Mark W. Matkovich, State Tax Comm. v. University Healthcare Foundation, Inc. ( 2016 )


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  •           IN THE SUPREME COURT OF APPEALS OF WEST VIRGINIA
    September 2016 Term                   FILED
    __________                    October 11, 2016
    released at 3:00 p.m.
    No. 15-0597                      RORY L. PERRY, II CLERK
    SUPREME COURT OF APPEALS
    __________                          OF WEST VIRGINIA
    MARK W. MATKOVICH, STATE TAX COMMISSIONER, and LARRY
    A. HESS, ASSESSOR of BERKELEY COUNTY, WEST VIRGINIA,
    Respondents Below, Petitioners
    v.
    UNIVERSITY HEALTHCARE FOUNDATION, INC. f/k/a
    CITY HOSPITAL FOUNDATION, INC.,
    Petitioner Below, Respondent
    ______________________________________________________
    Appeal from the Circuit Court of Berkeley County (Business Court Division)
    Honorable Christopher C. Wilkes
    Civil Action No. 14-AA-4
    REVERSED
    _______________________________________________________
    Submitted: September 13, 2016
    Filed: October 11, 2016
    Patrick Morrisey, Esq.                          Michael E. Caryl, Esq.
    Attorney General                                J. Tyler Mayhew, Esq.
    L. Wayne Williams, Esq.                         Bowles Rice LLP
    Assistant Attorney General                      Martinsburg, West Virginia
    Charleston, West Virginia                       Counsel for Respondent
    Counsel for Petitioner Matkovich
    Norwood Bentley III, Esq.
    Martinsburg, West Virginia
    Counsel for Petitioner Hess
    and
    __________
    No. 15-0599
    __________
    LARRY A. HESS, ASSESSOR of BERKELEY COUNTY, WEST VIRGINIA,
    and MARK W. MATKOVICH, STATE TAX COMMISSIONER,
    Respondents Below, Petitioners
    v.
    UNIVERSITY HEALTHCARE FOUNDATION, INC. f/k/a
    CITY HOSPITAL FOUNDATION, INC.,
    Petitioner Below, Respondent
    ______________________________________________________
    Appeal from the Circuit Court of Berkeley County (Business Court Division)
    Honorable Christopher C. Wilkes
    Civil Action No. 10-AA-4
    REVERSED
    ________________________________________________________
    Submitted: September 13, 2016
    Filed: October 11, 2016
    Patrick Morrisey, Esq.                          Michael E. Caryl, Esq.
    Attorney General                                J. Tyler Mayhew, Esq.
    L. Wayne Williams, Esq.                         Bowles Rice LLP
    Assistant Attorney General                      Martinsburg, West Virginia
    Charleston, West Virginia                       Counsel for Respondent
    Counsel for Petitioner Matkovich
    Norwood Bentley III, Esq.
    Martinsburg, West Virginia
    Counsel for Petitioner Hess
    JUSTICE LOUGHRY delivered the Opinion of the Court.
    JUSTICE BENJAMIN dissents and reserves the right to file a dissenting opinion.
    SYLLABUS
    1. “‘Under section 1, art. 10, Const., the exemption of property from taxation
    depends on its use. To warrant such an exemption for a purpose there stated, the use must
    be primary and immediate, not secondary or remote.’ Syllabus, State ex. rel. Farr v. Martin,
    105 W.Va. 600, 
    143 S.E. 356
    (1928).” Syl. Pt. 1, United Hosp. Ctr., Inc. v. Romano, 233
    W.Va. 313, 
    758 S.E.2d 240
    (2014).
    2. “In order for real property to be exempt from ad valorem property taxation,
    a two-prong test must be met: (1) the corporation or other entity must be deemed to be a
    charitable organization under 26 U.S.C. § 501(c)(3) or 501 (c)(4) as is provided in 110
    C.S.R. § 3-19.1; and (2) the property must be used exclusively for charitable purposes and
    must not be held or leased out for profit as is provided in W.Va. Code § 11-3-9.” Syl. Pt.
    3, Wellsburg Unity Apartments, Inc. v. County Comm’n of Brooke Cty., 202 W.Va. 283, 
    503 S.E.2d 851
    (1998).
    3. “Real property that is used exclusively for charitable purposes and is not
    held or leased for profit is exempt from ad valorem real property taxation. W.Va. Code §
    11-3-9 (1990).” Syl. Pt. 2, Wellsburg Unity Apartments, Inc. v. County Comm’n of Brooke
    Cty., 202 W.Va. 283, 
    503 S.E.2d 851
    (1998).
    i
    4. To the extent that real estate owned by a qualifying charitable organization
    under 26 U.S.C. § 501(c)(3) or 501(c)(4) is leased or rented to a private, non-qualifying
    organization, the real estate is not wholly exempt from ad valorem taxation pursuant to West
    Virginia Code § 11-3-9(a)(12) (2013) notwithstanding the application of rental fees or other
    moneys realized from such lease or rental to the charitable purposes of such organization.
    5. For purposes of determining whether a qualifying charitable organization
    under 26 U.S.C. § 501(c)(3) or 501(c)(4) has established the exclusive, or primary and
    immediate, charitable use required for seeking ad valorem tax exemption under West
    Virginia Code § 11-3-9(a)(12) (2013), the physical use of the property, rather than any
    income derived from such property, is the determining factor as to the usage of such
    property.
    ii
    LOUGHRY, Justice:
    The petitioners, the State Tax Commissioner (“Commissioner”) and the
    Berkeley County Assessor (“Assessor”), appeal from the May 15, 2015, order of the Circuit
    Court of Berkeley County, the Business Court Division,1 overruling the denial by both the
    Assessor and the Commissioner of ad valorem property tax exemption to the respondent
    University Healthcare Foundation, Inc. (the “Foundation”) for its Martinsburg, West
    Virginia, property known as the Dorothy McCormack Cancer Treatment & Rehabilitation
    Center (“Center”).2 In reversing the denial of a property tax exemption, the circuit court
    reasoned that the healthcare and recreational services provided in the eighteen different
    suites of the Center were “primarily and immediately” related to the joint charitable purposes
    of the Center and the Berkeley Medical Center (“BMC”).3 In view of its conclusion that
    only twenty-eight percent of the Center’s physical space is being used for charitable
    1
    The parties agreed to the request of Judge Wilkes that this matter be referred to the
    Business Court Division. By order entered on July 30, 2014, this Court formally transferred
    this matter to the Business Court Division.
    As part of this same ruling, the circuit court reversed the Commissioner’s Taxability
    2
    Ruling 14-01, which ruled against the availability of an ad valorem property tax exemption
    under the facts of this case.
    3
    BMC is the registered trademark of City Hospital, which was first designated as a
    501(c)(3) entity for federal taxation purposes in 1940. The Foundation leased four of the
    Center’s suites to the BMC and those suites were used for outpatient treatment and testing
    services, its Wellness Center, and its diabetic education program. The Center is located on
    the BMC campus.
    1
    purposes,4 the Commissioner asks this Court to reverse the ruling of the circuit court
    regarding the grant of a property tax exemption. Based on the fact that the Foundation
    leased suites within the Center to for-profit tenants,5 the Commissioner argues that state law
    inexorably prohibits an exemption from ad valorem property taxation. Upon our careful
    review of the record submitted in this matter in conjunction with the state constitution,
    applicable statutes, regulations and controlling precedent, we find that the circuit court erred
    in concluding that the Center was being used exclusively for charitable purposes. Based on
    our consequent determination that the Foundation is not entitled to an ad valorem property
    tax exemption, we reverse.
    I. Factual and Procedural Background
    The Foundation first sought an exemption from ad valorem taxation of the
    Center for tax year 2014 from the Assessor and then, when denied such relief,6 requested a
    ruling from the Commissioner. Through Property Tax Ruling 14-01, issued on February 22,
    Each year the Center completes a survey listing its tenants, which the Assessor then
    4
    makes further inquires as to whether certain tenants are “exempt” from taxation. See infra
    n.13.
    5
    The parties stipulated that three of the Center’s tenants are not exempt from federal
    income taxes. Exemption from West Virginia property taxes requires, in part, that the entity
    first qualify as a charitable organization under federal tax law. See Syl. Pt. 3, Wellsburg
    Unity Apartments, Inc. v. County Comm’n of Brooke Cty., 202 W.Va. 283, 
    503 S.E.2d 851
    (1998) (setting forth two-part test for tax exemption).
    6
    By letter dated December 18, 2013, the Assessor denied the Foundation’s request
    for a tax exemption.
    2
    2014, the Commissioner ruled against the availability of the requested tax exemption. The
    Foundation appealed the Commissioner’s ruling and a bench trial took place before Judge
    Wilkes on January 9, 2015. Through a decision issued on May 15, 2015, Judge Wilkes
    reversed the decisions of both the Assessor and the Commissioner, granting the Foundation
    an exemption from ad valorem property taxation under West Virginia Code § 11-3-9(a)(12)
    (2013).7
    At the center of the circuit court’s decision to overrule the twice previously-
    denied tax relief is its synonymous view of the charitable purposes of the Foundation with
    those of the BMC: to improve the health of Eastern Panhandle residents and to promote
    medical care and well-being of the community as a whole. The circuit court concluded that
    “all of the tenants of the . . . Center provide healthcare services that primarily and
    immediately fulfill the charitable purposes of BMC and of the Petitioner [Foundation].”8
    7
    That statute exempts “[p]roperty used for charitable purposes and not held or leased
    out for profit” from ad valorem taxation. See W.Va. Code § 11-3-9(a)(12).
    8
    As the circuit court correctly concluded, the phrase “primary and immediately” is
    interchangeable with the requirement of exclusive use. See Maplewood Cmty., Inc. v. Craig,
    216 W.Va. 273, 282, 
    607 S.E.2d 379
    , 388 (2004) (discussing fact that “only when the use
    of property for charitable purposes qualifies as primary, direct, and immediate will such use
    come within the charitable purpose exemption”); 110 C.S.R. § 3-2.48.2 (“Whenever
    property is required to be ‘used exclusively’ for stated purposes in order to qualify for
    exemption under West Virginia Code § 11-3-9, the stated purposes must be the primary and
    immediate use, and not a secondary or remote use. The property may not be used for
    purposes which are ancillary to the stated purpose.”).
    3
    Noting that no surplus revenue was realized for the subject tax year,9 the circuit court
    recognized that under federal tax law any surplus revenues has to be utilized for the
    provision of additional healthcare and services to the community. Continuing to conflate
    the identity of the BMC with the Foundation–the only Taxpayer involved in this appeal–the
    circuit court concluded that the Center was being used exclusively to carry out the charitable
    purpose of providing healthcare services and promoting the well-being of the Eastern
    Panhandle community as a whole.10 Subsuming the effect of the Center’s for-profit
    tenants,11 the circuit court simply declared that the Center’s leasing of suites to the three for-
    profit entities12 was “directly, primarily, and immediately related to the accomplishment of
    the common charitable purposes of the Petitioner [Foundation] and BMC.”                      The
    Commissioner and the Assessor seek a reversal of the circuit court’s ruling.
    9
    The Center experienced a net operating loss of $323,583 for 2013. According to the
    Commissioner, tax documents evidence that the Foundation realized a net profit on its rental
    properties in Berkeley County for the three preceding tax years (2010-2012).
    Separate statutory sections and regulations pertain to charitable hospital as
    10
    compared to charitable organizations such as the Foundation. Cf. W.Va. Code §§ 11-3-
    9(a)(12) to 11-3-9(a)(17); 110 C.S.R. §§ 3-24 to 3-19.
    By definition, a charitable entity seeking property tax exemption “must be operated
    11
    on a not-for-profit basis.” 110 C.S.R. § 3-19.1.
    12
    Ambergris, LLC, Dr. Bowen, and Patient Transport.
    4
    II. Standard of Review
    Because this case involves a question of law with regard to the interpretation
    of a statute, our review is plenary. See Syl. Pt. 1, Appalachian Power Co. v. State Tax Dep’t,
    195 W.Va. 573, 
    466 S.E.2d 424
    (1995) (“Interpreting a statute or an administrative rule or
    regulation presents a purely legal question subject to de novo review.”); accord In Re Tax
    Assessment Against ABPP, 208 W.Va. 250, 255, 
    539 S.E.2d 757
    , 762 (2000). We proceed
    to determine whether the circuit court erred in its interpretation of the applicability of West
    Virginia Code § 11-3-9(a)(12) and the corresponding regulations to this case.
    III. Discussion
    The issue presented by this case is whether a charitable entity that leases a
    portion of its real property to for-profit entities is entitled to a statutory tax exemption from
    ad valorem property taxes for the entirety of its property.13 Rather than being an issue of
    first impression, the tax effect of leasing charitable property to for-profit ventures has been
    considered previously and squarely answered. See Central Realty Co. v. Martin, 126 W.Va.
    915, 
    30 S.E.2d 720
    (1944); State v. McDowell Lodge, 96 W.Va. 611, 
    123 S.E. 561
    (1924).
    While the Foundation seeks to contort the holdings of this Court to support its position, a
    According to the affidavit of the Assessor, “our office has exempted the part of the
    13
    building used by Berkeley Medical Center . . . and taxed other parts of the building that
    were rented.”
    5
    review of our constitution, our statutes, and our case law demonstrates that the tax relief
    sought by the Foundation, and awarded by the circuit court, is prohibited.
    Barring express legislative exemption, it is the “general policy of this state .
    . . that all property shall contribute to the expenses of the government.” McDowell Lodge,
    96 W.Va. at 613, 
    123 S.E. 562-63
    ; see Syl. Pt. 1, Reynolds Mem’l Hospital v. County Court
    of Marshall Cty., 78 W.Va. 685, 
    90 S.E. 238
    (1916) (“Under the Constitution of this state
    all property both real and personal shall be taxed, except such property as the Legislature
    may exempt under the exceptions contained therein.”). Our state constitution reposes
    authority in the Legislature to exempt “property used for educational, literary, scientific,
    religious or charitable purposes” from taxation. W.Va. Const. art. X, § 1. As we recognized
    in State v. Kittle, 87 W.Va. 526, 
    105 S.E. 775
    (1921), the “Constitution . . . does not of itself
    exempt any property from taxation. It merely authorizes legislative exemption thereof.” 
    Id. at 533,
    105 S.E. at 777. Through its enactment of West Virginia Code § 11-3-9 (2016), the
    Legislature delineated certain property classifications that are exempt from ad valorem
    taxation. At issue in this case is the exemption provided in subsection (a)(12) for
    “[p]roperty used for charitable purposes and not held or leased out for profit.” W.Va. Code
    § 11-3-9(a)(12).
    6
    In reviewing the history of the property tax exemption in United Hospital
    Center, Inc. v. Romano, 233 W.Va. 313, 
    758 S.E.2d 240
    (2014), we emphasized that the
    “nature of the property’s usage is critical.” 
    Id. at 317,
    758 S.E.2d at 244. Citing to this
    Court’s holding in State ex rel. Farr v. Martin, 105 W.Va. 600, 
    143 S.E. 356
    (1928), we
    iterated: “Under section 1, art. 10, Const., the exemption of property from taxation depends
    on its use. To warrant such an exemption for a purpose there stated, the use must be primary
    and immediate, not secondary or remote.” Romano, 233 W.Va. at 
    317-18, 758 S.E.2d at 244-45
    and syl. pt. 1.
    Charitable organizations seeking an exemption from ad valorem property
    taxation based on property usage must demonstrate compliance with the following criteria:
    In order for real property to be exempt from ad valorem
    property taxation, a two-prong test must be met: (1) the
    corporation or other entity must be deemed to be a charitable
    organization under 26 U.S.C. § 501(c)(3) or 501 (c)(4) as is
    provided in 110 C.S.R. § 3-19.1; and (2) the property must be
    used exclusively for charitable purposes and must not be held
    or leased out for profit as is provided in W.Va. Code § 11-3-9.
    Syl. Pt. 3, Wellsburg Unity Apartments, Inc. v. County Comm’n of Brooke County, 202
    W.Va. 283, 
    503 S.E.2d 851
    (1998). Prong one of the Wellsburg Unity test is not in dispute;
    whether prong two has been established is the crux of this case.
    7
    In seeking the subject tax exemption, the Foundation asserted the following
    basis for its position:
    The Foundation operates exclusively in pursuit of its charitable
    purpose as a supporting organization of City Hospital, Inc.
    (d/b/a Berkeley Medical Center) another 501(c)(3) charitable
    organization, which, in turn, uses the suites and common areas
    of the subject property, through its own operational units and
    the other healthcare providers occupying the same, exclusively
    for its charitable purpose of providing healthcare services to the
    general public. . . .
    To support its position that the Center is used exclusively for “its charitable purpose,” the
    Foundation relies on this Court’s decision in Appalachian Emergency Medical Services, Inc.
    v. State Tax Commissioner, 218 W.Va. 550, 
    625 S.E.2d 312
    (2005). Not only is that case
    factually distinguishable from the instant case, but a careful reading of Appalachian
    Emergency demonstrates that the decision fails to support the Foundation’s position.
    At issue in Appalachian Emergency was the State Tax Commissioner’s denial
    of a property tax exemption to a charitable entity–Appalachian Emergency–who was leasing
    its property to another charitable entity–the West Virginia Emergency Medical Services
    Technical Support Network (“TSN”). In concluding that Appalachian Emergency was
    entitled to the property tax exemption, we focused on the fact that TSN was a 501(c)(3)
    organization; the leased property was used by TSN for its own charitable purposes; and the
    lessor was not realizing a profit from the lease arrangement. 
    Id. at 554-56,
    625 S.E.2d at
    316-18. Unlike the situation in Appalachian Emergency where one 501(c)(3) organization
    8
    leased the entirety of the building to another 501(c)(3) entity, the Foundation has leased a
    portion of the Center to for-profit business entities (Ambergris, Dr. Bowen, Patient
    Transport) that use the property for admittedly non-charitable purposes.14 In addition to the
    tenants whose individual and direct usage is profit-oriented, the Commissioner observes that
    one third of the Center is utilized to operate a Wellness Center–which has over 2,800
    individual gym memberships that are sold to the public. See 110 C.S.R. § 24-19.3
    (“Recreational facilities shall not be considered property used primarily and immediately for
    charitable purposes unless such facilities are designed for and primarily and immediately
    used by patients of the hospital.”)15
    Rather than supporting the Foundation’s position, Appalachian Emergency
    conclusively demonstrates that the Foundation fails to qualify for the subject tax exemption.
    Central to the Foundation’s position is the construct that its charitable purposes are what
    determine entitlement to the statutory exemption set forth in West Virginia Code § 11-3-
    9(a)(12). While this contrived reasoning may have duped the court below, we are decidedly
    unpersuaded by the artifice the Foundation employed to divert attention from the proper
    The parties stipulated to the fact that these three entities “have not been designated
    14
    as exempt from federal income taxes pursuant to Internal Revenue Code § 501(c)(3).”
    The Commissioner notes that 800 out of the 19,000 square feet dedicated to the
    15
    Wellness Center is designated for cardiac rehabilitation patients; that area is exclusively used
    by such patients only until 5 p.m. each day. According to the Commissioner, the Wellness
    Center realized $794,000 in annual gross sales from its gym memberships sold to the public.
    9
    inquiry–whether the actual usage of the Center’s suites was for a charitable purpose. In the
    instance of a lease arrangement, the charitable purposes of the taxpayer are not singularly
    determinative. The operative term in both article ten, section one of the West Virginia
    Constitution and in West Virginia Code § 11-3-9(a)(12) is “use.” When a charitable lessor
    rents its property to another charitable entity, the focus necessarily shifts to whether the
    lessee–not the lessor–is using the property exclusively for charitable purposes. In
    Appalachian Emergency, we expressly rejected the Tax Commissioner’s argument that the
    taxpayer/owner’s use of the property controlled the issue of exemption, focusing on whether
    the usage employed by TSN was consistent with TSN’s charitable purposes–not those of
    Appalachian Emergency. See 218 W.Va. at 553-54 
    n.7, 625 S.E.2d at 315-16
    n.7. Thus,
    the Foundation’s attempt to reframe the usage inquiry as determined by whether the overall
    usage of the Center fulfilled the Foundation’s charitable purposes was wholly improper.
    The exemption determination is controlled by the physical usage of the property at issue.
    As regards the usage of the Center by the for-profit lessees, such usage was categorically not
    for charitable purposes.
    Not only did the Foundation intentionally leapfrog over the significance of the
    Center’s for-profit usage, but it failed to heed the following observation in Appalachian
    Emergency: “This Court long ago indicated that ‘real estate is not exempt where owned by
    a [charitable] organization and . . . leased for private purposes, notwithstanding the
    10
    application of the income from rentals to charitable and benevolent purposes and upkeep of
    the premises.’” 
    Id. at 555,
    n.10, 625 S.E.2d at 317 
    n.10 (citing Central Realty, 126 W.Va.
    at 
    923, 30 S.E.2d at 725
    (1944)). Simply put, the Foundation’s secondary usage of rents
    from profit-oriented tenants to accomplish its charitable purposes does not override the
    primary usage of the rental space by those tenants.
    In trying to persuade us that the Center is used exclusively for charitable
    purposes, the Foundation discusses at length how any profits it realizes from the rental of
    its property are used for improvements to the Center or otherwise geared towards
    accomplishing its charitable purposes. Such reinvestment or application of profits cannot
    disguise either the origin of those funds or the usage of the property. This is clear from our
    previous recognition in McDowell Lodge that the application of funds received from for-
    profit tenants does not transmogrify the character of the leased property. See 96 W.Va. at
    
    615-16, 123 S.E. at 563-64
    . In McDowell Lodge, we considered whether the real property
    of a charitable and benevolent organization–the Masonic Lodge–was subject to taxation
    based on the fact that part of the property was rented for commercial purposes. The four-
    story building at issue was used for lodge purposes on the upper two floors but the basement
    and the first two floors were rented out for private business purposes. While the rents
    realized from the commercial tenants were dedicated to the charitable and benevolent
    purposes of maintaining the building and paying off the debt owed on the building, this
    11
    Court was nonetheless asked to decide whether the statutory tax exemption for charitable
    usage was applicable. 
    Id. at 611-12,
    123 S.E. at 562.
    In considering the tax exemption issue presented in McDowell Lodge, we
    recognized that:
    The general policy of this state, accentuated by section 1, Art.
    10 of the Constitution, is that all property shall contribute to the
    expenses of the government. Taxes must be equal and uniform;
    and no species of property can be taxed higher than any other
    species of property of equal value. One aim of government is to
    protect property rights, insure the possession and enjoyment
    thereof by the owners, and thus promote the domestic
    tranquility and the general welfare. The owners of property,
    whether they be individuals, corporations, or associations,
    should contribute to the expenses of the protection and stability
    of that property.
    
    Id. at 613-14,
    123 S.E. at 562-63. After acknowledging the statutory exceptions to this
    general policy of taxation for certain property uses, such as for charitable purposes, we
    stated:
    But the statute says it shall only be exempt when the property is
    used for these purposes, and not held or leased out for profit.
    It is a rule, so well established as to need no citation of
    authority, that it is incumbent upon the person who claims his
    property as exempt from taxation to show that the use of that
    property clearly falls within the exception. The rule of strict
    construction applies, and, if any doubt arises as to the
    exemption, that doubt must be decided against the person who
    claims the exemption.
    
    Id. at 614,
    123 S.E. at 563.
    12
    Addressing the specific issue presented in this case–whether application of
    rental fees paid by a non-charitable organization to a charitable organization for the use of
    the latter’s real property comes within the scope of the charitable purposes tax exemption–
    this Court reasoned:
    Our statute says property used for charitable purposes and not
    held or leased out for profit, shall be exempt. The property in
    question is not used wholly for charitable purposes. The
    character of use of the property itself determines its exemption
    from taxation, and not the proceeds from its use. The clause,
    “not held or leased out for profit,” is significant. It is difficult
    to see how the property of charitable and benevolent
    associations could be rented except for profit to the
    association.16
    96 W.Va. at 
    615-16, 123 S.E. at 563-64
    (emphasis supplied). Accordingly, we ruled that:
    The use of the property of the McDowell Lodge determines its
    status as taxable property, and not the use to which the
    proceeds are expended when it is held or leased out for profit.
    The property having been leased out for commercial purposes
    and for profit, as shown by the agreed facts, is not exempt from
    taxation under the statute.
    
    Id. at 616,
    123 S.E. at 564 (emphasis supplied).
    16
    While the Foundation views the statutory term of “profit” as meaning a net gain
    after the deduction of expenses, the Commissioner cites to this Court’s reasoning in
    McDowell Lodge as evidence of the more common meaning of the term: “An advantageous
    gain or return: BENEFIT.” Because the statutory exclusion at issue is written in the
    conjunctive–requiring both exclusive usage for charitable purposes and the absence of
    profits, we do not address at length the legislative intent pertinent to withholding a property
    tax exemption to property owned by a charitable organization that is leased for profit. See
    W.Va. Code § 11-3-9(a)(12). We do recognize, however, that the Commissioner’s position
    is consistent with McDowell Lodge–a decision that remains valid law until overruled.
    13
    In Central Realty, we examined the issue of real estate owned by a charitable
    organization that is used solely for commercial purposes:
    The cases of In re Masonic 
    Society, supra
    , and State v.
    McDowell 
    Lodge, supra
    , and State v. 
    Martin, supra
    , taken in
    the composite, state what we believe to be the correct rule: that
    where real estate is used solely by an organization for
    educational and charitable purposes and such use is immediate
    and primary the constitutional exemption from taxation applies,
    and the statute enacted in pursuance thereof inhibits any
    assessment for taxation; but real estate is not exempt where
    owned by a like organization and is leased for private purposes,
    notwithstanding the application of the income from rentals to
    charitable and benevolent purposes and upkeep of the premises.
    126 W.Va. at 
    923, 30 S.E.2d at 725
    . In reaching that ruling, we addressed the distinction
    for tax exemption purposes between the use of real estate and income derived from that real
    property. Explaining that “[i]ncome from property is an incident of ownership but cannot
    always be identified with the use of property,” we observed that “[t]he physical use of land
    is a thing apart from the income derived therefrom.” 
    Id. at 921,
    30 S.E.2d at 724. Our
    ruling in Central Realty reaffirmed the principle that once real estate is employed in the
    operation of private business undertakings, the basis for the tax exemption–usage of
    property for charitable purposes–has been supplanted. Absent the requisite type of
    qualifying usage, the constitutional exemption from ad valorem taxation is not available.17
    17
    The Foundation’s reliance on West Virginia Code § 11-3-9(d) as support for a tax
    exemption despite its leasing of the Center to private, non-charitable entities is unavailing.
    Through the enactment of subsection 9(d) the Legislature codified this Court’s rulings with
    regard to the requirement of exclusive or primary and immediate usage. See Maplewood
    Cmty., Inc. v. Craig, 216 W.Va. 273, 282, 
    607 S.E.2d 379
    , 388 (2004). By including “rents
    14
    See Reynolds Mem’l Hosp., 78 W.Va. at 
    687, 90 S.E. at 239
    (“If the property is used for
    charitable purposes within the meaning of the Constitution, then it is exempt from taxation;
    if it is not so used it is not exempt.”); W.Va. Code § 11-3-9(a)(12).
    While we appreciate the temptation to view the issue of the Center’s usage
    from the perspective of promoting medical care and improving health care, the advancement
    of those laudatory goals is not what the Legislature has established for invoking the tax
    exemption.18 See 110 C.S.R. § 3-19.1 (providing that “[c]harities must be operated on a not-
    for-profit basis . . [and] in order for the property to be exempt, the primary and immediate
    use of the property must be for one or more exempt purposes”); Central Realty, 126 W.Va.
    at 
    925, 30 S.E.2d at 726
    (stating that “[t]he legislative department of government has the
    or royalties derived therefrom” within the requirement of primary and immediate usage that
    applies, inter alia, to charitable organizations seeking a tax exemption under section 9, the
    Legislature was recognizing that just as a charitable organization’s usage must be exclusive,
    or primary and immediate, so too must the rents or royalties be derived from charitable usage
    that is also primary and immediate. See Appalachian Emergency, 218 W.Va. at 
    554-55, 625 S.E.2d at 316-17
    . Were we to interpret subsection(d) as authority for ignoring the actual
    physical usage of the property provided the rents from such property were put to charitable
    purposes, we would be contravening the constitution as it specifically frames the authority
    for a tax exemption in terms of the property’s use. See W.Va. Const. art. X, § 1.
    18
    See Maplewood, 216 W.Va. at 
    285, 607 S.E.2d at 391
    (“Notwithstanding the
    laudable social objectives served by the existence and operation of Appellants’ [assisted
    living] facilities, those purposes cannot be viewed as charitable unless they come within the
    definitions and conditions imposed by law for application of the tax exemption at issue.”).
    15
    power to provide by statute the details for tax exemption”).19 Under West Virginia Code §
    11-3-9(a)(12), the requirements for exemption are clear: “Real property that is used
    exclusively for charitable purposes and is not held or leased for profit is exempt from ad
    valorem real property taxation. W.Va. Code § 11-3-9 (1990).” Syl. Pt. 2, Wellsburg Unity
    Apartments, 202 W.Va. at 
    284, 503 S.E.2d at 852
    . In this case, there is only one conclusion
    that can be reached: The Foundation has failed to meet its burden of establishing that the
    entirety of the Center’s suites are being used exclusively for charitable purposes. See
    Maplewood Cmty., Inc. v. Craig, 216 W.Va. 273, 282, 
    607 S.E.2d 379
    , 388 (2004) (“[T]o
    qualify for ad valorem property tax exemption a charitable organization must use its property
    exclusively for charitable purposes.”); see also Syl. Pt. 2, In re Hillcrest Mem’l Gardens,
    Inc., 146 W.Va. 337, 
    119 S.E.2d 753
    (1961) (“Constitutional and statutory provisions
    exempting property from taxation are strictly construed. It is encumbent upon a person who
    claims his property is exempt from taxation to show that such property clearly falls within
    the terms of the exemption; and if any doubt arises as to the exemption, that doubt must be
    resolved against the one claiming it.”).
    19
    The Foundation is free to seek legislative expansion of the grounds upon which tax
    exemption is currently granted. This judicial body, however, lacks the authority to alter the
    scope of the tax exemptions available to our citizenry. See Maplewood, 216 W.Va. at 
    281, 607 S.E.2d at 387
    (stating that relief sought by taxpayer from this body “is not a judicial
    decision but a determination that must be made by the Legislature, either through expanded
    regulations or through a separate legislative enactment that specifically addresses whether
    not-for-profit corporations, such as Appellants . . . are entitled to exemption from ad valorem
    property taxation”).
    16
    While we have no doubt that the issue before us is controlled by our earlier
    decisions in McDowell Lodge and Central Realty, the following clarifications further
    address what is required to establish usage for charitable purposes within our constitutional
    and statutory framework. To the extent that real estate owned by a qualifying 501(c)(3) or
    501(c)(4) charitable organization under 26 U.S.C. § 501(c)(3) or 501(c)(4) is leased or
    rented to a private, non-qualifying organization, the real estate is not wholly exempt from
    ad valorem taxation pursuant to West Virginia Code § 11-3-9(a)(12) notwithstanding the
    application of rental fees or other moneys realized from such lease or rental to the charitable
    purposes of such organization. Additionally, for purposes of determining whether a
    qualifying charitable organization under 26 U.S.C. § 501(c)(3) or 501(c)(4) has established
    the exclusive, or primary and immediate, charitable use required for seeking ad valorem tax
    exemption under West Virginia Code § 11-3-9(a)(12), the physical use of the property,
    rather than any income derived from such property, is the determining factor as to the usage
    of such property.
    IV. Conclusion
    Based on the foregoing, the May 15, 2015, order of the Circuit Court of
    Berkeley County is reversed.
    Reversed.
    17