Community benefit
Types of Community Benefits
IRS
Reporting & Accountability
Current Debates & Challenges
100

Represents what non-profit hospitals contribute to their communities in lieu of paying federal taxes. 

What is Community Benefit?

100

This is the direct financial assistance for low-income or uninsured patients. 

What is Charity Care?

100

The U.S. government agency responsible for collecting federal taxes and enforcing tax laws.

What is the Internal Revenue Service (IRS)?

100

Clear federal guidelines, independent audits, and better public access to data are all ways to strengthen this.

What is accountability?
100

Some nonprofit hospitals spend less on community benefit than they save from this financial advantage.

What are Tax Breaks?

200

This helps underserved populations, supports public health initiatives, justifies non-profit hospital's tax-exempt status, and encourages investment in community wellness. 

What is the importance of Community Benefit?

200
Hospitals absorb the costs that Medicaid does not fully cover

What are Unreimbursed Medicaid Costs?

200

Non-profit hospitals must report their activities through this form.

What is the Schedule H of Form 990?

200

Because they receive tax exemptions, nonprofit hospitals must show this in return to their communities.

What is measurable community benefit?

200

Hospitals may appear to provide large community benefits, but much of it often goes toward this type of expense, not direct outreach.

What are unreimbursed Medicaid expenses?
300

The Affordable Care Act (ACA) added stricter requirements including this program.

What is the Community Health Needs Assessments?

300

Programs that educate the public on diseases, nutrition, and healthy lifestyles.

What is Health Education & Prevention?

300

Clearly states who qualifies for free or reduced-cost care. 

What is a formal financial assistance policy?

300

Some hospitals face criticism for reporting low levels of this, despite receiving large tax breaks. 

What is community benefit spending?

300

Different hospitals defining "community benefit" in different ways leads to this challenge.

What are inconsistencies in standards?
400

Requiring tax-exempt hospitals to demonstrate that they were providing meaningful contributions to public health.

What is the Community Benefit Standard?

400

Investments in medical advancements and education for healthcare professionals. 

What is Medical Research & Training?

400

Hospitals that fail to meet the requirements of a formal financial assistance policy.

What is losing their tax-exempt status?

400

Inconsistent classification of expenses by hospitals makes it hard to do this across institutions.

What is compare contributions?

400

Some hospitals face criticism for putting less into community benefit than they get back in this.

What is their tax-exempt status?

500

This act mandates community health needs assessment every three years, hospitals must implement plans to address identified health needs, and requires limits on charges for financially vulnerable patients.

What is the Affordable Care Act?

500

Funding for costly but necessary services like mental health care and addiction treatment

What are Subsidized Health Services?

500

Must align programs with 

What is community health needs?

500

Hospitals have faced this when accused of not doing enough to justify their nonprofit status.

What is public scrutiny or legal challenges?

500

These government influencers are questioning whether nonprofit hospitals are doing enough for their communities.

Who are policymakers?