16 January 2014
Supreme Court
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SH MEDICAL CENTER HOSPITAL Vs STATE OF KERALA

Case number: C.A. No.-000665-000665 / 2014
Diary number: 15934 / 2009
Advocates: SENTHIL JAGADEESAN Vs JOGY SCARIA


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C.A. @ SLP (C) No. 13735 of 2009

Non-Reportable

IN THE SUPREME COURT OF INDIA CIVIL APPELLATE JURISDICTION CIVIL APPEAL NO. 665 OF 2014

(Arising out of SLP(C) NO. 13735 OF 2009)

SH MEDICAL CENTRE HOSPITAL               ……….APPELLANT Versus

STATE OF KERALA & ORS.                   ………RESPONDENTS

J U D G M E N T

V.Gopala Gowda, J.

Leave granted.

2. The present appeal arises out of the judgment and  

order dated 13th March, 2009 passed by the High Court  

of Kerala at Ernakulam in W.A. No. 362 of 2007 whereby

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the  High  Court  dismissed  the  writ  appeal  of  the  

appellant holding that the appellant-hospital is not  

entitled  to  building  tax  exemption  relying  on  the  

judgment of the Kerala High Court in  Medical Trust  

Hospital v. State of Kerala1. The appellant had filed  

writ petition No.605 of 2007 before the High Court of  

Kerala  which  dismissed  the  same  by  order  dated  

23.01.2007  on the ground that the building of the  

appellant  is  not  used  principally  for  charitable  

purposes, pursuant to which the above said writ appeal  

was  filed  which  was  also  dismissed.  Hence,  this  

appeal.

3.  The  facts  of  the  case  in  brief  are  stated  

hereunder:

SH  Medical  Centre  is  a  charitable  institution  

registered  under  the  Travancore  Cochin  Literary,  

Scientific and Charitable Societies Registration Act,  

1955.  This institution manages the appellant hospital  

which is managed by nuns of the Christian religious  1 2004 (2) KLT 139

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faith who have renounced their worldly existence to  

serve humanity to render charitable services like free  

treatment to patients belonging to the lower strata of  

the society and charges nominal amount for treatment  

from those who can afford such treatment.

 4. The Memorandum of the SH Medical Center states that  

the object of the institution is purely philanthropic  

purposes and not profit. It states that the members of  

the society are not entitled to any share in the net  

proceeds of the society and in case the society is  

wound up the assets of the society shall not go to any  

of the members and shall go to any other charitable  

trust, society or institution with similar objects or  

to the Government.

5.  The  appellant  started  constructing  buildings  to  

house the hospital. Several buildings were constructed  

from 1987-1988 to 2002-2003 for the functioning of the  

hospital. On 16.10.1995 the respondent passed an order  

exempting  the  appellant  from  assessment  of  building  

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tax. The said exemption was in connection with the  

main building of the hospital.

  6.  On 16.07.2003, the then Tehsildar, Kottayam called  

the representatives of the appellant to ascertain as  

to  whether  exemption  is  available  to  the  appellant  

under the Kerala Building Tax Act, 1975 (hereinafter  

referred to as “the Act”). A person from the office of  

the Tehsildar, Kottayam visited the appellant hospital  

and  stated  that  the  appellant  is  liable  to  pay  

building tax.

7.  Thereafter,  the  appellant  filed  a  detailed  

representation stating that since it is a charitable  

institution  engaged  in  charitable  activities,  the  

appellant has to be exempted from paying building tax.

8.  On  27.02.2004,  the  appellant  received  a  demand  

notice purportedly issued by the Assessing Authority  

by which the appellant was assessed to building tax  

under  Sections  9(2)  and  9(4)  of  the  Act  wherein  

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C.A.(@) SLP(C)No.13735 of 2009

building tax was assessed at an amount of 24,77,700/-  

for a plinth area of 14826.63 Sq. meters to be paid by  

the appellant.

9. Aggrieved by the aforesaid orders dated 27.02.2004,  

the appellant filed Writ Petition(C)No. 9968 of 2004  

before the High Court of Kerala.

By an order dated 02.04.2004, the learned single  

Judge of the High Court disposed of the writ petition  

directing the Tehsildar to reconsider the assessment  

in the light of the judgments of the High Court but  

rejected the request of the appellant to refer the  

issue relating to exemption to the Government under  

Section 3(2) of the Act. Against this rejection order  

the  appellant  filed  a  Writ  Appeal  No.  875  of  2004  

before the High Court. The Division Bench of the High  

Court disposed of the writ appeal with a direction to  

the Tehsildar, Kottayam to refer the matter to the  

Government for deciding as to whether the building is  

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entitled to get exemption from payment of building tax  

under Section 3(1) (b) of the Act.

10. By an order dated 01.11.2006, the Government of  

Kerala rejected the contention of the appellant that  

they are entitled to exemption  under the Act as free  

medical service is given only in the plinth area of  

448.40  Sq.  mtrs.  in  the  third  floor  of  the  main  

building and therefore only the said portion is exempt  

from paying building tax.

11. Aggrieved by the aforesaid order, the appellant  

filed a Writ Petition (C) No. 605 of 2007 before the  

High  Court  praying  to  quash  the  orders  dated  

01.11.2006 and 27.02.2004 and to declare the appellant  

to be a charitable institution under the Act. In the  

petition the appellant had annexed the audited income  

and expenditure account of the hospital as well as  

balance sheet for the years 2002 to 2005.

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12.  The  learned  single  Judge  of  the  High  Court  

dismissed the writ petition on the ground that the  

building of the appellant is not used principally for  

charitable purposes.  To arrive at the said conclusion  

the learned single Judge took into account the gross  

income of the appellant and compared the gross income  

vis-a-vis the amount spent on free medical aid and  

social  work.  Aggrieved  by  the  aforesaid  order  the  

appellant filed a Writ Appeal No. 362 of 2007 before  

the  Division  Bench  of  the  High  Court.  By  an  order  

dated 13.03.2009, the Division Bench of the High Court  

dismissed the writ appeal by relying on two Division  

Bench decisions of the High Court in (1) Medical Trust  

Hospital (supra) and (2) Thirurangadi Muslim Orphanage  Committee  v. The Government of Kerala  [W.P. (C) No.  

4426  of  2009(B)] and  held  that  as  long  as  the  

appellant is a hospital run on chargeable basis it is  

not entitled to exemption.  

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13.  Both  the  single  Judge  as  well  as  the  Division  

Bench of the High Court interpreted the ‘Explanation’  

Clause of Section 3(1) of the Act to hold that the  

buildings were not used principally for a charitable  

purpose as the medical services were not rendered free  

of charge to all patients, but only to those who could  

not afford it. The rest were charged a nominal fee for  

services at the Hospital. The explanation to Section 3  

of the Act reads as under :

“For the purposes of this sub-section,  “charitable purpose” includes relief of  the poor and free medical aid.”

The High Court, mainly relying on the  Medical Trust  

case (supra) has held that since it has already been  

held by the Kerala High Court that charitable purpose  

means rendering medical relief ‘free of charge’ as per  

the Explanation clause to Section 3(1)(a) of the Act,  

the  appellant  was  not  entitled  to  exemption  from  

paying  building  tax  as  they  were  charging  nominal  

charges  from  patients  who  could  afford  it  and  was  

giving free services to those who could not.

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14. The matter is in appeal before us. The learned  

counsel  for  the  appellant,  Mr.  Bechu  Kurian  has  

contended that the Division Bench has erred in relying  

upon the judgments in the Medical Trust case and the  

Thirurangadi Muslim Orphanage Committee  case (supra)  

as the said judgments were rendered in the facts of  

those cases and no proposition of law has been laid  

down in the said decisions that if a hospital is run  

on chargeable basis it is not entitled to exemption.  

Further, it was contended that in the case of State of  

Kerala v. Gregorious Medical Mission2, it was held that  

the  fact  that  some  amount  is  collected  from  the  

patients will not be sufficient reason to hold that  

the  building  can  be  excluded  from  the  beneficial  

provisions contained in Section 3 of the Act if the  

hospital  is  intended  for  the  relief  of  the  sick  

without any motive for making profit. It was submitted  

that a perusal of the Memorandum of Association as  

well as the Rules and Regulations of the appellant  2 (1992) 1 KLT 230

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hospital clearly shows that it has been set up solely  

for philanthropic purposes without any profit motive,  

and it also clearly states that in case the society  

running the hospital is wound up, the assets of the  

hospital  shall  go  to  any  other  charitable  society  

having  similar  objects  or  to  the  Government.  The  

counsel  for  the  appellant  has  urged  before  us  to  

consider that for any hospital to be able to provide  

free  medical  relief  to  poor  patients,  some  income  

would have to be generated and it would otherwise be  

virtually  impossible  for  any  hospital  to  undertake  

free  medical  service.  The  counsel  then  went  on  to  

refer to the Income and Expenditure Account of the  

appellant  hospital  which  shows  that  for  the  years  

2002-03,2003-04 and 2004-05, the appellant has spent   

75.12 lakhs, 78.39 lakhs and 88.33 lakhs respectively  

for providing free medical services and for charity.  

For the said years, the net income of the appellant  

hospital has been  4.2 lakhs,  5.37 lakhs and  8.33  

lakhs respectively and it was submitted that the High  

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Court ought to have compared the amount spent for free  

medical services  vis-a-vis net income and not gross  

income  which  was  what  was  done  to  hold  that  the  

buildings  were  not  ‘used  principally’  for  the  

charitable purpose as required under Section 3(1)(b)  

of the Act. By doing this, it was contended that the  

various  expenses  for  running  the  hospital  were  

ignored.

15.  The  respondents,  on  the  other  hand,  through  

learned  senior  counsel,  Mr.  C.S.  Rajan,   have  

contended  that  the  appellant  is  not  entitled  for  

exemption from paying building tax as the hospital is  

making  profit  and  hence  cannot  be  considered  a  

charitable institution. It was submitted that from the  

perusal of the accounts of the hospital, it is evident  

that the hospital authorities are not rendering any  

medical service free of cost and are making profit and  

is  not  running  under  ’no  loss  no  profit’  basis  as  

claimed. The purpose for which the building is used is  

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the  only  relevant  fact  for  determining  whether  the  

appellant  is  exempt  from  paying  building  tax  and  

simply because the income derived from it is used for  

charitable purpose, it cannot be exempted from paying  

building tax. The counsel for the respondents relied  

on the  Medical Trust  case (supra) in order to show  

that charitable purpose means free medical relief as  

held  in  that  case,  and  since  the  appellant  is  not  

providing free medical relief for all and is instead  

charging a nominal fee for those who can afford it, it  

cannot claim exemption from building tax.

16. We have heard the learned counsel for both the  

parties  and  perused  the  evidence  on  record  and  

examined the rival legal and factual contentions. The  

following questions would arise for consideration :

i. Whether the application of income derived from  a  building  for  charitable  purpose  is  sufficient to hold that a building is used  ‘principally’ for ‘charitable purpose’ as per  Section 3(1)(b) of the Act in order to hold it  exempt from paying building tax?

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ii. Whether the Kerala High Court has correctly  interpreted  the  ‘Explanation’  clause  to  Section 3(1) in the cases referred (supra) to  hold  that  charitable  purpose  means  solely  ‘relief of the poor and free medical relief’?

iii. What order?

 17. Answer to Question Nos. i & ii:

In our considered view, the High Court was correct in  

holding that the application of income derived from a  

building for charitable purposes does not amount to the  

building  being  ‘principally  used’  for  charitable  

purpose. In the present case, if we have to rule against  

the High Court’s judgment, it will be necessary to have  

more evidence with respect to details such as what the  

nominal charges are for patients who can afford it and  

the number of patients offered free medical care vis-a-

vis the number of patients who pay for the services. The  

argument  that  the  income  is  applied  for  charitable  

purposes  can  be  accepted  only  if  it  is  known  what  

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portion  of  the  income  goes  into  charity  i.e.  free  

medical  services.  Does  the  percentage  of  patients  

receiving free medical services increase every year? If  

we  hold  that  the  income  derived  from  a  building  is  

applied  for  charitable  purposes  then  that  has  to  be  

clearly proved, and the fact that the institution is set  

up for charitable purposes as stated in its Memorandum  

of Association cannot be enough to hold that income is  

necessarily applied for charitable purposes, especially  

in  the  light  of  the  fact  that  the  patients  who  can  

afford  to  pay  for  it  are  being  charged  for  medical  

services.

 18. Now we will examine the question of what ‘charitable  

purpose’  means.  The  Oxford  English  Dictionary  defines  

‘charitable’ as “of or relating to the assistance of  

those in need”. In the present case, it can be argued  

that all medical services relate to the assistance of  

those in need. This is a valid interpretation but cannot  

be accepted for the purposes of tax. If these medical  

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services in the present case were being offered free to  

a majority of the patients rather than a minority of  

patients, then the conclusion could have been reached  

that the buildings are principally used for charitable  

purposes.  Further,  an  amount  of  approximately  

28,00,000/- of the expenses are towards ‘social work and  

charities’ as per the income and Expenditure Accounts  

provided,  whereas  ‘free  medical  aid’  is  around  

60,00,000/- for the years 2004-05. It is not clearly  

mentioned  what  ‘social  work  and  charities’  is.  

Furthermore, an exemption is provided for that area in  

which free medical aid is provided by the appellant-

hospital. The appellant has not produced cogent material  

evidence  before  the  competent  authority  or  the  State  

government or before the High Court to show that the  

entire building has been used for charitable purpose by  

rendering free medical aid to the needy, poor people of  

society. The fact is that the details furnished in the  

documents produced would go to show that the appellant  

hospital is earning money by charging from patients and  

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therefore the claim of the appellant that the entire  

area  taxed  is  used  for  charitable  purpose  is  not  

reflected in the documents produced.  Hence, we are not  

inclined to interfere with the impugned orders. The High  

Court has correctly interpreted the ‘Explanation’ clause  

to  Section  3(1)  of  the  Act  to  hold  that  ‘charitable  

purpose’  means  ‘relief  of  the  poor  and  free  medical  

relief’.  

19. The tax herein is on the ‘building’. The society  

already has income tax exemption and the question here  

is  whether  the  building  is  used  principally  for  

‘charitable  purpose’.  Only  the  building  utilized  for  

providing  free  medical  aid  can  be  said  to  be  used  

principally  for  charitable  purpose  and  it  will  go  

against  the  letter  of  the  law  to  grant  building  tax  

exemption  for  all  the  buildings  of  the  hospital  

irrespective of what it is used for simply on the ground  

that  the  overall  object  of  the  hospital  is  charity  

although it is being predominantly run on a chargeable  

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basis. In this case, the building used for providing  

free medical aid must be exempted from paying building  

tax.  

20. In view of the foregoing, we uphold the judgment of  

the High Court and dismiss the appeal of the appellant-

hospital, but without costs. The order dated 16.7.2009  

of this Court granting stay shall stand vacated.

                                                             

                         ………………………………………………………………………J.                            [SUDHANSU JYOTI MUKHOPADHAYA]

                                                        

                          ………………………………………………………………………J.                 [V. GOPALA GOWDA]

New Delhi, January 16, 2014.  

 

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