Hospital Community Benefit in the Context of the Larger Public Health System: A State-Level Analysis of Hospital and Governmental Public Health Spending Across the United States

Journal of Public Health Management and Practice : JPHMP
Simone R SinghGary J Young

Abstract

Achieving meaningful population health improvements has become a priority for communities across the United States, yet funding to sustain multisector initiatives is frequently not available. One potential source of funding for population health initiatives is the community benefit expenditures that are required of nonprofit hospitals to maintain their tax-exempt status. In this article, we explore the importance of nonprofit hospitals' community benefit dollars as a funding source for population health. Hospitals' community benefit expenditures were obtained from their 2009 IRS (Internal Revenue Service) Form 990 Schedule H and complemented with data on state and local public health spending from the Association of State and Territorial Health Officials and the National Association of County & City Health Officials. Key measures included indicators of hospitals' community health spending and governmental public health spending, all aggregated to the state level. Univariate and bivariate statistics were used to describe how much hospitals spent on programs and activities for the community at large and to understand the relationship between hospitals' spending and the expenditures of state and local health departments. Tax-exemp...Continue Reading

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Citations

Jul 22, 2017·The International Journal of Health Planning and Management·Hanadi HamadiAaron Spaulding
Jun 27, 2017·Journal of Public Health Management and Practice : JPHMP·Marthe R GoldLinda Weiss
May 12, 2017·Journal of Public Health Management and Practice : JPHMP·Elna NagasakoSarah Gehlert
Aug 24, 2017·Journal of Public Health Management and Practice : JPHMP·Rhea E PowellBrendan G Carr
Dec 28, 2017·Public Health Reports·James W BuehlerAlexander N Ortega
Dec 15, 2017·Journal of Public Health Management and Practice : JPHMP·James W BegunSandra Potthoff
Sep 5, 2018·Journal of Public Health Management and Practice : JPHMP·James W Begun, Hanh Q Trinh
Feb 23, 2019·Journal of Public Health Management and Practice : JPHMP·Elmer B FosElena A Platonova
Sep 30, 2016·Journal of Public Health Management and Practice : JPHMP·L Michele IsselBetty Bekemeier
Dec 21, 2016·Journal of Public Health Management and Practice : JPHMP·Jonathon P LeiderBrian C Castrucci
Sep 13, 2019·Population Health Management·Sinyoung ParkAaron C Spaulding
Aug 2, 2016·Journal of Public Health Management and Practice : JPHMP·Shannon Sibbald, Ross Graham
Jun 14, 2019·Inquiry : a Journal of Medical Care Organization, Provision and Financing·J Mac McCullough
Mar 29, 2020·Frontiers in Public Health·Michael D Rozier
Dec 21, 2016·American Journal of Public Health·Geri Rosen CramerGary J Young
May 26, 2018·Academic Medicine : Journal of the Association of American Medical Colleges·Philip M AlbertiMatthew Baker
Jul 10, 2018·Journal of Healthcare Management / American College of Healthcare Executives·Avi BaehrRhea E Powell
May 29, 2019·Journal of Public Health Management and Practice : JPHMP·Elmer B FosElena A Platonova
Nov 18, 2017·Medical Care Research and Review : MCRR·Valerie A YeagerNir Menachemi
May 29, 2019·Journal of Public Health Management and Practice : JPHMP·James W Begun, Hanh Q Trinh

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