Find your hospital’s Form 990.
Go to Part I, line 19.
That number is what remained after every claimed expense.
Then write this sentence:
“My nonprofit hospital kept $________ last year and paid no income tax on it.”
Reply with the hospital and the number.
Let’s build the national ledger they hoped nobody would read.
Last night Ilhan Omar was FURIOUS with Rep. Brandon Gill.
She ran up to him screaming and shouting.
Gill’s response?
“Do you kiss your brother with that mouth?”
Absolutely SAVAGE.
𝐅𝐎𝐑 𝐈𝐌𝐌𝐄𝐃𝐈𝐀𝐓𝐄 𝐑𝐄𝐋𝐄𝐀𝐒𝐄
America's hospitals have always believed that medicine belongs in the hands of physicians.
That is why we have spent the last twenty years collecting as many of them as possible.
We commend Senator Warren and Representative Ocasio-Cortez for finally addressing the true threat to physician independence: someone else buying the practice.
Let me walk you through it slowly, because I know contracting language can be confusing for clinicians.
Section 2(a)(3). This is the part where hospitals, hospital-affiliated clinics, critical access hospitals, and any nonprofit are exempt from the ownership ban. You may have missed it. It's on page 3. We did not miss it. We have people whose entire job is page three.
So to be precise about what this bill does: it makes it illegal for anyone except us to employ a physician. We want to be very clear that we had nothing to do with that, and also that we think it's excellent.
On patient protection. Under this legislation, a private equity firm will no longer be permitted to own your practice, set your rates, or direct your referrals. Those functions will be performed by a nonprofit with a chapel in the lobby, which is materially different.
On the tax question. Some have asked whether the bill addresses nonprofit tax exemption, 340B spread, tax-exempt bond financing, or certificate of need. It does not. We reviewed this carefully and concluded the drafters were simply focused. Not every bill can do everything, and we would never want to burden Congress with scope creep.
On site-neutral payment. Also not addressed. We consider this a thoughtful omission and a sign of real legislative maturity. The same echocardiogram costs more in our building because our building has a helipad on it. This is called infrastructure, and you are welcome.
On physician independence generally. We've heard concerns that banning MSOs from financing the acquisition of ownership interests removes the only capital source independent groups have for buying out retiring partners. We would gently suggest that if your group cannot fund its own succession, that is a signal about your group, and we would love to schedule a conversation. Our development team has a standard deck. It's very warm. There's a photo of a sunrise on slide one.
We'd add that the active-practice ownership requirement means your retiring founder cannot hold equity through a wind-down. We find this clarifying. He's had a wonderful run. We'll put his name on a wing.
On the one disappointing provision. The bill voids non-competes for employed physicians, and we have shared our concerns through appropriate channels. That said, we remain confident in our ability to retain talent through the tools we have always relied on: the deferred compensation cliff, the relocation clawback, the residual call obligation, and the simple fact that we own every imaging center within forty miles.
On clinical autonomy. Section 2(b)(1)(B) would prohibit hospitals from directing observation versus inpatient status, discharge destination, ED evaluation time, and diagnosis coding. We want to reassure our provider partners that nothing will change. We have never directed those decisions. We have only ever surfaced them in the workflow, which the statute does not define, and which our consultants have advised us is a form of hospitality.
In closing. America's hospitals stand with the independent physician. We stand so close to the independent physician. We have been standing closer every year since 2019, and by our count we are now at 82 percent.
We look forward to working with Congress, and with our colleagues in organized medicine, to protect the practice of medicine from everyone who is not us.
For more information, please contact our Hospital Lobby my desk at 1-800-We-Hate-Independents.
John Thune and Mitch McConnell's staff are screwing around with McConnell so they don't need to give up his seat, his vote.
McConnell is GONZO.
Someone in Kentucky needs to SUE for lack of representation.
Drag McConnell into court and make him try to speak coherently.
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Alert -- Critical announcement:
Under the banner of The Oversight Project, I am opening a new law firm that I will lead to combat government weaponization of all types, but especially abuses of congressional and state legislative branch oversight, perversion of bar discipline processes, and securing the dismissal of bogus criminal indictments.
We already have a small team of dedicated lawyers with Article I, Article II, and/or Article III branch experience at the federal level and state government experience as well. You would join them and me in this important effort to turn our country around.
We will be expanding our size and footprint significantly.
So, if you're a lawyer at any stage of your career, who is patriotically and publicly spirited and who is fed up with Lawfare, Barfare, Weaponization, and efforts to turn The Law into mechanized Marxism on the move, and who wants to see the legal system reformed to consign that nonsense as quickly as possible to the discarded refuse and circular files of courts, bar administrative apparatuses, and regulatory agencies, as appropriate, please review our announcement here:
https://t.co/BTqNgADLVk
Please send your resume and a cover letter to:
[email protected]
It's time the conservative and populist movements had their own dedicated law firm instead of watching cancers on our dear Republic -- like the 65 Project and LDAD and anything within two concentric circles of Norm Eisen or Marc Elias -- grow and metastasize.
Join us!
@ItsYourGov@MHowellTweets
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🚨🚨🚨🚨🚨
Ascension Reports $120 Million Operating Loss, Requests Everyone Stop Looking at Its $1.5 Billion Net Income
Ascension, a tax-exempt corporation, also holds $15.1 billion in unrestricted cash and enough cash to operate for 233 days.
Hospital accounting has become a simple art: put the smallest negative number in the headline and the largest positive number somewhere no reporter will look.