Hospital Community Benefits after the ACA: Schedule H and Hospital Community Benefit—Opportunities and Challenges for the States


This issue brief, the fourth in a series published by Hilltop’s Hospital Community Benefit Program, is a collaboration between Kevin Barnett, DrPH, MCP, Senior Investigator at the Public Health Institute, and Martha Somerville, JD, MPH, Hilltop’s Hospital Community Benefit Program Director. It discusses key federal community benefit reporting requirements developed by the Internal Revenue Service (IRS) as Form 990, Schedule H and explores the opportunities and challenges these present to state officials and policymakers, both as a reporting framework and as an informational resource.The other issue briefs in the Hospital Community Benefits after the ACA series are The Emerging Federal Framework, Building on State Experience, Partnerships for Community Health Improvement, and Community Building and the Root Causes of Poor Health.

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