With the rise of cryptocurrency, hospitals and charities are beginning to receive crypto-based donations . While this trend promises to expand funding sources for healthcare especially in times of crisis it also raises complex tax and ethical challenges . From a regulatory standpoint, crypto donations in India are subject to the Income Tax Act, 1961 , where such transfers are treated as virtual digital assets. Organizations accepting them must account for capital gains, valuation at fair market price, and compliance with anti-money laundering (AML) norms .

Failure to declare or structure these correctly could lead to tax penalties. Beyond taxation, the ethical dimension is equally important. The traceability of funds, potential links to illicit activity, and donor anonymity raise questions about transparency in healthcare funding. Hospitals and NGOs must ensure that crypto inflows are…