Sen. Charles Grassley (R-Iowa), concerned with organizations’ abuse of tax-exempt status, on September 2 questioned the practices of two exempt hospitals after reading published reports that one required a critically ill patient to come up with exorbitant amounts of cash up front and that the other may be “culling” the least profitable patients from its emergency room. Over the last two years, Grassley has questioned all types of tax-exempt organizations, including charities, universities, hospitals, and museums, about whether their charitable activities are commensurate with the tax benefits they receive. Grassley often raises issues regarding hospitals’ free or discounted care policies and regarding uncompensated care.