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Leveraging Tax-Exempt Status of Hospitals

We live in a money-driven society. Consumerism is rampant, with seemingly little end to Americans’ desires to spend money. Our entertainment now echoes this theme, with leading television shows including Who Wants to Be a Millionaire and Deal or No Deal. The motion picture industry was an early harbinger of this driving economic force in American culture, with films such as Wall Street and Boiler Room. A slogan from the 1996 movie Jerry McGuire perhaps best sums up one of the key attributes of American culture: “Show me the money.” Our health care system is no different. Although we may like to reflect fondly upon the historically quaint notion of not-for-profit health care as continuing the era of voluntary, locally owned hospitals, the reality is that health care is big business. It has to be. The insatiable demands imposed upon health care institutions for new technology, services, and accoutrements (non-private