Nonprofit Hospitals Face Scrutiny Over Practices
By ROBERT PEAR
WASHINGTON, March 18 — Congressional leaders, concerned that many nonprofit hospitals are not providing enough charity care to justify their tax-exempt status, say they will set standards for the industry if it does not do so itself.
The chairman of the Senate Finance Committee, Charles E. Grassley, Republican of Iowa, who had already been examining nonprofit groups like United Way and the American Red Cross, is broadening his focus to include nonprofit hospitals, with an eye to legislation that would clarify standards for their tax exemptions. The commissioner of internal revenue, Mark W. Everson, said tax officials often found little difference between nonprofit and for-profit hospitals "in their operations, their attention to the benefit of the community or their levels of charity care."
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Health insurance companies typically negotiate with hospitals to secure large discounts off hospitals' posted prices. Uninsured people, with no one to negotiate on their behalf, are often charged much more than the insured, and some hospitals have been aggressive in trying to collect payment from the uninsured.
In a letter to the American Hospital Association this week, Mr. Grassley said he had "serious concern" about their billing and debt collection practices. He also expressed concern about the high salaries of some hospital executives, their joint ventures with commercial profit-making organizations and their use of profit-making subsidiaries...
http://www.nytimes.com/2006/03/19/politics/19health.html