Interesting New York Times article on July 16 covering an issue all nonprofit boards and execs should be concerned about and one I find myself particularly drawn to: when and if a health care provider should be nonprofit. As you know, I am seriously doubtful that many health care providers should have nonprofit status based principally on behaviors that are practiced that I believe are anything but nonprofit (like requiring cash before chemo; no cash - no chemo).
The NYTimes article focused on VSP Vision Care of Rancho Cordova who is appealing the Supreme Court on an IRS ruling against its tax exempt status.
The IRS says that "VSP's social welfare activities, in relation to its total activities, are minor, incidental and insignificant."
VSP says that it "provide(s) access to vision care for all segments of our socieity. We do provide coverage to employers, but to all types, public or private, ranging in size from the federal government to employers with two people, and we offer coverage to those who can afford it... VSP also runs several charitable programs, like Sight for students, which provides vision care and glasses to low-income, uninsured children...
We don't offer our programs through commercial outlets like LensCrafters and Wallmart and over one-third of the providers in our network are in medically underserved areas."
Good corporate citizens -- yes. Tax exempt -- I need more convincing.