Saini said there isn’t a clear pattern between which hospitals choose to give back and which don’t. In fact, they often coexist. “In any given city, you can often find two hospitals — one of which is in a surplus and one of which is in a deficit,” he clarified. “So it really seems that we have a tale of two hospitals in our health care.” More
New York’s nonprofit hospital sector receives tax breaks worth more than $2 billion each year, with the expectation that they’ll provide free services and invest in their communities. But dozens are falling short on community benefit spending, a new report shows. More
The annual calculations by the Lown Institute call into question whether the value a nonprofit community hospital gives to communities lives up to the taxes it doesn't have to pay. More
Two major Des Moines hospitals fell $70 million short on community support despite tax breaks, according to a report released Wednesday by the nonpartisan Lown Institute. Why it matters: The gap raises questions about whether tax breaks are doing their job — and whether vulnerable Iowans are paying the price. More
Mount Sinai Hospital ranks the fourth highest among hospitals across 20 states for spending far more money on charity care and helping its community than what it saves through tax exemptions, according to a new report from the Lown Institute. The West Side hospital spent an average of $78 million more a year on charity care and investing in its community than it saved from tax exemptions given to not-for-profit hospitals, between 2020 and 2022, according to the report from Lown, a Massachusetts-based think tank. More
Meet Emma, Lown's public health intern. Emma is a MPH student at the Dartmouth Geisel School of Medicine. More
Meet Maya Drabczyk, Lown's public health intern and a Masters of Public Health student at the Dartmouth Geisel School of Medicine. At Dartmouth she is a member of the Graduate Consulting Group and a Global Health Fellow. More
Medical debt is associated with poor financial and health outcomes. So why don't we see more positive effects when medical debt is relieved? More
Unlike other forms of debt, medical debt is extremely hard to avoid; nobody chooses to get sick, have an accident, or need emergency care. If you’re worried about medical debt, here are three ways you can help reduce your risk of debt. More
The First Test The Second Test More
A recent investigation of the Mayo Clinic by the state AG found that the hospital put up barriers to financial assistance. More
On May 15, 2025, the Lown Institute will be hosting a one-day, in person conference in Washington, D.C. to discuss the scope, key drivers, and emerging solutions to medical debt in the U.S. Here's why you won't want to miss this event. More
“If we’re really going to grapple with the problems of health care, which are so expensive, unaffordable, driving medical debt — all the things that everybody knows about and are problematic — I think this is a moment to rethink some of that and ask: can we have more transparency?" Saini said. “Can we really try to understand what the hell is going on, how the money is flowing?”
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A new study in JAMA Health Forum finds that certain communities receive much less community benefit spending from hospitals than others. More
It’s well known that America spends more and gets less for its health care dollar than peer countries, and has for a while. Where does all the money go? A recent research letter in JAMA Internal Medicine shows how much of healthcare industry profits are directed to corporate shareholders. More
While many hospitals offer financial aid, millions of eligible patients never apply - often because they don't realize help is available. Here are five things every patient should know about hospital financial assistance programs. More
The Lown institute keeps an eye on fraud, waste, and dysfunction in American healthcare, and every year they present the Shkreli awards, named for infamous pharmabro Martin Shkreli. Here we summarize the top 10 terrible operators of 2024. More
"The whole idea that that there's a functioning market is a fantasy," Saini said "Given that fact, the way money flows is not at all rational, and that's why we get what we get in terms of the prices of everything." More
A wish list of program cuts being circulated by House Republicans includes proposals that target the healthcare system. Here are some of the proposed cuts and the potential repercussions for hospitals. More
Early 2025 updates on private equity and hospitals, including new state legislation and another system bankruptcy. More