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You are correct.

The hospital is a Not-For-Profit medical care facility run by the NHRMC Foundation. However, I would like to point out that Non-Profits get special consideration in the tax code, such as special write-offs, write-downs for charity care, grants, and tax-exempt status.

This means that as a non-profit, they do still rely on tax considerations that come at the expense of the tax-paying public. Basically, the county budget is derived from tax revenue. Every time a non-profit or business writes down bad debt against their tax debt, the county takes in less revenue, which they have to make up on the other side, with means John and Jane Taxpayer.

In addition, being non-profit in no way invalidates the earlier arguments that without Medicare, Medicaid, and private insurance, NHRMC would not exist. It's laudable that in the current economic climate, NHRMC can be as successful as they are as a teaching hosptial / non-profit organization. At the same time, you can't simply breeze over the role that medicare payments, medicaid payments and private insurance payments play in their operating capital.

What's more, just because NHRMC is not-for-profit doesn't mean the specialists and doctors that work there are. When was the last time you went to the hospital? Our youngest child recently had surgery. We received a facilities charge from NHRMC, bills from the surgeon, the anesthesiologist, the radiologist tech that read the scans, etc.

Those doctor's, specialists, and technicians that are part of private practices don't work for free, and most (if not all) are for-profit providers.

So, in my opinion, it's a little naive to assume the fact that NHRMC is not-for-profit somehow invalidates the earlier statements; when in fact, the two are not mutually exclusive.

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