PROTEST­ING SCHED­ULE H

The AHA wants re­vi­sions in new re­quire­ments for re­port­ing char­ity care and com­mu­nity ben­e­fits, call­ing them un­fair.

Modern Healthcare - - News -

The Amer­i­can Hospi­tal As­so­ci­a­tion says new re­quire­ments on re­port­ing of char­ity care and com­mu­nity ben­e­fits pro­vided by hos­pi­tals in ex­change for tax breaks are flawed and un­fair to health sys­tems and urged the In­ter­nal Rev­enue Ser­vice to re­vise its dis­clo­sure rules. Hos­pi­tals must re­port char­ity-care and com­mu­nity-ben­e­fit spending for the first time on 2009 tax forms known as the Form 990 Sched­ule H. In a let­ter to the IRS, the AHA said, among other things, that re­search com­mis­sioned by the trade group found the re­port­ing will ex­clude char­ity and com­mu­nity ben­e­fit sub­si­dies from one hospi­tal to an­other in sys­tems with hos­pi­tals that file sep­a­rate Sched­ule H forms. Un­der the Sched­ule H, hos­pi­tals with sep­a­rate em­ployer iden­ti­fi­ca­tion num­bers must re­port sep­a­rately. Any ben­e­fits pro­vided by cor­po­rate sys­tem head­quar­ters that do not share an em­ployer iden­ti­fi­ca­tion num­ber with hos­pi­tals will also be omit­ted from the re­port­ing. Ur­ban In­sti­tute re­searchers con­ducted 12 health sys­tem in­ter­views and 76 on­line sur­veys of health sys­tems with three or more tax-ex­empt hos­pi­tals.

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