REDLANDS SURGICAL SERVICES - Page 76




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          profit-maximizing incentive; and the market advantages and                  
          competitive benefits secured by the SCA affiliates as the result            
          of this arrangement with petitioner.  Taken in their totality,              
          these factors compel the conclusion that by ceding effective                
          control over its operations to for-profit parties, petitioner               
          impermissibly serves private interests.                                     

                     IV.  Petitioner’s Claim to Exemption Under                       
                             the Integral Part Doctrine                               
               Petitioner argues that even if it does not qualify for tax             
          exemption on a “stand alone” basis, it qualifies for exemption              
          under the integral part doctrine.                                           
               The integral part doctrine is not codified, but rather is              
          the outgrowth of judicial opinions, rulings, and regulations.               
          The precise contours of this doctrine are not clearly defined.              
          The seminal case of Squire v. Students Book Corp., 191 F.2d 1018            
          (9th Cir. 1951), held that an organization that operated a                  
          bookstore on the premises of a college for the accommodation of             
          students and faculty was exempt because it bore a “close and                
          intimate relationship” to the functioning of the college itself.            
          See also Brundage v. Commissioner, 54 T.C. 1468 (1970); Estate of           
          Thayer v. Commissioner, 24 T.C. 384 (1955).                                 
               Shortly after the decision in Squire, Treasury regulations             
          acknowledged the existence of the integral part doctrine in                 








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