andrew,
@andrew@esq.social avatar

In my column this week, I lay out the abject failure that is tax policy with regards to nonprofit hospitals in the United States.

“Nonprofit hospitals constitute approximately 58% of all community hospitals and enjoy extensive tax breaks that often form a substantial part of their net income. ... . A 2023 report from the Senate HELP Committee found that many nonprofit hospitals spend far less than 1% of their revenue on charity care.”

@law

https://news.bloomberglaw.com/tax-insights-and-commentary/nonprofit-hospitals-need-novel-policy-solutions-for-tax-reform

rmishra,

@andrew

@law @rmishra

This is where tax break money is going. All we get is inflated bills.
@rmishra 🔗 https://mstdn.social/users/rmishra/statuses/111768399562662065

Ohio hospitals, universities invest billions in offshore tax shelters around the world

https://www.dispatch.com/story/news/local/2024/01/16/ohios-hospitals-universities-invest-billions-in-offshore-tax-havens/72110684007/

kellogh,
@kellogh@hachyderm.io avatar

@andrew who would run the software? how does it get developed?

i’m having trouble envisioning how this software would get built. in order to build it, you need access to PHI, and most organizations that have access also have incentive to not build this software

a lot of OSS is built by individuals, but this can’t be, because PHI

government could, but do they have incentives & budget in the right place? if they did, why would they open source it? does it even benefit from being open source?

kellogh,
@kellogh@hachyderm.io avatar

@andrew in a nutshell — there’s a reason not many AI/ML projects are released as open source. the access to data often runs into privacy issues if not intellectual property issues

andrew,
@andrew@esq.social avatar

@kellogh In terms of who would run, I'd suggest the IRS. There shouldn't be the need for any involvement of PHI, as this would be on the regulatory/compliance front -- think an upgraded and more robust Form 990.

I argue for OSS for government software platforms generally for purposes of transparency.

kellogh,
@kellogh@hachyderm.io avatar

@andrew is the data open or available?

andrew,
@andrew@esq.social avatar

@kellogh Open as with Form 990, in my head canon.

kellogh,
@kellogh@hachyderm.io avatar

@andrew alright, looked it up, is there a repository of 990 data or would you have to request it for every org separately?

andrew,
@andrew@esq.social avatar

@kellogh

https://www.irs.gov/charities-non-profits/tax-exempt-organization-search

IIRC they also have to post them on their website.

kellogh,
@kellogh@hachyderm.io avatar

@andrew kaggle comes through with a cleaned up tabular format https://www.kaggle.com/datasets/irs/irs-990

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