What's so "nonprofit" about the University of Pittsburgh Medical Center? Hard to say why it needs a nonprofit status when according to the Wall Street Journal the Medical Center "manages a transplant center in Palermo, Italy, runs two Irish cancer centers, provides consulting services and docs to a medical system in Qatar", and is now on its way to being the biggest health care provider in Ireland "paying $22 million for a 25% stake in Beacon Hospital. The company that owns that facility has plans to build three more hospitals in Ireland, which would be operated by UPMC under similar arrangements. The med center is also discussing new contracts with medical centers in Dubai and Cyprus". And, they are not alone, "The Cleveland Clinic, for example, is working on a project in Abu Dhabi and pursuing contracts in China, Guatemala, Brazil, Egypt and India".

Senator Grassley, where are you? We all know that health care systems are anything but nonprofit, including the nonprofit ones, so lets either make sure they need to be nonprofit to fulfill their missions or tax them -- we know it's not going to matter to the insurance companies.