Office of the Attorney General
State of Texas


November 4, 1977

Honorable Charles R. Holcomb
County Attorney
Cherokee County Courthouse
Rusk, Texas

Opinion No. H-1085

Re: Whether a foundation which owns a clinic and leases it to a physicians' association is exempt from ad valorem taxes.

Dear Mr. Holcomb:

You have requested our opinion concerning the exemption from ad valorem taxation of the property of the Travis Clinic Foundation. You have informed us that the Foundation is a nonprofit corporation which owns the Travis Clinic. The Foundation leases the Clinic to the Travis Clinic Association; the Association pays rentals sufficient to pay the indebtedness of the Foundation as well as any revenues remaining after payment of operating expenses. The doctors see no private patients; their salaries are set by the Association subject to the approval of the Foundation.

Sections 7 and 28 of article 7150, V.T.C.S., provide for exemption of property of purely public charities. In order to qualify for an exemption, property must satisfy both the requirements of the statute and the more restrictive requirements of article 8, section 2 of the Texas Constitution. City of McAllen v. Evangelical Lutheran Good Samaritan Society, 530 S.W.2d 806 (Tex. 1975); City of Houston v. Scottish Rite Benevolent Association, 230 S.W. 978 (Tex. 1921).

The threshold requirement for an exemption is that the property must be owned by a 'purely public charity,' an organization which satisfies the following criteria:

First, it [makes] no gain or profit, second, it [accomplishes] ends wholly benevolent; and, third, it [benefits] persons, indefinite in numbers and in personalities, by preventing them, through absolute gratuity, from becoming burdens to society and to the state.

City of McAllen v. Evangelical Lutheran Good Samaritan Society, supra, at 808- 09. Whether an organization satisfies these criteria is a question of fact. City of McAllen, supra; Malone-Hogan Hospital Clinic Foundation v. City of Big Spring, 288 S.W.2d 550 (Tex. Civ. App.--Eastland 1956, writ ref'd n.r.e.). One of the relevant facts is the organization's actual practice regarding the admission of charity patients. While we have been furnished with a declaration of policy of the Foundation and Association which would indicate that patients are accepted without regard to their ability to pay, a mere declaration will not suffice; the question is whether the admission policy is in fact so administered. City of McAllen, supra; Hilltop Village, Inc. v. Kerrville Independent School District, 487 S.W.2d 167 (Tex. Civ. App.--San Antonio 1972, writ ref'd n.r.e.); see River Oaks Garden Club v. City of Houston, 370 S.W.2d 851 (Tex. 1963). In order to reach the legal issue raised by the facts presented, we will assume that the Clinic admits patients regardless of their ability to pay and that the Foundation qualifies as a purely public charity.

The most serious question concerning the availability of the exemption arises from the lease of the property to the Association. Some courts have apparently believed that the use of property by anyone other than the charitable owner would prevent an exemption. See Attorney General Opinion H- 342 (1974). In Attorney General Opinion H-342 (1974) we predicted

that our Texas Supreme Court would, at least hold that if a normal landlord-tenant relationship is not present, and no rent is charged, that the use of a portion of a charitable hospital by a charitable blood bank will not cause the hospital to lose its tax exempt status.

Id. at 6. Subsequently, the Supreme Court stated:

It has often been held that a charitable institution is entitled to exemption of only that property which is used by the institution exclusively for purely public charity. By this it is meant that if the institution rents the premises to someone who does not qualify for the charitable exemption, though the revenue is used entirely by the institution in its work of pure charity, the premises are not exempt from taxation. Morris v. Masons, 68 Tex. 698, 703, 5 S.W. 519 (1887). Further, the owner may not permit its property to be used by organizations which exist for purposes which are not charitable. City of Houston v. Scottish Rite Benevolent Association, supra. It does not follow that every use of the property must be gratuitous. There may be hospital patients, for example, who fully compensate the institution for all services received, but the character of the institution and the charitable nature of the use of the property is not nullified. Santa Rosa Infirmary v. City of San Antonio, 259 S.W. 926 (Tex. Comm'n App. 1924 jdgmt adopted).

City of McAllen, supra at 810 (Emphasis added). The clear implication of the underlined portion is that a charitable organization may 'rent' the exempt property to 'someone who does . . . qualify for the charitable exemption.' In our view this authorization constitutes a rational exception to the doctrine expressed in the older cases that the creation of a landlord-tenant relationship would void an exemption. Of course we are aware that the relationship of the Foundation and the Clinic is not merely that of landlord- tenant, but in any event the issue is whether the Travis Clinic Association would qualify for the exemption, that is, whether the Association is a purely public charity.

As noted above, this is a question of fact. For the Association to constitute a purely public charity, its operations must give rise to no personal profit or private benefit. City of McAllen, supra; City of Longview v. Markham-McRee Memorial Hospital, 152 S.W.2d 1112 (Tex. 1941); Malone-Hogan Hospital Clinic Foundation, supra; Raymondville Memorial Hospital v. State, 253 S.W.2d 1012 (Tex. Civ. App.--San Antonio 1952, writ ref'd n.r.e.). You have informed us that all revenues of the Association remaining after the payment of operating expenses are transferred to the Foundation; therefore, the Association itself does not show a profit. However, the cases indicate that an exemption may be lost due to private gain on the part of individual doctors. In this regard you have informed us that the doctors who work at the clinic have no private patients and are compensated only by salary from the Association, which salary is not dependent upon the number of patients treated. Thus, the operation of the Travis Clinic is apparently distinguishable from that of the hospitals in City of Longview and Raymondville Memorial Hospital where the exemptions were denied because the staff doctors obtained a private benefit through the admission of private paying patients.

In Malone-Hogan Hospital Clinic Foundation v. City of Big Spring, supra, an exemption was denied because

the amount of salary paid to doctors depend[ed] on the income of the hospital. . . . An applicable rule is stated in Volume 2, Restatement of the Law of Trusts, page 1167, Section 376, as follows:

'The mere fact that persons who are not objects of charity incidentally benefit from the maintenance of a charitable institution does not prevent the institution from being charitable although salaries are paid to its managers, officers and employees. If, however, the fixing of a salary is merely a device for securing the profits of the institution and not merely compensation for services rendered, the institution is not a charitable institution.' Cleveland Osteopathic Hospital v. Zangerle, 153 Ohio St. 222, 91 N.E.2d 261, 264.

Id. at 553. Of course the nature of the salaries of the doctors (members of the Travis Clinic Association) on the Clinic staff is a question of fact which we cannot resolve.

If the facts establish that the Travis Clinic Foundation and the Travis Clinic Association operate as purely public charities, then the property would be exempt from taxation notwithstanding its lease from the Foundation to the Association. We do not determine whether the Association and Foundation are in fact purely public charities.


If the Travis Clinic Foundation and the Travis Clinic Association operate as purely public charities, a question we cannot here determine, then property belonging to the Foundation which is so operated would be exempt from taxation notwithstanding the lease of such property to the Association.

      Very truly yours,

      Hill signature

      John L. Hill
      Attorney General of Texas


      David M. Kendall
      First Assistant

      C. Robert Heath
      Chairman Opinion Committee

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