REDLANDS SURGICAL SERVICES - Page 69




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          (educational, training and community-oriented programs conducted            
          at a hospital and funded by a third party were not sufficient to            
          merit the hospital’s tax exemption where other disqualifying                
          factors were present).                                                      

          C.   Competitive Restrictions and Market Advantages                         
               By entering into the General Partnership agreement, RHS                
          (petitioner's parent corporation and predecessor in interest in             
          the General Partnership) not only acquired an interest in the               
          Surgery Center, but also restricted its future ability to provide           
          outpatient services at Redlands Hospital or elsewhere without the           
          approval of its for-profit partner.  Paragraph 16 of the General            
          Partnership agreement, supra, prohibits the co-general partners             
          and their affiliates from owning, managing, or developing another           
          freestanding outpatient surgery center within 20 miles of the               
          Surgery Center, without the other partner’s consent.  Moreover,             
          Redlands Hospital may not “expand or promote its present                    
          outpatient surgery program within the Hospital.”  In fact,                  
          outpatient surgeries performed at Redlands Hospital decreased               
          about 17 percent from 1990 to 1995, while those performed at the            
          Surgery Center increased.                                                   
               The General Partnership agreement also restricts the parties           
          and their affiliates from providing outpatient surgery services             
          and procedures that the agreement does not specifically authorize           
          to be provided at the Surgery Center (hereinafter referred to as            





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Last modified: May 25, 2011