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Some of our babies in our intensive care are born to affluent tourists who come to give birth to US born child . But when baby is ill & comes to our NICU , many parents leave country with baby ( after treatment ) without paying the hospital & / or doctors , or they apply & receive Medi - Cal insurance ( for the very poor ) . Some already enter hospital with approved Medi - Cal . Also , what about the maternity homes or OB doctors that recruit these moms ? I suspect the maternity homes are not licensed and not reporting the income since everything is paid in cash , per the parents . Is it considered illegal for me to report them since I am a registered nurse and employee of the hospital ? Or is it unethical ? If legal , what would be proper way ( e . g . making copies of records to report , etc ) . How do I protect myself ?