Nonprofit Hospitals Hardly Unprofitable––A Bad Fourth Dimension To Uncovering Out Hospitals Are Making Big Money

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Title : Nonprofit Hospitals Hardly Unprofitable––A Bad Fourth Dimension To Uncovering Out Hospitals Are Making Big Money
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Nonprofit Hospitals Hardly Unprofitable––A Bad Fourth Dimension To Uncovering Out Hospitals Are Making Big Money

Senator Charles Grassley (R-IA) has for years been complaining that non-profit hospitals possess got lost their way--that the tax benefits they get, originally intended to aid pay for their charity care, merely aren't going to charity aid anymore.

Last Friday, the Wall Street Journal ran a front end page storey on the enormous profits many of the nonprofit hospitals are recording. The article made a release of points:
  • The combined internet income of the fifty largest nonprofit hospitals increased nearly 8 times to $4.27 billion betwixt 2001 as well as 2006.
  • At to the lowest degree 25 nonprofit hospitals each now earn to a greater extent than than $250 meg a yr inwards profits.
  • Nonprofit hospitals are to a greater extent than oft profitable than for-profit hospitals--77% of the 2,033 nonprofits are profitable piece 61% of for-profits made coin concluding year.
  • Nonprofit hospitals received $12.6 billion inwards annual revenue enhancement exemptions on elevation of just about other $32 billion inwards federal, state, as well as local subsidies the entire manufacture receives.
  • "One argue for hospitals soaring profits is the gradual increment inwards Medicare reimbursements" inwards recent years.
  • Hospital profits possess got likewise increased because of consolidation as well as increases negotiating leverage amongst payers, demanding upfront payments from patients, hiking listing prices to "several times their actual cost," selling patients debts to collection companies, focusing on expensive procedures, as well as issuing revenue enhancement exempt bonds as well as investing that cash inwards improve yielding securities.
The article cites at to the lowest degree ii specific cases where the hospital's revenue enhancement benefits are multiples to a greater extent than than the charity care they provide. The storey likewise cites the salaries of nonprofit infirmary CEOs as well as lists 10 executives paid betwixt $3.3 meg as well as $16.4 meg a year.

The WSJ article likewise makes clear that many hospitals, peculiarly inner urban nub hospitals amongst substantial numbers of depression income patients, are having a tough fourth dimension making it.

But clearly, most community hospitals as well as major medical centers are good into the black.

The growing information almost the wealth of these nonprofit hospitals may kill the golden goose past times giving the Congress permission to possess got away or alter their tax status. Just hollo back of the incentive these hospitals would possess got to render charity care if they genuinely paid taxes as well as could deduct the cost of their services to the uninsured.

But all of this publicity volition possess got just about other really of import effect.

We are almost to initiatory of all the 2008 budget debate every bit nosotros aspect upward a looming 15% Medicare physician fee cut on elevation of an emerging occupation inwards funding both Medicare as well as Medicaid inwards the coming years. The Bush budget calls for Medicare as well as Medicaid cuts for both hospitals as well as doctors. The providers response that it is the Medicare HMOs as well as their "over payments" that should possess got the hit.

We are almost to encounter a major "food fight" betwixt hospitals, doctors, as well as HMOs over whose shroud Medicare as well as Medicaid cuts volition come upward out of. Each of them volition last pleading their ain version of poverty.

News that the nonprofit hospitals are non then nonprofit comes at just the incorrect fourth dimension for them.


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