Hassett v. Associated Hospital Service Corporation

125 F.2d 611, 28 A.F.T.R. (P-H) 1111, 1942 U.S. App. LEXIS 4436, 28 A.F.T.R. (RIA) 1111
CourtCourt of Appeals for the First Circuit
DecidedFebruary 4, 1942
Docket3708
StatusPublished
Cited by26 cases

This text of 125 F.2d 611 (Hassett v. Associated Hospital Service Corporation) is published on Counsel Stack Legal Research, covering Court of Appeals for the First Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hassett v. Associated Hospital Service Corporation, 125 F.2d 611, 28 A.F.T.R. (P-H) 1111, 1942 U.S. App. LEXIS 4436, 28 A.F.T.R. (RIA) 1111 (1st Cir. 1942).

Opinions

MAHONEY, Circuit Judge.

The plaintiff brought this action to recover taxes alleged to have been assessed and collected illegally under Title VIII of the Social Security Act of 1935, 49 Stat. 636, 639, 42 U.S.C.A. § 301 et seq., on the ground that the plaintiff is exempt from the act being “a corporation * * * organized and operated exclusively for * * * charitable * * * purposes * * * no part of the net earnings of which inures to the benefit of any private shareholder or individual”.1 The District Court gave judgment for the plaintiff holding that it was such a corporation. The defendant has appealed.

The plaintiff, Associated Hospital Service Corporation of Massachusetts, was organized in March, 1937, under the provisions of Chapter 176A of the General Laws of Massachusetts (Ter.Ed.) as added by Chapter 409 of the Acts of 1936. The statute provides for the organization of corporations for the purpose of operating a non-profit hospital service plan whereby hospital care may be provided for subscribers to the plan under contracts which entitle subscribers to certain hospital care.

Membership in the corporation was made up of voting members, members-at-large and the participating hospital members. The voting members include Trustees and Executive Committee of Hospital Council of Boston, Massachusetts Hospital Association, Suffolk District Medical Society, Massachusetts Medical Society, Norfolk District Medical Society, Norfolk South District Medical Society, Middlesex East Medical Society, Middlesex South Medical Society, Boston Chamber of Commerce, Associated Industries of Massachusetts, Community Federation of Boston, and Council of Social Agencies. The incorporators and board of directors are men who have been engaged for years in humanitarian activities. A majority of the board of directors is composed of directors or trustees of hospitals designated in Chapter 176A, Section 1 of the General Laws of Massachusetts.

In accordance with the charter and bylaws, the plaintiff entered into contracts with subscribers to render to them specific hospital service for one year unless sooner terminated and with participating hospital members for the care of its subscribers. At the present time the plaintiff has about 265,-000 subscribers.

The contracts with the hospitals contain the following provision: “It is understood that the * * * rates are subject at all times to change by and (sic) determination of our board of directors, and the approval of the Department of Public Welfare of the Commonwealth of Massachusetts. In cases of war, public disaster, general epidemic, or other conditions occasioning an unusual excessive demand for hospital care [614]*614beyond the ability of this Corporation to pay for at regular established rates, the member hospitals agree that a pro rata deduction may be made.” Early in the year 1939 administrative costs and hospital charges were beyond the plaintiff’s ability to pay. Thereupon in March, 1939, the board of directors adopted the following resolution: “That, in the opinion of the Board, conditions existing occasion a demand for hospitalization beyond the ability of this Corporation to pay for at established rates, and, therefore, pursuant to the provisions of the contracts existing with member hospitals, a pro rata deduction of 20% shall be made from bills of member hospitals for private and semi-private cases discharged during the months of March and April, 1939, said hospitals to be reimbursed for such deduction as soon as, in the opinion of the Board, conditions justify such reimbursement.” In accordance with this resolution the plaintiff deducted 20% from payments to the hospitals in March and April of the year 1939 but later repaid this deduction in full.

No officer or director is to be paid any compensation for any services he may render the plaintiff unless such compensation is authorized by vote of a majority of the directors. At the present time no officer of the corporation receives compensation. The parties stipulated:

“(10) From the organization of the plaintiff on March 11, 1937 to December 31, 1937 the plaintiff received earned income of $6,151.19, spent for administration $17,354.-11 and for hospitalization $4,393.

“(11) During the year 1938 the plaintiff received earned income of $425,182.20, spent for administration $108,624.17 and for hospitalization $323,810.87.

“(12) During the year 1939 the plaintiff received earned income of $1,453,559.25, spent for administration $181,452.20 and for hospitalization $1,109,425.28.

“(13) During the year 1940 the plaintiff received earned income of $1,840,645.54, spent for administration $220,305.24 and for hospitalization $1,308,954.55.”

There are no specific provisions in the charter, by-laws or contracts with subscribers as to assessments for the payment of deficiencies in the case where the corporation is unable to meet current demands, or as to the payment of dividends in the case where the corporation has a surplus. An examination of the history of the corporation leads to the conclusion that subscribers are not to be assessed in case of a deficiency and any surplus in a given year is to be retained by the corporation, and we shall proceed on this assumption.

The pertinent part of Title VIII of the Social Security Act of 1935 is Section 811(b) (8). If the plaintiff is a corporation organized and operated exclusively for charitable purposes, it is exempt from the tax provisions of the Social Security Act. The plaintiff maintains that it is such a corporation. It says its object is the promotion of health. Its deficiencies are not assessed upon subscribers nor are its earnings divided among them. Any surplus created is to be used to reduce rates or increase services. The principal officers of the corporation are serving without compensation and its board of directors is composed of men who have been engaged in humanitarian activities for many years.

We cannot accept the taxpayer’s argument. We feel that it is being conducted more on a business than a charitable basis. The payment of a fee is prerequisite to the receipt of benefits and the relationship existing between the corporation and the subscriber is contractual. The subscribers consider themselves neither charitable donors nor the recipients of charity. The corporate capital is not composed of charitable contributions but of fees exacted from subscribers. Without the subscription payments the corporation could not function. Membership is not limited to the needy but as a matter of fact is composed largely of the middle class and well-to-do. It is difficult to distinguish the plaintiff corporation from a mutual insurance company or an employee benefit plan. Here we have what is essentially a business arrangement under which a group of people have banded themselves together to purchase at rates as low as possible hospital care in the event of sickness or accident. These rates are subject to approval by the Massachusetts Commissioner of Insurance. Such a corporation is not charitable. Cf. Appeal of Philadelphia & Reading Relief Ass’n, 4 B.T.A. 713; Coe v. Washington Mills, 1889, 149 Mass. 543, 21 N.E. 966; Wilber National Bank of Oneonta v. Commissioner, 17 B.T.A. 654; Schuster v. Nichols, D.C.Mass.1927, 20 F. 2d 179.

While the charging of fees does not necessarily render an institution non-charitable, Restatement of Trusts, § 376(c), still the taxpayer exacts a fee as prerequisite to the receipt of benefits in every case. This is not true of the ordinary [615]*615charitable organization.

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Bluebook (online)
125 F.2d 611, 28 A.F.T.R. (P-H) 1111, 1942 U.S. App. LEXIS 4436, 28 A.F.T.R. (RIA) 1111, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hassett-v-associated-hospital-service-corporation-ca1-1942.