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Should the suggested donation be considered a charitable contribution or should we treat it as a quid pro quo donation?

We run a free medical clinic but are considering the potential of charging patients. As a first step we may ask patients for suggested donations when serving them with medical care. We would not require a donation for service. Should the suggested donation be considered a charitable contribution or should we treat it as a quid pro quo donation?

The key is whether you will provide the services without the donation.  If so, the donation is voluntary and a real contribution.  If not, it is a fee for service.  Sounds like yours is a donation.

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