For more than 20 years, California’s
not-for-profit hospitals have led the nation in ensuring
that vulnerable populations have access to much needed
health care services and health improvement
programs. In 1994, not-for-profit hospitals’ missions were
affirmed by a state law that constructed the framework
for conducting a community health needs assessment
and developing a community benefit plan. This
framework served as a national model for similar provisions
in the Affordable Care Act, enacted in 2010. Today,
not-for-profit hospitals continue their tradition of
commitment by investing an estimated $12 billion annually in
California’s not-for-profit hospitals are committed to improving
the health and well-being of the communities they serve.
This valuable work is inherent in not-for-profit hospitals’
mission and symbolizes a commitment to helping create healthy
communities outside of the hospital walls — especially
in high-need and vulnerable communities. Not-for-profit
hospitals invest all resources in health care services or into
Tax-Exempt Status of Not-for-Profit Hospitals
The tax-exempt status of not-for-profit hospitals is continuously
being reviewed by policymakers, regulators and public interest
groups. Over the years, various proposals have been introduced
that would impose burdensome and inflexible standards on
not-for-profit hospitals. CHA supports the development of
appropriate guidelines that are not unduly burdensome and
that allow sufficient flexibility to ensure not-for-profit
hospitals are able to carry out their mission. Guidelines must be
based on broad measures of community benefit without establishing
rigid formulaic thresholds.
CHA has produced a short video to introduce food insecurity as a growing social determinant of health. The two-minute video showcases a collaboration between Sharp HealthCare in San Diego and the San Diego Food Bank to make a difference in their community by keeping people healthy.
With increasing awareness that social determinants of health affect a wide range of health risks and outcomes, hospitals have developed a variety of outreach and care programs in their communities. The new educational video highlights that, in San Diego, one in six people lacks enough nutritious food for a healthy lifestyle.