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This monograph describes the significant contribution of mission-driven tax-exempt hospitals and health care systems that goes well beyond the provision of traditional charity care. It addresses two critical questions lawmakers and others have raised over the past year: How do non-for-profit hospitals distinguish themselves as charitable institutions? Should non-for-profit health care organizations continue to be tax-exempt? Using research and discussions with Catholic health care leaders, health care lawyer J. David Seay affirms that the mission of non-for-profit health care continues to be distinctive and advises policy makers to preserve tax-exemption of mission-based non-for-profit health care. An important resource for board trustees, executives, and advocacy leaders.