State Attorneys General have always had some responsibility to review the operations of non-profit charities and foundations. Unlike like for-profit sectors of the economy, which answer to boards of directors and shareholders, Attorneys General often are the only entity with responsibility over non-profit charities and foundations. Particularly because the 1.5 million non-profit organizations, such as hospitals, health insurers, and universities, contribute over a trillion dollars to the economy, the Attorney Generals’ increased use of that authority has taken on national significance.
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