It's good that the article brings certain issues to light, but its weakness is that it looks at 'community benefit' spending as almost solely a matter of charity care.  I would agree that a hospital absorbing the difference between a billed charge and the amount paid toward that bill by an insurer (public or private) should not count as community benefit spending.   But there are many other salutory, measurable, bona fide ways besides charity carethat hospitals can invest in community health.  Many of them attend to the growing evidence that social determinants of health are crucial.  For example, investments in affordable senior housing, early childhood enrichment, targeted group outreach and special services, nutrition for those living in or near poverty, transportation not only for health care appointments but also for social capital -- these are evidence-based ways to promote health and provide community benefit.  Such worthy investments are much needed and deserve recognition.