In the eight years since the American Competitiveness and Corporate Accountability Act of 2002, or the Sarbanes-Oxley Act (SOX) was passed to regulate corporate oversight of for-profit entities, many nonprofit firms: including hospitals and health systems have adopted SOX provisions as best practices even though in most states they are not legally bound to comply with these regulations. Public scrutiny, pressure from bond agencies and insurers, and a desire to adopt best practices are moving hospitals in the direction of adopting SOX practices. Based on a survey of a representative sample of hospitals in New York State, this exploratory study specifically examined whether acute care short-term hospitals are adopting select provisions of Sarbanes Oxley regulation. The majority of sample hospitals have whistleblower policies, codes of conduct or ethics and separate audit committees; however only a third received recommendations from auditors for adjustments.



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