AI Article Synopsis
- - This study investigates how state laws influence the community benefit spending of nonprofit hospitals in the U.S. from 2009 to 2015.
- - Researchers analyzed data from 2,421 nonprofit short-term acute care hospitals and found that these hospitals collectively spent around $46 billion annually on community benefits.
- - The findings indicate that hospitals in states with community benefit laws tend to spend more on these activities, suggesting that such laws can enhance nonprofit hospitals' involvement in public health initiatives.
Article Abstract
Objective: To determine the association of state laws on nonprofit hospital community benefit spending.
Design: We used multivariate models to estimate the association between different types of state-level community benefit laws and nonprofit hospital community benefit spending from tax filings.
Setting: All 50 US states.
Participants: A total of 2421 nonprofit short-term acute care hospital organizations that filled an internal revenue service Form 990 and Schedule H for calendar during years 2009-2015.
Results: Between 2009 and 2015, short-term acute care hospitals spent an average of $46 billion per year in total, or $20 million per hospital on community benefit activities. Exposure to a state-level community benefit law of any type was associated with an $8.42 (95% confidence interval: 1.20-15.64) per $1000 of total operating expense greater community benefit spending. Spending amounts and patterns varied on the basis of the type of community benefit law and hospital urbanicity.
Conclusions: State laws are associated with nonprofit hospital community benefit spending. Policy makers can use community benefit laws to increase nonprofit hospital engagement with public health.
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| http://dx.doi.org/10.1097/PHH.0000000000000885 | DOI Listing |
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