Our Publications

BDO Knows Healthcare Newsletter

The BDO Knows Healthcare Newsletter is published by The BDO Center for Healthcare Excellence & Innovation and provides timely information and resources for healthcare organizations.
BDO Knows Healthcare – Spring 2016 Changing Reimbursements Across the Healthcare Spectrum 
BDO Knows Healthcare – Fall 2015 Opportunity is Ringing: The Business Case for Telehealth
BDO Knows Healthcare – Summer 2015 Sea Change in Reimbursement Parity for Behavioral Health
BDO Capital Healthcare Newsletter – April 2015 Healthcare M&A
BDO Knows Healthcare – Winter 2015 Compensation Complications; Evaluating Clinical Strategy
BDO-Knows Healthcare -Fall 2014 The Urge to Merge in Healthcare
BDO Knows Healthcare – Summer 2014 Long Term Care Industry
BDO Knows Healthcare – Spring 2014 Post-Acute Care M&A
BDO Knows Healthcare – Winter 2014 Healthcare Transformation

BDO Knows Healthcare Alerts
BDO Special Report: PE Deal Activity
in Healthcare – July 2015
Focus on Behavioral Health
Evolving Portfolio and Real Estate Strategies in
U.S. Healthcare Systems – June 2015
The Rise of Outpatient and Ambulatory Care
Behavioral Health: A Market Ripe for Growth and Consolidation – March 2015 By Bill Bithoney
BDO Knows Healthcare Alert – August 2014 California Office of Statewide Health Planning and Development Issues Policy of Intent Notice

For the full list of our past Newsletters and Alerts, click here.

Tax-Exempt Hospitals

Section 501(r) and Beyond

New provisions outlined in Section 501(r) of the Internal Revenue Code further distinguish the practices of tax-exempt hospitals from those of for-profit hospitals.

Final regulations implementing the 501(r) provisions have been issued and are applicable in tax years beginning after Dec. 29, 2015. This means that if a hospital’s tax year ends December 31, 2015, there must be compliance with the rules as of January 1, 2016. The final rules require a tax-exempt hospital to:

Conduct a community health needs assessment at least once every three years and adopt an implementation strategy to meet the needs identified
Establish a written financial assistance policy (FAP) and a written policy relating to emergency medical care
Not use gross charges, and limit amounts charged for emergency or other medically necessary care provided to FAP-eligible people, to not more than the amounts generally billed to individuals who have insurance covering such care
Make reasonable efforts to determine whether an individual is FAP-eligible before engaging in extraordinary collection actions

These assessments and policies must be communicated to patients and the public, including making them available online and in different languages. So it is very easy for the IRS to do a quick check to see if they are there.

Hospitals should examine their own policies and pursue compliance immediately due to the threat of revocation of tax-exempt status from noncompliance. It is important to note that compliance with state laws does not necessarily coincide with compliance with the Internal Revenue Code provisions of 501(r).

We encourage you to reach out to our professionals to discuss 501(r) and other tax exemption considerations and how your organization could be impacted. Feel free to leave a question or comment below, or reach out to Laura Kalick directly at

For specific questions around community health needs assessment implementation and other healthcare advisory support please contact Cortney Marcin (, Gina Tapper ( or Rachel Laureno (

Blog Posts Articles Internal Revenue Service Materials

BDO Blogroll

Recommended Reading

Here are a few of the blogs and news outlets on our “must read” list: