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IRS Determination Letter Denying Tax-Exempt Status To Commercial ACOs Not Participating In Medicare Shared Savings Program

On April 8, 2016, the Internal Revenue Service (IRS) released this letter on denying tax-exempt status to commercial accountable care organizations (ACOs) that do not participate in the Medicare Shared Saving Program because they do not operate primarily for a public purpose. The letter includes information on the reasons for denial, examples of similar organizations that have been denied tax-exempt status, and the specific IRS statutes related to the decision . . .

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