Non-Profit Hospital Accountability

Raising the Ethical Bar

Staff Reportersred-cross3

According to the Wall Street Journal, December 18 2008, Senator Charles Grassley – ranking Republican on the Senate Finance Committee – is weighing proposing legislation in early 2009 that would hold nonprofit hospitals more accountable for the billions of dollars in annual tax exemptions they enjoy.

Minimal Levels of Care Sought

The legislation would require non-profit hospitals to spend a minimum amount on charity care, and set curbs on executive compensation and conflicts of interest. Disclosure requirements would also be increased.

Assessment

Under the new legislation, penalties would be imposed on nonprofit hospitals that fail to meet the new requirements, while penalties could escalate from taxes and fines to stripping a hospital of its federal-tax exemption if it continues to misbehave.

Conclusion

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5 Responses

  1. More on Non-Profit Hospitals and Credit Downgrades

    Here’s more evidence, according to Ann Zieger of Fierce Health Finance on 2/4/09, that not-for-profit hospitals are facing tough times.

    Last year, Moody’s Investors Service reported that not-for-profit credit downgrades exceeded upgrades by a margin not seen since 2003; what’s more, they faced the largest number of downgrades since 2001.

    And, with unemployment rising, investment returns still questionable and capital hard to obtain, Fitch too reported not-for-profit hospitals are under great stress with expected decrease in Medicaid reimbursement, and growing unemployment. Given these stresses, Fitch predicted that not-for-profit hospital credit ratings will drop through July 2010 or January 2011, worsening the not-for-profits’ plight.

    Meanwhile, reserves for some hospitals may end up being sapped if they’re forced to repay variable-rate demand bonds, which could happen if their debt drops below levels required by bond covenants.

    Joe

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  2. According to a new analysis by The Lewin Group, under a health reform draft currently under consideration by Congress, the number of uninsured Americans would fall dramatically, by about 32. 6 million, and premiums for a “public option” plan would be an average of 20 percent less than private plans for families.

    http://www.hfma.org/hfmanews/PermaLink,guid,4213e48f-98c6-4238-9c63-436ed7aad6ba.aspx

    Now, isn’t the Lewin Group owned by UHC?

    Tabor

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  3. IRS and Tax Exempt Guidelines

    On July 23, 2009, the Internal Revenue Service (IRS) released new governance training materials to provide guidance to agents concerning key issues to scrutinize when reviewing the governance of nonprofit hospitals and other exempt organizations

    Click to access IRSPublishes.pdf

    Ann Miller; RN, MHA
    [Executive Director]

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  4. You Can’t Make up this Stuff!

    Writing for The (Bergen County) Record and NorthJersey.com, Lindy Washburn used recent tax filings to discover millions in severance pay given to the executives of Hackensack University Medical Center, an area nonprofit hospital. The kicker? The top executives got this money while being forced out, in part because the hospital board had been shocked to discover just how much they’d been paying the executives.

    http://www.northjersey.com/news/health/hospitals/112365189_Severance_raised_hospital_chief_s_pay_to__7_7M.html

    Randall

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  5. On Non-Profit Hospitals

    Essay on executive salaries that top $1-M.

    http://www.healthjournalism.org/blog/2011/02/wash-hospital-executive-salaries-may-threaten-nonprofit-status/

    These guys are surely not non-profit, are they?

    Mary

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