In an acute situation our hospitals always help first (help needed immediately). Payment is fee-for-service. Hospitalization cost is per day. This includes basic care. Whatever is extra, surgical procedures etc. is paid for separately by private insurance. The investment costs for all equipment are all included in their fees. Teaching and training are NOT funded. Research partly funded separately. Otherwise, not funded. All hospitals do the same thing. They don‰Ûªt ask money up front. Maybe a letter of guarantee, but no actual payments.