This epilogue reflects on the manifold ways that charitable institutions benefited from commerce—whether from their own commercial activities or those of their patrons. Church reformers criticized hospitals for accepting donati, who were permitted to receive room and board without taking vows. The reality, however, was that the donati at times brought in valuable resources that could be used to serve the poor and sick. In addition, the increased commercialization of late twelfth- and thirteenth-century society, particularly in a region like Champagne, may have contributed to the idea of a moral economy, including the obligation of charitable giving and service. The twelfth- and thirteenth-century social conditions that created a conducive environment for the flourishing of commerce were also advantageous for fostering charity and pious giving more generally. During a period of urban transformation, which created greater prosperity for some but also increasing poverty and insecurity for many others, the medieval hospital opened up new opportunities for social reciprocity and mutual assistance. For those with various kinds of needs, the hospital served as a source of physical, social, and material support in this earthly world, with all of its vagaries and vulnerabilities. In addition, though, the medieval hospital held out the promise of spiritual redemption in the world to come.