OPINION BY
Judge FRIEDMAN.
Guthrie Clinic, Ltd. (Guthrie) appeals from the April 21, 2005, order of the Court of Common Pleas of the 44th Judicial District (Sullivan County Branch) (trial court), which denied Guthrie’s request for an exemption from Pennsylvania real estate taxes for its clinic located in Dushore, Sullivan County (Dushore Clinic).
Guthrie, a medical group that incorporated in 1987 as a professional corporation,
employs approximately 220-physicians in various clinics that serve approximately forty communities throughout the northern tier of Pennsylvania and the southern tier of central New York. (R.R. 125a, 130a.) Among these, Guthrie operates the Du-shore Clinic. Staffed by one physician specializing in internal medicine and a part-time nurse practitioner who specializes in family medicine, (R.R. at 218a), the Dushore Clinic provides primary medical care to residents of Sullivan County.
Guthrie is exempt from federal income taxation under section 501(c)(3) of the Internal Revenue Code, 26 U.S.C. § 501(c)(3),
and is exempt from paying Pennsylvania sales tax under the act known as the Institutions of Purely Public Charity Act, Act of November 26, 1997, P.L. 508, 10 P.S. §§ 371-385 (Act 55). (R.R. at 125a.)
In August 2004, Guthrie applied to the Sullivan County Board of Assessment Appeals (Board) seeking a real estate tax exemption, as a purely public charity, for its Dushore Clinic. By a decision dated November 2, 2004, the Board denied Guthrie’s exemption request, and Guthrie filed a timely appeal to the trial court, which held a
de novo
hearing on the matter.
At the hearing, James Armstrong, Guthrie’s Chief Financial Officer, and Paul Cha-cona, Guthrie’s Senior Vice President and Chief Operating Officer, testified regarding physician compensation. Armstrong explained that Guthrie sets physician compensation by first determining the
“'productivity
” of each physician. Using a national survey, Guthrie then determines how other physicians with the same level of productivity are being compensated and
pays its physicians fifteen percent less than that amount. (R.R. at 144a-46a.) On cross-examination, Armstrong admitted that the more a physician
“produces,”
the higher the salary and that there is a financial incentive for physicians to be more
“productive.”
(R.R. at 193a, 211a.) For example, Armstrong testified that Dr. Deshmukh’s salary was based on his productivity and that if Dr. Deshmukh produced an outstanding
amount,
he would receive a higher salary. (R.R. at 198a.) Armstrong also testified about Guthrie’s Profit Sharing Plan/Pension Plan (Plan).
(R.R. at 149-51a, 195a-96a.) According to Armstrong, both individual employees and Guthrie make contributions to the Plan, with Guthrie making a set contribution of two percent of the employee’s salary and a discretionary contribution. (R.R. at 150a, 195a-96a.) Armstrong stated that the Board of Directors determines the discretionary contribution to the Plan annually, and the current contribution was five percent of an employee’s salary. (R.R. at 150a-51a, 196a.) Finally, Armstrong acknowledged that Guthrie’s prime contract for physicians included a non-competition clause; he also admitted that Guthrie has a bonus program and that part of his compensation is subject to a bonus at the Board of Directors’ discretion. (R.R. at 150a, 198a-99a, 211a.)
Chacona provided similar testimony regarding Guthrie’s calculation of compensation for the physician at the Dushore Clinic, stating “we map [his compensation] out with a fifteen percent deduction
based on the revenues generated
as compared to the national survey.” (R.R. at 223a) (emphasis added). On cross-examination, however, Chacona stated that a physician’s compensation is based on that physician’s
“pro
ductivity.” (R.R. at 230a.)
After considering the testimony, the trial court held that Guthrie had failed to qualify for the exemption as a purely public charity because Guthrie failed to demonstrate that it operated entirely free from private profit motive as required by both
Hospital Utilization Project v. Commonwealth,
507 Pa. 1, 487 A.2d 1306 (1985) (HUP) and Act 55. The trial court found evidence that Guthrie bases the compensation of its physician employees on the financial performance of the institution and dismissed Guthrie’s assertions that because its expenses have always exceeded its income, it has never generated a profit. (Trial ct. op. at 3.) Guthrie now appeals this decision.
Guthrie argues that the trial court erred in affirming the Board’s denial of the real estate tax exemption on the grounds that Guthrie does not operate entirely free from private profit motive and, thus, is not a purely public charity under
HUP
and Act 55.
Initially, we recognize that an institution seeking a real estate tax exemption bears a heavy burden.
Saint Joseph Hos
pital v. Berks County Board of Assessment Appeals,
709 A.2d 928 (Pa.Cmwlth.1998). First, the institution must prove that it is a “purely public charity” by satisfying the test set forth by our supreme court in
HUP. Lewistown Hospital v. Mifflin County Board of Assessment Appeals,
706 A.2d 1269 (Pa.Cmwlth.1998),
appeal denied,
563 Pa. 679, 759 A.2d 925 (2000). Under
HUP,
507 Pa. at 21-22, 487 A.2d at 1317 (emphasis added), a “purely public charity” must possess
all
of the following characteristics:
(a) Advances a charitable purpose;
(b) Donates or renders gratuitously a substantial portion of its services;
(c) Benefits a substantial and indefinite class of persons who are legitimate subjects of charity;
(d) Relieves the government of some of its burden; and
(e)
Operates entirely free from private profit motive.
After meeting the
HUP
requirements, the institution still must satisfy all of the five quantitative elements established by the General Assembly in section 5 of Act 55, 10 P.S. § 375, before the institution qualifies as a purely public charity.
Community Options, Inc. v. Board of Property Assessment,
571 Pa. 672, 813 A.2d 680 (2002).
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OPINION BY
Judge FRIEDMAN.
Guthrie Clinic, Ltd. (Guthrie) appeals from the April 21, 2005, order of the Court of Common Pleas of the 44th Judicial District (Sullivan County Branch) (trial court), which denied Guthrie’s request for an exemption from Pennsylvania real estate taxes for its clinic located in Dushore, Sullivan County (Dushore Clinic).
Guthrie, a medical group that incorporated in 1987 as a professional corporation,
employs approximately 220-physicians in various clinics that serve approximately forty communities throughout the northern tier of Pennsylvania and the southern tier of central New York. (R.R. 125a, 130a.) Among these, Guthrie operates the Du-shore Clinic. Staffed by one physician specializing in internal medicine and a part-time nurse practitioner who specializes in family medicine, (R.R. at 218a), the Dushore Clinic provides primary medical care to residents of Sullivan County.
Guthrie is exempt from federal income taxation under section 501(c)(3) of the Internal Revenue Code, 26 U.S.C. § 501(c)(3),
and is exempt from paying Pennsylvania sales tax under the act known as the Institutions of Purely Public Charity Act, Act of November 26, 1997, P.L. 508, 10 P.S. §§ 371-385 (Act 55). (R.R. at 125a.)
In August 2004, Guthrie applied to the Sullivan County Board of Assessment Appeals (Board) seeking a real estate tax exemption, as a purely public charity, for its Dushore Clinic. By a decision dated November 2, 2004, the Board denied Guthrie’s exemption request, and Guthrie filed a timely appeal to the trial court, which held a
de novo
hearing on the matter.
At the hearing, James Armstrong, Guthrie’s Chief Financial Officer, and Paul Cha-cona, Guthrie’s Senior Vice President and Chief Operating Officer, testified regarding physician compensation. Armstrong explained that Guthrie sets physician compensation by first determining the
“'productivity
” of each physician. Using a national survey, Guthrie then determines how other physicians with the same level of productivity are being compensated and
pays its physicians fifteen percent less than that amount. (R.R. at 144a-46a.) On cross-examination, Armstrong admitted that the more a physician
“produces,”
the higher the salary and that there is a financial incentive for physicians to be more
“productive.”
(R.R. at 193a, 211a.) For example, Armstrong testified that Dr. Deshmukh’s salary was based on his productivity and that if Dr. Deshmukh produced an outstanding
amount,
he would receive a higher salary. (R.R. at 198a.) Armstrong also testified about Guthrie’s Profit Sharing Plan/Pension Plan (Plan).
(R.R. at 149-51a, 195a-96a.) According to Armstrong, both individual employees and Guthrie make contributions to the Plan, with Guthrie making a set contribution of two percent of the employee’s salary and a discretionary contribution. (R.R. at 150a, 195a-96a.) Armstrong stated that the Board of Directors determines the discretionary contribution to the Plan annually, and the current contribution was five percent of an employee’s salary. (R.R. at 150a-51a, 196a.) Finally, Armstrong acknowledged that Guthrie’s prime contract for physicians included a non-competition clause; he also admitted that Guthrie has a bonus program and that part of his compensation is subject to a bonus at the Board of Directors’ discretion. (R.R. at 150a, 198a-99a, 211a.)
Chacona provided similar testimony regarding Guthrie’s calculation of compensation for the physician at the Dushore Clinic, stating “we map [his compensation] out with a fifteen percent deduction
based on the revenues generated
as compared to the national survey.” (R.R. at 223a) (emphasis added). On cross-examination, however, Chacona stated that a physician’s compensation is based on that physician’s
“pro
ductivity.” (R.R. at 230a.)
After considering the testimony, the trial court held that Guthrie had failed to qualify for the exemption as a purely public charity because Guthrie failed to demonstrate that it operated entirely free from private profit motive as required by both
Hospital Utilization Project v. Commonwealth,
507 Pa. 1, 487 A.2d 1306 (1985) (HUP) and Act 55. The trial court found evidence that Guthrie bases the compensation of its physician employees on the financial performance of the institution and dismissed Guthrie’s assertions that because its expenses have always exceeded its income, it has never generated a profit. (Trial ct. op. at 3.) Guthrie now appeals this decision.
Guthrie argues that the trial court erred in affirming the Board’s denial of the real estate tax exemption on the grounds that Guthrie does not operate entirely free from private profit motive and, thus, is not a purely public charity under
HUP
and Act 55.
Initially, we recognize that an institution seeking a real estate tax exemption bears a heavy burden.
Saint Joseph Hos
pital v. Berks County Board of Assessment Appeals,
709 A.2d 928 (Pa.Cmwlth.1998). First, the institution must prove that it is a “purely public charity” by satisfying the test set forth by our supreme court in
HUP. Lewistown Hospital v. Mifflin County Board of Assessment Appeals,
706 A.2d 1269 (Pa.Cmwlth.1998),
appeal denied,
563 Pa. 679, 759 A.2d 925 (2000). Under
HUP,
507 Pa. at 21-22, 487 A.2d at 1317 (emphasis added), a “purely public charity” must possess
all
of the following characteristics:
(a) Advances a charitable purpose;
(b) Donates or renders gratuitously a substantial portion of its services;
(c) Benefits a substantial and indefinite class of persons who are legitimate subjects of charity;
(d) Relieves the government of some of its burden; and
(e)
Operates entirely free from private profit motive.
After meeting the
HUP
requirements, the institution still must satisfy all of the five quantitative elements established by the General Assembly in section 5 of Act 55, 10 P.S. § 375, before the institution qualifies as a purely public charity.
Community Options, Inc. v. Board of Property Assessment,
571 Pa. 672, 813 A.2d 680 (2002). Relevant here is the requirement in section 375(c), which provides: the institution must operate entirely free from private profit motive. Notwithstanding whether the institution’s revenues exceed its expenses, this criterion is satisfied if the institution meets
all
of the following:
(1) Neither the institution’s net earnings nor donations which it receives inures to the benefit of private shareholders or other individuals....
(2) The institution applies or reserves all revenue, including contributions, in excess of expenses in furtherance of its charitable purpose....
(3)
Compensation, including benefits, of any director, officer or employee is not based primarily upon the financial performance of the institution.
(4) The governing body of the institution of purely public charity has adopted as part of its articles of incorporation ... a provision that expressly prohibits the use of any surplus funds for private inurement to any person in the event of a sale or dissolution of the institution of purely public charity.
10 P.S. § 375(c) (emphasis added). If the institution meets all of these requirements, it is considered a “purely public charity.”
However, this status by itself does not automatically entitle the entity to the tax exemption. Rather, the institution also is required to prove that it is eligible for a charitable tax exemption under the appropriate county assessment law, in this case, section 202 of The Fourth to Eighth Class County Assessment Law (Assessment Law), Act of May 21, 1943, P.L. 571,
as amended,
72 P.S. § 5453.202.
See e.g., Community General Osteopathic Hospital v. Dauphin County Board of Assessment Appeals,
706 A.2d 383 (Pa.Cmwlth.1998),
aff'd,
562 Pa. 229, 754 A.2d 679 (2000);
Mt. Macrina Manor, Inc. v. Fayette County
Board of Assessment Appeals,
683 A.2d 935 (Pa.Cmwlth.1996). Only when the institution successfully proves
all
of the elements above, is it entitled to an exemption from real estate taxes. According to Guthrie, the trial court committed three errors in ruling that Guthrie did not qualify for the tax exemption. We disagree.
Guthrie first maintains that the trial court improperly concluded that an entity’s entitlement to the tax exemption depends upon whether that entity operates at a profit or loss.
However, contrary to Guthrie’s assertion, the trial court did not base its decision on the fact that Guthrie realized a profit. Rather, the trial court reasoned that Guthrie was not a “purely public charity” because there is evidence that the compensation of the physician employees of Guthrie is based on the financial performance of the institution. (Trial ct. op. at 3.)
Next, Guthrie contends that the trial court erred by addressing only section 375(c)(3) (compensation, including benefits, is based primarily on the institution’s financial performance) and ignoring the remaining three criteria set forth in section 375(c) of Act 55 to determine whether Guthrie operates entirely free from private profit motive. However, in order to qualify as an institution operating entirely free from private profit motive under section 375(c) of Act 55, the institution must meet
all
four of the criteria set forth in that section. Therefore, once the trial court concluded that Guthrie failed to satisfy one of the requirements, specifically section 375(c)(3), the trial court chose not to address the remaining criteria. It did not err in doing so.
Finally, Guthrie argues that the record does not contain substantial evidence to support the trial court’s finding that the compensation of Guthrie’s physician employees is based primarily on Guthrie’s financial performance.
As the institution seeking the tax exemption, Guthrie bears the burden of proving that its employees’ compensation, including
benefits,
is
not
primarily based on Guthrie’s financial performance.
Saint Joseph Hospital.
The trial court concluded that Guthrie had failed to meet this burden, and we agree. Although Armstrong testified that physician compensation is
not
based on Guthrie’s financial performance,
he also testified that: (1) physician compensation is based on that physician’s “productivity” and agreed that when a physician produces an outstanding
amount,
then that physician receives a higher salary, (R.R. at 198a); (2) Guthrie offers a “Profit Sharing Plan,” part of which consists of discretionary contributions made by the Board of Directors; and (3) Guthrie’s bonus program allows the Board of Directors to give bonuses to employees at its discretion. Further, Chaco-
na testified that Dushore’s physician’s compensation is based on the
revenue
the physician produces for Guthrie.
A reasonable mind could conclude from this testimony that Guthrie failed to meet at least one of the
HUP
and Act 55 requirements, rendering Guthrie ineligible for the real estate tax exemption as a purely public charity, the trial court did not err by affirming the Board’s decision.
Accordingly, we affirm.
ORDER
AND NOW, this 25th day of April, 2006, the April 21, 2005, order of the Court of Common Pleas of the 44th Judicial District (Sullivan County Branch) is hereby affirmed.