Brief Fact Summary. Utah County (Plaintiff) contended that Intermountain Health Care (Defendant), operating two nonprofit hospitals, was not entitled to tax-exempt status.
Synopsis of Rule of Law. A hospital may be considered nonprofit and at the same time not be entitled to a tax exemption.
Issue. May a hospital be considered nonprofit and at the same time not be entitled to a tax exemption?
Held. (Durham, J.)Â Yes.Â A hospital may be considered nonprofit and at the same time not be entitled to a tax exemption.Â Under the Utah constitution, charitable institutions are the only entities entitled to a property tax exemption.Â Whether an institution is charitable does not depend on a nonprofit classification.Â The workings of the institution must be analyzed against the standard of what constitutes a charitable institution.Â Factors include:Â (1) whether the entity provides services without expectation of material reward, (2) the extent to which it is supported by donations, (3) the extent to which recipients are expected to pay for services, (4) whether income exceeds expenses, (5) restrictions upon beneficiaries, and (6) whether financial benefits are available to those involved.Â In this case, free services amounted to less than one percent of the hospital’s revenue; only a small amount of revenue came from donations; patients were charged; income exceeded expenses; indigents were discouraged from seeking treatment; and even thou employees were unpaid, contractors (who were often also employees) were regularly utilized.Â In light of these considerations, charitable status did not appear appropriate.Â Reversed.
This objection seems to us without merit, so long as charity was dispensed to all those who needed it and who applied therefor, and so long as no private gain or profit came to any person connected with the institution, and so long as it does not appear that any obstacle, of any character, was by the corporation placed in the way of those who might need charity of the kind dispensed by this institution, calculated to prevent such persons making application to or obtaining admission to the hospital.View Full Point of Law
Discussion. In prior years, most hospitals were charitable in that they were affiliated with a church or philanthropic organization and were money-losers.Â For-profit hospitals became the norm in the twentieth century.Â While still having indications of charitable institutions, they are run like businesses.Â It is now always clear where charity ends and business begins.