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Table of Contents

1 Note to the Reader: Sections not in the main bound volume, The Law of Tax-Exempt Healthcare Organizations, 4th Edition (978-1-118-53285-0), are indicated by “(New)” after the title. Material new to or modified in this supplement is indicated by an asterisk (*) in the left margin in the Contents and throughout the supplement.

Cover

Title Page

Copyright

Preface

About the Authors

Book Citations

CHAPTER ONE: Tax‐Exempt Healthcare Organizations: An Overview *§ 1.1 CONSTITUTIONAL LAW PERSPECTIVE § 1.2 DEFINING TAX‐EXEMPT ORGANIZATIONS *§ 1.5 CHARITABLE HEALTHCARE ORGANIZATIONS § 1.8 PROMOTION OF HEALTH *§ 1.10 ABLE PROGRAMS (NEW) NOTES

CHAPTER THREE: Criticisms of Tax Exemption § 3.3 COMMERCIALITY DOCTRINE NOTES

CHAPTER FOUR: Private Inurement, Private Benefit, and Excess Benefit Transactions § 4.4 PRIVATE INUREMENT—SCOPE AND TYPES § 4.6 ESSENCE OF PRIVATE BENEFIT § 4.9 EXCESS BENEFIT TRANSACTIONS NOTES

10  CHAPTER FIVE: Public Charities and Private Foundations § 5.1 PUBLIC INSTITUTIONS § 5.6 RECOGNITION OF CHANGE IN PUBLIC CHARITY STATUS NOTES

11  CHAPTER SEVEN: Lobbying and Political Activities § 7.1 LEGISLATIVE ACTIVITIES LIMITATION § 7.4 POLITICAL ACTIVITIES LIMITATION § 7.5 BUSINESS EXPENSE DEDUCTION RULES AND POLITICAL ACTIVITIES § 7.7 PUBLIC POLICY ADVOCACY ACTIVITIES *§ 7.8 POLITICAL ACTIVITIES OF SOCIAL WELFARE ORGANIZATIONS NOTES

12  CHAPTER EIGHT: Hospitals *§ 8.1 FEDERAL TAX LAW DEFINITION OF HOSPITAL § 8.3 PUBLIC HOSPITALS *§ 8.6 PANDEMIC RELIEF (NEW) NOTES

13  CHAPTER NINE: Managed Care Organizations § 9.3 COMMERCIAL‐TYPE INSURANCE PROVIDERS § 9.5 RECENT DEVELOPMENTS NOTES

14  CHAPTER THIRTEEN: Other Provider and Supplier Organizations § 13.3 QUALIFIED NONPROFIT HEALTH INSURANCE ISSUERS § 13.5 ACCOUNTABLE CARE ORGANIZATIONS *§ 13.6 CANNABIS‐RELATED SERVICES ORGANIZATIONS (NEW) NOTES

15  CHAPTER SIXTEEN: For‐Profit Subsidiaries § 16.3 ATTRIBUTION OF SUBSIDIARY'S ACTIVITIES TO EXEMPT PARENT NOTES

16  CHAPTER SEVENTEEN: Exempt and Nonexempt Cooperatives § 17.1 COOPERATIVE HOSPITAL SERVICE ORGANIZATIONS Note

17  CHAPTER EIGHTEEN: Business Leagues § 18.1 BUSINESS LEAGUES IN GENERAL § 18.2 HEALTHCARE TRADE ASSOCIATIONS § 18.3 CERTIFICATION ORGANIZATIONS AND PEER REVIEW BOARDS NOTES

18  CHAPTER NINETEEN: Other Health‐Related Organizations § 19.4 HOSPITAL MANAGEMENT SERVICES ORGANIZATIONS § 19.5 REGIONAL HEALTH INFORMATION ORGANIZATIONS NOTES

19  CHAPTER TWENTY: Healthcare Provider Reorganizations § 20.1 SOME BASICS ABOUT REORGANIZATIONS

20  CHAPTER TWENTY‐ONE: Mergers and Conversions § 21.4 CONVERSION FROM NONEXEMPT TO EXEMPT STATUS § 21.5 JOINT OPERATING AGREEMENTS NOTES

21  CHAPTER TWENTY‐TWO: Partnerships and Joint Ventures § 22.9 WHOLE‐HOSPITAL JOINT VENTURES

22  CHAPTER TWENTY‐THREE: Integrated Delivery Systems § 23.2 TAX STATUS OF IDS ORGANIZATIONS

23  CHAPTER TWENTY‐FOUR: Tax Treatment of Unrelated Business Activities § 24.2 DEFINITION OF TRADE OR BUSINESS § 24.3 DEFINITION OF REGULARLY CARRIED ON § 24.5 APPLICATION OF SUBSTANTIALLY RELATED TEST TO HEALTHCARE ORGANIZATIONS § 24.5A DEEMED UNRELATED BUSINESS INCOME § 24.11 PHARMACY, MEDICAL SUPPLIES, AND SERVICE SALES § 24.12 LABORATORY TESTING SERVICES § 24.13 MEDICAL RESEARCH § 24.18 OTHER EXCEPTIONS TO UNRELATED INCOME TAXATION § 24.20 REVENUE FROM CONTROLLED ORGANIZATIONS § 24.20A PARTNERSHIP RULES § 24.21 UNRELATED DEBT‐FINANCED INCOME § 24.23 COMPUTATION OF UNRELATED BUSINESS TAXABLE INCOME NOTES

24  CHAPTER TWENTY‐FIVE: Physician Recruitment and Retention § 25.5 SPECIFIC RECRUITMENT AND RETENTION TECHNIQUES NOTES

25  CHAPTER TWENTY‐SIX: Charity Care § 26.6 DEFINITIONAL AND REPORTING ISSUES § 26.9 CHARITY CARE AND NATIONAL HEALTH REFORM § 26.10 ADDITIONAL STATUTORY REQUIREMENTS FOR HOSPITALS *§ 26.12 PROVIDER TAXES (NEW) NOTES

26  CHAPTER TWENTY‐SEVEN: Worker Classification and Employment Taxes § 27.7 MEDICAL RESIDENTS AND THE STUDENT EXCEPTION

27  CHAPTER TWENTY‐EIGHT: Compensation and Employee Benefits § 28.3 EXECUTIVE COMPENSATION § 28.5 OVERVIEW OF EMPLOYEE BENEFITS LAW § 28.6 DEFERRED COMPENSATION IN GENERAL *§ 28.7 EXCESS EXECUTIVE COMPENSATION (NEW) NOTES

28  CHAPTER THIRTY: Tax‐Exempt Bond Financing § 30.3 DISQUALIFICATION OF TAX‐EXEMPT BONDS NOTES

29  CHAPTER THIRTY‐ONE: Fundraising Regulation § 31.2 FEDERAL LAW REGULATION NOTES

30  CHAPTER THIRTY‐THREE: Governance § 33.3 GOOD GOVERNANCE PRACTICES *§ 33.4A IRS RULING POLICY NOTES

31  CHAPTER THIRTY‐FOUR: Exemption and Public Charity Recognition Processes § 34.1 EXEMPTION RECOGNITION PROCESS § 34.5 PUBLIC CHARITY STATUS § 34.6 GROUP EXEMPTION § 34.7A NOTICE REQUIREMENTS FOR SOCIAL WELFARE ORGANIZATIONS (NEW) § 34.8 PROCEDURE WHERE DETERMINATION IS ADVERSE § 34.9 CONSTITUTIONAL LAW ASPECTS OF PROCESS (NEW) NOTES

32  CHAPTER THIRTY‐FIVE: Maintenance of Tax‐Exempt Status and Avoidance of Penalties § 35.1 MATERIAL CHANGES § 35.2A MODIFICATION OF TAX EXEMPTION (NEW) § 35.4 REDESIGNED ANNUAL INFORMATION RETURN § 35.5 DISCLOSURE REQUIREMENTS *§ 35.6 IRS DISCLOSURE TO STATE OFFICIALS NOTES

33  CHAPTER THIRTY‐SIX: IRS Audits of Healthcare Organizations § 36.2 AUDIT PROCEDURES NOTES

34  Online Resources

35  Cumulative Table of Cases

36  Cumulative Table of IRS Revenue Rulings

37  Cumulative Table of IRS Revenue Procedures

38  Cumulative Table of IRS Private Letter Rulings

39  Cumulative Table of IRS Technical Advice Memoranda

40  Table of Chief Counsel Advice Memoranda

41  Cumulative Table of IRS General Counsel Memoranda

42  Table of Tax Reform Legislation OVERVIEW OF LEGISLATION TAX‐EXEMPT ORGANIZATIONS LAW CHANGES INCOME TAX CHARITABLE DEDUCTION LAW CHANGES DELETED PROPOSALS NOTES

43  Cumulative Index

44  End User License Agreement

Guide

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The Law of Tax-Exempt Healthcare Organizations

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