"It’s an open secret that not all spending hospitals can claim as community benefits are actually meaningful for community health," the nonprofit's president, Vikas Saini, and policy analyst, Judith Garber, wrote. "The broad definition of community benefit — one of many loopholes in the U.S. tax code — allows hospitals to include spending on items that don’t directly address community health needs. That’s why we focused on the spending that matters most for local communities, some of which are losing tens of millions of dollars in property tax revenue to support nonprofit hospitals."
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“In the last 30 years, there’s been a huge increase in the amount of administrators in hospitals and the money that’s flowing through the health care system,” said Dr. Vikas Saini, a physician and president of the Lown Institute, a health care think tank.
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"Hospitals that serve working people tend to have lower margins, lower profits, and less of a cushion in the event of a crisis," said Dr. Vikas Saini, a physician and the president of the Lown Institute, a health care think tank.
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According to a new report by the Lown Institute, close to 80% of more than 1,700 nonprofit hospitals studied “spent less on charity care and community investment than the estimated value of their tax breaks.” The report also found that this so-called “fair share” deficit, which was $14.2 billion in 2020, was “enough to erase the medical debts of 18 million Americans or rescue the finances of more than 600 rural hospitals at risk of closure.”
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