BlueGreen Alliance | FACTSHEET: Direct Pay, Supporting Decarbonization of Hospitals

FACTSHEET: Direct Pay, Supporting Decarbonization of Hospitals

Through the Inflation Reduction Act of 2022, clean energy tax credits for technologies such as solar, geothermal and EV charging are now accessible to public and nonprofit hospitals and other tax-exempt entities. This is possible through what is known as direct pay, where hospitals and other tax-exempt entities can get reimbursed up to 50 percent for the cost of clean energy projects once projects are completed.

April 28, 2025

In simple terms, direct pay (also known as elective pay) is a mechanism that allows tax-exempt entities, including public or nonprofit hospitals, to recoup a significant portion of the cost of a clean energy project as a reimbursement from the IRS. Historically, it wasn’t possible for hospitals and other tax-exempt entities to take advantage of clean energy tax credits. Now, thanks to the Inflation Reduction Act and the novel inclusion of direct pay, public and nonprofit hospitals can receive the full value of a clean energy tax credit as cash payment once a project is placed in service.

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