For years, nonprofit hospitals have shied away from quantifying the amount of charitable care they provide communities. Hospit

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问题     For years, nonprofit hospitals have shied away from
quantifying the amount of charitable care they provide
communities. Hospital officials argue that it’s almost impossible to
put a dollar value on charity and doing so would take valuable【M1】______
time and resources away from actually serving the need.【M2】______
    The charity question is significant because nonprofit hospitals
get major tax breaks. Also, because of loopholes in state laws,
nonprofit hospitals are often permitted to make huge profits. To
complicate things further, the 2005 Government Accountability【M3】______
Office study concluded that, when it comes to charity care, the
"differences between nonprofit and for-profit groups were often
big." To make up for this, nonprofit hospitals tend to arrange deals【M4】______
with city and state governments to provide "payment in lieu of
taxes"(also known as PILOT programs). But for these payments【M5】______
often don’t equate the hospitals’ overall tax benefit and are【M6】______
perceived as acts of good faith to show that hospitals are playing
nice with their communities.
    Recent economic downturns, therefore, have shined a【M7】______
detective’s spotlight on the amount of charity care hospitals
provide. Investigative reports have shown up in Atlanta, East Bay
and Boston newspapers question charity care policies. The Boston【M8】______
Globe report calculated that Boston’s "10 leading hospital
companies benefited from an estimated $638 million in federal,
state, and local tax breaks as well state discounts on borrowing in【M9】______
2007, which accounts to $264 million more than the value of【M10】______
care for the poor and other charity work."
【M4】

选项

答案big—small

解析 语篇错误。由上文可知,非营利医院在慈善医疗方面做的很少,可以判断,此处要表达的意思是“在慈善医疗服务方面,非营利医院和营利医院之间的差别很小。”故应该把big改为small。
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