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The Law of Tax-Exempt Healthcare Organizations 2017 Cumulative Supplement, 4th Edition + Website

The Law of Tax-Exempt Healthcare Organizations 2017 Cumulative Supplement, 4th Edition + Website

Thomas K. Hyatt, Bruce R. Hopkins

ISBN: 978-1-119-34639-5

Mar 2017

96 pages

$180.99

Product not available for purchase

Description

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.

Preface ix

About the Authors xi

Book Citations xv

1 Tax-Exempt Healthcare Organizations—An Overview 1

1.2 Defining Tax-Exempt Organizations 1

1.5 Charitable Healthcare Organizations 1

1.10 ABLE Programs 2

4 Private Inurement, Private Benefit, and Excess Benefit Transactions 5

4.4 Private Inurement—Scope and Types 5

4.6 Essence of Private Benefit 6

4.9 Excess Benefit Transactions 8

5 Public Charities and Private Foundations 9

5.6 Recognition of Change in Public Charity Status 9

7 Lobbying and Political Activities 11

7.1 Legislative Activities Limitation 11

7.4 Political Activities Limitation 12

7.5 Business Expense Deduction Rules and Political Activities 13

7.8 Political Activities of Social Welfare Organizations 13

9 Managed Care Organizations 15

9.5 Recent Developments 15

13 Other Provider and Supplier Organizations 19

13.3 Qualified Nonprofit Health Insurance Issuers 19

13.5 Accountable Care Organizations 20

16 For-Profit Subsidiaries 25

16.3 Attribution of Subsidiary’s Activities to Exempt Parent 25

17 Exempt and Nonexempt Cooperatives 27

17.1 Cooperative Hospital Service Organizations 27

18 Business Leagues 29

18.1 Business Leagues in General 29

19 Other Health-Related Organizations 31

19.4 Hospital Management Services Organizations 31

20 Healthcare Provider Reorganizations 33

20.1 Some Basics about Reorganizations 33

21 Mergers and Conversions 35

21.4 Conversion from Nonexempt to Exempt Status 35

24 Tax Treatment of Unrelated Business Activities 37

24.2 Definition of Trade or Business 37

24.3 Definition of Regularly Carried On 39

24.12 Laboratory Testing Services 40

24.18 Other Exceptions to Unrelated Income Taxation 40

24.20 Revenue from Controlled Organizations 40

24.23 Computation of Unrelated Business Taxable Income 41

25 Physician Recruitment and Retention 43

25.5 Specific Recruitment and Retention Techniques 43

26 Charity Care 45

26.10 Additional Statutory Requirements for Hospitals 45

27 Worker Classification and Employment Taxes 59

27.7 Medical Residents and the Student Exception 59

28 Compensation and Employee Benefits 61

28.5 Overview of Employee Benefits Law 61

28.6 Deferred Compensation in General 61

30 Tax-Exempt Bond Financing 65

30.3 Disqualification of Tax-Exempt Bonds 65

31 Fundraising Regulation 71

31.2 Federal Law Regulation 71

33 Governance 73

33.4A IRS Ruling Policy 73

34 Exemption and Public Charity Recognition Processes 77

34.1 Exemption Recognition Process 77

34.5 Public Charity Status 85

34.6 Group Exemption 85

34.7A Notice Requirements for Social Welfare Organizations (New) 85

34.8 Procedure Where Determination Is Adverse 87

34.9 Constitutional Law Aspects of Process 88

35 Maintenance of Tax-Exempt Status and Avoidance of Penalties 89

35.2A Modification of Tax Exemption (New) 90

35.4 Redesigned Annual Information Return 91

35.5 Disclosure Requirements 91

35.6 IRS Disclosure to State Officials 92

36 IRS Audits of Healthcare Organizations 93

36.2 Audit Procedures 93

Cumulative Table of Cases 97

Table of IRS Revenue Rulings 107

Cumulative Table of IRS Revenue Procedures 111

Table of IRS General Counsel Memoranda 113

Table of IRS Private Letter Rulings 115

Table of IRS Technical Advice Memoranda 121

Index 123