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IRS Mandatory ACA Reviews: Hospital Readiness

June 25, 2026

Join Forvis Mazars for a practical, in-depth guide to the IRS’ mandatory review requirement under Section 9007(c) of the Affordable Care Act (ACA). This webinar will provide an overview of ACA §9007, including §501(r); the community benefit standard; publicly available IRS procedures governing hospital exemption compliance reviews, including key provisions of the Internal Revenue Manual (IRM) 4.70.1; and documentation and reporting practices hospitals can use to help strengthen compliance readiness and reduce compliance risk. This session will also include real-world examples.

Learning Objectives

Upon completion of this program, participants should be able to:

  • Recall the legislative history, statutory purpose, and scope of ACA §9007.
  • Describe the community benefit standard.
  • Explain the publicly available IRS procedures governing community benefit activity compliance reviews, including the process outlined in IRM 4.70.1.
  • Identify compliance, documentation, and community-benefit reporting strategies that tax-exempt hospitals can implement to help strengthen readiness, reduce compliance risk, and support accurate reporting.
  • Recognize common challenges in Schedule H reporting and §501(r) compliance.
  • Identify §501(r) related opportunities for your organization.

Presenter(s)

Brian Todd, Garrett Gluth

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