Is living near a hospital good for your health?

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More than half of U.S. hospitals get tax breaks due to their nonprofit status, saving them billions of dollars a year. In exchange, those hospitals are supposed to provide “charity care” and engage in other activities the government calls “community benefit.” But the requirements are vague and poorly enforced.

A growing body of research suggests that many nonprofit hospitals aren’t keeping their end of the bargain overall. Jonathan Wynn, a UMass Amherst sociologist, and Daniel Skinner, an Ohio University political scientist, zoom in to see whether three prominent nonprofit hospitals in Colorado, Connecticut and Ohio are benefiting the people living in their immediate vicinity. They found that local residents were generally in worse health than others in their cities. And many people living nearby confided to researchers that they avoided seeking care in those hospitals because they feared ending up with bills they wouldn’t be able to afford.

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Emily Schwartz Greco

Philanthropy + Nonprofits Editor

Scholars interviewed people living near the University of Colorado Hospital to assess whether it’s a good neighbor. John Greim/LightRocket via Getty Images

Nonprofit hospitals have an obligation to help their communities, but the people who live nearby may see little benefit

Jonathan Wynn, UMass Amherst; Daniel Skinner, Ohio University

Standards are vague, and the IRS, which is tasked with enforcement, hasn’t provided much oversight.

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