Illinois Hospital Association

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December 13, 2004

IRS Memorandum Regarding Hospital Political Activity

On November 16, the Internal Revenue Service released a Technical Advice Memorandum (TAM 200446033) concluding that the manner in which a 501(c)(3) hospital system administered a payroll deduction program in support of the state hospital association political action committee constituted prohibited political activity. This memorandum will describe the facts of the case, the basis for the IRS conclusion, and the implications for the IHA PAC. A copy of the TAM is attached (click here).

TAMs are not legally binding and may not be used as precedent in other cases. TAMs only address a particular factual situation, and different facts could change the advice given. However, TAMs can indicate IRS thinking on an issue.

The TAM re-enforces the IHA PAC position that while individuals can participate fully in the political process, they must not use the financial and other resources of 501(c)(3) hospitals to support or oppose candidates or PACs.

Facts
The TAM concerns a health system that operates hospitals. The health system is a 501(c)(3) organization. The system belongs to a state hospital association that sponsors a political action committee (PAC) that supports candidates for state office. The PAC offers hospitals a payroll deduction plan as a means of collecting contributions to the PAC.

The system launched an effort to make all of its employees aware of the PACs payroll deduction plan. The system produced and duplicated a video featuring the system president. In the video, the president introduces himself as the CEO of the system. The video was shown at regularly scheduled meetings of system employees. PAC donation cards were distributed at these meetings, and system managers were encouraged to obtain signed cards from all employees. Employees could use the cards to either participate or refuse to participate in the payroll deduction plan.

The PAC payroll deduction plan was also described in the systems employee newsletter, and the necessary forms were included in the newsletter. The TAM notes that PAC personnel were not present at the system employee meetings. In other words, all communications to system employee about the about the PAC appear to have come from system executives and managers.

The PAC reimbursed the system for "incremental costs" associated with its efforts to inform employees about the payroll deduction plan for example, the cost of producing and duplicating the video, the cost of printing the donation cards, and even the cost of doughnuts served at one of the employee meetings. However, the system did not seek reimbursement for the cost of the presidents time in making the video or the cost of producing the newsletter because the system did not view these activities as imposing any additional cost on the system.

IRS Analysis
The IRS analysis begins with the well-known rule that 501(c)(3) organizations may not directly or indirectly participate or intervene in any political campaign on behalf of or in opposition to any candidate for public office.

The TAM also makes the following critical distinction:

The prohibition on political campaign activity applies only to section 501(c)(3) organizations, not to the activities of individuals in their private capacity. The prohibition against political campaign activity does not prevent an organization's officials from being involved in a political campaign so long as those officials do not in any way utilize the organization's financial resources, facilities, or personnel, and clearly and unambiguously indicate that the actions taken or the statements made are those of the individuals and not of the organization. [Emphasis added.]

Thus, the key question in the IRS analysis is whether the endorsement and support of the PAC should be attributed to the system itself or to system employees acting in their individual capacity. The TAM explains that the answer to this question depends on the particular facts and circumstances.

The IRS explains that "the actions of the officials are attributed to the section 501(c)(3) organization" in two circumstances:

  • When officials of the organization engage in political activity at official functions of the organization.
  • When officials of the organization engage in political activity through the organizations official publications.

The IRS also identifies three other circumstances that are "indicative that the actions of the individual should be attributed" to the 501(c)(3) organization:

  • Use of the organizations financial resources.
  • Use of the organizations facilities.
  • Use of the organizations personnel.

Notice the difference in the language used by the IRS. In the first two circumstances, the TAM says the actions of officials are attributed to the organization. However, the TAM says the other three circumstances are indicative that the officials actions should be attributed to the organization.

Applying these standards, the IRS concluded that the actions of the system president and managers should be attributed to the organization in other words, that the organization itself was endorsing and promoting the PAC.

The IRS focused particular attention on the video of the presidents message to employees. The TAM states that "the video is essentially an endorsement of the [PAC] by the [system] through its CEO." The TAM notes, "Nowhere in the video does [the president] distance himself from [the system] or make clear that his statements are his and not [the system's]."

These two statements are critical to an understanding of this TAM. Even though there is discussion elsewhere about the use of system resources, I believe the result would have been the same even if the system had been reimbursed for 100% of all costs related to its activities. The critical factor appears to have been that the CEO appeared in the video in his capacity as system CEO rather than in his individual capacity. The system employees were being solicited by the system itself something that the system cannot do.

Discussion: Lessons for Hospitals and PACs
While the release of this TAM has caused something of a stir in trade publications, it does not break new legal ground or establish a new legal precedent. It merely applies well-known legal principles to reach a conclusion about the specific facts presented in this case.

The central lesson of the TAM is that individuals who work for 501(c)(3) organizations can engage in political activities, but they must so in such a way that their individual conduct will not be attributed to the 501(c)(3) organization.

The Illinois Hospital Association PAC solicits contributions from individuals associated with member hospitals. It also asks individuals associated with member hospitals to encourage other individuals to contribute to the PAC. If done correctly, this activity does not violate Section 501(c)(3).

The following will help ensure that individual activity in support of the IHA PAC is not misconstrued as the conduct of the hospital:

  • An individual should avoid the use of hospital facilities, equipment and supplies. For example, a hospital CEO may send a personal note encouraging other individuals to contribute to the PAC but it should be on personal stationery rather than hospital letterhead. However, a hospital may make facilities available to a PAC on the same terms that the facilities are available to other organizations for example, renting a meeting room at fair market rent if it can be rented by other groups.
  • An individual should "clearly and unambiguously" indicate that she is acting in her individual capacity and not on behalf of the hospital. The TAM makes this point very clearly: "Nowhere in the video does [the president] distance himself from [the system] or make clear that his statements are his and not [the system's]." This sentence suggests that it was not the use of the video per se that violated the law. Rather, it was the impression created by the video that employees were being solicited by the system itself. This sentence also suggests that the outcome may have been different if the CEO had said, "I am speaking to you today as a private individual not as the system CEO. These are my own personal views and do not represent the views of the system."
  • Solicitation should be done on personal time for example, over the lunch hour, during breaks, or before or after work.
  • Employees assisting with the solicitation efforts should be doing so voluntarily and not as part of their job responsibilities with the hospital.
  • Consider having the solicitation done by IHA PAC representatives. The TAM notes that no PAC representatives were present at the employee meetings where solicitations occurred. A solicitation coming from a PAC representative offers greater "separation" from the hospital since the PAC representative is an outsider not someone who can speak on behalf of the hospital. Again, the views expressed should be described as those of the PAC and not of the hospital.

The legal issues raised by the recent IRS TAM can be complex and analysis depends heavily on the particular facts and circumstances. Thus, this memorandum should not be construed as legal advice. Hospitals with more detailed questions about political activity should consult with their own legal counsel.

Staff Contact: Mark Deaton: (630) 276-5466