The Lown Institute report found 80% of nonprofit hospitals totaled $26 billion more in tax breaks than they spent on giving back. Kaiser and Stanford both challenged the analysis.
A spherical structure anchors the entrance to the new Stanford Hospital on Sunday, November 17, 2019. Two Bay Area healthcare giants rank among the top of a list of the country’s nonprofit hospitals whose 2021 tax breaks exceeded by tens of millions of dollars the amount they spent on financial assistance and community investment, according to an analysis of IRS and other records by the nonprofit Lown Institute.
Stanford and Kaiser, along with the American Hospital Association, challenge the basis of the Lown Institute’s analysis. For example the Medicaid shortfall is often cited by hospitals as a reason for charging private insurance higher rates. And Saini says there are also other programs that compensate the hospital for that care, that aren’t included in the shortfall calculations.
Stanford also responded, saying that Stanford Medicine “donated more than $1 billion to the local community, supporting a range of services from food donations and free training for medical professionals to patient financial assistance,” also citing the cost of “uncompensated costs” for treating Medi-Cal patients, those covered by the state’s Medicaid program that insures 40% of all state residents.
Hospitals in the U.S. are eligible for tax exempt status, in exchange for providing some community benefit, but critics say the regulations are too loose. A 2023 report from the Government Accountability Office found “tax-exempt hospitals have broad latitude to determine the community benefits they provide,” and found that the lack of clarity leading to a lack of transparency that made enforcement by the IRS difficult.
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