The Law of Tax-Exempt Healthcare Organizations. Bruce R. Hopkins

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because of receipt of contributions and grants. But, ruled the IRS, that type of rent structure will result in private benefit to the businesses and, in the case of the medical practice, private inurement.222.1 The organization tried again, noting that this rural area is a Health Professional Shortage Area. It advised the IRS that its goal is to incentivize businesses in the healthcare industry to provide care for those in need. It proposed that it rent space and provide services in an amount “high enough to not only cover costs but to produce a profit.” But that cannot be done either, the IRS ruled, because then the organization is operating in a commercial manner.222.2

       p. 109, second paragraph. Insert as fourth and fifth sentences:

      (a) General Rules

       p. 128. Insert as fourth paragraph:

       *p. 134, note 391. Insert following existing text:

      1 197.1 Wendy L. Parker Rehabilitation Found., Inc. v. Commissioner, 52 T.C.M. 51 (1986). Likewise, Priv. Ltr. Rul. 201911008.

      2 197.2 Priv. Ltr. Rul. 201205011.

      3 197.3 Priv. Ltr. Rul. 201428026.

      4 197.4 Priv. Ltr. Rul. 201505029.

      5 197.5 Priv. Ltr. Rul. 201511026. An organization that confined its scholarship grants to members of one family was ruled ineligible for tax exemption on the ground of private inurement (Educational Assistance Foundation for the Descendants of Hungarian Immigrants in the Performing Arts v. United States, 111 F. Supp. 3d 34 (D.D.C. 2015)).

      6 197.6 Priv. Ltr. Rul. 201923026. In some of these instances, the private benefit doctrine (see § 4.6) is applied (e.g., Priv. Ltr. Rul. 201843013), although use of the private inurement doctrine seems preferable. In one instance, an organization was denied recognition of exemption as a charitable organization, by application of the private benefit doctrine, because it operated a home for special‐needs children, where the couple operating the entity (in their home) adopted all the children (Priv. Ltr. Rul. 201907014).

      7 197.7 Priv. Ltr. Rul. 201039046.

      8 197.8 Priv. Ltr. Rul. 201121021.

      9 197.9 Priv. Ltr. Rul. 201523022.

      10 219.1 Priv. Ltr. Rul. 201452018.

      11 219.2 Priv. Ltr. Rul. 201510059.

      12 219.3 Priv. Ltr. Rul. 201511024. See § 18.1, text accompanied by note 51.5.

      13 222.1 Priv. Ltr. Rul. 201641027.

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