5
State Board of equalization ProPerty tax exemPtion manual
wereshortertoaccommodateyoungpeople,theownermadeeortstoencourageparticipation
byminorities,low-income,anddisabledindividuals,andtheinstitution’sfeeswerewaivedfor
thoseunabletopay.Ultimately,theinstitutionapplyingfortheexemptionisinthebestposition
toshow itsworkis charitableand shouldsupplywhatever informationwill demonstratethis
to the Exemption Designee. The institution may provide a list of the services or programs it
provides,whoitstargetaudienceis,adescriptionofitsfeestructureand/orfeewaivers,etc.
AllofthesemayfactorintotheExemptionDesignee’sdecisionastowhethertheinstitutionis
charitableundertheapplicableexemptionlaws.
Apropertymaybeheldasnon-charitable(andnon-exempt)wheretheprimaryuseisnotcharitable
innature.TheTennesseeSupremeCourthasheldthatwhereaclubwasoverwhelminglydevoted
toathleticsandsocialevents,aminimalamountofcharitableworkwasinsucienttoexempt
thepropertybased onthose minimal charitableuses.
8
Similar reasoning hasbeen applied to
ChambersofCommerceand,morerecently,VanderbiltUniversity’sfraternityhouses.
9
Medicalfacilitiesandnursinghomesmaybeexemptedascharitableinstitutions.Ofcourse,this
determinationdependsonthefactsatissue.Aninitialconsiderationiswhethertheinstitutionis
for-protornot-forprot.For-protmedicalfacilitiesarenoteligibleforpropertytaxexemption.
Anotherimportantdistinctionisdrawnbetweena“clinic,”andahospitalorotherlicensedhealthcare
facilitythatprovides medical care. Clinicswillbe discussed below. Licensednon-prothospitals,
nursinghomes,dialysisclinics,andothersimilarlyregulatedfacilitieswillalmostalwaysqualifyfor
exemption.Thereisageneralpresumptionthatlicensedorcertiedmedicalandnursingfacilities
areexempt.
10
Otherfactorsthatshowthefacilityisorisnotcharitablewillalsobeconsidered.
Forexemptionpurposes,a“clinic”isanyfacilityotherthanahospitalorotherlicensedhealthcare
facilitythatprovidesprimarymedicalcare.Tenn.Comp.R.&Regs.0600-08-.03(1).Specialty
facilitiessuchascardiovascularorsurgicalclinicsareconsidered“clinics”forthispurpose.For
aclinictoqualifyforexemptionitmust:
1. Beownedbyacharitableinstitution;
2. Belocatedinamedicallyunderservedareaorserveamedicallyunderserved
population.Thedeterminationthatanareaorpopulationismedicallyunderserved
ismadebytheU.S.DepartmentofHealthandHumanServicesortheStateof
Tennessee;
3. Provideserviceswithoutregardfortheabilitytopay.Iftheclinicacceptsany
insuranceitmustalsoacceptTennCare,Medicare,anduninsuredpatients;
4. Eithernotchargeforitsservices,oritsfeesmustbeadjustedforhouseholdincome
andfamilysize;and,
5. Notpayanyemployeemorethanwhatisreasonable,comparedtoothersimilarly
qualiedandexperiencedstaatotherinstitutionsprovidingthesameservices.
8
State v. Rowan, 171Tenn.612,106S.W.2d861(Tenn.1937).
9
Memphis Chamber of Commerce v. City of Memphis,232S.W.73,73(Tenn.1921);SeealsoVanderbilt Univ. v. Tennessee State
Bd. of Equalization,No.M201401386COAR3CV,2015WL1870194,at*9(Tenn.Ct.App.Apr.22,2015).
10
See Baptist Hosp. v. City of Nashville,3S.W.2d1059(Tenn.1928);Downtown Hosp. Ass’n v. Tennessee State Bd. of
Equalization,760S.W.2d954,957(Tenn.Ct.App.1988);Christian Home For The Aged, Inc. v. Tenn. Assessment Appeals
Comm’n, 790S.W.2d288(Tenn.Ct.App.1990)(armingtheexemptionofanursinghomewithlittlediscussionaboutitexcept
thefactualrecitation).
mediCal faCilities and nursing homes