3 Types of Excess Benefit Compensation at Non-Profit Hospitals

In order to avoid financial penalties and jeopardizing tax-exempt status, non-profit hospital boards and executives must have a keen understanding of excess benefit transactions, according to “Governance for Health Care Providers: The Call to Leadership,” a healthcare book written by Kenneth Ackerman of Integrated Healthcare Strategies.

Advertisement

Excess benefit transactions are economic benefits given to a person — most commonly in the form of compensation — that are considered to be unwarranted within the context of a tax-exempt organization. Mr. Ackerman outlined three types of excess benefit that could impact non-profit hospitals.

1. Unreasonable compensation. Paying hospital executives more than the value of services received.

2. Revenue-based compensation. Paying hospital executives based on revenue could result in “private inurement,” meaning the person receives benefits greater in value that what he or she provides in return.

3. Bargain sales. Paying more for assets than they are worth or selling assets for less than they are worth.

Mr. Ackerman also notes that if non-profit hospitals fail to disclose all compensation of all necessary executives on tax forms, this could also be deemed as an excess benefit transaction even if the compensation is deemed reasonable.

More Articles on Non-Profit Hospital Compensation:

Non-Profit Hospital CEO Pay Under Scrutiny in New Hampshire

7 Risks of Overcompensating Non-Profit Hospital Executives

4 Points on Intermediate Sanctions and Non-Profit Hospital Compensation

At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.

Advertisement

Next Up in Compensation Issues

Advertisement

Comments are closed.