Tax Exempt Policy of MCHF and Status of Nicklaus Children’s Hospital
Nicklaus Children’s Hospital is a 289 bed facility with ten outpatient centers and practice subsidiaries nonprofit. Also under the Affordable Care Act this hospital must do an assessments of the community 's needs and from there must develop a strategic plan in order to address the needs that were identified for the community (health netpulse 2013).This hospital doesn’t pay federal income tax, state tax and local property taxes (Nicklaus Children 's Hospital 2016). As listed on their return of organization exempt from income tax form their mission and most significant activities consist of being able to provide world-class access to healthcare for all children as well as sustenance programs that are innovative and emphasize preventions, diagnosis and treatment of illness that affect children (Internal Revenue Service 2014).
Debt Miami-Dade County Health Facilities Authority, supports and contributes to the improvement and preservation of the County’s Health Facilities (Miami-Dade County). Bonds have been issued by the Miami-Dade County Health Facilities Authority also known as MCHFA to Nicklaus Children’s Hospital known as NCH (Consolidated Financial Report 2013). In 2013 Nicklaus Children’s Hospital was given a $105.4 million fixed rate bonds with principal maturing from 2014 to 2042 with interest rates between 2.0% and 5.25% from MCHFA (Consolidated Financial Report 2013). Currently Nicklaus Children’s
The C.W. Williams health center known previously as the Metrolina health center was established by Dr. Charles Warren who was the first African American staff in the surgical department of North Carolina’s largest hospital alongside some other healthcare leaders. Its mission is primarily to adequately provide quality and accessible care to the people of Mecklenburg County ensuring efficient service, effective systems, and personal care with the help of supportive staff in conducive environments.
Economic support mechanisms are one of the major components needed in a health care delivery system (Roemer, p 33). Without income, an organization would fail. Able-2 is a non-profit organization (NPO) and a non-government organization (NGO) in the private sector. They have been tax-exempt both by state and federal taxes since 1978. Under the umbrella of an NPO, its purpose must be charitable and all revenue, after normal expenditures, must serve the public’s interest (DeMartinis, 2005). In 2013, income
For the last five weeks research has been done on Kaiser Permanente, an organization that contains Kaiser Foundation Health Plan, Kaiser Foundation Hospitals and Permanente Medical Groups in eight regions. Since its inception in 1945, Kaiser Permanente has become the largest not-for-profit, integrated health care delivery system in the United States, serving 8.6 million members in eight regions: Northern and Southern California, Colorado, Georgia, Hawaii, the Mid-Atlantic States, Ohio, and the Northwest. About three quarters of the members are in California, the organization’s birthplace. It is the largest nonprofit integrated health care delivery system in the United States. Its mission is to provide affordable, high-quality health care services to improve the health of their members and the communities they serve. For the purpose of this research, focus will be on Northern California in a randomly selected hospital.
The Internal Revenue Service (IRS) recently released its report to Congress on government-owned and private tax-exempt and taxable hospitals as mandated by Section 9007(e)(1) of the Affordable Care Act (ACA). The ACA requires the IRS to annually submit to Congress a report providing data with respect to private tax-exempt, taxable, and government-owned hospitals regarding (1) the levels of charity care provided; (2) bad debt expenses; (3) unreimbursed costs for services provided with respect to means-tested government programs; and (4) unreimbursed costs for services provided with respect to non-means-tested government programs. The ACA also requires the report to include information with respect to private tax-exempt hospitals regarding costs incurred for community benefit activities.
On March 23, 2010, President Obama signed the Patient Protection and Affordable Care Act into law. Part of the new legislation added the clause that the tax-exempt hospitals in the United States (close to 60% of the total) will need to fulfill some additional requirements to continue enjoying their federal tax-exempt status in the country. Briefly, the requirements include developing community health needs assessment and a financial assistance policy to determine which patients qualify for treatment under ACA, putting a cap on the amount that can be billed to patients directly for healthcare and implementing new procedures for billing and fee collection (Lewis Roca Rothgerber et al. 2013).
Next, we studied the financial structures of health care organizations. Specifically, we examined the structure of nonprofit healthcare organizations. I remember spending a good amount of time debating whether or not nonprofits should maintain their tax exempt status. As someone who had spent their entire professional career working for a nonprofit organization, I often viewed myself as the sole champion for these organizations. In sessions and on the discussion boards, I advocated that nonprofit healthcare organizations in most situation function as a safe net of the community and that the level of community benefits these organizations provide do justify the lost revenue for state and federal agencies.
The South Miami Hospital also opened its doors in 1960 this 460-bed hospital is attributed with an approval from the Joint Commission on Accreditation for Healthcare Organizations. South Miami Hospital possesses an excellent reputation for excellence care in many areas. The Child Development Center offers a varied range of growing services to infants and children. More than 4,200 babies are born yearly at the Birth-Day Place, which includes a Level II and Level III Neonatal Intensive Care Unit. South Miami Hospital established the use of superior medical equipment, like the first CT scanner in south Miami-Dade County.
Even although, the cost of the health care system and the care it offers my not allow the national debt to decline to a level that will or would enhance the economy forward the cost of running a system that is backed by the government is too costly, and it will not help the deficit. , the legal responsibility of the organization is that every patron should have the same treatment for the same ailment. There are no predetermined dispositions; everyone is eligible as a government-backed facility. The funds are to assure those who have no insurance are covered. The accountable care
Smithson Healthcare System (SHS) is a not-for-profit health system which serves the greater community of Newland County and other rural satellite counties within the state. In 2013, SHS unfolded a new heart clinic located at their Smithson East hospital as a tactical response to some disturbing outcome data and the evolving healthcare environment. The clinic’s purpose was to improve outcomes for patients with a primary diagnosis of heart failure and respond to reimbursement changes associated with the Affordable Care Act (ACA). After three years of aggregating data on the operating performance of the heart clinic, an evaluation of the impact and success of the clinic is required. This analysis will offer conclusions and suggestions that will influence the future of the heart clinic’s vitality for consideration to Smithson East’s Chief Operating Officer (Chelsea Rigland) and its senior staff.
West Florida Regional Medical Center (WFRMC) located on the north side of Pensacola, Florida competed strongly with sacred heart and Baptist hospitals for patients. WFRMC’s CEO John Kausch was an active member of the Total Quality Council of the Pensacola Area Chamber of Commerce (PATQC) (McLaughlin, C.P., Johnson, J.K., & Sollecito, 2012).. PATQC’s vision was to develop the Pensacola, Florida area into a total quality community by promoting productivity, quality and economic developments in all area organizations both public and private (McLaughlin, et, al., 2012). John
In order to understand financial statements better, two healthcare organizations, one for-profit and the other non-profit, will be selected and their financial statement will be reviewed. The first healthcare organization that was selected was Adeptus Health, Inc. (Adeptus), a for-profit entity. Adeptus was founded in 2002, and currently serves communities in Colorado, Texas, and Arizona, with partnerships within Ohio and Louisiana (Adeptus, 2016). The company was founded to improve services within the emergency room (ER) setting by offering the community eighty-one free standing ERs and two ER facilities within a fully licensed hospital, as of the end of 2015 (Adeptus, 2016). Adeptus boasts being one of the best companies to work for in Texas in 2016, and has won the Press Ganey Guardian of Excellence Award for three consecutive years, since 2013, which is awarded to ERs that exceed patient satisfaction over the ninety-five percentile across the country (Adeptus, 2016). The company aspires to provide high-quality care that is patient-centered while being cost effective and supportive to their staff.
The SickKids Hospital is mainly aimed at maintaining a suitable and financial status. The graphs provided above provide a suitable outlook of the hospital’s main source of revenue, available assets, and the specific areas as well as percentage of funds invested in children’s health. The main sources of revenue as presented in the pie chart include events, corporate partnerships, direct marketing, individual giving, net lottery, and parking fees. With the funds collected, a great percentage of the investment is directed towards child care, research, education, national and international relations. Through profitability generated from the performance, SickKids Hospital invests the remaining section of its funds to asset acquisition.
Apart from the Affordable Care Act, there has been increased government and court involvement in the determination of how healthcare issues are run, like the recent denial of the nonprofit tax exemption status to some hospitals in Chicago (Bergen 2). These hospitals, which include the Northwestern Memorial Hospital and the Prentice Women’s Hospital, are known to provide important healthcare services to patients who cannot afford to pay the expensive costs in private hospitals (Bergen 2). These unfavorable healthcare policies among others are bound to be more frequent and the resultant problems may promote the emergence of other bigger ones unless immediate action is taken.
Non-Profit hospitals can often assist potential patients to care for the uninsured in their community (Kovner & Knickman, 2008).
The Jackson Memorial Health System is based in Miami. This not-for-profit, county run organization has multiple sites, the main one being Jackson Memorial Hospital. The hospital has over 1550 licensed beds and is a teaching facility for the medical school at the University of Miami (JHS Miami, 2012). While the JHS has a number of different programs and facilities, it is important from the perspective of central management to understand the position that each has in the marketplace. JHS has a significant market share, as it is the largest hospital in Miami-Dade County. Its size and its mandate to serve the residents of the country regardless of ability to pay ensures a strong customer flow and substantial market share. The hospital's total revenue for the latest fiscal year was $4.8 billion, and on this it lost $34 million, an amount the county covers through a sales tax levy (Becker's, 2012).