What Nonprofits Need to Know About the Affordable Care Act

Printer-friendly version

Nonprofits, like all other employers in the United States, are affected by the Affordable Care Act (“ACA”). The size of a nonprofit’s workforce will determine which provisions of the ACA it must follow. In general it’s important to know whether or not your nonprofit has 50 or more “full-time equivalent employees,” as defined in the ACA.

Learn about the tax credit

Does your nonprofit pay for health insurance for its employees? If so, your nonprofit may be eligible for a special refund – called the “small business health care tax credit.” If your nonprofit employs fewer than 25 employees, pays premiums for health insurance for its employees, and average wages for employees are less than $50K annually, the nonprofit can apply for a “small employer health care tax credit” that can help pay for the cost of health insurance for employees. Since tax-exempt organizations do not pay income tax to the IRS, the "credit" is in the form of a refund on previously paid employee income tax withholdings.

Practice Pointers

The ACA requires almost all employers to provide notice to their employees explaining available options for health insurance.

Key ACA provisions

Resources for nonprofits on the ACA


Find Your State Association of Nonprofits

Connect with local resources and expertise


Connect With Us

1. Sign up for updates

Stay up-to-date with the latest nonprofit resources and trends by subscribing to our free e-newsletters.

2. Follow us on social media