Though non-profit hospitals receive billions in taxpayer-funded subsidies and donations, many fail to meet expectations for providing affordable care and meaningful community benefits. This report highlights how these institutions often function like for-profit entities, despite their tax-exempt status and public funding sources. 80% of not-for-profit hospitals nationwide spent less on community benefits than the value of their tax exemptions, creating a $25.7 billion “Fair Share Deficit.” Not-for-Profit hospitals increasingly avoid Medicaid and uninsured patients due to lower reimbursement rates, focusing instead on services favored by private insurers, leading to inequities in care.
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