Hospitals Can Keep Non-Profit Status But Must Pay NJ Towns An Annual Fee

CAMDEN, NJ — Hospitals in New Jersey will be able to keep their non-profit status as long as they make a yearly contribution to their municipalities, under a new law signed by Gov. Phil Murphy recently.

It comes after a Tax Court of New Jersey ruling in 2015 subjected Morristown Medical Center to pay property taxes, operating as a for-profit hospital. The ruling ended with both sides settling on an agreement that will require the hospital to pay its community more than $15 million over a 10-year span.

The new legislation will establish annual community service contributions to offset the costs of public safety, such as local police and fire departments in the municipalities.

The bill signed into law overturns prior legislation that exempted non-profit hospitals. Critics, especially in dense cities, have long said contributions made by hospital networks should be made mandatory.

According to Ernst & Young, tax revenue forgone due to the tax-exempt status of non-profit hospital in 2016 was $9 billion.

The new law, which applies to Cooper University Health Care and Virtua Health in Camden, impacts non-profit hospitals and certain satellite emergency care facilities statewide.

“Cooper has supported the City of Camden in numerous ways including providing jobs, community health programs, and leading revitalization efforts. Cooper supported encapsulating into law that hospitals should support their local communities as Cooper has in Camden for more than 130 years,” Cooper spokesperson Wendy Marano told TAPinto Camden in a statement.

Marano said Cooper Hospital, which also runs an adjoining foundation in the region, will contribute roughly $700,000 to Camden under the legislation. Virtua did not immediately respond for comment nor provide the amount their network will provide annually.

Vincent Basara, city spokesman, also did not have the specific amount but noted that over the years Cooper, Virtua Our Lady of Lourdes Hospital and Virtua Health, “have been incredible community partners.”

“Cooper particularly has been an anchor institution for generations and extraordinary in terms of outreach to the community and its countless philanthropic initiatives right here in Camden,” Basara said. “We are happy to see Governor Murphy formalize through legislation what has already been taking place here in Camden. The hospitals here in Camden are quality institutions. They have been particularly generous during the difficult COVID-19 pandemic, offering free community services and resources throughout the health crisis.”

The new law requires non-profit hospitals to pay the municipality in which they are located $3 per day for each hospital bed and $300 per day for each satellite emergency care facility, based on the prior year’s tally of beds and facilities. Fees would rise 2% annually to cover inflationary costs. The municipality would be required to share 5% of the payment with the county government.

Following the bill’s passing, New Jersey Hospital Association President and CEO Cathy Bennett issued a statement.

“This law is the right solution to allow our hospitals and municipalities to move forward together in pursuit of good health for New Jersey communities,” Bennett said. “Thank you to Gov. Murphy, Speaker Coughlin, Sen. Sarlo, Sen. Cryan and Sen. Vitale for their leadership in creating a resolution to more than five years of litigation and uncertainty for the state’s nonprofit hospitals and their host municipalities.”

The law also establishes a permanent commission known as the “Nonprofit Hospital Community Service Contribution Study Commission” to study the system created under the law. The commission will issue reports every three years to the governor and legislature.

Pre-existing financial agreements between hospitals and municipalities will remain in force until expiration of those agreements.

The law was sponsored by Senator Paul Sarlo, Senator Joe Cryan, Senator Joe Vitale and Senator Troy Singleton.

Sarlo (D-Bergen/Passaic) said he believes the law will strengthen the relationships between hospitals and their communities.

“Hospitals offer a substantial economic benefit to their communities through health care jobs and services. Equally as important, they are a significant presence in the community from donating to local charities and organizations to sponsoring local events,” noted Singleton (D-Burlington). “This community presence and generosity is bolstered by their non-profit status. Continuing to protect this status, as laid out in the bill, will ensure these hospitals remain major civic benefactors.”

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