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Non-profit healthcare organizations are purposefully set up to offer standardized healthcare services to the communities where they are established without the aim of profit making. However these non-profit healthcare organizations must generate revenue to sustain their operations thus may price their services. According to Internal Revenue Service (IRS) the standard of benefit a community derives from a non-profit healthcare organization is very essential. The standard of benefit determines the decision of IRS to exempt healthcare organizations from taxes.

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Tax-exemption for some healthcare organizations

According to Nowicki M. (2011), healthcare organizations may be exempted from taxes if they are non-profit based and also meet certain set conditions. Their services should target the welfare of the community and rather not for profit making. Therefore when an organization is charity centered in its services with aim of improving scientific and education standards in the community it qualify for tax-exemption. The organization would be compelled to seek public interests at the expense of private goals to qualify for tax-exemptions. Such healthcare organizations would ensure individuals in the community receive healthcare services at affordable costs.

Moreover when a healthcare organization receives patients at all times of its operations without any discrimination on payment basis, i may be considered for tax-exemptions. A non-profit making healthcare organization should offer its services to the members of the community irrespective of their ability to pay for such services. The beneficiaries of these healthcare services are the members of the community who are able to receive medical services as the costs would be affordable. Therefore all members of the community will afford healthcare services irrespective of their economic ability.

In summary tax-exemption conditions include benefit standard to the community, private involvement and pricing of services, financial analysis of healthcare organizations, ventures of healthcare organizations and independent contractors’ involvement.  

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Appropriate level of Community Benefit

Healthcare organizations can only qualify to be considered for tax-exemption if they portray standard community benefit. These include non-participation in public campaigns and the involvement of community in the management of the healthcare organization. In addition the amount of charity offered by the organization should also be of significance (Nowicki, 2011).

The level of community benefit is also determined by the readiness of healthcare organization to offer their services to patients without any compensation such as insurance. These uncompensated patients have limited ability to pay for the healthcare services hence depend on the charity services of non-profit making healthcare organizations. Non--profit making organizations are also rated on their involvement to provide healthcare to the poor, uninsured and low income members of the society. Therefore such non-profit healthcare organizations qualify for tax-exemptions as they do not have good return for their services but rely on private funds to run their organizations.

IRS Verification of Amounts Reported In Community Benefit

Internal Revenue Service (IRS) is mandated with responsibility of verifying the amounts reported by healthcare concerning community benefit. This responsibility could be undertaken with the help of privacy officer who ensures that privacy regulations are adhered to. In addition both internal and independent auditors could be useful in verifying the amounts reported by the healthcare organizations.

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However when a healthcare institution is challenged on their role in providing the expected community benefit standard, it should engage the interdisciplinary audit team approved by the IRS. The audit team considers the financial analysis, additional joint ventures and attendance to private and uninsured patients.

Profit Making (Taxed) Healthcare Organizations

Despite exemption from taxes of non-profit making healthcare organizations, some remain to be profit oriented.  According to Sullivan AL (2012), profit-making healthcare organizations provide easy access to healthcare as their services are not hindered by financial challenges.

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