The US House of Representatives passed its One Big Beautiful Bill Act on May 22, 2025 (the Act), but nonprofit health systems may not find much about the Act that’s attractive. If passed by the US Senate and signed into law, the Act would threaten already thin operating margins at nonprofit hospitals and health systems by expanding the executive compensation excise tax, taxing parking, and similar employee benefits.
One Big Beautiful Bill Act Has Compensation & Benefits Impacts for Nonprofit Health Systems
Travis JacksonTravis Jackson works with leading hospitals, health systems and academic medical centers (AMCs) to bring their most complex and innovative mergers, acquisitions and joint ventures to market. Through his counsel, Travis’s healthcare clients – both for-profit and nonprofit entities – enhance their operational efficiencies, improve care delivery and strengthen relationships with physicians and the communities they serve in a compliance-driven and cost-effective manner. Read Travis Jackson's full bio.
Robert C. Louthian, IIIRobert C. Louthian, III, represents exempt organizations on a wide range of tax and related issues, including determinations of exempt status, securing private letter rulings on proposed transactions, and preparing and representing clients who are under audit by the Internal Revenue Service. He works primarily with hospitals and other institutional providers, private foundations, scientific research organizations, universities, trade associations and corporate foundations. Robert has extensive experience in the formation of provider networks, integrate delivery systems, conversions of tax-exempt organizations and joint ventures with tax-exempt participants. Read Robert Louthian's full bio.
Kristen O'BrienKristen O’Brien is an accomplished healthcare executive with a deep understanding of regulatory advocacy and healthcare policy efforts. Kristen offers a strong background and a keen eye for solutions to barriers and challenges impacting healthcare clients. With more than 10 years of experience, her work focuses on implementing new laws through the rulemaking process, as well as working with relevant agency officials to develop and improve agency guidance. Read Kristen O’Brien's full bio.
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