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If the county passes private foundation funds through the budget and writes a check to the hospital, can the county count this money?

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If the county passes private foundation funds through the budget and writes a check to the hospital, can the county count this money?

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This would be similar to a grant and on the face of it would appear to be reimbursement and therefore the county could not claim the funds. However, if the foundation gave the money to the county as a general donation, giving the county clear authority to use the money at the county’s discretion, and the county used the money on health care, then the county could count it as an expense related to uncompensated health care. The county might need to explain that the money was given to be used according to the county’s discretion and was not any type of reimbursement.

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