Impacts of The One Big Beautiful Bill Act on Nonprofit Organizations and Charitable Giving
The One Big Beautiful Bill Act (OBBBA), signed into law on July 4, 2025, reshapes the charitable giving landscape, presenting challenges and opportunities that demand immediate strategic focus. Nonprofits that proactively adapt their fundraising approaches can better sustain and grow their funding support base. Changes to Individual Charitable Giving (Effective 2026) New Universal Charitable Deduction […]
Benefit and Harm of Non-Profit Hospital Billing Practices
In a recent article, we raised the question of whether nonprofit hospitals are effectively “earning” their privileged tax status by returning a community benefit greater than, or at least equal to, the cost of their deferred taxes. We also discussed how the Affordable Care Act provided essential tools, the Community Health Needs Assessment and the […]
A Revolutionary Idea: Communities Deserve Community Benefit
The community hospital – frequently a nonprofit organization organized around community service, charity care, and serving the poor in multiple capacities – has been a cornerstone of our health system. Today, the majority of the 6,219 hospitals across the United States (2,978 or 57%) are nonprofit. As a nonprofit, this means that they do not pay certain local, state, and federal taxes, such as property and income taxes. This exemption is not insignificant: in 2020 alone, it amounted to $28 billion.
A Bad Penny Always Turns Up
The Limit, Save, Grow Act of 2023, legislation to raise the U.S. debt limit, has introduced work requirements for Medicaid. However, work requirements in means-tested programs generally do not save money, as they limit access through administrative hurdles and restrictive criteria.
Understanding Employee Burnout
When we feel like the work that we are doing is not making a difference, no matter what we’ve done, how we do it, or how long we keep trying, we aren’t making a dent; it is emotionally exhausting. It’s time to address employee burnout.
Reflecting On 2022
Michealle says goodbye to a troublesome year and reflects on the highs and lows of 2022.
SCOTUS: Denying the Essential Humanity and Equality of Women
Atrómitos Founder, President, & CEO Michealle Gady, reflects on the implications of the leaked draft SCOTUS opinion that would overturn Roe v. Wade and deny the essential humanity and equality of women.
Mapping Our Path to Digital Equity: Lessons from The Phantom Tollbooth
The COVID-19 public health emergency brought the journey to close the Digital Divide to the forefront for many (though some of us have been on this adventure for a while). Looking at both North Carolina and the federal government as examples, we map out what steps need to be taken to succeed in this “impossible” task and achieve Digital Equity. (Note: We don’t think this is impossible.)
Atrómitos’ 5th Anniversary: What I’ve Learned So Far
Five years in business. President of Atrómitos, Michealle Gady, JD, reflects on what she’s learned so far.
NC Foster Care Plan Delayed: Complex Needs Necessitate Intentional Program Design
NC DHHS has announced that it will delay the implementation of the Foster Care Plan until July 2023. Here’s what stakeholders need to know.
The New NC DHHS Foster Care Plan: What the Department, Plans, and Partners Must Do for Success
Earlier this month, NC DHHS issued its latest Medicaid Managed Care Policy Paper describing a new element of Medicaid Transformation in the state: Intent to establish a specialized managed care plan for children in foster care. Here’s what you need to know.
A Call to Understand and Expand Medicaid This Year
In Atrómitos’ final article of 2020, we wrote about the need for 2021 to be the year we address the myriad wicked problems confronting our nation. In keeping with that theme and also given that the N.C. General Assembly has recently convened for its new session, we’re talking about Medicaid expansion.
2020: The Year We All had to be…Atrómitos
2020. It was a year filled with a raging global pandemic, failed leadership, political uprisings, wildfires, economic turmoil, and the evils of racism and xenophobia.
Medicaid Work Requirements: Who Exactly Are They Working For?
This week all eyes were on the Supreme Court as it heard arguments in Texas v. California, a case that once again challenges the constitutionality of the Affordable Care Act (ACA). However, there is another case making its way to the SCOTUS that is also critically important to tens of millions of people: Alex M. Azar, II, Secretary of Health and Human Services, et al., Petitioners v. Charles Gresham, et al.
It’s Not Enough To Be Opposed To Racism
It is not enough to be opposed to racism. This moment requires all people, especially white people of varying levels of privilege, to be anti-racist. If you are on this same journey, know that there are a number of excellent anti-racist resources available to you. We also recommend reading this article about qualified immunity and this article about white privilege.
Wreck-it Ralph and Change Management
Is fear of new and different the reason that 70% of change initiatives fail? The more I thought about it, the more I realized that I was thinking about it the wrong way. Instead, I decided to focus on why change succeeds.
A 4-Letter Word for Your Organization’s Future
At its core, strategic planning is a decision-making process. But, where do you start? Pro-tip: It’s probably a four-letter word.
Overcoming Conflict Through Action
We typically work with companies undergoing some form of change. Small change, big change. Change driven from internal forces, from external forces, and oftentimes both.
Is Strategic Planning Dead? A Response.
To strategic plan or not to strategic plan? That is the question. We at Atromitos think the answer is yes, but not the way strategic planning has traditionally been done.
Collaborative Governance 2.0: Building Buy-In Through Context and Transparency
Governance is a process through which decisions are made and implemented on a particular project or plan. Good governance is characterized by accountability, transparency, responsiveness, inclusiveness, and is consensus-oriented.
Changing Change Management
“Change is hard.” People say that all the time. Big change, small change. And it’s true. Change is hard. But, it is also something that is constant. Particularly in health care. Particularly right now.