(Download) "Do Nonprofit Hospitals Provide Community Benefit? A Critique of the Standards for Proving Deservedness of Federal Tax Exemptions." by The Journal of Corporation Law # eBook PDF Kindle ePub Free
eBook details
- Title: Do Nonprofit Hospitals Provide Community Benefit? A Critique of the Standards for Proving Deservedness of Federal Tax Exemptions.
- Author : The Journal of Corporation Law
- Release Date : January 01, 2009
- Genre: Business & Personal Finance,Books,
- Pages : * pages
- Size : 377 KB
Description
I. INTRODUCTION According to Senator Charles Grassley, (1) we are at a "critical crossroads for nonprofit hospitals." (2) Many qualified nonprofit hospitals have received great financial benefits from tax exemption. (3) For example, in 2002, qualified nonprofit hospitals reportedly saved $2.5 billion in income taxes and $1.8 billion through the use of tax-exempt bonds. (4) Whether they deserve these exemptions is questionable. A 1990 report by the Government Accountability Office (GAO) showed that "57 percent of the nonprofit hospitals provided less charitable care than the value of the tax exemption they received." (5) This conflicts with the rationale for tax exemptions: that the benefits nonprofit hospitals provide to society outweigh the benefits that the government would receive from taxing the organizations. (6) Despite congressional proposals in 1991 for stricter standards, (7) the community benefit standard remains in effect. (8) The debate over deservedness has recently reignited, and nonprofit hospitals have been under great scrutiny for the tax exemptions they receive. (9) A study by the Congressional Budget Office (CBO) found that nonprofit hospitals still provide only a mean of 4.7% uncompensated care as a share of total hospital operating expenses. (10) A small number of hospitals, where the majority of charity care is concentrated, significantly influence this average. (11) This suggests that a substantial number of nonprofit hospitals are not earning-but are still receiving-the same tax exemptions. Since nonprofit hospitals are important to the community, (12) and because it is unfair to allow undeserved tax exemptions, this issue demands serious attention from Congress, the Internal Revenue Service (IRS), and hospital directors.
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