Discussion Board. HOW TO REPLY Silver-Greenberg and

Discussion Board. HOW TO REPLY Silver-Greenberg and Thomas (2022) note that “in recent decades, many [nonprofit] hospitals have become virtually indistinguishable from for-profit companies, adopting an unrelenting focus on the bottom line and straying from their traditional charitable missions.” Providence is a perfect example of this trend. The hospital system invests $10 billion and runs its own venture capital fund; has over $27 billion in revenue; and spends less than 1% of its expenses on charity care. Providence aggressively pursues payment from its patients, and fails offer state-mandated discounts to those with household incomes below 300% of the FPL. Yet the system receives tax exemptions as a “nonprofit.” Hospital executives usually claim that they need insurance revenue, out-of-pocket payments from patients, and tax breaks from the IRS in order to operate. Yet Providence’s CEO, Rod Hochman, makes over $10.5 million per year; its top 14 executives made over $41 million in 2017 (National Union of Healthcare Workers, n.d.). While hospitals like Providence may be legally structured as nonprofits, they still prioritize generous compensation for their executives while exploiting patients and frontline workers. One could argue that hospitals like Providence do not deserve tax breaks intended for charitable organizations. Unfortunately, I don’t think stricter guidelines around tax breaks- or even more generous tax breaks- will force hospitals to provide high quality care at low or no cost to consumers. Until healthcare is recognized as a human right and completely reorganized around the principal of universal access, hospitals will continue to gauge patients and cut costs in order to put more money in the executives’ pockets. References National Union of Healthcare Workers. (n.d.). Providence-St. Joseph watch: Executive salaries. https://nuhw.org/providence-st-joseph-watch/executive-salaries/ Silver-Greenberg, S., & Thomas, K. (2022, December 15). They were entitled to free care. Hospitals hounded them to pay. New York Times. https://www.nytimes.com/2022/09/24/business/nonprofit-hospitals-poor-patients.html Reply

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