REDLANDS SURGICAL SERVICES - Page 55




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          activities, however, does not establish that petitioner has                 
          effective control over the manner in which the Surgery Center               
          conducts activities within its predesignated sphere of                      
          operations.  Nor does it tend to indicate that the Surgery Center           
          is not operated to maximize profits with regard to those                    
          activities.  Indeed, given that all the partners except                     
          petitioner are for-profit interests not shown to be motivated or            
          constrained by charitable objectives, and given that all the                
          limited partners except Beaver Medical Clinic were issued SCA               
          common stock when the General Partnership acquired its interest             
          in the Operating Partnership, and given that SCA Management                 
          derives a management fee computed as a percentage of gross                  
          revenues, we find, in the absence of evidence to the contrary,              
          that a significant profit-making objective is present in the                
          Surgery Center’s operations.  The high rates of return earned on            
          the partners’ investments (including petitioner’s) in the                   
          Operating Partnership bolster this finding.                                 
               In sum, the composition of the managing directorship                   
          evidences a lack of majority control by petitioner whereby it               
          might assure that the Surgery Center is operated for charitable             
          purposes.12  Consequently, we look to the binding commitments               


               12 The managing directors of the General Partnership are               
          functionally equivalent to a hospital's board of directors, the             
          importance of which has been described as follows:                          
                                                             (continued...)           




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Last modified: May 25, 2011