ðə hˈɑːspɪɾəl stˈɑːɹɾᵻd æz fˈiːfɔːɹsˈɜːvɪs, bˌʌt ɪnʃˈʊɹɹəns kˈʌmpəniz wɜː slˈoʊ tə pˈeɪ, ænd nˈɑːnpˈeɪmənt wʌz ˈɔːlsoʊ ɐ pɹˈɑːbləm.
The hospital started as fee-for-service, but insurance companies were slow to pay, and non-payment was also a problem.