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Nonprofit hospitals skimp on charity while CEOs reap millions, report finds

arstechnica.com

31–40 of 149 posts

Re: Nonprofit hospitals skimp on charity while CEOs reap millions, report finds

#32

There is some kind of cartel in the health care industry. They are absolutely not going to pay nurses more, and they are absolutely going to keep staffing at the minimum level. There is some kind of gentleman's agreement to not compete for labor. If everyone is paying 'market rate' and they all seem to know exactly what that rate is, there is collusion.

Maybe cartel is a strong word, but there are many states in the US where, in order to operate a medical facility or provide a service, you must get permission from all of the existing facilities in the locality: https://en.wikipedia.org/wiki/Certificate_of_need

This extends to even purchasing medical equipment.

Re: Nonprofit hospitals skimp on charity while CEOs reap millions, report finds

#33

Earlier quoted context omitted.

It's an important distinction. Non-profits are not obligated to hide/spend their profits. They're allowed to accumulate fabulous wealth if they want (see, for example, Harvard's $50B endowment). Non-profits, in theory, serve a societal/community purpose rather than existing to make a profit for their shareholders. You're not wrong that some of these lose sight of these purposes in favor of a bunch of MBAs telling the…

> Non-profits, in theory, serve a societal/community purpose True of charities and certain other classes of non-profits, not true of other non-profits unless “societal/community purpose” is reduced to a meaningless phrase covering every possible purpose besides returning profits, including enabling a group of sppnsoring firms to earn bigger profits.

The list of "Exempt Organization Types" on https://www.irs.gov/charities-and-nonprofits is pretty heavily societal/community style purposes. (Political organizations is the most debatable on there.)

That there are all sorts of loopholes and tax fiddles possible doesn't change the underlying theoretical motivation.

Re: Nonprofit hospitals skimp on charity while CEOs reap millions, report finds

#34
post #11

Do people believe that "nonprofit" is a category related to benevolence? It's just an accounting and corporate structure difference.

Yes. And we should eliminate nonprofits entirely:

1. Churches, hospitals et al should all pay taxes just as do other corporations. They are built on the same social structure as other entities, have the same protection of government and benefit from the social system. I pay; so should they.

2. Campaign Finance Reform:

Secondly, laws should be changed so that corporations are no longer "persons". That is Citizens_United_v._FEC should be revoked.:

https://en.wikipedia.org/wiki/Citizens_United_v._FEC

Then only real people and not corporations could put money into campaigns/politics. Otherwise, in the near future (if not already) people will cease to be true participants.

Re: Nonprofit hospitals skimp on charity while CEOs reap millions, report finds

#36

Isn’t Mozilla a non-profit? The CEO also reaps millions. And I bet it is much harder running a health care system than it is running Mozilla.

Mozilla's CEO doesn't make anywhere close to billions, lol.

[flagged]

Re: Nonprofit hospitals skimp on charity while CEOs reap millions, report finds

#37

Isn’t Mozilla a non-profit? The CEO also reaps millions. And I bet it is much harder running a health care system than it is running Mozilla.

And? Do you mean to imply it's OK for Mozilla and thus there is a double standard?

But who said it was OK for Mozilla?

And even if someone does want to say it's OK for Mozilla, you could argue that Mozilla doesn't put anyone in the position of choosing destitution or death, and Mozilla's millions come from Google who gets it from advertisers, while the hospitals millions are practically blood diamonds.

Re: Nonprofit hospitals skimp on charity while CEOs reap millions, report finds

#38

Isn’t Mozilla a non-profit? The CEO also reaps millions. And I bet it is much harder running a health care system than it is running Mozilla.

The Mozilla Foundation[0] is a non-profit, the Mozilla Corporation[1] is not.

[0]https://en.wikipedia.org/wiki/Mozilla_Foundation

[1]https://en.wikipedia.org/wiki/Mozilla_Corporation

Re: Nonprofit hospitals skimp on charity while CEOs reap millions, report finds

#39
post #4

So CEO compensation there is excessive for sure. That said, charity care is probably better measured vs a hospital’s net income absent any such care. My understanding is these hospitals are squeezed on both sides of the healthcare system by insurance and health equipment and drug providers, so they don’t have a lot of net income to spare for charity care.

I imagine there is an enormous amount of charity care (in dollar terms at least) from people going to the ER and never paying.

Re: Nonprofit hospitals skimp on charity while CEOs reap millions, report finds

#40

Think of nonprofit not as another term for benevolent or charitable organization (which is what people instinctively think), but as an alternative tax accounting scheme. Excess revenue gets funneled to the insiders at the top so that at tax year end there is no profit . Presumably these insiders are paying income tax. I once knew a guy who worked in the field of providing services to non-profits, and he described to…

It's quite likely that if you have two organizations - one setup as a for-profit company, one setup as a non-profit, that the government gets more taxes from the non-profit because the for-profit company can "reinvest profits" into whatever, driving the share prices up, which is (if done right) is a non-taxable event for everyone, as long as the shareholders don't sell.

Whereas the non-profit that funnels excess into income for the insiders has that income taxed at income-tax levels.

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