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There are many steps an organization must take in order to receive tax-exempt status. In fact, there are five specific steps that need to be taken in order to gain tax-exempt status. According to Cleverley and Cleverley (2018), these steps include, having an emergency room service that is open to the community without determining their ability to pay, a governance board composed of community members, use of surplus revenue for improvements, patient care, medical training, education, and research, provision of inpatient hospital care for all persons in the community able to pay including Medicare and Medicaid patients, and finally open medical staff with privilege available to all qualifying physicians (Cleverley
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