A roundtable discussion last month of the issues facing tax-exempt hospitals took place regarding potential legislation that would reform the nonprofit hospital sector. The discussion draft recommended that taxexempt hospitals be segregated into ones meeting the qualifications of the basic charity provisions of IRC 501(c)(3) and those falling under the provisions of 501(c)(4) (not-for-profit organizations that serve the common good, such as social welfare organizations). The discussion draft reflects the minority staff’s concern that many nonprofit hospitals receive substantial federal income tax benefits and subsidies without providing commensurate benefits to society.