migrants.

Reprinted from Michigan academy of science. 14th report, 1912.

Charity and social life; a short study of religious and social thought in relation to charitable methods and institutions,

"The book is for the most part a reprint of an article on 'Charity and charities ̓which was first published in 1902 in the supplementary volumes of the Encyclopaedia britannica."--Pref.

Charities : the official organ of the Charity Organization Society of the City of New York.

Title from caption.

The forgotten army : six years' work of the Committee on Criminal Courts of the Charity Organization Society of the City of New York, 1911-1917, a story of its work for the clean, intelligent and kindly administration of our inferior criminal courts.

Bound with the author's The adolescent offender. New York, [1923]

Swedish poor laws and charities : a publication dedicated to the International Congress on Poor Law Relief and Charity to be held at Copenhagen 1910 by the Swedish Poor Law Reform Association (svenska fattigvårdsfördsbundet) /

Cover title.

Charity,

Publisher's advertisements on 19 p. at end.

Some account of Lord Williams, of Thame, founder of the grammar school and the alms-houses, at Thame; together with a copy of his will, and copies of very valuable English and Latin documents, relating to the above charity.

"Latin portion translated by the Reverend John Young."

The Charity Organization Society of the City of New York, 1882-1907. History: account of present activities. Twenty-fifth annual report for the year ending September thirtieth nineteen hundred and seven,

Mode of access: Internet.