Charitable not-for-profit organizations, such as Children's, are facing increased pressure from local, state and federal government to justify their tax exempt status. To meet the Internal Revenue Service's (IRS) requirements to qualify as tax-exempt, the IRS looks at many factors, including the following:
- Operation of a full-time emergency room
- Provision of non-emergency services to Medicare and Medicaid recipients
- Maintenance of an open medical staff
- Be overseen by a board that includes independent civic leaders
- Provide medical training, education and research programs
- Have a formal charity care policy
Children's Hospital Boston meets all of those criteria.
Nationally, 95 percent of all major academic medical centers have not-for-profit status. Certainly, the top academic hospitals as listed by U.S. News and World Report and other sources are all not-for-profits. Their not-for-profit status allows them to focus on their missions and not on meeting the quarterly demands of stockholders.
|