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It states that "[t]he term charitable is used in section 501(c)(3) in its generally accepted legal sense," and provides examples of charitable purposes, including the relief of the poor or unprivileged; the promotion of social welfare; and the advancement of education, religion, and science.4 In the absence of explicit statutory or regulatory requirements applying the term "charitable" to hospital [...] Over the years, the IRS has developed two distinct standards: the "charity care standard" and the "community benefit standard." Charity Care Standard In 1956, the IRS issued Revenue Ruling 56-185, which addressed the requirements a hospital needed to meet in order to qualify for § 501(c)(3) status as a charitable organization.5 One of these requirements is known as the "charity care standard." The [...] The IRS reasoned that because the promotion of health was a charitable purpose according to the general law of charity, it fell within the "generally accepted legal sense" of the term "charitable," as required by Treasury regulation.7 Expanding on this point, the ruling stated that The promotion of health, like the relief of poverty and the advancement of education and religion, is one of the purp [...] It appears the community benefit standard was adopted partly in response to the enactment in 1965 of Medicare and Medicaid, which some thought would reduce the need for hospitals to provide charity care.10 Its adoption by the IRS may also have been a response to concerns about the charity care standard. [...] Congressional Research Service 2 501(c)(3) Hospitals and the Community Benefit Standard IRC § 501(c)(3) for hospitals.11 The House Report accompanying the bill expressed concern with how the charity care standard was applied in practice: In a number of cases internal revenue agents have challenged the exempt status of hospitals on the sole ground that the hospitals are accepting insufficient numbe.
2017's must-have reference for nonprofit healthcare organizations The Law of Tax-Exempt Healthcare Organizations is a one-stop reference for organizations and their advisors, providing accessible explanations of the complex legal framework surrounding tax-exempt status, healthcare organizations, and other pertinent regulations. This new supplement has been updated to reflect the latest changes to federal law, IRS forms, requirements, and related tax procedures, with extensive citations to facilitate further research if needed. Coverage includes healthcare reform, the Affordable Care Act, activities of tax-exempt organizations, political campaign activity, charitable reforms, intermediate sanctions, and more, including the fiduciary duty of directors on the governing body of nonprofit organizations. Organized for easy navigation and quick reference, this book is also valuable as a learning resource for nonprofit professionals seeking to make more informed decisions for their organizations. The laws and regulations surrounding both health care and the nonprofit world are continuously evolving; when the two fields merge in a single organization, they create a legal area that is continuously in flux. This book provides up-to-the-minute guidance on all relevant aspects of federal law to ensure the clear understanding that streamlines compliance. Get up to date on the latest changes to federal law Delve into the complex rules regarding tax-exempt status Ensure compliance with practical guidance and tools Examine the impact of the Affordable Care Act, charitable reforms, new restrictions, and more By compiling all legal and tax-related information specific to tax-exempt health care organizations into a single volume, this book dramatically reduces research time and eliminates the need to wade through legal libraries to locate specific information—it's all here. The Law of Tax-Exempt Healthcare Organizations is the must-have reference with the latest information and down-to-earth explanations.
Charity Care for Nonprofit Hospitals: A Legal and Administrative Guide is the BRAND NEW resource that brings together all important federal and state laws, provides model policies, clarifies complex reporting rules, and helps you maintain your state property tax exemption, your federal income tax exemptions, and more! This is your "one stop" reference for answers to important questions that could seriously impact your institution. Charity Care for Nonprofit Hospitals instantly provides: How-to guidance for reporting charity care in a number of different contexts, including federal tax exemption, state tax exemption, community benefit reporting and more Expert analysis of federal and state law trends involving charity care policies Numerous practical tips on key topics An annotated charity care policy Clear guidance on charity care and community benefit under newly-revised IRS Form 990 and Schedule H A valuable overview of state property tax exemption law as applied to nonprofit hospitals Practical insights into maintaining all aspects of your tax exempt status And much more!
Get up to date on 2016 healthcare law and newly relevant issues The Law of Tax-Exempt Healthcare Organizations 2016 Supplement provides complete and comprehensive practitioner updates and analysis in a single volume. Tackling complex legal issues with plain-English explanations and the appropriate citations, this guide is a must-have resource for organizations and their advisors. This new supplement to the Fourth Edition has been fully updated with the latest IRS guidance and requirements, and expanded with additional coverage of relevant topics. The new discussion includes healthcare reform and the Affordable Care Act, the fiduciary duty of directors on the governing body of nonprofit organizations, executive compensation, activities of tax-exempt organizations that appear more commercial than charitable, political campaign activity, charitable reforms, restrictions on supporting organizations, intermediate sanctions, and much more. The companion website provides extensive appendices for further reference, as well as helpful downloadable tables that facilitate a more efficient approach to practice. Healthcare law is a complex field, and keeping up with the frequent changes to federal law is itself a full time job. This book eliminates the need for extended research time by collecting all of the newest and relevant guidelines into one place. Get up to date on the latest IRS forms, guidance, and procedures Interpret complex legal issues correctly and appropriately Reference relevant federal guidelines quickly and easily Access extensive appendices and tables to streamline application As the field evolves and new issues arise, practitioners need a working knowledge of the legal implications behind organizational activities, structure, practices, and more. This most recent annual supplement to The Law of Tax-Exempt Healthcare Organizations is a must-have resource for anyone in the field.