H.R. 9504 — Tax Exempt Hospital Transparency Act

This section requires every tax-exempt hospital organization to report on its annual return under section 6033(a) a description of how it addresses needs identified in its most recent community health needs assessment under section 501(r)(3), any unmet needs and reasons, its audited financial statements, CMS certification number, value of financial assistance provided under its financial assistance policy, and numbers of financial assistance applications received, granted, and denied. Large and high-revenue organizations must report the information separately for each facility. Large organizations must also report spending and actions on their three highest-priority needs, plus spending on quality improvement and nonclinical programming. High-revenue organizations must additionally report allowable and unallowable advertising costs, gross receipts and costs by health service line, and specified 340B program information if applicable.

This section directs the Comptroller General to initiate a study three years after enactment and report within the following year to the House Ways and Means Committee and Senate Finance Committee on the additional administrative costs to the Treasury Department and compliance costs to tax-exempt hospital organizations from new reporting requirements, and on the estimated chapter 1 tax liability for each of the 25 tax-exempt hospitals with the highest gross revenue if they were taxable.