FQHC Full Property Tax Exemption: A First for Idaho

In a landmark decision last month, the Idaho Supreme Court ruled in favor of Grand Peaks Medical, Dental, Behavioral Health and Pharmacy (Grand Peaks), a Federally Qualified Health Center (FQHC), to affirm its entitlement to a full property tax exemption. 

The ruling provided much-needed clarity for non-profit organizations in Idaho and set a precedent for future disputes concerning property tax exemptions for charitable organizations in the state. 

Here’s a closer look at the Grand Peaks case, why it matters, and how it reinforces the importance of FQHC’s contributions to their communities. 

Case Background

FQHCs play a vital role in providing healthcare services to underserved populations in urban and rural areas alike. These community-based healthcare systems receive federal funds to offer primary care services on a sliding scale based on ability to pay. They can offer comprehensive services, such as medical, dental, and mental health care, and play an important role in ensuring access to healthcare for low-income, uninsured, and medically underserved populations.

Grand Peaks in Eastern Idaho meets FQHC criteria and because it operates as a charitable organization, it applied for a full property tax exemption for its clinics and administrative offices. The Madison County Board of Equalization granted only a partial exemption, leading to a legal dispute that ultimately reached the state’s highest court.

The Court’s Decision

The Idaho Supreme Court overturned the lower court’s decision and unequivocally held that Grand Peaks qualified for a full property tax exemption. The Court emphasized that the determination should hinge on the actual use of the property for charitable purposes, rather than the generation of revenue. Since Grand Peaks operates as a charitable organization utilizing its property exclusively for charitable activities, it fulfilled the criteria for exemption under the statute.

What’s Next

This ruling carries significant implications for non-profit organizations across the Gem State, including:

  • Grants clarity around the interpretation of the “exclusive use” requirement for property tax exemptions, underscoring that generating revenue, even from paying patients or grants, does not disqualify an organization from a full exemption if the property is primarily used for charitable endeavors.
  • Demonstrates the indispensable role that FQHCs and non-profit healthcare providers have in serving underserved communities. Preventing organizations like these from being burdened with unnecessary taxes allows them to allocate their resources more effectively towards providing essential healthcare services on a sliding scale within their communities.

By clarifying the application of the property tax exemption statute, the ruling ensures that organizations like Grand Peaks can continue their vital work without undue financial strain. This decision not only benefits Grand Peaks but also sets a precedent for other non-profit organizations seeking qualified tax exemptions in Idaho in the future.

The successful outcome in this case was achieved through the dedicated legal representation provided by Smith + Malek. Kolby Reddish presented the oral argument and supported in the briefing by McKenzie Lawrence, and Alaina Harrington.