For years, nonprofit hospitals have shied away from quantifying the amount of charitable

For years, nonprofit hospitals have shied away from quantifying the amount of charitable care they provide communities. Hospital officials argue that its almost impossible to put a dollar value on charity and doing so would take valuable【M1】______ time and resources away from actually serving the need.【M2】______ The charity question is significant because nonprofit hospitals get major tax breaks. Also, because of loopholes in state laws, nonprofit hospitals are often permitted to make huge profits. To complicate things further, the 2005 Government Accountability【M3】______ Office study concluded that, when it comes to charity care, the "differences between nonprofit and for-profit groups were often big." To make up for this, nonprofit hospitals tend to arrange deals【M4】______ with city and state governments to provide "payment in lieu of taxes"(also known as PILOT programs). But for these payments【M5】______ often dont equate the hospitals overall tax benefit and are【M6】______ perceived as acts of good faith to show that hospitals are playing nice with their communities. Recent economic downturns, therefore, have shined a【M7】______ detectives spotlight on the amount of charity care hospitals provide. Investigative reports have shown up in Atlanta, East Bay and Boston newspapers question charity care policies. The Boston【M8】______ Globe report calculated that Bostons "10 leading hospital companies benefited from an estimated $638 million in federal, state, and local tax breaks as well state discounts on borrowing in【M9】______ 2007, which accounts to $264 million more than the value of【M10】______ care for the poor and other charity work."

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