
Hospitals and their employees are subject to various restrictions when it comes to political campaigns. While hospital officials and trustees are generally allowed to volunteer their time and money to a political campaign, they must be careful not to imply that they are acting as agents of the hospital or that the hospital supports their activities. Hospitals that are 501(c)(3) organizations are prohibited by the IRS from participating in any political campaign. Health care is a significant issue in political campaigns, and the industry has many stakeholders seeking influence through lobbying and campaign contributions.
Can Hospitals Contribute to Political Campaigns?
| Characteristics | Values |
|---|---|
| Hospitals organized as 501(c)(3) organizations | Prohibited from participating in any political campaign |
| Non-profit children's hospitals | Cannot encourage employees or trustees to make political contributions |
| Hospital officials or trustees | May volunteer their personal time to a candidate's campaign |
| Hospital officials or trustees | Should avoid the appearance that their volunteer activities or political contributions are sponsored by the hospital |
| Pharmaceutical companies, physicians, and health professionals | Largest source of federal campaign contributions in the healthcare sector |
| Hospitals and insurers | Face financial losses if Republicans eliminate or scale back parts of the Affordable Care Act |
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What You'll Learn
- Hospitals are prohibited from participating in political campaigns
- Hospital officials can volunteer for political campaigns in their personal capacity
- Hospitals can face financial repercussions for political contributions
- Health care is a dominant issue in political campaigns
- Hospital executives tend to donate to Democrats

Hospitals are prohibited from participating in political campaigns
Non-profit children's hospitals, for example, are not allowed to encourage employees or trustees to make political contributions. This includes formal or informal endorsements of a candidate, direct financial contributions to a candidate or political party, and providing resources for fundraising. Hospital officials or trustees are generally allowed to volunteer their personal time to a candidate's campaign, as long as they are not using hospital resources and are not acting as an agent for the hospital.
Despite these restrictions, individuals associated with or employed by a hospital may participate in campaign activities in their personal capacity, provided they comply with certain conditions. Hospital officials or trustees who are politically active must be careful not to inadvertently engage in political activity or unlawfully make contributions in connection with an election or use hospital resources to benefit a campaign.
In terms of political donations, hospital executives tend to donate to political action committees (PACs) rather than directly to candidates. During the 2024 election period, CEOs of major hospital systems were found to be donating to Democratic candidates, with a preference for those who support the Affordable Care Act, rather than to Donald Trump or Kamala Harris.
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Hospital officials can volunteer for political campaigns in their personal capacity
Hospital officials are prohibited from participating in any political campaign on behalf of or in opposition to any candidate for public office. This is because hospitals are organized as 501(c)(3) organizations, and under the Internal Revenue Code, all such organizations are prohibited from directly or indirectly participating or intervening in any political campaign. Violation of this prohibition may result in the hospital losing its tax-exempt status and the imposition of excise tax on the hospital and its managers.
However, hospital officials can volunteer for political campaigns in their personal capacity. They can volunteer their personal time to a candidate's campaign or a party committee without causing the hospital to be seen as participating or intervening in elections. This is as long as they are working on their own time and not using hospital resources. Hospital officials can also make personal political contributions directly or in-kind to a candidate, subject to applicable contribution limits.
When volunteering or contributing, hospital officials must be careful not to imply that they are acting as agents of the hospital or that the hospital supports or encourages their activities. They should avoid using their titles or hospital affiliation and must not represent that any contribution is made on behalf of or with the support of their employer. Hospital officials should also avoid discussing political activities during official staff meetings, board meetings, or other hospital functions. Campaign materials must not include the hospital's name, even for biographical purposes.
While FEC rules permit hospital officials to make "incidental use" of hospital resources for political activities, the IRS has not formally adopted these rules. Therefore, the best practice is for hospital officials to conduct all political activities while not on hospital time and without using hospital resources.
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Hospitals can face financial repercussions for political contributions
Hospitals, particularly non-profit children's hospitals, are prohibited from participating in any political campaign or making direct financial contributions to a candidate, political party, or political action committee (PAC). This is because hospitals are often organized as 501(c)(3) organizations, and the IRS prohibits them from engaging in any political activity. Violation of this prohibition may result in significant financial repercussions, such as the revocation of a hospital's tax-exempt status and the imposition of excise tax on the hospital and its managers.
Federal campaign finance laws also place restrictions on a hospital's use of corporate resources in connection with elections. Hospitals must be cautious about inadvertently engaging in political activity or unlawfully making contributions. This includes the use of hospital resources, such as mailing lists or other resources for fundraising, which could be considered in-kind contributions.
While individuals associated with a hospital, such as officials or trustees, may participate in campaign activities in their personal capacities, they must ensure that their activities are not perceived as being sponsored by or conducted on behalf of the hospital. Hospital officials or trustees can volunteer their personal time to a candidate's campaign or party committee without causing the hospital to violate any prohibitions, as long as they do not use the hospital's resources.
Despite these restrictions, it is worth noting that hospital executives and CEOs have been observed to make political donations, particularly to candidates and parties that support policies beneficial to the healthcare industry, such as the Affordable Care Act. These donations can have significant financial implications for hospitals, especially when policies like the Affordable Care Act are at stake.
In summary, hospitals must navigate complex regulations regarding political contributions to ensure compliance with tax and campaign finance laws. While individuals within the hospital may participate in political activities, the hospital itself faces financial repercussions if it engages in prohibited political contributions or activities.
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Health care is a dominant issue in political campaigns
In the United States, health care is a dominant issue in political campaigns. It is often a personal issue for voters, and affordability is typically a top concern. Healthcare accounts for 17% of the economy, and many industry stakeholders seek influence through lobbying and campaign contributions.
During the 2018 election cycle, healthcare was one of the top issues for voters and candidates. The industry contributed $225 million to federal candidates, outside money groups, and parties. Healthcare professionals made the most contributions to individual candidates, Political Action Committees (PACs), and outside spending groups.
The direction of health policy is influenced by who is in power. For example, Trump cut off funding to Planned Parenthood and other abortion services, while the Biden-Harris administration reversed this policy. Harris also supports codifying abortion access protections into federal law. Trump kept the issue of high prescription drug prices on the agenda, but his administration did little to address them.
Healthcare coverage and costs are key issues in political campaigns. Coverage policies address how Americans obtain health insurance, how it is paid for, and what it covers. Debates around reducing the number of uninsured people, whether insurance should be provided through employment, and the level of deductibles and premiums are also important.
Proposals to change coverage policies vary. Some aim to expand the federal role in providing coverage, while others seek to reduce the government's involvement. Policymakers also consider approaches such as encouraging competition in healthcare markets, introducing a "public option," or directly regulating prices.
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Hospital executives tend to donate to Democrats
Hospitals and insurance executives tend to donate to Democratic candidates and political action committees (PACs) that support the Democratic Party. This is because the Democratic Party is generally more supportive of allocating taxpayer money to the healthcare industry, as evidenced by the Affordable Care Act.
During the 2018 election cycle, the healthcare industry donated $225 million to federal candidates, outside money groups, and parties. Of this, $63 million went to Democratic candidates and incumbents, while Republicans received $49 million. This trend continued in the 2020 election, where hospitals and their employees donated $19,481,309 to federal campaigns and aligned outside groups, with 78.2% going to Democratic candidates and Democrat-aligned outside groups.
Hospital executives' preference for Democratic candidates can also be seen in the 2020 presidential election, where Joe Biden received $7,169,522 (63%) from hospitals and their employees, while President Donald Trump received $4,229,824 (37%). This trend was also observed in the 2016 election, where hospitals and their employees donated $5,541,935 to Democratic nominee Hillary Clinton and $660,086 to Donald Trump.
While hospital executives tend to donate to Democrats, it is important to note that hospitals as organizations are prohibited by the IRS from participating in any political campaign. This means that hospital executives and employees are making these donations as individuals, using their personal funds and time, and not as representatives of the hospitals they work for.
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Frequently asked questions
Hospitals are prohibited from participating in any political campaign or contributing to any candidate for public office. This includes federal, state, and local elections.
Hospital officials or trustees are allowed to volunteer their personal time to a candidate's campaign or party committee. However, they must ensure that their activities are not perceived as being sponsored by or conducted on behalf of the hospital.
Hospital executives can make political donations, but they are typically prohibited from donating to federal political campaigns as this may result in the loss of the hospital's tax-exempt status.
Only US citizens and certain legal residents (US nationals) can contribute to federal political campaigns. Non-citizens and foreign nationals are restricted from influencing federal elections.
Hospitals are prohibited from formally or informally endorsing candidates, making direct financial contributions, providing in-kind support, or using hospital resources for campaign activities.

























