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Internal Revenue Service

501(c)(3) Hospitals and the Community Benefit Standard

One of the major health care bills, America's Healthy Future Act (S. 1796, § 6007), includes a provision that would impose requirements on hospitals with § 501(c)(3) tax-exempt status. Under the act, hospitals would be required to regularly conduct "community health needs assessments" and adopt implementation strategies to meet those needs. They would also be required to have written financial assistance and emergency medical care policies that were consistent with standards imposed by the act.

Tax Havens: International Tax Avoidance and Evasion

The federal government loses both individual and corporate income tax revenue from the shifting of profits and income into low-tax countries, often referred to as tax havens. The revenue losses from this tax avoidance and evasion are difficult to estimate, but some have suggested that the annual cost of offshore tax abuses may be around $100 billion per year. International tax avoidance can arise from large multinational corporations who shift profits into low-tax foreign subsidiaries or wealthy individual investors who set up secret bank accounts in tax haven countries.