Final regulations implementing the Affordable Care Act requirements for tax-exempt hospitals became effective the first day of a hospital’s 2016 tax year. The Internal Revenue Service (IRS) has been reviewing hospitals for compliance with these regulations. As of June 30, 2016 the IRS completed almost 700 reviews and has referred over 150 hospitals for further examination because of failures to meeting requirements related to community health needs assessments, financial assistance or billing and collection under Section 501(r). In this webinar Preston Quesenberry, the primary author of these IRS rules and currently an advisor to tax-exempt hospitals, discusses challenges posed by the rules and recommendations for compliance.