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Under Pressure: How Tax Reform May Squeeze Hospitals

Congressional plans to rewrite the federal tax code for the first time in 31 years threaten already thin hospital operating margins by raising revenue from charitable hospitals and other tax-exempt organizations through sweeping changes to rules governing bond financings, executive compensation, unrelated business income taxes and excess benefit transactions.

Under Pressure: How Tax Reform May Squeeze Hospitals will explore the House and Senate versions of the Tax Cut and Jobs Act, analyze the financial and operational impact of these bills for charitable hospitals, and consider which, if any, of these proposals will be adopted.

In this webinar, the speakers will address aspects of The Tax Cut & Jobs Act that may affect charitable hospitals, such as the following:

  • Eliminating private activity bonds as set forth in the House proposal
  • Terminating advance refunding bonds
  • Imposing a 20% excise tax on executive compensation in excess of $1 million
  • Expanding the scope and application of the unrelated business income tax
  • Enhancing the IRS’s ability to impose intermediate sanctions on excess benefit transactions as set forth in the Senate proposal
  • Eliminating the medical expense deduction as set forth in the House proposal
  • Subjecting the investment income of colleges and universities to a 1.4% excise tax
  • Modifying income tax deductions for charitable gifts
  • Repealing the individual mandate of the Affordable Care Act


  • Travis Jackson
  • Floyd Newton
  • Mike Andrews

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CLE credit will be applied for in CA, GA, NY, TX and, if needed, NC and VA. Attendees will receive a Uniform Certificate of Attendance via email approximately 30 days after the program to seek CLE credit in other jurisdictions. New York lawyers: This program is considered transitional and non-transitional in content. The interactive webinar format is synchronous and approved for all lawyers. King & Spalding LLP / 1180 Peachtree Street, Atlanta, GA 30309 | CA Provider # 10947.


If you have questions concerning this Roundtable Webinar, e-mail

Event Details

Date: December 14, 2017

Time: 1:00 pm (ET)


Please register soon. You do not have to be a client to attend, and there is no charge.