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renders gratuitously a substantial portion of its services.  The  |  | charitable organization can meet that standard in one of 5 ways.   |  | The 5 alternative ways to meet the standard are: |  
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 |   |  | 1.  The institution must provide goods and services to all  |  | who seek them without regard to ability to pay; |  
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 |   |  | 2.  The institution must provide goods and services for fees  |  | that are based on the recipients' ability to pay; |  
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 |   |  | 3.  The institution must provide wholly gratuitous goods and  |  | services to least 5% of those receiving similar goods and  |  | services from the institution; |  
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 |   |  | 4.  The institution must provide uncompensated goods or  |  | services that in the aggregate are equal to at least 5% of the  |  | institution's cost of providing goods or services; or |  
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 |   |  | 5.  The institution must provide goods or services at no fee  |  | or a reduced fee to nonprofit agencies or individuals eligible  |  | for government programs. |  
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